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Healthcare Coalition Pediatric Surge Annex Template
From the Document: "This pediatric-focused operational annex is meant to be an annex to a coalition's HCC [Healthcare Coalition] Response Plan. It is intended to be a high-level response plan, identifying the experts and specialized resources that exist within the HCC, the mechanisms/ processes that will be used to determine which patients go to which facilities, and an understanding of how many children each facility will need to plan to receive. Each facility is encouraged to develop more detailed plans that support their individual operations, but that level of detail is not necessary in this annex. This template provides general headers and descriptions for a sample HCC Pediatric Surge Annex Template. The resources used to develop this template include sample HCC plans and the Health Care Preparedness and Response Capabilities."
United States. Technical Resources, Assistance Center and Information Exchange
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Lessons Learned from the Pulse Nightclub Shooting: An Interview with Staff from Orlando Regional Medical Center
From the Document: "On June 12, 2016, a gunman opened fire in Orlando's Pulse nightclub, killing 49 people and wounding at least 66. Dr. John Hick (ASPR [Assistant Secretary for Preparedness and Response] TRACIE's [Technical Resources, Assistance Center and Information Exchange] Senior Editor) interviewed the responding trauma surgeons, emergency physicians, and the director of emergency preparedness in charge of Orlando Regional Medical Center's response to this horrific incident to learn more about their experiences and lessons learned. The staff noted several challenges, including issues related to the infrequent use of the mass casualty notification system by emergency medical services (EMS) agencies, staff silencing their cell phones while off-duty, staff experiencing difficulties with getting to work (due to closed roads), the confusion associated with the rumor of an active shooter at the hospital, and the family reunification process. Despite these challenges, the staff felt that the response worked well overall--due, in part, to conducting exercises and planning ahead, they never ran out of supplies and were able to identify all patients within 24 hours."
United States. Technical Resources, Assistance Center and Information Exchange
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When Hospitals Become Islands: One Facility's Evacuation Story
From the Document: "Hurricane/Tropical Storm Harvey struck Houston and surrounding areas more than once, dumping close to 60 inches of rain over a wide swath of the area in just a few days. Hospitals became islands, roads were impassable, and military and public safety helicopters were brought in to evacuate people from their rooftops. Todd Senters [...] shares how staff in his facility worked tirelessly to care for existing patients (and those who were dropped off by helicopter) just prior to having to evacuate due to a breach in the City of Beaumont's water pumps."
United States. Technical Resources, Assistance Center and Information Exchange
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Evacuating, Treating, and Tracking People on Dialysis: Lessons Learned from the 2017 Hurricane Season
From the Document: "The 2017 hurricane season devastated many areas of the nation, several repeatedly. After Hurricane Irma struck the U.S. Virgin Islands (USVI), many patients were evacuated to Puerto Rico (PR) to ensure continuity of care. Once Hurricane Maria ravaged PR, however, many USVI residents were evacuated a second time, including renal dialysis patients. ASPR [Assistant Secretary for Preparedness and Response] TRACIE's [Technical Resources, Assistance Center and Information Exchange] Senior Editor John Hick (MD) interviewed Andy Stevermer, Incident Response Coordination Team (IRCT) Program Manager for ASPR's Office of Emergency Management (OEM) Division of Operations (who served as the Operations Section Chief during the response), Commander Selena Ready, a Risk Management Analyst at the U.S. Food and Drug Administration (USFDA) (who served as the IRCT Patient Movement Operations Branch Chief during the response), and Victor Harper (MS, Director of Logistics, ASPR OEM) to learn about this evacuation from a federal patient movement perspective."
United States. Technical Resources, Assistance Center and Information Exchange
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Healing After a Traumatic Incident: A Responder's Perspective
From the Document: "In November 2013, Ross Chávez was serving as the EMS [emergency medical services] Duty Chief for Hennepin EMS when he responded to the scene of a crash involving five children and a female driver who had lost control of her car and landed in a retention pond. All five children were in cardiac arrest when retrieved from the sunken car, although three survived. Ross shared his experience with identifying the need for and receiving mental health assistance after the incident with Dr. John Hick."
