hospital preparedness program (hpp) & public health emergency preparedness (phep) grant...
TRANSCRIPT
![Page 1: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/1.jpg)
Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP)
Grant Alignment 10/2012 1Kansas Regional Preparedness Training
2012
![Page 2: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/2.jpg)
Grant Alignment Requirement
• White House directed– Better alignment of emergency preparedness programs
• HPP and PHEP awardee requested– Reduce duplicative/conflicting activities and redundancies DHHS preparedness awards nearing $1 billion
annually• Funding sustainability requires demonstration of
how funding has:– Increased operational efficiencies– Improved preparedness integration across the federal government,
with partners and with the public– Improved national public health and medical preparedness
10/2012 2Kansas Regional Preparedness Training 2012
![Page 3: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/3.jpg)
HPP-PHEP Cooperative Agreement
• Capabilities-based approach• Building upon the strong preparedness
foundation already in place• Benefits
– More coordinated and integrated public health and healthcare service delivery system planning and response
– Improved ability to leverage funding for applicable activities and infrastructure
– Reduced burden regarding duplicative and conflicting activities and reporting
10/2012 3Kansas Regional Preparedness Training 2012
![Page 4: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/4.jpg)
• Aims to broaden the scope of the healthcare service delivery systems preparedness from individual facilities to diverse regional healthcare coalitions (HCC)
• Allows program to identify gaps in preparedness, determine specific priorities, and develop plans for building and sustaining specific capabilities
Shift from Building to Strengthening
10/2012 4Kansas Regional Preparedness Training 2012
![Page 5: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/5.jpg)
10/2012 5
![Page 6: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/6.jpg)
Healthcare Coalition (HCC)
10/2012 6
![Page 7: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/7.jpg)
10/2012
Health and Human Services
Definition of healthcare coalition (HCC):
A collaborative network of healthcare organizations and their respective public and private sector response partners that serve as
a multiagency coordinating group to assist with preparedness, response, recovery, and
mitigation activities related to healthcare organization disaster operations.
Healthcare Coalition (HCC)
7Kansas Regional Preparedness Training 2012
![Page 8: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/8.jpg)
One individual agency/organization Two individual agencies/organizations Hospital-only regional group Public health-only regional group A deployable response team Made up primarily of individuals, but of organizations
• A Multi-agency coordination group that includes multiple healthcare organization members (HCOs) within the response community• A collective team that assists Emergency Management and Emergency Support Function (ESF) #8 partners• A collaborative effort to plan, organize, equip, train, exercise, evaluate and outline corrective actions
IS NOTIS NOTISIS
10/2012 8
![Page 9: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/9.jpg)
• Conduct non-preparedness or non-response related activities or business• “Command” the actions of Coalition members or any other response entities it might interact with during an emergency• Use only one county-level Hazard Vulnerability Assessment (HVA) for substitution of the entire regional HVA
• Focus on the cycle of preparedness, response, recovery, and mitigation activities • Promote situational awareness for HCOs• Conduct regional healthcare coalition meetings• Engage partners in Hazard Vulnerability Assessment (HVA) discussions
DOES NOTDOES NOTDOESDOES
10/2012 9
![Page 10: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/10.jpg)
• Have to own the electronic systems being shared or utilized within the region• Have to have the resources locally, but have access to resources within the region
• Have the ability to share Essential Elements of Information (EEIs) data electronically across the HCC (e.g., bed status)• Utilize subject matter experts from across the region for information sharing
DOES NOTDOES NOTDOESDOES
10/2012 10
![Page 11: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/11.jpg)
10/2012
Healthcare Coalition (HCC)
Primary Function of HCC
Sub-state regional healthcare system emergency preparedness activities involving the healthcare
member organizations (HCOs). This includes planning, organizing, equipping, training, exercises and
evaluation.
Purpose of HCC
Healthcare system-wide approach for preparing for, responding to, and recovering from incidents that have
a public health and medical impact in the short-and long-term.
11
![Page 12: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/12.jpg)
10/2012
Healthcare Coalition (HCC)
Response of HCC
HCCs should represent healthcare organizations by providing multi-agency coordination advice on decisions made by incident management regarding information &
resource coordination
Advice through:
• A multi-agency coordination group to assist incident management (area command or unified command)
OR
• Through coordinated plans to guide decisions regarding healthcare organization support
12
![Page 13: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/13.jpg)
10/2012
Healthcare Coalition Member Organizations (HCO)
13Kansas Regional Preparedness Training 2012
![Page 14: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/14.jpg)
Healthcare Coalition (HCC)
10/2012 14Kansas Regional Preparedness Training 2012
![Page 15: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/15.jpg)
10/2012
• Regional-based preparedness programs already in place
• Common purpose:– To serve as a collaborative network of
healthcare organizations to assist with preparedness, response, recovery, and mitigation activities related to healthcare organization disaster operations.
15Kansas Regional Preparedness Training 2012
![Page 16: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/16.jpg)
Don’t Recreate the wheel! Use existing networks.
Kansas Healthcare Coalitions
10/2012 16Kansas Regional Preparedness Training 2012
![Page 17: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/17.jpg)
10/2012
• Most states are choosing to utilize their current regional structure for healthcare coalitions
• Some are using State as one coalition• Few states are using city or county
based communities
Non-Kansas Healthcare Coalitions
17Kansas Regional Preparedness Training 2012
![Page 18: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/18.jpg)
10/2012 18Kansas Regional Preparedness Training 2012
Five Year Grant Period
Working in close collaboration with internal and external subject matter experts (SMEs), ASPR and CDC developed a set of new performance measures for 2012-2013 that enable ASPR and its HPP awardees to:
• Enhance situational awareness • Provide technical assistance• Support program improvement and inform policy• Increase transparency• Promote sound stewardship of Federal tax dollars by using the
data to assess impact of public funding and ensure that the American taxpayer sees a return on his or her investment.
