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Surge Capacity and Health System Preparedness

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New Jersey: Health Emergency Preparedness and Response Program

Slide Presentation by David Gruber, M.M.A.S.

On July 13, 2004, David Gruber, M.M.A.S., made a presentation in a Web Conference entitled Surge Capacity and Health System Preparedness: Facilities and Equipment.

This is the text version of his slide presentation. Select to access the PowerPoint® slides (660 KB).

Slide 1

New Jersey: Health Emergency Preparedness and Response Program

David Gruber, M.M.A.S.
Assistant Commissioner
New Jersey Department of Health and Senior Services
Trenton, NJ

Slide 2:

Surge Capacity

Text in the middle of this slide reads: "the ability to exceed standard response in reaction to an event that would overwhelm the normal capacity of healthcare facilities."

Below this is the text "Individual Facility Members," overlapping this text is a circle with a diagonal line through it.

To the right of the above text is a banner with the words "Health System."

At the bottom of this slide is the text: "Regionalization/Situational Awareness/Education/Training/Exercise/Logistics."

Slide 3:

What Might Happen

This slide contains two text boxes. The first contains the text:

Acute Event:

  • Hard hitting.
  • Immediate impact.
  • Shock and awe.
  • Majority of casualties/minimal time.
  • Trauma to health system.
  • Response/reaction based on planning.

To the right of this text, Chemical Attacks, Explosive Events, and Tornadoes are listed as examples of Acute Events.

Underneath that first text box is another. The text in this box reads:

Chronic Event:

  • Slow moving.
  • Gradual increasing impact.
  • Increasing effect.
  • Exponential increasing casualties.
  • Surprise health system.
  • Response/reaction based on planning and adaptation.

To the right of the above text, Biological Attack, Radiological Release, and Flooding are listed as examples of Chronic Events.

Slide 4:

The Health Emergency Preparedness and Response Triad

This slide contains a depiction of the Emergency Preparedness and Response Triad. In the center of the slide is a triangle. Inside the triangle are the terms: "Prepare, Respond, Recover, and Mitigate." At the triangle's apex are the words "Public Health." The bottom right angle of this figure is labeled "Healthcare Delivery System," and the bottom left angle is labeled "Emergency Management."

Slide 5:

  • Focus.
  • Situational awareness.
  • Tempo Control.
  • Passive and Active Architectures:
    • Push and Pull.
  • Systems.
  • Redundancy.
  • Targeted capabilities:
    • SSS, Education/Training, Equipment, People.

Slide 6:

An Emergency Preparedness and Response Health System Network

To provide the State of New Jersey with an integrated, synchronized, responsive, and focused health preparedness and response capability using highly trained and educated health professionals, new technologies, coordinated planning, training and exercise, and, cooperative efforts with local, State, and Federal agencies.

Slide 7:

Role of Division of Health Emergency Preparedness and Response

Development of Health EP&R Plans/Policy
Development of Health EP&R Infrastructure (ECC/MCC, C3I)
Development of Health EP&R Education/Training/Exercise Programs

Coordination of all emergency/bioterrorism/MCI grants
Coordination of Education (consortium)
Coordination of EP&R Training and Exercise

Supervision of State EMS programs (OEMS)
Supervision of State Health System MCI Emergency Response

Control of Strategic State Stockpile (SSS)
Control of Strategic National Stockpile (SNS)

Integration of Federal, Regional, State and Local Health EP&R

Slide 8:

NJDHSS Major Emergency Preparedness And Response Funding

This slide contains two pie charts depicting funding for FY2003 and FY 2004. FY2003 funding is shown as: CDC: 60%; MEDPREP: 32%; and HRSA: 8%. FY2004 is shown as: CDC: 50%; HRSA: 26%; and MEDPREP: 24%.

Beneath these two charts is the text: "CDC Focus: Public Health," "HRSA Focus: Health Systems," and "MEDPREP Focus: Critical and unfunded emergency preparedness and response programs."

Slide 9:


Year 1: Infrastructure ― Regionalization/surge capacity
Year 2: C3
Year 3: Exercise

Phase I

  • Strategic Development.
  • DHEPR Infrastructure (manpower/space/IT).
  • Needs Assessment.

Phase II

  • Strategic Development (cont.)/Review.
  • Needs Assessment (cont.).
  • Program Development.

Phase III

  • State Infrastructure.
  • Training/Education/Exercise.

Slide 10:

Medical Coordination Centers

  • Five regional Medical Coordination Centers (MCCs) housed in host hospitals.
  • Health Auxiliary Coordination Center (HACC) in the New Jersey Hospital Association.
  • Responsible for development of regional planning for hospitals and other medical facilities with an emphasis on enhanced surge capacity.
  • Coordination and management of medical and medically related activities and resources.
  • Integrated and synchronized with public health and emergency management systems.
  • MCCs will have the same information available as the Department's HCC to include: hospital diversion status, health facility bed status, pharmaceutical availability, medical information, and EMS system status.

Slide 11:

The Strategic State Stockpile

The Commissioner of Health and Senior Services has directed the development and implementation of a plan that ensures New Jersey's healthcare system is adequately supplied with pharmaceuticals and medical supplies during any emergency. 

This plan will rely on federally supplied materials (the Strategic National Stockpile) and on a New Jersey owned stockpile of medical/pharmaceutical supplies tailored to the State's needs (Strategic State Stockpile).

Slide 12:

  • Health System.
  • Integration Software.
  • Diversion.
  • HERMIS/Hospital Capacity.
  • EMS/Decon Tracking.
  • Project Tracking.
  • SSS Inventory.
  • Professional Registry.
  • Credentialing.

Slide 13:

The New Jersey Factor


  • Transportation corridor for rail and road.
  • Ports and Airports.
  • Philadelphia and New York City.
  • Critical National Industries.
  • Agriculture.
  • Atlantic City.
  • Nuclear Power Plants.

New Jersey

  • Petro-Chemical Plants.
  • Pharmaceutical Industry.
  • Agriculture.
  • Tourism.

Slide 14:

Slide contains various photographs indicating biological, radiological, and nuclear disasters.

David Gruber
Assistant Commissioner
New Jersey Department of Health & Senior Services
PO Box 360
Trenton, NJ  08625
(609) 633-8350

Current as of October 2004

Internet Citation:

Pediatric Disaster and Terrorism Preparedness. Text version of a slide presentation at a Web conference. Agency for Healthcare Research and Quality, Rockville, MD.

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The information on this page is archived and provided for reference purposes only.


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