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Surge Capacity and Health System Preparedness

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Slide Presentation by Robert Claypool, M.D.


On October 26, 2004, Dr. Claypool made a presentation in a Web conference entitled Surge Capacity and Health System Preparedness: Addressing Surge Capacity in a Mass Casualty Event.

This is the text version of Dr. Claypool's slide presentation. Select to access the PowerPoint® Slides (808 KB).


The Role of the Department of Health and Human Service in Achieving Surge Capacity Capabilities

Robert G. Claypool, M.D.
Deputy Chief Medical Officer
Office of the Assistant Secretary for Public Health Emergency Preparedness
U.S. Department of Health and Human Services
Washington, DC

Slide 1

Surge

Generated From Both Natural and Man-made Events

This slide contains a graph. The y-axis is labeled "impact" with the top of the axis listed as "greatest" and the bottom of the axis listed as "least." In shaded areas below the line are four types of events that read from left to right "aircraft accident, major flooding, hurricane, weapons of mass destruction. On the left side of the x-axis label is an arrow pointing from left to right that runs to the text, "local, regional, and state." This text covers all of the aircraft and a major portion of the major flooding sections on the graph above it. An arrow pointing in both directions follows with the word "Federal" to its right and a final arrow pointing from right to left. The two arrows and the word "Federal" covers the remaining portion of major flooding and all of the hurricane and weapons of mass destruction sections. Within the graph a straight line runs from its bottom left corner to its top right corner indicating the least amount of surge for aircraft accidents in the lower left corner, to the greatest surge for weapons of mass destruction in the upper right corner.

Slide 2

National Response Plan

[Emergency Support Functions]

A diagram of four concentric circles is located in the middle of the slide. From the circles is an arrow which curves up and to the left to a text box containing a list of supporting agencies: DOA, DOD, DOE, DOJ, DOT, DVA, AID, ARC, EPA, FEMA, GSA, NCS, USPS, DHS. In the center of the concentric circles is a circle labeled ESF (Emergency Support Function). The remaining three circles are divided into 12 wedges. The circles break each wedge into three sections. The outer section of the wedge lists a federal agency, the middle section describes their response function, and the inner section contains a number for each wedge. Reading clockwise, wedge number 1 reads DOT—transportation, wedge number 2 is NCS—Communication, number 3 equals DOD—Public works (USACE), number 4 equals USDA and FS—Firefighting, number 5 equals DHS—information and planning, number 6 equals ARC—Mass care, number 7 equals GSA—Resource Support, number 8, which is enlarged and pulled out of the circle equals HHS primary agency—health and medical services, number 9 equals DHS—urban search and rescue, number 10 equals EPA—hazardous materials, number 11 equals USDA—Food and number 12 equals DOE—energy.

Slide 3

How is HHS Addressing Surge?

Through a Comprehensive and Inter-agency Approach

A graphic of an explosion labeled "incident" is located at the bottom center of the slide with three arrows rising from it. A central arrows point straight up and the remaining two curve to the right and left, respectively. Inside the middle arrow is the text "distribute casualties, fatalities and displaced evacuees." Surrounding the explosion and three arrows are a series of text boxes, arrows, blocks, triangles, banners, ovals and diamonds, each containing text. Moving from the bottom right around to the bottom left the figures depict pre-event planning and preparedness, information management, shelters in place, special needs, expanded health care system capacity, laboratories, material including stockpile and non-stockpile, alternative care facilities, personnel (registry, licensure, and credentialing), mass prophylaxis and vaccination, investigations, disaster mental health, risk/crisis communications (public affairs) mass casualty triage, mass fatality management.

Slide 4

Public Health Service-Contingency Stations "PHS-CS"

This slide contains the seals of four government agencies. The top row from left to right includes seals from the Department of Health and Human Services and Department of Homeland Security. The bottom row from left to right includes the Department of Defense and Department of Veterans Affairs.

Slide 5

Public Health Service-Contingency Stations

Current Module Configuration Capabilities

250 Bed Modules

This slide contains four ovals with text and a corresponding bulleted list of text. The first oval, located in the top left-hand corner of the slide, contains the text "PHS-CS Base Support with Quarantine." The corresponding text listed below it is "administration, support, feeding, quarantine, beds (50), housekeeping, first aid equipment, pediatric care, adult care, personal protective equipment." The second oval, located at the top right-hand side of the slide contains the text "PHS-CS Treatment." The corresponding text to its right is "primary care, non-acute treatment, special needs." The third oval, located below the second oval, contains the text "PHS-CS Pharmaceutical." The corresponding text to its right is "pharmaceutical, special medications, prophylaxis." The fourth oval, located in the bottom right hand corner, contains the text "PHS-CS Bed Aug (50)." The corresponding text to its right is "beds, bedding, bedside equipment."

Slide 6

Public Health Service-Contingency Stations

Future Module Configuration Capabilities

"PHS-CS" Future Modules

This slide contains six ovals in the shape of an upside down triangle. The top left oval contains the text "burn/surgical," the top middle oval is labeled "mobile hospital" and the top right oval is "acute treatment". The middle left triangle reads "isolation" and the middle right is labeled "triage." The bottom oval centered under the five represents "decontamination."

Slide 7

Developing Ventilator Cross-Training Model

Problem: Lack of sufficient numbers of health care personnel to provide ventilator support during a mass casualty incident.

Action plan being taken: Sponsoring an AHRQ study designed to:

  • Define the scope of problem.
  • Develop and implement a model to cross-train individuals to provide ventilator support.
  • Test the model in an exercise with the Strategic National Stockpile to evaluate the efficiency and effectiveness of such a cross-training model.
  • Determine the applicability of cross training model for other required areas.

Current as of December 2004

Internet Citation:

The Role of HHS in Achieving Surge Capacity Capabilities. Text version of a slide presentation at a Web conference. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/ulp/btsurgemass/claypooltxt.htm

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