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The Role of the Department of Health and Human Services in Achieving Surge Capacity Capabilities. Robert G. Claypool, M.D. Deputy Chief Medical Officer Office of the Assistant Secretary for Public Health Emergency Preparedness U.S. Department of Health and Human Services Washington , DC.
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The Role of the Department of Health and Human Services in Achieving Surge Capacity Capabilities Robert G. Claypool, M.D. Deputy Chief Medical Officer Office of the Assistant Secretary for Public Health Emergency Preparedness U.S. Department of Health and Human Services Washington, DC
Surge Generated From Both Natural and Man-made Events Greatest Weapons of Mass Destruction Impact Hurricane Major Flooding Least Aircraft Accident LOCAL, REGIONAL, & STATE FEDERAL
DOE Support Agencies DOA ARC DOD EPA DOE FEMA DOJ GSA DOT NCS DVA USPS AID DHS USDA DOT National Response Plan[Emergency Support Functions] Energy Food Transportation EPA NCS Hazardous Materials 12 11 1 Communication 10 2 Urban Search and Rescue 9 ESF 3 DOD DHS Public Works (USACE) 8 4 7 5 6 Firefighting Health & Medical Services Resource Support USDA & FS Information & Planning HHS--Primary Agency Mass Care GSA DHS ARC
Distribute Casualties, Fatalities, & Displaced Evacuees How is HHS addressing surge? Through a Comprehensive and Inter-agency Approach Personnel (Registry, Licensure,& Credentialing) Mass Prophylaxis & Vaccination Materiel --Stockpile --Non-Stockpile Laboratories Alternative care facilities Investigations Special Needs Expanded health care system capacity Disaster Mental Health Risk/Crisis Communications (Public Affairs) Shelters in Place Information Management Mass Casualty Triage Incident (Population at Risk) Mass Fatality Management Pre-event Planning & Preparedness
PHS-CS Bed Aug (50) Public Health Service – Contingency StationsModule Configuration Capabilities “PHS-CS” 250 Bed Modules PHS-CS Treatment • Primary Care • Non-Acute Treatment • Special Needs PHS-CS Base Support With Quarantine PHS-CS Pharmaceutical • Pharmaceutical • Special Medications • Prophylaxis • Administration • Support • Feeding • Quarantine • Beds (50) • Housekeeping • First Aid Equipment • Pediatric Care • Adult Care • Personal Protective Equipment • Beds • Bedding • Bedside Equipment
Public Health Service – Contingency StationsFuture Module Configuration Capabilities “PHS-CS” Future Modules Burn/Surgical Mobile Hospital Acute Treatment Isolation Triage Decontamination
Developing Ventilator Cross Training Model • Problem: Lack of sufficient number of healthcare personnel to provide required ventilator support during a mass casualty incident. • Action being taken: Sponsoring an AHRQ study designed to: • Define the scope of problem • Develop and implement a model to cross train individuals to provide ventilator support • Test the model that has been developed with an exercise with the SNS to evaluate the efficiency and effectiveness of such a cross training model. • Determine the applicability of cross training model for other required areas.