Capability Cliff Notes Series HPP Capability 1

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Capability Cliff Notes SeriesHPP Capability
1Healthcare System Preparedness

• What Is It And How Will We Measure It?

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Learning Objectives

• Become familiar with Capability Functions
• Become familiar with Tasks that complete the
  Functions
• Understand how these Functions and Tasks are
  measured or may be measured in the future
  (Performance Measures)

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Healthcare System Preparedness

• Healthcare system preparedness is the ability of
  a communitys healthcare system to prepare,
  respond, and recover from incidents that have a
  public health and medical impact in the short and
  long term. (defined by CDC)
• How can healthcare coalitions help their
  healthcare organizations to achieve preparedness?
  How can healthcare coalitions assist healthcare
  organizations prepare for disasters?

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Healthcare System Preparedness Functions

• How Can Health Departments Help Healthcare
  Organizations Prepare for Disasters?
• Develop, refine, or sustain Healthcare
  Coalitions.
• Coordinate healthcare planning to prepare the
  healthcare system for a disaster, through
  healthcare coalitions.
• Identify and prioritize essential healthcare
  assets and services, through healthcare
  coalitions.
• Determine gaps in the healthcare preparedness and
  identify resources for mitigation of these gaps,
  through healthcare coalitions.
• Coordinate training to assist healthcare
  responders to develop the necessary skills in
  order to respond, through healthcare coalitions.
• Improve healthcare response capabilities through
  coordinated exercise and evaluation, through
  healthcare coalitions.
• Coordinate with planning for at-risk individuals
  and those with special medical needs, through
  healthcare coalitions.

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Capabilities and Measures Resources

• The presentation will be an overview of what the
  functions and tasks mean, linked to the
  performance measures.
• Please note that since the capabilities PDF
  document has come out, more performance measures
  have been developed. If performance measures have
  come out since the creation of the capabilities
  document below, they have been included in these
  tutorials following their function slide, even if
  the PDF lists that there are no measures. For
  functions that still have no measures, questions
  for health departments to begin thinking about
  measures have been included instead.
• For exact lists of the capabilities and
  performance measures, and data collected for the
  measures, documents can be found at these links
• For Capabilities, Functions, and Tasks
• http//www.phe.gov/Preparedness/planning/hpp/repor
  ts/Documents/capabilities.pdf
• For Performance Measures http//www.phe.gov/Prepar
  edness/planning/evaluation/Documents/hpp-coag.pdf

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Healthcare Coalitions Roles

• It is understood that while some healthcare
  coalitions take an active role in healthcare
  operations, others are in support and
  coordination positions only.
• All tasks can be read or adjusted to account for
  coalitions coordination rather than direct
  actions.

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Healthcare Coalitions Definition

• Healthcare Coalitions are multi-agency
  coordinating groups that assist Emergency
  Management and Emergency Support Function (ESF)
  8 with preparedness, response, recovery, and
  mitigation activities related to healthcare
  organization disaster operations.

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Healthcare Coalitions Purpose

• Healthcare Coalitions can help healthcare
  organizations to plan together for preparedness,
  response, and recovery, connect resources, and
  use them in the most efficient manner.

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Function 1 Develop, refine, or sustain
Healthcare Coalitions

• Tasks What things can health departments do to
  connect with and assist healthcare coalitions?
• Connect with a preparedness planning group to
  collaborate on integration, coordination, and
  organization of regional healthcare preparedness
  and response activities.
• Participate in a regional healthcare multi-agency
  coalition to share incident-specific healthcare
  information for coordination during response and
  recovery activities.

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Function 1 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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What Does A Fully Functioning Healthcare
Coalition Look Like?

