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Surge Capacity Assessments and Regionalization Issues

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Slide Presentation by Stephen V. Cantrill, M.D.

On June 17, 2003, Stephen Cantrill, M.D., made a presentation in the Web-assisted Audioconference entitled Surge Capacity Assessments and Regionalization Issues. The User Liaison Program (ULP) of the Agency for Healthcare Research and Quality (AHRQ) developed and sponsored the program.

The is the text version of Dr. Cantrill's slide presentation.

Rocky Mountain Regional Care Model for Bioterrorist Events (RMBT)

Stephen V. Cantrill, M.D.
Associate Director
Emergency Medical Services
Denver Health Medical Center

Slide 1

What is a "model"?

"A standard or example for imitation or comparison"
—Webster's Unabridged Dictionary

Slide 2

US Department of Health & Human Services REGIONS

Slide contains a map of the United States that is broken up into 10 regions, according to the US DHHS classification. Region I includes: Maine, Vermont, New Hampshire, Massachusetts, Connecticut and Rhode Island. Region II includes: New York and New Jersey. Region III includes: Pennsylvania, Maryland, Virginia, West Virginia, and the District of Columbia. Region IV includes: North Carolina, South Carolina, Georgia, Florida, Alabama, Missisippi, Tennessee and Kentucky. Region V includes: Minnesota, Wisconsin, Illinois, Indiana, Ohio and Michigan. Region VI includes: Louisiana, Arkansas, Texas, Oklahoma, and New Mexico. Region VII includes: Kansas, Missouri, Nebraska, and Iowa. Region VIII includes: Montana, North Dakota, South Dakota, Wyoming, Colorado, and Utah. Region IX includes: California, Nevada, and Arizona. Region X includes: Washington, Oregon, and Idaho.

At the bottom of the slide there is a note that reads: "Note: These regions are used by DHHS and FEMA."

Slide 3

RMBT Working Group Federal Region VIII

This slide contains a map of the United States. Highlighted on this map are the 8 Metropolitan Medical Response System Cities (MMRS) located in the RMBT Working Group Federal Region VIII. MMRS cities include: Helena, Montana; Cheyenne, Wyoming; Salt Lake City, Utah; Bismark, North Dakota; Pierre, South Dakota; and Aurora, Denver, and Colorado Springs, Colorado.

Slide 4

Slide contains a chart of Federal, State, and local components that the Rocky Mountain Regional Care Model for Bioterrorist Events (RMBT) Working group is comprised of.

Federal members of the RMBT include:

  • US Northern Command.
  • US Airforce.
    • Office of Surgeon General.
    • Homeland Security Office.
    • Development Center for Operational Medicine.
  • Colorado US Air Force, Army and National Guard Bases.
  • US Public Health service-Region VIII.
  • National Disaster Medical System (NDMS).
  • Department of Veteran Affairs Medical Center.

Members at the State-level include:

  • Montana DPH.
  • Colorado DPHE.
  • Utah DPH.
  • Wyoming DPH.
  • North Dakota DPH.
  • South Dakota DPH.
  • Colorado Hospital Association.
  • Colorado Rural Health Center.

Finally, local members include:

  • Three Colorado County Health Departments.
  • Dencer Mayor's Office of Emergency Management.
  • All Hospitals/Health Systems in the Denver Metro Area.

These three levels are listed in three different circles. Located in between these circles is a rectangle containing the RMBT. Each circle has an arrow extending toward the RMBT.

Slide 5

Tools to Assess Baseline Regional Surge Capacity

Slide contains four text boxes of varying sizes. Included in each are available tools that can be used to help assess baseline regional surge capacity. The subject heading and contents of each box are as follows:

Hospital Resources and Preparedness

Health Resources and services Administration (HRSA) Hospital Needs Assessment
Hospital survey developed and administered by states independently.


American Hospital Association (AMA)

Available Beds

National Disaster Medical System (NDMS)
Collected form hospitals bi-weekly in the Colorado Rocky Mountain Front Range and Salt Lake City, Utah metro area in Federal Region VIII

Staffing Levels

State licensing boards
American Medical Association.

Slide 6

Additional Resources to Address Surge Capacity Needs

Slide contains two text boxes, the subject heading and contents in each are as follows:

  • Box 1: Regional Medical Surge Capacity Templates for Disaster Preparedness.
    • Identification of alternative care sites and infrastructure requirements.
    • Preparation for excess staffing and supply needs.
  • Box 2:
    • Medical Armory Supply List

Slide 7

Regional Measures of Preparedness

Slide contains a chart that lists "Current Capacity" and "Compare to Surge Needs." Listed under "Current Capacity" are the following: "Available beds," "Medical Staffing," and "Supply estimates (Difficult to measure)." Under the title "Compare to Surge Needs" the following are listed: "HRSA preparedness benchmark of 500 beds per 1 million population," RMBT group benchmarks for staffing and supplying based on a 50 bed unit." And "RMBT group benchmarks for staffing and supplying based on a 50 bed unit."

Slide 8

RMBT Exportable Components to Help Your Region Plan for Surge

  1. Lessons learned for multi-state, regional collaboration.
  2. Civilian collaboration with Department of Defense (DoD).
  3. DoD oxygen supply options.
  4. Measures of regional preparedness.
  5. Surge capacity development templates.
  6. Medical armory supply list.
  7. Regional drills and exercises.

Slide 9

Our Grant Web site:

Slide also contains a Web shot of the RMBT home page.

Current as of September 2003

Internet Citation:

Rocky Mountain Regional Care Model for Bioterrorist Events (RMBT). Text Version of a Slide Presentation at a Web-assisted Audioconference. Agency for Healthcare Research and Quality, Rockville, MD.


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


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