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Crisis Standards of Care and COVID-19: What's Working and What Isn't [presentation]
This presentation titled, "Crisis Standards of Care and COVID-19 [coronavirus disease 2019]: What's Working and What Isn't" was used during a webinar of the same name. The original webinar was moderated by Meghan Treber of ASPR [US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center and Information Exchange]. The presentation includes links to resources regarding COVID-19. The following presenters also included slides in the presentation: Eric Toner from the Center for Health Security, Johns Hopkins Bloomberg School of Public Health; John Hick of Hennepin Health in Minnesota; and Dan Hanfling from In-Q-Tel and George Washington University.
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
Treber, Meghan; Toner, Eric (Eric S.); Hick, John L. . . .
2020-12-03
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ASPE TRACIE Technical Assistance Request: Protecting Community Hospitals and Providing Care During Civil Unrest [October 22, 2020]
From the Document: "The requestor asked for resources related to protecting community hospitals and providing care during civil unrest. [...] The ASPR TRACIE [Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] Team reviewed existing resources and conducted a search online for relevant materials. Although not directly related to this technical assistance (TA) request, we would like to provide the requestor with three ASPR TRACIE Topic Collections for reference: Mass Gatherings/Special Events, Responder Safety and Health, and Workplace Violence. The Hospital Lockdown Resources TA response document also provides useful resources related to hospital lockdown procedures for various types of events. Section I includes links to planning resources and lessons learned. Section II includes links to articles that examine the medical effects and treatment strategies for exposure to riot control tools (e.g., pepper spray, tear gas, and rubber bullets). Section III includes a list of symptoms and treatment strategies for individuals exposed to tear gas or pepper spray."
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
2020-10-22
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Promoting Resilience & Recovery from the Effects of the COVID-19 Pandemic [presentation]
This resource "Promoting Resilience & Recovery from the Effects of the COVID-19 [coronavirus disease 2019] Pandemic" has a number of learning objectives. At the Individual level learning objectives include: "[1] Identify challenges and stressors in the COVID-19 environment; [2] Understand burnout/compassion fatigue/caution fatigue/moral injury/complex grief; and [3] Individual mitigation strategies for social workers." At the Organizational level learning objectives include: "[1] Identify organizational challenges in the COVID-19 environment; [2] Organizational mitigation strategies and tools; and [3] The role of communities in addressing impacts of COVID-19." Learning objectives associated with Ethical Considerations include: "[1] Identify ethical dilemmas within social work practice during disasters; [2] Ethical principles and NASW [National Association of Social Workers] Code of Ethics; and [3] Ethical mitigation strategies for practice."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
Kaul, Rachel; Siviy, Kayla
2020-10-21?
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Telehealth Webinar for CBOs Part 3: Addressing Barriers for Homelessness and Connectivity [video]
From the video description: "The third and final webinar of the Telehealth for Community-Based Organizations Series, Promising Addressing Barriers for Homelessness and Connectivity, was held September 30, 2020. The webinar focused on how Community-Based Organizations can help connect homeless individuals with telemedicine services during the COVID-19 [coronavirus disease 2019] pandemic. Find out about a federal program to improve access to phone and internet services for low-income individuals. To view the alternative text for time-based media, visit [https://www.phe.gov/newsroom/video-descriptions/Pages/addressing-barriers-alttxt.aspx]." The duration of this webinar is 58 minutes and 54 seconds.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-10-19
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Telehealth Webinar for Community Based Organizations Part 2: Accessibility and Language Access [video]
This webinar, presented by the Office of Assistant Secretary for Preparedness and Response (ASPR), U.S. Department of Health and Human Services, took place on August 26, 2020. From the video description: "The second webinar of the Telehealth for Community-Based Organizations Series, Promising Practices: Accessibility and Language Access focused on telehealth accessibility for individuals with access and functional needs and individuals with limited English proficiency. It highlighted innovative strategies for ensuring access to older adults, people with disabilities, and addressed cultural and linguistic competency when providing telehealth services. To view the alternative text for time-based media, visit [https://www.phe.gov/newsroom/video-descriptions/Pages/Telehealth-CBO-Webinar-Series-Part2.aspx]." The duration of this webinar is 59 minutes and 34 seconds.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-09-16
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Telehealth Webinar for Community Based Organizations Part 1: Services, Payment and Partners [video]
This webinar, presented by the Office of Assistant Secretary for Preparedness and Response (ASPR), U.S. Department of Health and Human Services, took place on July 29, 2020. From the video description: "Telehealth Webinar for Community Based Organizations Part 1: Services, Payment and Partners provided an overview of telehealth basics for community-based organizations such as public housing authorities, multi-family housing providers, aging and disability network stakeholders, and other social service providers. The webinar highlighted relevant resources and provided examples of telehealth use and lessons from the field. To view the alternative text for time-based media, visit [https://www.phe.gov/newsroom/video-descriptions/Pages/Telehealth-CBO-Webinar-Series-Part1.aspx]." The duration of this webinar is 58 minutes and 46 seconds.
