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Hospital Surge Capacity: A Comprehensive Study of EMS Region 2 Surge Capacity

James E.M. Bender, BS, EMT-P. Hospital Surge Capacity: A Comprehensive Study of EMS Region 2 Surge Capacity. Qualitative Study. EMS Region 2 of Illinois What is surge capacity? Are there any standards of surge capacity (met?) Barriers and Best Practices. My Story. What is Surge Capacity?.

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Hospital Surge Capacity: A Comprehensive Study of EMS Region 2 Surge Capacity

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  1. James E.M. Bender, BS, EMT-P Hospital Surge Capacity: A Comprehensive Study of EMS Region 2 Surge Capacity

  2. Qualitative Study • EMS Region 2 of Illinois • What is surge capacity? • Are there any standards of surge capacity (met?) • Barriers and Best Practices

  3. My Story

  4. What is Surge Capacity? • Surge Capacity is the ability of a hospital to expand its capacity to add additional beds, beyond the hospital’s State licensed beds during a declared emergency. • Hospitals have to make the decision to go from a standard of care to a sufficiency of care.

  5. Identified Surge Capacity • Prime Mover is the JC standards and ASPR (HRSA) grants. • Reference (2003 Bioterror grants) 500 acute beds per million population • Region has: • 3731 Licensed Patient Care Beds • 876 Surge Capacity Beds • 100 Surge Beds from Mobile Hospital

  6. Hospital Policy • Addresses surge capacity through non-traditional patient care areas and non-traditional beds. • No standard of “what is a surge bed / acuity of patient”. Public expects healthcare response during a disaster!

  7. Barrier: Policy and Regulation • Expect Surge Capacity • Joint Commission • IDPH “approved” Regional Disaster Medical Plan • Grants

  8. Barrier: Policy and Regulation • Illinois Hospital Act • The Emergency Medical Treatment And Labor Act (EMTALA)…Remember to get your 1135 waiver • HIPPA • Illinois Emergency Management Act • What is a Public Health Emergency? • Gov. suspend acts for 30 days • Does not address emergency opening of hospitals.

  9. Conclusion • Hospitals have made great strides in EM in the last 10 years. • Willing and wanting to be a first responder • Get very little support from regulatory authorities. • There are best practices: • California has implemented an entire program on surge and alternative care sites.

  10. Thank You • Research paper at: • http://cemr-network.org/ • Comprehensive Emergency Management Research Network

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