Rocky Mountain Regional Care Model for Bioterrorist Events

Locate Alternate Care Sites During an Emergency

Bioterrorism and Other Public Health Emergencies:
Tools and Models for Planning and Preparedness

Locate Alternate Care Sites During an Emergency: The Rocky Mountain Regional Care Model for Bioterrorist Events (RMBT) Final Report to the Agency for Healthcare Research and Quality (AHRQ) is based on extensive regional collaboration and research over a 12-month period (October 2002-October 2003). The process used to develop and begin validation of these regional surge capacity ideas involved a series of regional Working Group and Steering Committee sessions, supplemented by a review of other surge capacity models and literature on bioterrorism and disaster preparedness.

This product was developed by a multi-agency working group, including representatives from the staffs of major academic medical centers, government, military, public health, and emergency management institutions and agencies at the Federal, State, and local level.

Contents

Summary
1. Introduction
   Purpose
   Background
   Defining a Region for Medical Response to Bioterrorism
2. Methodology
3. Profile of Regional Medical Resources
   Medical Care Facilities
   Medical Staffing Resources
   HRSA Hospital Preparedness Survey Summary
4. Additional Resources to Meet Surge Needs
   Selecting an Alternative Care Site
   Supplying and Staffing an Alternative Care Site
5. Measures of Preparedness
   Hospital Beds
   Medical Staffing
   Equipment
   Infrastructure
6. Isolation/Quarantine
   Definitions
   Identified Issues
   Conclusion
7. Other Surge Capacity Issues
   Risk and Crisis Communication
   Preparedness Considerations: Special Populations that are Vulnerable
   The Relationship Between Bioterrorism and an All Hazards Approach
8. Example of a Regional Exercise
   Objectives
   Exercise Scenario
   Main Issues and Potential Issues
9. Conclusion
   Limitations
   Recommendations

Tools
Alternative Care Site Selection Matrix Tool
Medical Supply Caches: Levels I, II, & III
Oxygen Supply Options
Draft Gubernatorial Orders

Appendixes
Appendix A. RMBT Working Group Members
Appendix B. U.S. Metropolitan Medical Response Systems (MMRS) Locations
Appendix C. U.S. National Disaster Medical System (NDMS) Locations
Appendix D. Region VIII Medical Staffing Resources
Appendix E. Regions VIII HRSA Surveys
Appendix F. Expected Staffing Needs, Region VIII
Appendix G: Bibliography

AHRQ Publication No. 04-0075
Current as of August 2004

Internet Citation:

Cantrill SV, Eisert SL, Pons P et al. Rocky Mountain Regional Care Model for Bioterrorist Events: Locate Alternate Care Sites During an Emergency. AHRQ Publication No. 04-0075, August 2004. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/research/altsites/