United States. Technical Resources, Assistance Center and Information Exchange
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Noble Lifesaver Patient Movement Workshop: Promising Practices and Lessons Learned
From the Background: "In 2015, the U.S. Department of Health and Human Services (HHS), Assistant Secretary for Preparedness and Response (ASPR), Office of Emergency Management's Training, Exercise, and Lessons Learned Branch began developing and sponsoring the Noble Lifesaver Patient Movement (PM) Workshop Series with various state partners. This Workshop Series was designed to test and examine the scope of federal assistance for PM functions and the specific requirements among local, state, regional, and federal emergency support function (ESF) #8 partners to execute PM."
United States. Technical Resources, Assistance Center and Information Exchange
2016-08
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Engagement of ACOs in Medical Surge Activities
From the Document: "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."
United States. Technical Resources, Assistance Center and Information Exchange
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Hospital Resource Vulnerability Assessment (RVA) Implementation Guide
From the Intended Application and Use: "The RVA [Resource Vulnerability Assessment] is intended to be a voluntary tool to assist hospitals with identifying and prioritizing preparedness gaps and creating a yearly analysis and prioritization cycle, complementing the HVA [Hazard Vulnerability Assessment]. The RVA examines the specific resources of the hospital including the 'plans, space, staff, and supply' considerations."
United States. Technical Resources, Assistance Center and Information Exchange
2015-12-22
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Federal Resource Toolkit for State and Local Agencies Serving Vulnerable Populations During the COVID-19 Emergency: Region 3 (DE, DC, MD, PA, VA, WV)
This Federal toolkit provides information for resources in Delaware, Washington DC, Maryland, Pennsylvania, Virginia, and West Virginia for the following categories: "1. Volunteer information, 2. Resources for Older Adults, People with Disabilities, 3. Domestic Violence and Child Abuse Resources, 4. American Indians and Alaska Natives, 5. Behavioral Health Resources, 6. Homelessness, 7. Human Trafficking, 8. Office for Civil Rights, 9. Centers for Medicare & Medicaid Services Information, 10. Hospital Preparedness Program, and 11. Miscellaneous Federal Resources."
United States. Technical Resources, Assistance Center and Information Exchange
2020-04-14
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Support for Overstretched Clinicians During the Ongoing Pandemic: Literature and Practice
From the Document: "There is an emerging understanding that professional wellbeing must address multiple factors, and experts in the field recommend initiatives that improve practice workflows, facilitate a culture of respect and compassion, and promote personal resilience. The information and resources highlighted in this article, while not all published during the COVID-19 [coronavirus disease 2019] pandemic, are extremely relevant to healthcare workers operating in this challenging environment."
United States. Technical Resources, Assistance Center and Information Exchange
Barrett, Eileen
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Emergency Prescription Assistance Program (EPAP) Natural Disasters Activation 2018
From the Document: "The Emergency Prescription Assistance Program (EPAP) is funded by the Stafford Act and is designed to help disaster survivors to access prescription medicines. EPAP can also be activated by the Public Health Service Act under the authority of the National Disaster Medical System (NDMS). The program utilizes normal business operations (e.g., electronic prescription claims processing, utilization of the normal pharmaceutical supply chain for distribution and dispensing) to pay for prescription medications for eligible persons. This fact sheet provides a summary of the EPAP data collected and analyzed for the following natural disasters in 2018: [1] Hurricanes Irma and Maria, U.S. Virgin Islands (January-August 2018); [2] Hurricane Michael, Florida (November-December 2018); [3] Typhoon Mangkhut and Yutu, Mariana Islands (November 2018-January 2019); [4] California Wildfire (December 2018-January 2019)."
