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ELC Enhancing Detection: Pennsylvania Testing Plan
From the Document: "The Wolf Administration has developed an enhanced testing strategy with a focus on three pillars: ensuring testing is accessible for all Pennsylvanians with symptoms of COVID-19 [coronavirus disease 2019]; available by increasing supply and building community capacity; and adaptable to the evolving landscape of the virus and data. Through this enhanced strategy, the Administration has set a goal for 90 percent of people in Pennsylvania to live within 45 miles from a specimen collection site in addition to the goal of 2 percent of the population in every region throughout the commonwealth to be tested per month. The number of cases in communities will continue to be closely monitored to ensure that specimen collection sites are situated appropriately in areas with the greatest need."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Ohio Testing Plan
From the Document: "Through the leadership of Governor Mike DeWine, the Ohio Department of Health (ODH) and the work of the State of Ohio Testing Strike Force, Ohio has worked to maximize the use of testing platforms by establishing a statewide network of laboratories, linking state and private laborites under a single effort. Recognizing the value of our local partners and science experts the state utilized the existing infrastructure of sophisticated hospital and academic medical center laboratories throughout the state, as well as the existing Ohio Department of Health lab."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Oregon Testing Plan
From the Document: "According to the 2019 Annual Oregon Population Report, Oregon's population is 4,236,400. In order to test 2% of our population per month, we must build capacity to test 84,728 people per month. In order to meet this target, the Oregon Health Authority and the Oregon State Public Health Laboratory (OSPHL) have partnered with local public health authorities (LPHAs), healthcare systems, academic institutions, commercial laboratories and retail sites. Through these partnerships, we have created a network of laboratories which can perform up to 140,000 tests per month."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Philadelphia Testing Plan
From the Document: "The Philadelphia Department of Public Health (PDPH) is committed to continued rapid detection and containment of SARS-CoV-2 [severe acute respiratory syndrome coronavirus 2]. There are currently over 50 testing sites in Philadelphia, including sites run by health systems, health centers, pharmacies and urgent cares. Since March 2020, PDPH has been working with healthcare partners throughout Philadelphia to increase testing capacity, accessibility, and speed of reporting. Expanded testing efforts have been planned through June 2020, with components in varying stages of execution, to reach a goal of 150,000 tests performed each month by testing sites across the city. PDPH's short-term testing expansion strategy focuses on maximizing its own laboratory capacity, implementation of rapid testing platforms at testing sites, continuation of testing partnerships with Federally Qualified Health Centers (FQHCs) and long-term care facilities, and development of new community-based testing programs in coordination with partner organizations like urgent care centers and retail pharmacies."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: South Carolina Testing Plan
From the Document: "South Carolina has an approximate population of 5.1 million in 46 counties. To bolster testing capacity and reach the goal of testing at least 2% of the population each month, the South Carolina Department of Health and Environmental Control (DHEC) is utilizing agency resources and fostering public and private partnerships to increase access to testing, particularly for under resourced communities and vulnerable populations."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Palau Testing Plan
From the Document: "Prior to March 2020, Palau relied on a referral system for testing through the Hawaii State Laboratory Division and Guam Public Health Laboratory. The MOH [Ministry of Health] began efforts to establish local diagnostic capacity in February and by April had secured a molecular diagnostic testing platform with 100,000 test kits and worked quickly to train laboratory staff to conduct testing. In March, all commercial flights were suspended, effectively cutting off Palau from access to all reference laboratories for COVID-19 [coronavirus disease 2019] testing. There are currently two full-time laboratory technologists who are trained to perform COVID-19 diagnostic testing using a high-throughput RT-PCR [real-time polymerase chain reaction] testing platform."
United States. Department of Health and Human Services
2020
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ELC Enhancing Detection: Puerto Rico Testing Plan
From the Document: "The volume of tests in the State current testing plan for May 2020 includes 7,700 diagnostic tests and 10,280 for June 2020. The current testing capacity in the Puerto Rico Department of Health is for 1,022 diagnostic tests daily for a total of 30,660/month, which is 48% of the 2% of Puerto Rico's population (64,000). In order to reach 100% of the 2% population, we plan to increase testing capacity by acquiring new testing platforms for the Puerto Rico Public Health Laboratories that are high throughput."
