National Bioterrorism Hospital Preparedness Program

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National Bioterrorism Hospital Preparedness
Program

• Brad Austin, M.P.H.
• Commander, U.S. Public Health Service
• Hospital Bioterrorism Preparedness Program
• Human Resources and Services Administration
• US Department of Health and Human Services

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Mission Statement

• To ready hospitals and supporting health care
  systems to deliver coordinated and effective care
  to victims of terrorism and other public health
  emergencies

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Cooperative Agreements with

• State Health Departments
• DC, New York, Chicago, Los Angeles
• Puerto Rico, Virgin Islands, American Samoa,
  Guam, Northern Marianas
• Marshall Islands, Micronesia and Palau just added
  in FY 2003

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Hospital Preparedness Program

• 135 M for hospital preparedness (2002)
• 514 M appropriated in 2003
• New guidance just published May 2
• Hospital preparedness and infrastructure

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Surge Capacity

• Hospital bed capacity
• 500 acutely ill patients / million population
• Decontamination facilities
• 500 acutely ill patients / million population
• Isolation facilities
• At least one per grantee
• To support 10 patients at a time

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Surge Capacity

• Maximum patient load
• To prepare for an overwhelming number of patients
  either for an acute period or over an extended
  period of time

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Surge Capacity

• Beds
• Staffing
• Equipment
• EMS Systems

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Surge Capacity

• Health care personnel
• 250 additional / million in urban areas
• 125 additional / million in rural areas
• Personal protective equipment
• Sufficient to protect these personnel

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Surge Capacity

• Pharmaceutical caches
• Local pharmacies
• Till Strategic National Stockpile is delivered
• Communications and information technology
• Secure and redundant
• Connects health care system components

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Regionalization Approaches

• One hospital alone not sufficient
• HRSA lets grantees define this to best facilitate
  their own geography and circumstances

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Surge Capacity and Regionalization

• Primary health clinics, IHS facilities, VA
  hospitals, military medical facilities
• Integrate strengths of individual facilities and
  systems
• Begin by assessing your current local and
  regional capacity

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More Program Information

• http//www.hrsa.gov/bioterrorism.htm
• CDR Brad Austin
• [phone]
• BAustin_at_hrsa.gov