On July 13, 2004, Lt. Commander Sumner L. Bossler made a presentation in a Web Conference entitled Surge Capacity and Health System Preparedness: Facilities and Equipment.
This is the text version of Lt. Commander Bossler's slide presentation. Select to access the PowerPoint® slides (147 KB).
Slide 1
National Bioterrorism Hospital Preparedness Program (NBHPP)
Surge Capacity
Lt. Commander Sumner L. Bossler Jr.
Senior Public Health Analyst
Department of Health and Human Services
Health Resources and Services Administration
Special Programs Bureau
Division of Health Care Emergency Preparedness
National Bioterrorism Hospital
Preparedness Branch
Slide 2
Overview
Slide 3
Priority Areas
Slide 4
Critical Benchmarks
Slide 5
Minimal Levels of Readiness
Slide 6
Sentinel Indicators
Slide 7
Critical Benchmarks
Surge Capacity
2.1: Beds
2.2: Isolation Capacity
2.3: Health Care Personnel
2.4: Advanced Registration System
2.5: Pharmaceutical Caches
2.6: Personal Protective Equipment
2.7: Decontamination
2.8: Behavioral Health
2.9: Trauma and Burn Care
2.10: Communications and Information Technology
Slide 8
Critical Benchmarks
Surge Capacity
2.1: Beds
2.3: Health Care Personnel
2.6: Personal Protective Equipment
2.7: Decontamination
Slide 9:
Critical Benchmark #2.1: BedsEstablish a system that allows the triage, treatment and initial stabilization of 500 adult and pediatric patients per 1,000,000 awardee jurisdiction (1:2000), above the current daily staffed bed capacity, with acute illnesses or trauma requiring hospitalization from a chemical, biological, radiological, nuclear or explosive (CBRN&E) incident.
Slide 10:
Critical Benchmark #2.3: Health Care Personnel
Establish a response system that allows the immediate deployment of additional health care personnel in support of surge bed capacity noted in Critical Benchmark # 2-1. The number of health care personnel must be linked to already established patient care ratios noted by the awardees Patient Care Practice Acts based on 24 hours operations.
This benchmark must describe how these personnel are recruited, received, processed and managed through the incident in accordance with the awardee system noted in CB #2.1.
Slide 11:
Critical Benchmark #2.6: Personal Protective Equipment
Each awardee must ensure adequate personal protective equipment (PPE) per awardee defined region, to protect current and additional health care personnel, during a chemical, biological, radiological or nuclear incident. This benchmark is tied directly to number of health care personnel the awardee must provide (CBM # 2.3) to support surge capacity for beds (CBM # 2.1).
Slide 12:
Critical Benchmark #2.7: Decontamination
Ensure that adequate portable or fixed decontamination systems exist for managing adult and pediatric patients as well as health care personnel, who have been exposed during a chemical, biological, radiological, nuclear or explosive incident in accordance with the numbers associated with CBM # 2.1 & # 2.3.
All decontamination assets must be based on how many patients/providers can be decontaminated on an hourly basis. The awardee should plan to be able to decontaminate all patients and providers within 3 hours from the onset of the event.
Slide 13:
Contact Information
Sumner L. Bossler Jr.
Lieutenant Commander,
United States
Public Health Service
Division of Health Care Emergency Preparedness
Special Programs Bureau
Health Resources and Services Administration
Office: (301) 443-1095
Fax: (301) 480-0334
E-mail: sbossler@hrsa.gov
Web site: www.hrsa.gov/bioterrorism/index.htm
Current as of October 2004
Internet Citation:
National Bioterrorism Hospital Preparedness Program (NBHPP): Surge Capacity. Text version of a slide presentation at a Web conference. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/btsurgefacil/bossltxt.htm
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