United States. Department of Health and Human Services
2020
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The Exchange: COVID-19 and Healthcare Professional Stress and Resilience [Issue 12]
From the Foreword: "The phenomenal effort that you and other healthcare emergency readiness and response professionals have made while caring for this nation's communities during the COVID-19 [coronavirus disease 2019] pandemic has not gone unnoticed and ASPR [Assistant Secretary for Preparedness and Response] recognizes the immense sacrifices you and your peers continue to make. We also understand that responding to this long-term incident may affect your mental health, morale, and resilience. In this issue ASPR TRACIE [Technical Resources, Assistance Center, and Information Exchange] strives to collect and share the most valuable, timely, and helpful information for you and your colleagues and offer the following resources to address healthcare worker mental health and resilience: [1] The COVID-19 Behavioral Health Resource Collection includes a section on Self-Care and Resilience Resources for Responders and Healthcare Workers. [2] The Behavioral Health Compendium can help Regional Emergency Coordinators and federal and state planners better understand how programs with behavioral health components (e.g., steady state programs, grants, certain HHS [Health and Human Services] programs, waivers and flexibilities) can support the pandemic response. [3] ASPR TRACIE Mini Modules to Relieve Stress for Healthcare Workers Responding to COVID-19 are designed for healthcare workers in all settings, but primarily hospital-based providers, staff, and leaders dealing with the COVID-19 pandemic."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2020
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Flu Season: U.S. Public Health Preparedness and Response, Statement of Robert Kadlec, MD, MTM&H, MS, Assistant Secretary for Preparedness and Response, Written Testimony, House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations
From the Introduction: "Chairwoman DeGette, Ranking Member Guthrie, and distinguished Members of the Subcommittee, thank you for the opportunity to testify on our efforts to develop appropriate and effective medical countermeasures to mitigate a future pandemic influenza event. I am Dr. Bob Kadlec, the Assistant Secretary for Preparedness and Response (ASPR) at the Department of Health and Human Services (HHS). Today, I will provide background about how ASPR [Assistant Secretary for Preparedness and Response] is partnering with the private sector to develop influenza vaccines, antivirals, and diagnostics to ensure we are as prepared for both seasonal as well as pandemic influenza. I will also provide an overview of the current challenges we face in preparedness due to dependence on active pharmaceutical ingredients (API) and other raw materials manufactured in other countries."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-12-04
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Hospital (and Transplant Program) Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Hospital and Transplant Program Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Long Term Care Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines, and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Long Term Care (LTC) Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Clinics, Rehabilitation Agencies, and Public Health Agency Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines, and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Clinics, Rehabilitation Agencies, and Public Health Agencies as providers of Outpatient Physical Therapy and Speech-Language Pathology Services Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Ambulatory Surgical Center Requirements: CMS Emergency Preparedness Final Rule
From the Document: "The Centers for Medicare & Medicaid Services (CMS) issued the Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Final Rule to establish consistent emergency preparedness requirements for healthcare providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and human-caused disasters. The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) worked closely with CMS in the development of the rule. This document combines excerpts from the Final Rule, the Interpretive Guidelines, and revisions (New 3.6.19) from CMS to provide a consolidated overview document for the Ambulatory Surgical Center (ASC) Requirements."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-11-29
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Beyond the Response: Addressing Compassion Fatigue and Behavioral Health Needs for Healthcare Providers [presentation]
This presentation provides an overview of efforts and measures taken by the Assistant Secretary for Preparedness and Response (ASPR) to address cognitive fatigue and behavioral health needs for healthcare workers. The presentation outlines the ASPR goals, risk factors, and resources that professionals can use to improve the health and resilience of healthcare providers.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
Brannman, Shayne; Naturale, April
2019-11-05
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California Should Improve Its Oversight of Selected Nursing Homes' Compliance with Federal Requirements for Life Safety and Emergency Preparedness
From the Document: "In 2016, the Centers for Medicare & Medicaid Services (CMS) updated its life safety and emergency preparedness regulations to improve protections for all Medicare and Medicaid beneficiaries, including those residing in long-term-care facilities (commonly known as nursing homes). The updates included requirements that nursing homes have expanded sprinkler systems and smoke detector coverage; an emergency plan that is reviewed, trained on, tested, and updated at least annually; and provisions for sheltering in place and for evacuation. Our objective was to determine whether California ensured that selected nursing homes in the State that participated in the Medicare or Medicaid programs complied with CMS requirements for life safety and emergency preparedness."