– The development of program measures and continuous quality improvement enables Healthcare Systems Evaluation Branch (HSEB) within ASPR to critically evaluate the ability of the HPP program to perform its intended goals.
![Page 19: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/19.jpg)
10/2012
The Assistant Secretary for Preparedness and Response (ASPR) has always supported region-based approaches for preparedness planning. This has been a part of the preparedness program for many years.
You can learn more from the ASPR 2009 report, From Hospitals to Healthcare Coalitions: Transforming Health Preparedness & Response in Our Communities. In this report, ASPR highlighted the seven Kansas regional hospital groups as a best practice for collaborative efforts resulting in shared resources and stronger relationships. This is the structure that will continue to be used moving forward.
19Kansas Regional Preparedness Training 2012
![Page 20: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/20.jpg)
10/2012 20Kansas Regional Preparedness Training 2012
![Page 21: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/21.jpg)
10/2012
Challenges & SolutionsChallenge Example #1: Preparedness funding realities
Possible Solutions: • Capitalize on policy initiatives and resources
• Military. Force Multiplier--A capability that, when added to and employed by a combat force, significantly increases the combat potential of that force and thus enhances the probability of successful mission accomplishment.
• Racing. Drafting or slipstreaming is a technique where two vehicles or other moving objects are caused to align in a close group reducing the overall effect of drag
• Collaboration Effect
21Kansas Regional Preparedness Training 2012
![Page 22: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/22.jpg)
National Healthcare System
Gap
Coalitions
Regional Preparedness
100% Prepared
Collaboration Effect
10/2012 22Kansas Regional Preparedness Training 2012
![Page 23: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/23.jpg)
National Healthcare System
100% Prepared
Gap
Coalitions
Regional Preparedness
Collaboration Effect
10/2012 23Kansas Regional Preparedness Training 2012
![Page 24: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/24.jpg)
National Healthcare
System
100% Prepared
Achieving Success
10/2012 24Kansas Regional Preparedness Training 2012
![Page 25: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/25.jpg)
Challenges & SolutionsChallenge Example #2: Coalition integration into disaster response
Possible Solution:
10/2012 25Kansas Regional Preparedness Training 2012
![Page 26: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/26.jpg)
10/2012
Challenges & SolutionsChallenge Example #3: “surge” capacity“Surge” capacity is shrinking
Possible Solution: Coalition immediate bed availability
Immediate bed availability (IBA) is built into the existing systemUses regional capacityExpanding local capabilitiesBuilds on current regional structuresBuilds on regional collaboration
IBA principlesConstant acuity monitoring across the coalition Patient awareness and continuous discharge planning20% acute care offload (IBA)
26Kansas Regional Preparedness Training 2012
![Page 27: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/27.jpg)
Immediate Bed Availability
10/2012 27Kansas Regional Preparedness Training 2012
![Page 28: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/28.jpg)
Stroke/MIs
High Acuity Psychiatric patients
ICU Patients
Acute Surgical Patients
Imminent OB deliveryLesser Acuity
Awaiting discharge
Behavioral Health Issues
Social Issues
Post Operative Patients
Elective Procedures Cancelled
Home
Community Health Centers
Long Term Care
Acute
Hospitals Coalition Partners
20%
EVEN
TCoalitions & Immediate Bed Availability
10/2012 28Kansas Regional Preparedness Training 2012
![Page 29: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/29.jpg)
• Coordinated near-simultaneous attacks targeting commuter trains
• 191 dead
• More than 2,600 injured
Challenges & SolutionsCase Study: Madrid 3/11/2004
10/2012 29Kansas Regional Preparedness Training 2012
![Page 30: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/30.jpg)
Challenges & SolutionsCase Study: Madrid 3/11/2004
10/2012 30Kansas Regional Preparedness Training 2012
![Page 31: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/31.jpg)
Challenges & SolutionsCase Study: Madrid 3/11/2004
10/2012 31Kansas Regional Preparedness Training 2012
![Page 32: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/32.jpg)
• 1000 acute care beds/coalition• 20% IBA• Results in 200 beds immediately avail/coalition• 100 coalitions in the United States• Across the U.S., 20,000 beds available—
immediately• Madrid = 2,000 patients
- Require 10 coalitions engaged
Challenges & SolutionsFunctional IBA? Discussions across HCCs
10/2012 32Kansas Regional Preparedness Training 2012
![Page 33: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/33.jpg)
ResourcesBest Practices
10/2012 33Kansas Regional Preparedness Training 2012
Coalition Strengthening Documents
![Page 34: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/34.jpg)
10/2012 34Kansas Regional Preparedness Training 2012
![Page 35: Hospital Preparedness Program (HPP) & Public Health Emergency Preparedness (PHEP) Grant Alignment 10/20121 Kansas Regional Preparedness Training 2012](https://reader038.vdocuments.site/reader038/viewer/2022102713/56649e0e5503460f94af8158/html5/thumbnails/35.jpg)
10/2012
Kansas defined Tier 1-4 Coordination
35Kansas Regional Preparedness Training 2012