Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)
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Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Program Overview and Benefits of Integrating ESAR-VHP and the Medical Reserve Corps 2005 Annual Medical Reserve Corps National Leadership Conference April 21, 2005.

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Health resources and services administration healthcare systems bureau

Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)Program Overview and Benefits of Integrating ESAR-VHP and the Medical Reserve Corps2005 Annual Medical Reserve Corps National Leadership ConferenceApril 21, 2005

Health Resources and Services Administration

Healthcare Systems Bureau

Division of Healthcare Preparedness

ESAR-VHP Program

Marilyn Biviano, Director, ESAR-VHP


Presentation overview

Presentation Overview

  • Background of ESAR-VHP Program and Technical and Policy Guidelines Standards and Definitions (Guidelines)

  • Guidelines – how they are being developed, tested and implemented

  • ESAR-VHP Credentialing & Resource Typing

    • Benefits of Advance Credentialing

  • Benefits of Integrating MRC and ESAR-VHP

  • ESAR-VHP Reports, Papers and Tools

  • Appendix


Health resources and services administration healthcare systems bureau

Background of ESAR-VHP Program and Technical and Policy Guidelines, Standards and Definitions (Guidelines)


Esar vhp legislative mandate

ESAR-VHP Legislative Mandate

  • Public Law—PL 107-188, directs the development of (State based) Emergency Systems for Advance Registration of Volunteer Health Professionals, or ESAR-VHP. 1/

  • Health and Human Services (HHS) has delegated the ESAR-VHP development to the Health Resources and Services Administration (HRSA).

1/ Public Law—PL 107-188, Public Health Security and Bioterrorism Preparedness and Response Act of 2002, Section 107


Health care personnel surge capacity is essential

Health care personnel surge capacity is ESSENTIAL!

Physical Surge

Capacity

(e.g. Hospitals)

(NBHPP)

Health Care

Personnel

Surge Capacity

(ESAR-VHP and MRC)

Health care

Preparedness

+

+

Training

(NBHPP & BHPr)

=


Building a state based national system

Building a State-based National System

  • StateESAR-VHPs must be built to national standards and definitions so that they can be shared and utilized across State lines.

  • Credentialing (verification of qualifications) and DHS National Incident Management System (NIMS) Resource Typing is at the core of developing a National system.


Guidelines how they are being developed tested and implemented

Guidelines—how they are being developed, tested and implemented.


Esar vhp essential partners

ESAR-VHP Essential Partners

  • FEDERAL PARTNERS

  • Medical Reserve

  • Corps

  • Federal

  • CDC

  • HHS

  • DHS

  • FEMA

  • USPHS Readiness

  • Corps

  • Citizen Corps

PROFESSIONAL ASSOCIATIONS & ORGANIZATIONS

  • Health Professional Assoc. (AMA, ANA)

  • JCAHO

  • AHA

  • NCSBN

  • FSMB

  • ABMS

  • Red Cross

STATE NBHPPGrantees (62)

STATE

ESAR-VHP

HRSA Technical and Policy Guidelines, Definitions & Standards


The guidelines cover the entire spectrum of advance registration development and operation features

Issue Topic

State Chair

System Design and Content

West Virginia

Credentialing and NIMS Resource Typing

Minnesota

Security, Privacy, and Communications

Wisconsin

Authorities and Emergency Operations

California

Regionalizing and Nationalizing the ESAR-VHP Project

Missouri

Training

Texas

Recruitment and Volunteer Advocacy

Connecticut

Funding and Cost

Illinois

Data Definitions and Naming Conventions

Ohio

Operations and Maintenance

Massachusetts

National Working Group Chair

District of Columbia

The Guidelines cover the entire spectrum of advance registration, development and operation features.

Each Issue Topic is supported by a national working group


Esar vhp credentialing and resource typing

ESAR-VHP Credentialing and Resource Typing

  • Credentialing, Privileging and National Incident Management System (NIMS) Resource Typing


Credentialing privileging and nims resource typing

Credentialing, Privileging, and NIMS Resource Typing

  • Credentialing is the process of obtaining, verifying, and assessing the qualifications of a health volunteer.

  • Resource Typing Within the ESAR-VHP program, resource typing is a uniform process of classifying a health care volunteer based on verified credentials and consistent with the NIMS credentialing system.


Benefits of advance credentialing and resource typing of emergency medical volunteers

Benefits of Advance Credentialing and Resource Typing of Emergency Medical Volunteers

  • Reduces credentialing burden for emergency care delivery, e.g., hospitals.

  • Allows scarce specialist resources to be allocated according to need (e.g., orthopedic surgeon, anesthesiologist, thoracic surgeon).


Benefits of advance credentialing and resource typing emergency medical volunteers cont

Benefits of Advance Credentialing and Resource Typing Emergency Medical Volunteers, cont.

  • Credentials standards and verification and resource typing will permit volunteers to be used at the highest possible level.

    • Building “hospital ready” volunteer workforce

  • Resource typing (based on credentialing standards):

    • facilitates intra and interstate sharing of scarce medical volunteers.


Benefits of integrating the mrcs and state esar vhps

Benefits of Integrating the MRCs and State ESAR-VHPs


Benefits of integrating mrc and state esar vhp

Benefits of Integrating MRC and State ESAR-VHP

  • Precious health profession volunteer resources are maximized and coordinated.

  • Integration may reduce MRC operation cost, for example, cost of verifying volunteer’s credentials.


Benefits of integrating mrc and state esar vhp cont

Benefits of Integrating MRC and State ESAR-VHP, cont.