United States. Technical Resources, Assistance Center and Information Exchange
2019-12
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ASPR TRACIE Technical Assistance Response Resources Relevant to Infectious Disease Outbreaks and Correctional Facilities
From the Document: "ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center and Information Exchange] is highlighting the following resources for healthcare system emergency preparedness planners and correctional facility workers to use while preparing for and responding to infectious disease outbreaks that may occur in prisons or jails. Considerations and lessons learned from these materials are also gathered and provided as points for consideration in this document."
United States. Technical Resources, Assistance Center and Information Exchange
2020?
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Healthcare Coalition Burn Surge Annex Template
From the Document: "The 2019-2023 HPP [Hospital Preparedness Program] Funding Opportunity Announcement (FOA) requires Healthcare Coalitions (HCCs) to develop a complementary coalition-level burn annex to their base medical surge/trauma mass casualty response plan. This annex aims to improve capacity and capabilities to manage a large number of casualties with incident-specific needs."
United States. Technical Resources, Assistance Center and Information Exchange
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ASPR TRACIE Technical Assistance Request: Telehealth
From the Request: "The requestor asked for resources specific to telehealth, particularly how it can be used by healthcare professionals to support the management of COVID-19 patients while helping other patients avoid exposure."
United States. Technical Resources, Assistance Center and Information Exchange
2020-03-26
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ASPR TRACIE Technical Assistance Request: Infectious Diseases Fatality Management Resources
From the Request: "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. Technical Resources, Assistance Center and Information Exchange
2020-03-26
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ACS Funding Summary: Establishment and Operationalization
From the Document: "Alternate Care Sites (ACSs) are one of many Alternate Care Strategies intended to provide additional hospital surge capacity and capability for communities overwhelmed by patients from COVID-19 [coronavirus disease 2019]. ACSs can be established (owned and operated) by an individual hospital, a group or partnership of hospitals or health systems, a local community (such as the local health department), a state (such as a state Health Department), or the federal government. ACSs can also be established by any of these entities and then have ownership and operational responsibility transferred or changed during its operation. The different operating models and ownership options can affect funding availability/eligibility and sources, so understanding options before making ACS ownership decisions is a critical step. It is recommended for SLTTs [state, local, tribal, or territorial entities] to reach out to the Regional Federal Emergency Management Agency (FEMA) or HHS [Department of Health and Human Services] regional emergency coordinators for the most recent guidance."
United States. Technical Resources, Assistance Center and Information Exchange
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COVID-19 Healthcare Delivery Impacts
From the Document: "The COVID-19 [coronavirus disease 2019] pandemic and the associated community mitigation efforts enacted have altered the delivery of and access to healthcare across the U.S. For example, emergency department (ED) visits are down by an estimated 40% in many communities across the country; many in-person office visits have been either postponed or changed to telehealth visits; elective procedures have been postponed indefinitely; and other forms of healthcare delivery have been changed to accommodate social distancing and community mitigation measures. Community mitigation actions, often driven by government orders and mandates, may lead to a change in demand for traditional healthcare services. This tip sheet can help healthcare system planners prepare to mitigate these potential healthcare delivery impacts."
United States. Technical Resources, Assistance Center and Information Exchange
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ASPR TRACIE Technical Assistance Request: COVID-19 Lessons Learned for Skilled Nursing Facilities
From the Document: "The requestor asked for resources that highlight lessons learned from skilled nursing facilities (SNFs) during the COVID-19 [coronavirus disease 2019] pandemic. [...] The ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center, and Information Exchange] Team reviewed existing resources, including those on our COVID-19 Long Term Care Resources page."