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-09-16
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ASPR TRACIE Technical Assistance Request: COVID-19 and Seasonal Flu Vaccination Planning Resources
From the Document: "The requestor asked for information and resources on how healthcare facilities are planning for seasonal influenza vaccination, including the possibility of also providing COVID-19 [coronavirus disease 2019] vaccination during flu season. ASPR TRACIE [Office of the Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] reviewed existing resources on our Novel Coronavirus Resources page. We also reached out to several members of the ASPR TRACIE Subject Matter Expert (SME) Cadre for information on their policies and procedures and conducted an open source search for additional information. Section I includes feedback from the SME Cadre. Section II provides additional resources. Please refer to the Centers for Disease Control and Prevention's Coronavirus Disease 2019 webpage for the most up-to-date clinical guidance on COVID-19 outbreak management."
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
2020-09-03
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ASPR TRACIE Technical Assistance Request: CMS Emerging Infectious Disease Terminology Requirements in Hazard Vulnerability Assessments
From the Document: "The requestor contacted ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] and asked if their healthcare facility needed to change their current terminology from 'pandemic/ epidemic' to 'emerging infectious diseases' (EID) in their Hazard Vulnerability Assessment (HVA) per the Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness (EP) Rule."
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
2020-08-17
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ASPR TRACIE Technical Assistance Request: Handling and Viewing the Remains of a Deceased COVID-19 Patient [30 July 2020]
From the Document: "The requestor asked for precautions or guidance related to handling and viewing the remains of a deceased COVID-19 [coronavirus disease 2019] patient as well as planning resources for mass fatality management."
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
2020-07-30
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Use of Telemedicine in Alternate Care Sites [presentation]
This presentation provides an overview of telemedicine as used at alternate care sites. The topics addressed include: "Virtual Care Tech"; "COVID-19 [coronavirus disease 2019] Response Areas"; "Uses/Impact"; "Practical Considerations"; "Field Operations"; implementation at "Javits New York Medical Station"; "Telemedicine Capability"; "Lessons Learned"; and "Best Practices."
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
2020-07-28
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ASPR TRACIE Mini Modules to Relieve Stress for Healthcare Workers Responding to COVID-19
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) 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 five years, to assist with issues related to disaster behavioral health, 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 and during a disaster such as the COVID-19 [coronavirus disease 2019] pandemic to recognize and reduce their stress levels and maintain resilience. These mini modules are designed for healthcare workers in all settings, but primarily hospital-based providers, staff, and leaders." Modules linked in the resource include: [1] Stress Management Exercise; [2] Creating a Practical Self-Care Plan in Difficult Times; and [3] Leading Towards Organizational Wellness in an Emergency. This resource is linked to in Issue 12 of the "ASPR TRACIE Exchange" available here [https://www.hsdl.org/?abstract&did=850016].