  • MRC volunteer may be eligible (through ESAR-VHP) for benefits under state declared emergency authorities

    • malpractice liability protection

    • workmen’s compensation


Benefits of integrating mrc and state esar vhp cont1

Benefits of Integrating MRC and State ESAR-VHP, cont.

Integration provides for a seamless linking of

State and local medical volunteer

emergency response efforts that will:

  • Reduce emergency response time,

  • Increase capability to respond to bigger emergencies within a state, and

  • Enable interstate responses—EMAC is a state-to-state response.


Esar vhp reports papers and tools

ESAR-VHP Reports, Papers, and Tools


Esar vhp reports papers and tools1

ESAR-VHP Reports, Papers, and Tools:

  • Interim Technical and Policy Guidelines, Standards, and Definitions—A “Handbook” that provides a set of recommendations and approaches for developing, implementing, and maintaining an ESAR-VHP system. (Available Soon)

  • Legal and Regulatory Issues—Examines and summarizes areas of law relevant to ESAR-VHP, such as emergency declarations, licensing, credentialing, liability and workmen’s compensation issues.


Esar vhp reports cont

ESAR-VHP Reports, cont:

  • Hospital Implementation Issues and Solutions Focus Group Meeting Report—Identifies and assess hospital issues as they relate to the development and implementation of an ESAR-VHP system.

  • Will the States’ ESAR-VHP Build Adequate Hospital Personnel Surge Capacity—A White Paper that discusses the options for credential verification of health professionals and the implications of not meeting hospital level verification standards.


Esar vhp reports cont1

ESAR-VHP Reports, cont:

  • ESAR-VHP Legal and Regulatory Issues Draft Toolkit – Provides information, contacts, and resources to help you assess of many of the legal issues that may arise during implementation of your States ESAR-VHP system. Includes, among other items, a checklist and model documents.


Health resources and services administration healthcare systems bureau

MRC Credentialing Portal Pilot

Easy to use registration tool will allow MRCs to collect the information needed to verify credentials and assign resource types to volunteers.

http://www.esarvhp.com/mrc/


Health resources and services administration healthcare systems bureau

MRC Credentialing Portal Pilot

Please visit the ESAR-VHP & MRC Project Table to learn more about:

  • ESAR-VHP & MRC integration plans

  • MRC Credentialing Portal Project

    ESAR-VHP will also be discussed in the following presentations later today:

  • Integrating MRC and ESAR-VHP across Minnesota

  • Database and Reporting Options for Local MRCs, Jeff Reilly, Westchester County MRC


Additional information

Additional Information

Marilyn Biviano, Director ESAR-VHP

HSB, Division of Healthcare Preparedness

Room 13C-105

5600 Fishers Lane

Rockville, MD 20857

Email: [email protected]


Appendix

APPENDIX


Credentialing and resource typing high priority occupations

Credentialing and Resource Typing High Priority Occupations

Bold

= Draft Resource Typing Completed


Timeline for state based esar vhp 2004 2006

Timeline for State-Based ESAR-VHP2004-2006

Develop Guidelines and common definitions and assess hospital, liability, and other key implementation issues.

NBHPP FY04 Supplement to 30 States to pilot guidelines and develop systems

*Remaining NBHPP awardees supplemental approved but unfunded

Complete Interim Guidelines, issue analysis & best practices

2nd ESAR-VHP Focus Group Meeting

Develop baseline number of ESAR-VHP providers (update annually)

ESAR-VHP Focus group meeting

May

2004

Nov.

2004

Jan.

2005

Sept.

2004


Health resources and services administration healthcare systems bureau

Timeline for State-Based ESAR-VHP 2004-2006, cont’d

Provide technical assistance to 20 States. Conduct regional focus and technical assistance meetings and refine Guidelines

Pilot test Guidelines in 10 States and refine Guidelines

ESAR-VHP Focus Group Meeting

NBHPP FY 05 Award to 32 States to develop systems.

30 (Total) ESAR-VHPs initiated. Guidelines revised.

10 ESAR-VHP

systems

initiated

Jan.

2005

Sept.

2005

July

2005

Dec.

2005

June

2005


Health resources and services administration healthcare systems bureau

Timeline for State-Based ESAR-VHP 2004-2006, cont’d

Provide technical assistance to remaining (32) States and jurisdictions in development of their ESAR-VHP. Conduct regional focus and technical assistance meetings and refine Guidelines

.

Dec.

2006

Jan.

2006

June

2006


Health resources and services administration healthcare systems bureau

Phases of ESAR-VHP Development and Technical Assistance

HI

AK

WA

VT

NH

MT

ME

ND

MN

OR

ID

MA

SD

WI

NY

MI

RI

WY

CT

PA

IO

NJ

NE

NV

DE

OH

IN

IL

UT

MD

CA

CO

WV

VA

DC

KS

MO

KY

NC

TN

AZ

OK

NM

AR

SC

GA

AL

MS

TX

LA

PHASE I

FL

PHASE II

PHASE III

PR - (Puerto Rico)

VI - (U.S. Virgin Islands)


Credentialing privileging and nims resource typing of physicians

Credentialing, Privileging, and NIMS Resource Typing of Physicians

Initial Guidelines focus on credentialing requirements for physicians, registered nurses, and behavioral health professionals 1/. We will expeditiously add additional professions.

1/ Psychologists, medical and public health social workers, mental and substance abuse social workers, marriage and family therapists and clinical mental health counselors.


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