From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in Our Communities [open pdf - 15MB]
"The H1N1 pandemic of 2009-2010 demanded the healthcare community respond in ways not required in decades. While there had been prior severe seasonal influenza outbreaks, and numerous small, localized emergency events, the nation's healthcare community had to find ways to evaluate and treat large numbers of patients who overwhelmed emergency departments and occupied ICU [Intensive Care Unit] beds. Many institutions had to implement plans to use alternate care sites, adjust staffing patterns, and administer newly available vaccines and anti-virals provided by State and Federal governments. Individual providers had to use innovative strategies to accommodate influenza patients into already full clinic schedules. However, the overflow of patients was often referred to the local emergency department, a costly alternative to a practitioner's clinic. Much of the planning that supported these actions was supported by funds from two Federal cooperative agreements--the Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness Program. The nation's experience with the H1N1 pandemic affirmed that the entire healthcare community must be engaged in response to public health and medical emergencies."
Office of the Assistant Secretary for Preparedness and Response: http://www.phe.gov/