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
2020-07
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Federal Healthcare Resilience Task Force: Alternate Care Site Toolkit, Third Edition
From the Product Purpose: "This Alternate Care Site (ACS) Toolkit is medical operations guidance and was developed with the intent to help state, local, tribal, and territorial (SLTT) entities address potential capacity and capability gaps in health care systems during the 2020 SARS-CoV-2 [severe acute respiratory syndrome coronavirus2] virus (COVID-19 [coronavirus disease 2019]) pandemic. It is intended to provide medical operations guidance and technical assistance to SLTT entities in establishing and operationalizing an ACS used to care for COVID-19-positive patients, presumed COVID-19-positive patients, and/or non-COVID-19 patients in a mixed setting."
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
2020-06-30
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ASPR TRACIE Technical Assistance Request: Economic and Behavioral Health Impacts from Disasters
From the Request: "The requestor asked for resources regarding staffing shortages, unemployment numbers, suicide attempts, behavioral healthcare shortages, and any economic impacts related to recent disasters."
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
2020-06-26
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ASPR TRACIE Technical Assistance Request: COVID-19 and Hispanic Community Outreach
From the Document: "The requestor asked for best practices and examples from state and local health departments on how they selected COVID-19 [coronavirus disease 2019] testing sites in Hispanic communities, what partners they worked with to reach those residents, how they established community partnership, and what they considered to be the most successful communication platforms (e.g., social media, radio, television, print)."
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
2020-06-23
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ASPR TRACIE Technical Assistance Request: Protecting Community Hospitals and Providing Care During Civil Unrest
From the Document: "The requestor asked for resources related to protecting community hospitals and providing care during civil unrest. [...] The ASPR TRACIE [Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] Team reviewed existing resources and conducted a search online for relevant materials. Although not directly related to this technical assistance (TA) request, we would like to provide the requestor with three ASPR TRACIE Topic Collections for reference: Mass Gatherings/Special Events, Responder Safety and Health, and Workplace Violence. The Hospital Lockdown Resources TA response document also provides useful resources related to hospital lockdown procedures for various types of events. Section I includes links to planning resources and lessons learned. Section II includes links to articles that examine the medical effects and treatment strategies for exposure to riot control tools (e.g., pepper spray, tear gas, and rubber bullets). Section III includes a list of symptoms and treatment strategies for individuals exposed to tear gas or pepper spray."
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
2020-06-09
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Rural Health and COVID-19
From the Document: "According to the U.S. Census Bureau, approximately 60 million Americans live in rural areas, defined here as 'sparsely populated, have low housing density, and are far from urban centers.' Many rural communities are experiencing increases in COVID-19 [coronavirus disease 2019] cases and similar challenges as are urban areas, but rural healthcare systems also face unique challenges that require different considerations than their urban counterparts. Workforce and other resource shortages, socioeconomic factors that compound resident health risks, and other public health issues often complicate the ability to plan for and respond to natural and human-caused disasters and public health emergencies in many rural areas."
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
2020-05-28
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ASPR TRACIE Technical Assistance Request: COVID-19 and Secondary Disasters
From the Request: "The requestor asked for resources related to COVID-19 [coronavirus disease 2019] and secondary disasters, particularly as it pertains to health and medical considerations and need for facilities and communities to shelter-in-place or evacuate during disasters (e.g., hurricanes, tornadoes, and wildfires) while requiring to maintain social distancing practices."
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
2020-05-24
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Health Promotion to Enhance Healthcare Worker Performance During COVID-19
From the Document: "Healthcare workers and Emergency Medical Services (EMS) personnel will likely experience exacerbated stressors during the COVID-19 [coronavirus disease 2019] response. Prior to the COVID-19 pandemic, healthcare workers and people at the frontline of the response had already been experiencing burnout. Healthcare workers and EMS personnel are now working longer hours, spending time away from their families and loved ones, being asked to fill emergency positions for which they have limited training, and experiencing unusual physical and mental stressors (e.g., having confidence in reusing or extending use of personal protective equipment (PPE) traditionally used as disposable). These cumulative stressors increase risk factors for an array of behavioral health and mental well-being implications, such as burnout and secondary trauma."
