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Health Care Facility Surge Capacity Strategies. Richard N. Bradley The University Of Texas Health Science Center At Houston 28 September 2006. Health Care Facility Emergency Preparedness & Response to Epidemics and Pandemics.

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Health care facility surge capacity strategies l.jpg

Health Care Facility Surge Capacity Strategies

Richard N. Bradley

The University Of Texas Health Science Center At Houston

28 September 2006

Health Care Facility Emergency Preparedness &

Response to Epidemics and Pandemics


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(1918). "Emergency hospital during influenza epidemic, Camp Funston, Kansas." Otis Historical Archives Retrieved Septemeber 22, 2006, from http://nmhm.washingtondc.museum/collections/archives/agalleries/1918flu/Ncp1603.jpg.


Learning outcomes l.jpg
Learning Outcomes Funston, Kansas."

  • Ensure timely flow of information and to act on it (verify veracity)

  • Identify necessary information for defining long term sustainability of provision of services

    • Internal

    • External

  • Define the necessary mechanisms to ensure the maintenance of the services


Medical surge l.jpg
Medical Surge Funston, Kansas."

"Metairie, Louisiana." Wikipedia Retrieved September 22, 2006, from http://en.wikipedia.org/wiki/Metairie%2C_Louisiana.


Flusurge l.jpg
FluSurge Funston, Kansas."


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http://www.pandemicflu.gov Funston, Kansas."


Http www who int csr disease avian influenza guidelinestopics en index3 html l.jpg
http://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.htmlhttp://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.html

Avian Influenza, including Influenza A (H5N1), in Humans:WHO Interim Infection Control Guidelines for Health Care Facilities


Preparedness determining capacity l.jpg
Preparedness: Determining Capacityhttp://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.html

  • Standard capacity

    • Licensed capacity

    • Physical beds

    • Staffed beds

  • Surge capacity

    • More beds per room

    • Conversion of non-patient care areas

    • Creation of new space


Determining resource needs for surge l.jpg
Determining Resourcehttp://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.htmlNeeds For Surge

  • Personnel

  • Medical equipment

  • Supplies

  • Support

    • Beddown

    • Feeding

    • Toilet/shower facilities


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Linking Local And Regional Planninghttp://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.html

National Response

Provincial Response

Local Jurisdiction Response

Healthcare Coalition Response

Individual Healthcare Facility Response

Adapted from: Medical surge capacity and capability: a management system for integrating medical and health resources during large-scale emergencies. 2004: The CNA Corp.


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Alerts To HCFhttp://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.html

Pinellas County Communications. "EOC." Retrieved September 22, 2006, from http://www.pinellascounty.org/mediacentral/image_library/Hurricane/EOC%203_Hi.jpg.


Upward communication from hcf l.jpg
Upward Communication From HCFhttp://www.who.int/csr/disease/avian_influenza/guidelinestopics/en/index3.html

  • Active surveillance

  • Passive surveillance

  • HCF role in case investigation


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Caribbean Epidemiology Centre. Influenza case investigation form. Accessed 26 Sept 2006 from http://www.carec.org/caseforms/influenza.htm


Public information officer l.jpg
Public Information Officer form. Accessed 26 Sept 2006 from http://www.carec.org/caseforms/influenza.htm

  • Internal clients – situational updates

Press conference. Myanmar Digest [web site]. Accessed 21 Sept 2006 from: http://www.myanmardigest.com/press/press2003/10-5-03press/May10press1.html.


Planning section l.jpg
Planning Section form. Accessed 26 Sept 2006 from http://www.carec.org/caseforms/influenza.htm

  • Awareness of public health updates


Logistics section l.jpg
Logistics Section form. Accessed 26 Sept 2006 from http://www.carec.org/caseforms/influenza.htm

  • Long term security

  • External support

DMAT NY-4. 2005. Accessed 27 Sept 2006 from http://www.dmatny4.com/P9290014.JPG.


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Human Services Group form. Accessed 26 Sept 2006 from http://www.carec.org/caseforms/influenza.htm

  • Health care workers at increased risk

  • Staff counseling

    • Mental health

    • Faith-based

  • Staff support

    • Sleeping quarters

    • Family care


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