United States. Technical Resources, Assistance Center and Information Exchange
2020-07-29
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Managing Stress Among Mortuary and Death Care Workers During the COVID-19 Pandemic: Behavioral Health Guidance and Resources
From the Document: "Mortuary and death care workers routinely come into contact with death and human remains as part of their professional roles. As a result, resiliency is built through experience, education, and peer support. However, for many working in this profession it may be uncommon to discuss or reveal their emotions and perceived stress to others. The novel stressors associated with the COVID-19 [coronavirus disease 2019] pandemic may have a pronounced effect on these professionals and it is important to identify ways that mortuary and death care workers can help themselves and each other. Listed [in this document] are tips and general guidance on how to reduce negative behavioral health impacts for death care workers in a COVID-19 environment. Workers and leadership are encouraged to adapt these recommendations to meet individual needs and situational considerations."
United States. Technical Resources, Assistance Center and Information Exchange
2020-04-21
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Healthcare System Considerations for Resumption of Services During COVID-19
From the Document: "As COVID-19 [coronavirus disease 2019] emerged, healthcare facilities and providers across the nation began preparing for a surge of patients. To make space available for COVID-19 patients, preserve supplies of personal protective equipment (PPE), and comply with community mitigation guidelines, the healthcare system deferred elective procedures, postponed non-emergent and preventive care or shifted to telehealth, furloughed administrative and other staff, and modified infrastructure and policies and procedures. Healthcare facilities and providers now need to adapt to a 'new normal' to mitigate the effects of the COVID-19 public health emergency, recover from the first wave, and prepare for subsequent waves of illness, while supporting the current health needs of their communities. This quick sheet, along with the ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center and Information Exchange] Healthcare System Considerations for Resumption of Services resource, provides considerations for healthcare system emergency planners and executives and individual facility or practice managers tasked with any aspect of re-opening, resumption of services, recovery, and ongoing operations during this COVID-19 pandemic."
United States. Technical Resources, Assistance Center and Information Exchange
2020-06-22?
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Alternative Care Sites: The Federal Experience in New York City
From the Document: "'Throughout the spring of 2020, COVID-19 [coronavirus disease 2019] ravaged the City of New York. State and city authorities worked with the Jacob K. Javits Convention Center to create an alternate care site where healthcare providers could solely treat COVID-19 patients. ASPR [Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center and Information Exchange] met with several members of the federal medical teams deployed to the Javits Center to learn more about their experience.'"
United States. Technical Resources, Assistance Center and Information Exchange
2020-06-16?
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COVID-19: Healthcare System Operations Strategies and Experiences [presentation]
This presenation provides an overview of the coronavirus pandemic response as it relates to health care systems in New York, Louisiana, and Arizona. An overview of each healthcare system is included along with procedures that would be done the same and procedures that would be done differently.
United States. Technical Resources, Assistance Center and Information Exchange
2020-05-11
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COVID-19 Hospital Resource Compilation
From the Document: "This document lists key COVID-19 [coronavirus disease 2019] guidance and resources for hospital administrators, hospital emergency planners, infection control practitioners and other healthcare system preparedness professionals in the following topical areas: hospital surge, crisis standards of care, staffing surge and resilience, workforce protection, regulatory relief, equipment supply surge, healthcare recovery and resumption of services during COVID-19, and telemedicine. Each section contains links to federal and non-federal guidance to help hospitals prepare for and respond to a COVID-19 outbreak. These sections are then broken down into sub-sections with guidance that can be used during a crisis/actual patient surge, or when a hospital is in the planning phase for the crisis/patient surge. All guidance in this document is accessible to the public, subject to the disclaimer below for non-Federal resources."
United States. Technical Resources, Assistance Center and Information Exchange
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Coping on the Front Lines of a Pandemic: Understanding and Managing COVID-19 Stressors
From the Highlight: "Since the onset of the COVID-19 [coronavirus disease 2019] pandemic, the nature and frequency of stressors experienced by the healthcare workforce have increased exponentially. Rachel Kaul, the Behavioral Health Lead for ASPR [Assistant Secretary for Preparedness and Response] EMMO [Office of Emergency Management and Medical Operations], shares how to recognize and mitigate these stressors while bolstering resilience." This resource is taken from ASPR TRACIE's [Technical Resources, Assistance Center, and Information Exchange] Newsletter, "The Exchange," Issue 12. Click here to view the full issue: [https://www.hsdl.org/?abstract&did=850016].
