Medical Surge. Objective: Maintain the ability to provide adequate medical evaluation and care during events that exceed the limits of the normal medical infrastructure of an affected community, encompassing the ability of the healthcare system to survive a hazard impact and maintain or rapidly recover operations that were comprised.
Medical Surge. CDC and ASPR have developed a joint performance measure that covers both the PHEP Information Sharing and Medical Surge capabilities. This performance measure (i.e., HPP-PHEP 6.1: Information Sharing) can be found in the Information Sharing chapter and in the HPP BP1 Healthcare Systems Preparedness: Performance Measures Specifications and Implementation Guidance.
Medical Surge. Collaborate with healthcare system partners to design, develop, and implement a tiered network of hospitals within the state (or jurisdiction) capable of providing EVD patient care and a plan to refer and transport PUIs to the appropriate location. This will include state selection of hospitals to serve as Ebola treatment centers (if applicable), assessment hospitals, and frontline healthcare facilities. Refer to Interim Guidance for U.S. Hospital Preparedness for Patients Under Investigation or with Confirmed Ebola Virus Disease: A Framework for a Tiered Approach for more information. In a cooperative agreement, CDC staff is substantially involved in the program activities, above and beyond routine grant monitoring. CDC’s Division of State and Local Readiness (DSLR) project officers and subject matter experts will use application submission information to identify strengths and weaknesses to update work plans and to establish priorities for site visits and technical assistance. To assist recipients in achieving the purpose of this supplemental award, CDC will conduct the following activities:
1. Provide ongoing guidance, programmatic support, and training and technical assistance as related to activities outlined in this Ebola supplemental funding announcement(s) such as development of CONOPS Plans and reporting templates as needed.
2. Provide technical assistance to assure that Ebola funding from HPP, ELC and PHEP are complementary and not duplicative. We would like to see coordination at state and local levels.
3. Convene conference calls, site visits, and other communications as applicable with awardees.
4. Facilitate communication among awardees to advance the sharing of expertise on preparedness and response activities for Ebola.
5. Coordinate planning and implementation activities with federal partners including the HPP cooperative agreement administered by ASPR.
Medical Surge. Definition: Medical surge capability is the ability to provide adequate medical evaluation and care during incidents that exceed the limits of the normal medical infrastructure within the community. This encompasses the ability of healthcare organizations to survive an all-hazards incident, and maintain or rapidly recover operations that were compromised.
Medical Surge. In order to respond ‘Yes’ that 'appropriate levels of care' were delivered, it must be demonstrated that the level of care provided both to the patients whose beds were made available for disaster victims as well as the disaster victims received levels of care consistent with the currently indicated level of care as determined by clinical guidelines contained in the adopted Crisis Standards of Care. The time to be used to start counting the 4 hours is the time the notification was either issued by the HCC, or issued by the entity identified in the HCC's plan The 20% can be distributed among HCC members as the HCC and its members have planned, if its plans are still applicable. To score ‘Yes’ all members identified as a participant in the HCC's coordinated plan must participate in the test. Although the HPP FOA requires that all hospitals and HCCs participate in at least one regional or statewide exercise over the 5‐year grant period, an HCC must identify each year whether the HCC and its members have participated in an exercise or an event. The HCC is strongly encouraged to participate in a yearly exercise or event if the opportunity arises. If there was no event or exercise, it must score ‘No’ because of no opportunity(Score=5). The HCC does not have to be the lead organizer, but the HCC must participate as an operational entity. ▪ Describe HCC and member HCO surge plans. ▪ Identify and describe written clinical practice guidelines for Crisis Standards of Care. Guidelines should apply to an incident across the continuum of care from conventional to crisis standards of care. These guidelines should be included in the HCC and member HCO surge plans. ▪ Evaluate how effectively the HCC and its members are able to demonstrate coordinated mechanisms to deliver appropriate levels of care to all patients and provide no less than 20% immediate bed availability of HCC members staffed hospital beds within 4 hours of a disaster.
Medical Surge. Levels 2 and 3 -
Medical Surge. The time to be used to start counting the 4 hours is the time the notification was either issued by the HCC, or issued by the entity identified in the HCC's plan The 20% can be distributed among HCC members as the HCC and its members have planned, if its plans are still applicable. To score ‘Yes’ all members identified as a participant in the HCC's coordinated plan must participate in the test. Although the HPP FOA requires that all hospitals and HCCs participate in at least one regional or statewide exercise over the 5-year grant period, an HCC must identify each year whether the HCC and its members have participated in an exercise or an event. The HCC is strongly encouraged to participate in a yearly exercise or event if the opportunity arises. If there was no event or exercise, it must score ‘No’ because of no opportunity. The HCC does not have to be the lead organizer, but the HCC must participate as an operational entity. Has the HCC successfully implemented “lessons learned” and corrective action from this exercise or event within the past year?
Medical Surge. Underscores the need for healthcare organizations to deliver timely and efficient care to their patients even when the demand for healthcare services exceeds available supply. This capability highlights the importance of having the HCC coordinate information and available resources for its members to better cope with the demands of an incident. While HCCs will have different boundaries, relationships, and processes to suit their local needs, they should all have strong mechanisms to ensure information sharing, enhance situational awareness, monitor and assist with resource requests, and contribute to consistent strategy and information development as the incident requires. Through these functions, HCCs integrate the response partners so all entities are working toward common goals. Many HCC response activities will be virtual, and largely consist of information sharing. The larger the event, the more coordination activities may be necessary, particularly when an event lasts for days and is dynamic, or when it has widespread community impact. HCCs create critical partnerships through which a wide range of planning activities can occur that increase the nation’s capacity and capability to respond to disasters and emergencies. The new HPP capabilities encourage identification of gaps that HCC 0members can proactively address to enhance healthcare system resilience and preparedness, and emphasize the HCC’s coordination role during a response. Effective coordination between the facilities, agencies, and disciplines can ensure that we get the right resources and information to the right place at the right time to provide timely and effective support to our communities’ needs.
