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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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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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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
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The Exchange, Issue 10, 2020
From the Document: "In this issue of 'The Exchange', we discuss lessons learned from recent wildfires, evacuating and receiving patients, and preparing for planned power outages. ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] interviewed a variety of subject matter experts from emergency medicine, emergency management, and the federal government to learn more about the effects of these incidents on local hospitals and communities at large."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
2020
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Private Sector Exercise in a Box Materials
From the Document: "This pandemic tabletop exercise was based on the Crimson Contagion Exercise Series and intended to support private sector pandemic preparedness and to enhance ongoing COVID-19 [coronavirus disease 2019] response operations. The following products can be easily customized and are geared towards owners/operators, company legal counsel, communications teams, human resources, and other private sector leaders."
United States. Department of Health and Human Services. Office of the Assistant Secretary for Preparedness and Response
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