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
2020-05-21
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Preventing and Addressing Moral Injury Affecting Healthcare Workers During the COVID-19 Pandemic: Behavioral Health Guidance and Resources
From the Document: "Moral injury (sometimes known as moral distress) refers to the psychological, behavioral, social, and/or spiritual distress experienced by individuals who are performing or exposed to actions that contradict their moral values. Frontline healthcare workers may be at higher risk for moral injury during the COVID-19 [coronavirus disease 2019] pandemic because limited resource availability restricts their ability to provide the normal standard of care. Additionally, some healthcare workers may need to isolate at home due to COVID-19 symptoms and may unknowingly transmit the virus to a loved one. Healthcare workers who are isolated and/or quarantined are not able to return to work immediately, and this may produce guilt, shame, anger, or feelings of betrayal. This document is intended to support healthcare workers in identifying and preventing moral injury and providing support for those affected. This guidance may be adapted to meet individual needs and situational considerations."
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
2020-05-13
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Medical Operations Coordination Cells Toolkit, First Edition
From the Purpose and Scope: "This Medical Operations Coordination Cells (MOCCs) Toolkit offers flexible and modifiable guidance, developed by the United States (U.S.) government, aimed to assist regional, state, local, tribal and territorial (SLTT) governments to ensure load-balancing across healthcare facilities and systems so that the highest possible level of care can be provided to each patient during the coronavirus disease 2019 (COVID-19) pandemic caused by the virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Medical and other subject-matter experts from the U.S. government developed this Toolkit as a best-practices reference to support SLTT governments in establishing and operationalizing MOCCs."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-04-24
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Establishing Medical Operations Coordination Cells (MOCCs) for COVID-19 [presentation]
From the Executive Summary: "[1] Some hospitals are overwhelmed with COVID-19 [coronavirus disease 2019] patients, while successful mitigation has created excess capacity in nearby hospitals, creating an opportunity to transfer patients; [2] MOCCs [Medical Operations Coordination Cells] are a strategy to optimize patient distribution by augmenting EOCs [emergency operations centers] with clinical experts that synthesize and coordinate healthcare capacity; [3] The MOCC strategy can be implemented nationwide (at sub-state, state-, and regional levels), through a modifiable toolkit, technical assistance, and federal funding, permitting flexibility for states while optimizing patient distribution."
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
Treber, Meghan; Harvey, Melissa
2020-04-24
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Federal Healthcare Resilience Task Force Alternate Care Site Toolkit: Second Edition
From the Purpose: "This Toolkit is guidance and was developed to help state, local, tribal, and territorial (SLTT) entities address potential capacity and capability gaps in healthcare systems during the 2020 SARS-CoV2 [severe acute respiratory syndrome coronavirus 2] virus (COVID-19) pandemic. It is intended to provide guidance and technical assistance to SLTT entities in establishing and operationalizing Alternate Care Sites (ACS) used to care for COVID-19-positive or presumed positive patients. If an ACS is used to treat non-COVID-19 patients, additional considerations will apply."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-04-21
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Managing Patient and Family Distress Associated with COVID-19 in the Prehospital Care Setting: Tips for Emergency Medical Services Personnel
From the Purpose: "Intended to provide care instructions for the psychological challenges associated with real or perceived exposure to COVID-19 [coronavirus disease 2019]. This document includes practices for therapeutic communication between the EMS [Emergency Medical Services] provider, their patient and the patient's family to ensure that every aspect of the patient's well-being is being managed by EMS."
United States. Federal Emergency Management Agency; United States. Army. Corps of Engineers; United States. Department of Health and Human Services . . .