United States. Department of Health and Human Services. Office of Inspector General
2019-11
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Continuous Demands, Multiple Disasters, Mounting Stress: How Emergency Responders Can Protect Against Burnout, Compassion Fatigue, and PTSD
From the Webpage: "As any emergency responder knows, EMS [Emergency Medical Services] providers, healthcare professionals and other emergency responders work in fast-paced, demanding, challenging environments. Although this work can be incredibly rewarding, the accumulation of daily stressors coupled with the intense pressures associated with a disaster - such as taking on unfamiliar duties, witnessing horrific events, comforting traumatized people, working back-to-back shifts, eating poorly, and sleeping rarely - can have serious repercussions for responder behavioral health. According to research by the Substance and Mental Health Services Administration, about one in three emergency responders suffers from post-traumatic stress disorder or depression. In addition, responders and staff in emergency response agencies are at an increased risk over the long term for experiencing compassion fatigue and burnout. At an individual level, behavioral health problems can be hard to recognize and address. At an organizational level, they can seriously hinder your emergency management organization or healthcare facility's ability to respond effectively. So how can you recognize when someone needs help and what can you do to help them? Start by learning some core concepts, warning signs, and ways to help."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
Kaul, Rachel
2019-09-13
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Unaccompanied Alien Children Care Provider Facilities Generally Conducted Required Background Checks but Faced Challenges in Hiring, Screening, and Retaining Employees
From the Document: "The Office of Refugee Resettlement (ORR), a Program Office of the Administration for Children and Families (ACF) within the Department of Health and Human Services (HHS), manages the Unaccompanied Alien Children (UAC) Program. The Program serves children who arrive in the United States unaccompanied, as well as children who are separated from their parents or legal guardians by immigration authorities. To ensure the health and safety of children in the ORR UAC Program, OIG [Office of Inspector General] is conducting reviews of efforts by ORR facilities to protect all children in their care. Our objectives were to determine whether selected facilities (1) conducted required background checks for staff who had access to children, (2) employed case managers and mental health clinicians who met the minimum education requirements, and (3) faced any staffing challenges related to hiring and retention."
United States. Department of Health and Human Services. Office of Inspector General
2019-09
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ASPR TRACIE Disaster Behavioral Health Self Care for Healthcare Workers Modules
From the Background: "The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) has helped develop resources and participated in ASPR At-Risk Individuals, Behavioral Health & Community Resilience (ABC) interagency/ external partner working groups in every disaster recovery operation for the last four years, to assist with issues related to disaster behavioral health (DBH), provider self-care, suicide prevention, and compassion fatigue. One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to a disaster to recognize and reduce their stress levels and maintain resilience during recovery. This gap was validated via communication with the Substance Abuse and Mental Health Services Administration (SAMHSA), the National Center for Child Traumatic Stress, and various ASPR TRACIE disaster behavioral health (DBH) subject matter experts (SMEs) in addition to ASPR staff. These modules are designed for healthcare workers in all settings, but primarily hospital-based providers."
United States. Technical Resources, Assistance Center and Information Exchange; United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-09
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Care Provider Facilities Described Challenges Addressing Mental Health Needs of Children in HHS Custody
From the Document: "By law, ORR [Office of Refugee Resettlement], which is within the Department of Health and Human Services, has custody of and must provide care for each unaccompanied child, including addressing their mental health needs. ORR-funded care provider facilities are required to provide counseling to children and arrange for more specialized mental health services, as needed. We conducted our fieldwork during a time when ORR was experiencing an influx of children. Our findings could inform the Unaccompanied Alien Children Program's preparation for future surges."
United States. Department of Health and Human Services. Office of Inspector General
2019-09
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Role of Districts in Developing High-Quality School Emergency Operations Plans: A Companion to the 'School Guide'
From the Background: "From the time of the horrific February 14, 2018 shooting at Marjory Stoneman Douglas High School through the present, the Trump Administration has committed considerable time and resources to determine the best practices and policies to prevent future tragedies and keep our students safe. Consisting of the Secretaries of Education, Health and Human Services, Homeland Security and the Attorney General, the Federal Commission on School Safety presented its final report of best practices and policies to President Trump in December 2018. The report acknowledges that the problem of school violence is longstanding and complex, that each state is different, and that there are certain limits to what the federal government can do. Indeed, the report recognizes there is 'no universal school safety plan that will work for every school across the country' and that '[s]uch a prescriptive approach by the federal government would be inappropriate, imprudent, and ineffective.'"
United States. Department of Education; United States. Department of Justice; United States. Department of Health and Human Services . . .