United States. Technical Resources, Assistance Center and Information Exchange
Kaul, Rachel
2020?
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COVID-19 and Healthcare Professional Stress and Resilience- Speaker Series [presentation]
This PowerPoint presentation outlines the October 2020 webinar, "COVID-19 [coronavirus disease 2019] and Healthcare Professional Stress and Resilience- Speaker Series." Included in the presentation is a link to the webinar video (access requirements include name and email address) as well as a transcript of the presentation. From the ASPR TRACIE [Assistant Secretary for Preparedness and Response, Technical Resources, Assistance Center, and Information Exchange] Webinar Transcript: "This collection of brief presentations highlights emerging behavioral health and resilience practices among healthcare facilities across the country during COVID-19. [...] In this video, Dr. Eileen Barrett, Director of Continuous Medical Education and Graduate Medical Education Wellness Initiatives from the University of New Mexico, will discuss proactive programs available to support staff during stressful times."
United States. Technical Resources, Assistance Center and Information Exchange
2020-10
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Managing the Storm After the Storm: Healthcare in Texas Recovers from Severe Winter Weather
From the Document: "In February 2021, winter storm Uri unleashed severe weather across several parts of the U.S., and no state was more impacted than Texas. Communities and their hospitals withstood extended losses of power and water to over 4.3 million residents, in sub-zero temperatures, in structures built to repel rather than hold heat. ASPR [Office of the Assistant Secretary for Preparedness and Response] TRACIE [Technical Resources, Assistance Center and Information Exchange] met with three subject matter experts to learn more about their experiences, challenges, and lessons learned[.]"
United States. Technical Resources, Assistance Center and Information Exchange
2021-03
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Effect of COVID-19 on the Healthcare Incident Command System (September 2021)
From the Introduction: "Hospitals and other healthcare facilities (HCFs) across the country have been in an extended state of emergency response due to the COVID-19 [coronavirus disease 2019] pandemic. Many healthcare and hospital-based Incident Command Systems (ICS) (e.g., Hospital Incident Command System, or HICS) have been in long-term activation and have involved a broader cross-section of participants than any other prior event. As a result, some healthcare organizations have altered emergency response practices. While the pandemic is unique due to its protracted nature, the necessary coordination between government, emergency managers (EM), regional leadership, public health entities, HCFs, and healthcare coalitions (HCCs) has created valuable lessons about how the ICS can be better applied - particularly in regional multi-agency coordination constructs - and from a corporate HCF perspective. This ASPR TRACIE [Assistant Secretary for Preparedness and Response. Technical Resources, Assistance Center and Information Exchange] [hyperlink] tip sheet highlights several key observations about how healthcare ICS functioned during the COVID-19 pandemic and includes lessons learned collected from interviews, surveys, and literature reviews as of August 2021. While the intended audience of this document includes HCFs, EMs, executives, and leadership, additional stakeholders including regional HCFs, emergency response teams, HCC members, vendors, and staff involved in emergency response may also find this information useful."
United States. Technical Resources, Assistance Center and Information Exchange
2021-09
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COVID-19 Resources: June Update #2
From the Webpage: "As we bear witness to American history being made, we know our stakeholders remain committed to serving your communities. We hope you take time to check our Novel Coronavirus Resources Page and CDC's [Centers for Disease Control and Prevention] Coronavirus (COVID-19) webpage and reach out if you need technical assistance (TA). This issue of 'The Express' highlights new, updated, and upcoming resources."
United States. Technical Resources, Assistance Center and Information Exchange; United States. Department of Health and Human Services
2020-06
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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
