Health Care Preparedness and Response Capabilities each HCC must conduct an exercise using the Coalition Surge Test once each budget period. Additional information on HPP exercise requirements and the Coalition Surge Test are provided in the 2017-2022 HPP-PHEP Supplemental Guidelines. Activity 2: Address Emergency Department and Inpatient Surge HPP Requirements HCCs and their members that coordinate during a medical surge response are more likely to effectively manage the emergency without state or federal assets or employing crisis care strategies. However, it is not possible to plan for all worst-case scenarios, and there may be times when the health care delivery system is stressed beyond its maximum surge capacity. During those scenarios, crisis care strategies may be employed and planned for well in advance. Planning for medical surge should follow the medical surge capacity and capability (MSCC) tiered approach, where successive levels of assistance are activated as the emergency evolves. Accomplishing these activities will enable the health care delivery system and other organizations that contribute to responses to coordinate efforts before, during, and after emergencies; continue operations; and appropriately surge as necessary. Immediate bed availability (IBA) is defined as the ability of a hospital to provide at least 20 percent bed availability of staffed beds within four hours of a disaster. IBA is built on three pillars: continuous monitoring across the health system; off-loading of patients who are at low risk for untoward events through reverse triage; and on-loading of patients from the disaster. While the goal of IBA is to create capacity within hospitals, other health care partners including home care providers, skilled nursing facilities, long-term care facilities, clinics, and community and tribal health centers, can meet the needs of patients who are discharged early as part of the surge response. HCCs and their members must plan and respond together to address emergency department and inpatient surge with the goal of ensuring IBA throughout the five-year project period. In particular, HCCs and their members should focus their hospital medical surge capability and IBA activities in these areas: Emergency department beds General medical, general surgical, and monitored beds Critical care beds Surgical intervention units Clinical laboratory and radiology services Health care volunteer management Equipment and supplies Staffing Coordination of ambulance transport w...
Health Care Preparedness and Response Capabilities. Awardee BP1 SUPP None Domain 1 Strategy: Strengthen Community Resilience Activity 1: Partner with stakeholders by developing and maturing health care coalitions HPP REQUIREMENTS Establish HCC Governance Each HCC funded by the awardee must define and implement a governance structure and necessary processes to execute activities related to health care delivery system readiness and coordination by the end of BP1. Both BP1 None
Health Care Preparedness and Response Capabilities. HCC BP1 and Submit to HPP FPO upon request PM #3 Domain 1 Strategy: Strengthen Community Resilience Activity 1: Partner with stakeholders by developing and maturing health care coalitions HPP REQUIREMENTS Develop a Preparedness Plan for Each HCC Each HCC funded by the awardee must develop a preparedness plan and submit the plan to ASPR by the end of BP 1 with the annual progress report (APR). The HCC must develop its preparedness plan to include core HCC members and additional HCC members so that, at a minimum, hospitals, EMS, emergency management organizations, and public health agencies are represented. HCC BP1 and Submit with BP1 annual progress report PM #4 and HPP Program #4 Benchmark
Health Care Preparedness and Response Capabilities. HCC BP1 PM #4 Domain 1 Strategy: Strengthen Community Resilience Activity 2: Characterize the probable risks to the jurisdiction and the HCC JOINT (HPP/PHEP) REQUIREMENTS Jurisdictional Risk Assessment All HPP and PHEP awardees must participate in or complete a jurisdictional risk assessment (JRA) at least once every 5 years. Awardee Every five years None Domain 1 Strategy: Strengthen Community Resilience Activity 2: Characterize the probable risks to the jurisdiction and the HCC JOINT (HPP/PHEP) REQUIREMENTS Jurisdictional Risk Assessment Awardees must ensure that all their funded HCCs have the opportunity to provide input into the JRA for this project period. Awardees must provide their HCCs with the date the JRA was completed or is projected to be completed. Both Every five years PM #9
Health Care Preparedness and Response Capabilities. More information about engaging community leaders can be found in Capability 1, Objective 5, Activity 4 of the 2017-2022 Health
Health Care Preparedness and Response Capabilities. HCC BP1 SUPP Submit with BP 1 Supplement APR PM #5 Domain 2 Strategy: Strengthen Incident Management Activity 4: Ensure HCC Integration and Collaboration with Emergency Support Function- 8 (ESF-8) HPP REQUIREMENTS HCC Response Plan Each HCC’s response plan must describe the HCC’s operations that support strategic planning, information sharing, and resource management. The plan must also describe the integration of these functions with the ESF-8 lead agency to ensure information is provided to local officials and to effectively communicate and address resource and other needs requiring ESF-8 assistance. In cases where the HCC serves as the ESF-8 lead agency, the HCC response plan may be the same as the ESF-8 response plan. HCC BP1 SUPP None Domain 2 Strategy: Strengthen Incident Management Activity 4: Ensure HCC Integration and Collaboration with Emergency Support Function- 8 (ESF-8) HPP REQUIREMENTS HCC Response Plan Each HCC must coordinate the development of its response plan by involving core members and other HCC members so that, at a minimum, hospitals, EMS, emergency management organizations, and public health agencies are represented in the plan. Each HCC must review and update its response plan regularly, and after exercises and real incidents. HCC BP1 SUPP PM #5 Domain 2 Strategy: Strengthen Incident Management Activity 4: Ensure HCC Integration and Collaboration with Emergency Support Function- 8 (ESF-8) HPP REQUIREMENTS HCC Response Plan The HCC response plan can be presented in various formats, including the placement of information described below in a supporting annex. Regardless of the format, each HCC’s response plan must clearly outline: • Individual HCC member organization and HCC contact information • Locations that may be used for multiagency coordination • Process for multiagency coordination if location is virtual • A brief summary of each individual member’s resources and responsibilities • Integration with appropriate ESF-8 lead agencies • Emergency activation thresholds and processes • Alert and notification procedures • EEIs agreed to be shared, including information format, such as bed reporting, resource requests and allocation, and patient distribution, and tracking procedures • Communication and IT platforms and redundancies for information sharing • Support and mutual aid agreements • Evacuation and relocation processes • Additional HCC roles and responsibilities as determined by state or local plans and agreements such as st...
Health Care Preparedness and Response Capabilities. Each HCC must conduct an exercise using the Coalition Surge Test once each budget period. • The Hospital Surge Test will be required for the select U.S. Territories and Freely Associated States annually. • Additional information on HPP exercise requirements and the Coalition Surge Test and Hospital Surge Test are provided in the 2017-2022 HPP-PHEP Supplemental Guidelines. HCC BP1 and BP1 SUPP See 2017-2022 HPP Performance Measure Implementation Guidance for applicable CST and HST measures PM #14-28
Health Care Preparedness and Response Capabilities. Foundation for Health Care and Medical Readiness; 2) Health Care and Medical Response Coordination; 3) Continuity of Health Care Service Delivery; and 4) Medical Surge.
Health Care Preparedness and Response Capabilities. Summary of Capabilities followed by Objectives and Activities O1) Establish and Operationalize a Health Care Coalition.
Health Care Preparedness and Response Capabilities. HCC membership does not begin or end with attending meetings (see also HCC governance requirementsbelow). HCCs also should include specialty patient referral centers such as pediatric, burn, trauma, and psychiatric centers, as HCC members within its geographic boundaries. They may also serve as referral centers to other HCCs where that specialty care does not exist.