2019-09
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ASPR TRACIE Self-Care Modules [videos]
From the Playlist Description: "For over four years, ASPR TRACIE [Office of the Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] has developed resources and participated in ASPR ABC [At-Risk Individuals, Behavioral Health & Community Resilience] interagency/ external partner working groups in every disaster recovery operation to assist with issues related to disaster behavioral health (DBH), provider self-care, suicide prevention, and compassion fatigue. One continuous knowledge gap identified during this time has been the need for information for front-line healthcare and social services workers to use prior to a disaster to recognize and reduce their stress levels and maintain resilience during recovery. [...] These modules are designed for healthcare workers in all settings, but primarily hospital-based providers." There are seven videos included in this playlist: [1] "Who, Me? How Do I Know if I Have Compassion Fatigue and Secondary Traumatic Stress?"; [2] "Compassion Fatigue and Secondary Traumatic Stress Identification for Healthcare Providers"; [3] "Preview: Organizational Wellness From the Top: Stress Mitigation and Work Satisfaction for Staff"; [4] "Organizational Wellness From the Top: Stress Mitigation and Work Satisfaction for Staff"; [5] "Preview: Cognitive Tools for Mitigating Compassion Fatigue and Secondary Traumatic Stress"; [6] "Cognitive Tools for Mitigating Compassion Fatigue and Secondary Traumatic Stress"; and [7] "Preparing for the Worst, Responding at Your Best, and Continuing On."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response; United States. Technical Resources, Assistance Center and Information Exchange
2019-08-19
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Southwest Key Programs Did Not Always Comply with Health and Safety Requirements for the Unaccompanied Alien Children Program
From the Document: "The Office of Refugee Resettlement (ORR) within the Department of Health and Human Services (HHS), Administration for Children and Families (ACF), manages the Unaccompanied Alien Children (UAC) Program. We initiated a series of reviews of UAC Program grantees because, beginning in fiscal year (FY) 2012, there were significant increases in both the number of children served by the UAC Program and program funding, as well as multiple changes to ORR policies beginning in FY 2014. We selected Southwest Key Programs (Southwest Key), a UAC Program grantee, for review because it is one of the largest providers of services to UAC in the United States. We conducted this audit in conjunction with our review of Southwest Key's financial management of Federal funds received to operate the UAC Program (A-06-17-07004). Our objective was to determine whether Southwest Key met applicable safety standards for the care and release of children in its custody."
United States. Department of Health and Human Services. Office of Inspector General
2019-08
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Partnering with the Healthcare Supply Chain During Disasters
From the Purpose: "This document is intended to provide an overview of the emergency planning and response considerations of healthcare supply chain owners, operators, and end users, as well as insights for healthcare coalitions (HCCs) working with healthcare supply chain partners on preparedness, response, and recovery. It is not intended to be a comprehensive listing but aims to capture 'key changes' during serious or catastrophic events, compared to normal supply chain operations, as well as planning and response contingencies."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-08
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ASPR TRACIE Emergency Preparedness Information Modules for Nurses in Acute Care Settings
From the Document: "The U.S. Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) partnered with Spectrum Health to evaluate a series of healthcare emergency preparedness information modules for nurses (EPIMN) in acute care settings. To complement this effort, ASPR TRACIE also engaged a senior health economist to construct a framework to assess the impact and outcomes associated with implementing training programs like EPIMN. Research has shown that nurses generally lack a foundation of emergency preparedness and response knowledge. Spectrum Health surveyed its nurses and found a similar knowledge gap within its health system. To address this need, Spectrum Health developed information modules for its acute care nursing staff. ASPR TRACIE engaged its Subject Matter Expert (SME) Cadre to review the information modules, adapted the modules for application to acute care settings generally, and disseminated EPIMN for potential use by healthcare facilities nationwide. A case study describing the roll-out of EPIMN by Spectrum Health and the effects of implementing the training program among its acute care nurses is included as Appendix A. Complementing the efforts to develop and make EPIMN available, ASPR TRACIE also supported a senior health economist in developing a framework that healthcare organizations may use to conduct an economic analysis of the costs of providing initial and refresher preparedness training to their personnel and the associated gains to measure the return on investment (ROI) of such training. The senior health economist used Spectrum Health and its implementation of EPIMN as a case study for application of this framework. A summary description of the development of the framework is included later in this document and the full report is included as Appendix B."