2020-03-30
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Mitigate Absenteeism by Protecting Emergency Medical Service (EMS) Clinicians' Psychological Health and Well-Being During the COVID-19 Pandemic
From the Document: "The resilience of our Nation's healthcare system depends on our healthcare workforce's ability to report for duty. Critical supplies, equipment, and surge capacity rely on dedicated, trained health professionals and support staff to enable care. Prepare now and take actions, such as those listed below, to help your EMS [emergency medical services] agency protect your workers' psychological health and well-being."
United States. Federal Emergency Management Agency; United States. Army. Corps of Engineers; United States. Department of Health and Human Services . . .
2020-03-30
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Coronavirus Disease 2019 (COVID-19) Fatality Management Tabletop Exercise [presentation]
This presentation contains details on COVID-19 fatality management for government, private sector, and nonprofit groups. This document is organized as follows: "[1] Exercise Objectives and Outcomes; [2] Scenario Overview: [A] Confirmed COVID-19 Cases [B] Hospitalizations and Deaths; [3] Facilitated Discussion[.]"
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-03-26?
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Coronavirus Disease 2019 Fatality Management Tabletop Exercise Situation Manual
From the SitMan Purpose: "The purpose of this SitMan [situation manual] is to guide participants representing government, private sector, and nonprofit organizations through a tabletop discussion focused on fatality management operations in the context of the COVID-19 [coronavirus disease 2019] pandemic. The SitMan provides a hypothetical scenario that depicts numbers of confirmed COVID-19 cases and deaths at the state, regional, and national levels over a period of 40 days and prompts participants to discuss how fatality management operations may evolve as the pandemic progresses."
United States. Department of Health and Human Services; United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-03-25?
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ASPR TRACIE Technical Assistance Request: Crisis Standards of Care (CSC) for COVID-19
From the Document: "ASPR TRACIE [U.S. Department of Health and Human Services Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] received a request for information on Crisis Standards of Care (CSC) for COVID-19 [coronavirus disease]. The requestor specifically asked, 'If there is a Crisis Standard of Care document, please send me a link or a pdf immediately to aid in our scenario planning.' [...] The ASPR TRACIE Team reviewed material available on CSC and conferred with our Crisis Standards of Care subject matter experts (SMEs). We highlight resources and their comments in this document."
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
2020-03-17
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ASPR TRACIE Technical Assistance: Infectious Disease/COVID-19 Drive-Through Testing
From the Document: "ASPR TRACIE [Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange] compiled and synthesized information from the Centers for Disease Control and Prevention (CDC), local and state health departments, and other open sources. This response highlights resources for healthcare system emergency preparedness planners to use while preparing for and responding to infectious disease outbreaks with drive-through clinic models. Considerations and lessons learned from these materials are also gathered and provided as points for consideration. ASPR TRACIE reached out to members of its Subject Matter Expert Cadre for information and will update this document with additional operational resources and guidance documents as they become available."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-03-16
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ASPR TRACIE Training and Technical Assistance: Considerations for Homecare Actions in Infectious Disease Outbreaks
From the Response: "ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] reviewed existing resources and gathered best and promising practices and compiled them into a series of considerations below. These considerations were reviewed by ASPR TRACIE home-based healthcare subject matter experts and have been broken into the following headings: [1] Emergency Planning Communication; [2] Staff Infrastructure Consumables/Supply Chain; [3] Infection Control/Patient Care; [4] Lab; [5] Behavioral Health; [6] Additional Resources[.]"
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-03-13
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Considerations for the Use of Temporary Surge Sites for All-Hazards Incidents
From the Document: "This ASPR [Office of the Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] tip sheet describes the major considerations healthcare facility emergency planners should account for when developing patient surge management solutions. For the purposes of this document, the term 'hospital' is used to describe acute care hospitals with emergency departments and critical access hospitals with emergency management capability. The term 'temporary surge site' is used to describe a range of solutions, including the use of non-patient care areas (e.g., waiting rooms), tents, and mobile facilities to triage and/or treat patients. Please contact your state licensing agency and Centers for Medicare & Medicaid Services (CMS) Regional Office for information about your specific licensing and certification requirements for such temporary surge sites."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020-02
