Strengthening Whole Community Partnerships to Improve Healthcare Resiliency

1. Strengthening Whole Community Partnerships to Improve Healthcare Resiliency

2. Welcome to the Hale Borealis Forum

3. General Information • Please silence your cell phones • Fire or emergency • Atwood Building Parking Garage • Nursing mothers—private area provided • See the registration desk for session sign-up • Many sessions are full • Signs placed outside the room • Please join another session

4. General Information • Exhibitors on the 3rd Floor • Resource tables on the 2nd Floor • Continuing Education • Attend the session or skills lab • Complete the CE Verification form (in your Welcome packet) • Turn in completed form to CE representative at Registration desk • See the Registration desk for questions

5. We look forward to seeing you at the Welcome Reception this evening, 4:15pm-6:00pm.

6. Hospital Preparedness Program:Building a Response-Ready Nation Melissa Harvey, RN, MSPH Director, Hospital Preparedness Program October 23, 2018 Hale Borealis Forum

7. HPP: Response Ready. Community-Driven. Health Care Prepared. • The Hospital Preparedness Program (HPP) is a cooperative agreement administered by ASPR and is the only source of federal funding for health care delivery system readiness • HPP prepares the health care system to save lives during emergencies that exceed day-to-day capacity of the health and emergency response systems. • HPP does this by developing and sustaining regional health care coalitions (HCCs) • HCCs incentivize diverse and often competitive health care organizations with differing priorities and objectives to work together • HPP promotes a sustained national focus on improving patient outcomes, minimizing the need for supplemental state and federal resources during emergencies, and enabling rapid recovery.

8. Hospital Preparedness Program $255 million for each fiscal year (FY) 2014-2017; $265 million for each FY 2018-2019 62 awardees – health departments in all 50 states, the District of Columbia, 3 localities, all U.S. territories and freely associated states (HPP does not directly fund hospitals) 476 HCCs nationwide 31,000 HCC members nationwide

9. HCCs Have Diverse and Growing Membership There are over 31,000 HCC members nationwide, a 92 percent increase from 2012.* HCC Core Members *Data from Puerto Rico and the U.S. Virgin Islands are not included in BP5 numbers due to ongoing hurricane recovery efforts.

10. HCCs: Coordinating a Regional Approach to Health Care and Medical Response An HCC is a group of individual health care and response organizations in a defined geographic location. HCCs play a critical role in developing health care preparedness and response capabilities.

11. 2017–2022 Health Care Preparedness and Response Capabilities

12. Role of HCCs in Response • HCCs serve a communication and coordination role within their respective jurisdictions • This coordination ensures the integration of health care delivery into the broader community’s incident planning objectives and strategy development • It also ensures that resource needs that cannot be managed within the HCC itself are rapidly communicated to the Emergency Support Function-8 lead agency • HCCs connect the elements of medical response and provide the coordination mechanism among health care organizations, including hospitals and emergency medical services (EMS); emergency management organizations; and public health agencies

13. HCCs are Critical to Successful Preparedness and Response Efforts Success Stories are accessible on the HPP homepage www.phe.gov/hpp

14. The Need for a New Approach to Health Care Emergency Preparedness and Response Casualty estimates for 21st-Century threats (and some old threats) far exceed the capacity and capability of the current health care system Health care preparedness and response is fragmented and uncoordinated across jurisdictions HPP requires updating to meet current challenges

15. Key Elements of a Potential Regional Disaster Health Response System Aware Responsive Ready Regional Disaster Health Response System Regional Resourced

16. Notional Regional Disaster Health Response System

17. Goal of RDHRS Partnership Pilot Improve the clinical specialty and medical surge capabilities necessary in response, while focusing specifically on building and maturing the partnerships that are required to coordinate patient and resource movement to support medical response and ensure medical surge capacity at the local, state, and regional levels. Demonstration projects will: 1 2 3 Address health care preparedness challenges Show the potential effectiveness and viability of a RDHRS Establish best practices for improving disaster readiness across the health care delivery system

18. Two Initial RDHRS Pilots Selected MASSCHUSETTS GENERAL HOSPITAL NEBRASKA MEDICINE Sites will build systems that exhibit the following five capabilities: • Build a partnership for disaster health response Align plans, policies, procedures related to clinical excellence in disasters • Increase statewide and regional medical surge capacity • Improve statewide and regional situational awareness • Develop readiness metrics and conduct an exercise to test capabilities

19. QUESTIONS?