United States. Technical Resources, Assistance Center and Information Exchange; United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-08
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Managing Solid Waste Contaminated with a Category A Infectious Substance
From the Preface: "[T]his guidance aims to prepare the nation to effectively manage Category A waste associated with infectious disease incidents. The guidance also aims to improve understanding of the safety of infectious waste management processes. It is intended to help government and non-governmental leaders, local emergency medical services, emergency managers, hospitals, healthcare providers, laboratories, environmental services workers, waste management companies and workers, and related stakeholders safely handle, inactivate, transport, and dispose of Category A waste."
United States. Department of Transportation; United States. Environmental Protection Agency; United States. Department of Labor . . .
2019-08
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Healthcare Facilities and Power Outages: Guidance for State, Local, Tribal, Territorial, and Private Sector Partners
From the Introduction: "This document provides guidance and resources on improving healthcare facility resilience to power outages. Resilience is the backbone of emergency management. The Nation's ability to weather storms and disasters without experiencing loss significantly reduces our risk. The Federal Emergency Management Agency (FEMA) developed this guide in collaboration with, and support from, the U.S. Department of Health and Human Services' (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) and other partners to meet, in part, the requirements of Section 1208 of the Disaster Recovery Reform Act. This document informs state, local, tribal, and territorial governments, first responders, utility companies, and healthcare facilities on: [1] Healthcare facility preparedness standards and challenges; [2] Ways to integrate emergency preparedness efforts throughout the whole community; and [3] Methods for prioritizing assistance to hospitals, nursing homes, and other long-term care facilities during power outages."
United States. Federal Emergency Management Agency; United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-08
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Federal Recovery Programs for Healthcare Organizations
From the Document: "Each year healthcare facilities are directly impacted by disasters. Pre-disaster planning is critical to ensure effective post-disaster recovery. An underemphasized but key component of any disaster plan are the organization's financial and administrative preparedness capabilities. The federal government can provide relief to organizations (including healthcare organizations) via direct reimbursement for expenses and damages and disaster-related loans. This tip sheet provides an overview of eligibility factors, program/grant requirements, and pre- and post-disaster federal financial opportunities for healthcare facilities."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-07
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Mass Casualty Trauma Triage: Paradigms and Pitfalls
From the Intended Scope and Action: "The focus of this paper is specifically designed to educate emergency planners on the key distinctions of no-notice, dynamic incident scenes with exceedingly large numbers of patients. This will require review of current plans and making necessary modifications to those plans and corresponding training and exercises to ensure preparedness for these types of events. Each community has a unique set of resources and needs and may therefore require different solutions than other jurisdictions. It is important to note that this is a discussion document, and not a consensus document. Therefore, the authors have tried to represent the diversity of opinions where they were significant. This document is also focused on triage and does not account for the broad range of supporting disaster planning required for successful response."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-07
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Medical Surge and the Role of Accountable Care Organizations
From the Overview: "Accountable care organizations (ACOs) are groups of healthcare providers and care settings that come together to deliver high-quality care to an assigned patient population. The Centers for Medicare & Medicaid Services (CMS) supports the development of ACOs through the Medicare Shared Savings Program and Innovation Center Models (e.g., the Next Generation ACO Model). Medicaid and commercial insurers have also established various ACO models for their beneficiary populations. ACOs provide incentives for groups of healthcare entities to coordinate care for their assigned patients with the goal of efficiently providing high quality care as measured by reduced inefficiencies and overall healthcare delivery costs. As a relatively new healthcare delivery and payment model, little is known about the role of Medicare ACOs and their participants in the medical surge response to emergencies and disasters. The U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response (ASPR) Technical Resources, Assistance Center, and Information Exchange (TRACIE) conducted five telephone interviews with ACO leaders with beneficiaries in eight states to learn about their perceptions regarding the role of Medicare ACOs in supporting the health and medical response to disasters or emergencies. The interviews sought to assess Medicare ACOs and their participants': (1) role in emergency preparedness and response; (2) capacities and capabilities; (3) factors that challenge involvement; (4) factors that may facilitate engagement; and (5) lessons learned from real-life responses."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2019-07
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'Oversight of Opioid Prescribing and Monitoring of Opioid Use': States Have Taken Action to Address the Opioid Epidemic [presentation]
From the Presentation: "Opioid abuse and overdose deaths are at crisis levels in the United States. [1] More than 47,000 Americans died of drug overdoses involving opioids in 2017. [2] Ensuring the appropriate use and prescribing of opioids is essential to protecting the health and safety of Medicaid beneficiaries and the integrity of the Medicaid program. [...] This report summarizes and compares information provided by the eight States as of October and November 2018."
United States. Department of Health and Human Services. Office of Inspector General
Jarmon, Gloria L.
2019-07