• How does ASPR determine that healthcare
  coalitions qualify as having the ability to
  execute the capabilities described in Healthcare
  Preparedness Capabilities?
• This is determined according to the Preparedness
  Cycle
• For Preparedness Follow the steps of the
  Preparedness Cycle to effectively mitigate,
  respond to and recover from a disaster.
• For Response Integrate with ESF8 and the ICS
  to provide healthcare situational awareness to
  inform the decision-making process for allocation
  of resources.
• For Recovery Assist HCOs within their region to
  return to normal healthcare delivery operations.
• The Preparedness Cycle can be found at the
  following link on pg XV
• http//www.phe.gov/Preparedness/planning/hpp/repor
  ts/Documents/capabilities.pdf

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Function 2 Coordinate healthcare planning to
prepare the healthcare system for a disaster

• Tasks What things can healthcare coalitions do
  to assist their healthcare systems in disaster
  planning?
• Engage response and healthcare partners to figure
  out the likelihood of disasters that might affect
  the healthcare delivery in a given area, and
  prioritize response and mitigation activities
  with available resources.
• Engage healthcare partners to coordinate
  healthcare planning with local and state
  emergency operations planning to include
  healthcare priorities and needs in response and
  recovery operations.

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Function 2 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Function 3 Identify and prioritize essential
healthcare assets and services

• Tasks What things can health departments do
  determine what services and assets are most
  needed?
• Identify and prioritize the essential healthcare
  assets and services of the community.
• Coordinate planning and preventative measures
  that will protect those assets and services.

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Function 3 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Function 4 Determine gaps in the healthcare
preparedness and identify resources for
mitigation of these gaps

• Tasks What things can health departments do to
  identify gaps in service and resources to fill
  gaps?
• Determine available resources and gaps by
  analyzing healthcare organization needs and
  evaluating exercises, training, and actual
  incidents or events. These are sometimes called
  resource assessments and gap analyses.
• Keep track of resources to make sure that they
  are not over-allocated or assigned to multiple
  stakeholders within the community.

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Function 4 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Function 5 Coordinate training to assist
healthcare responders to develop the necessary
skills in order to respond

• Tasks What things can health departments do to
  help train healthcare responders?
• Assist in providing National Incident Management
  System training for healthcare organizations to
  improve response knowledge, skills, and abilities
  in accordance with the National Response
  Framework (NRF).
• Assist in providing other needed training for
  healthcare organizations based on existing gaps
  identified in assessment.

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Function 5 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Function 6 Improve healthcare response
capabilities through coordinated exercise and
evaluation

• Tasks What things can health departments do to
  help partners improve response?
• Coordinate and implement capability-based
  exercises that test disaster planning efforts.
• Utilize a coordinated method to evaluate
  exercises and actual incident responses.
• Use findings from gap analysis and corrective
  actions to revise planning, training, and
  exercises to minimize response gaps.

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Function 6 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Function 6 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions?
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Function 7 Coordinate with planning for at-risk
individuals and those with special medical needs

• Tasks What things can health departments do to
  help plan for at-risk people, or people with
  special medical needs?
• Participate in planning that identifies multiple
  care options for people with special medical
  needs who cannot stay in mass care shelters and
  require care at medical facilities during
  incidents.
• Participate in coordinated planning with public
  health and ESF6 agencies to determine protocols
  for the transfer of patients between mass care
  and healthcare settings during a disaster.

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Function 7 Measurement

• How does ASPR measure that health departments are
  working with and assisting their healthcare
  coalitions? (Same for All Functions)
• Percent of healthcare coalitions (HCCs) that have
  established formalized agreements and demonstrate
  their ability to function and execute the
  capabilities for healthcare preparedness,
  response, and recovery as defined in Healthcare
  Preparedness Capabilities.
• Numerator Number of HCCs that have established
  formalized agreements and demonstrate their
  ability to function and execute the capabilities
  for healthcare preparedness, response, and
  recovery.
• Denominator Number of HCCs identified by
  awardees.
• Target is 100. All data elements must be
  answered yes for an HCC to count in the
  numerator.
• Specific data elements that were included in the
  measure can be found at this link on pgs 13-17
• http//www.phe.gov/Preparedness/planning/evaluatio
  n/Documents/hpp-coag.pdf

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Questions?

• Please contact
• Rachel Coles
• Program Evaluator--CDPHE
• 303-692-2764
• rachel.coles_at_state.co.us