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Disaster Alternate Care Facility Selection Tool

Public Health Emergency Preparedness

This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.

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Table 3: Hurricane Katrina and Rita 2005 Alternate Care Facility Credentialing Matrix

  Site 1 Site 2 Site 3 Site 4 Site 5 Site 6 Site 7
Method of credentials verification for health professionals County Health Department Oversight Inspection of identification badge from home institution. Handled by U.S. Public Health Service >90% were Federal so came credentialed. Credentialed through sponsoring health care system. All Federal employees; arrived credentialed. Credentials not verified due to rapid need for response.
Were identification cards created? Sponsoring hospital ID cards used. Others tried for outside staff with little success Yes, with a make-shift badge maker Special wrist bands provided by local University. No; most had Federal identification cards. Home State office of EMS ID cards. Federal ID card. N
If so, was a commercially available product used? NA NA NA NA NA NA NA
Suggested future changes in the credentialing process? Early credentialing; ideally prior to the event N N NA N Develop a standardized credentialing system. NA
Did anyone impersonate a provider to gain access? One individual tried to impersonate a physician. N Impersonator from the media to gain access. No one falsified credentials to provide care. N N N N
Steps taken at the State level to facilitate out-of-state providers? State allowed instant licensure with sponsorship of the primary hospital. State was not involved. NA NA EMAC NA EMAC
Were providers from different health care systems working side by side? Y Y Y Y Y Y Y
If so, did this create any command and control(C2) issues? No significant issues. Sponsoring hospital retained control. N No, too busy to have any turf battles. No; used clear command system. N Minor issues while establishing C2 system. N
Were there any challenges dealing with out-of-state licensing issues? Y N No, handled through U.S. Public Health Service. Difficulty writing prescriptions for controlled substances. Y Y N

Y=Yes or present but number unknown; N=No; NA=Not Applicable; U=Unknown; no data available.

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