Planning for Surge Capacity in Health Care Services. Betsey Lyman Deputy Director, Public Health Emergency Preparedness California Department of Public Health. California Faces Disasters on a Regular Basis. Examples of disasters since 2006: 2006 Extreme Heat 2007 Lake Tahoe Wildfire
Deputy Director, Public Health Emergency Preparedness
California Department of Public Health
……an excess in demand over capacity in hospitals, long-term care facilities, community care clinics, public health departments, other primary and secondary care providers, resources and/or emergency medical services
The frequent emergency department overcrowding experienced by healthcare facilities (for example, Friday/Saturday night emergencies).
A local casualty emergency that might overcrowd nearby facilities but have little to no impact on the overall healthcare delivery system.
Standardized definitions for crisis care:
Liability of healthcare facilities and licensed healthcare professionals
Reimbursement of care provided during an emergency
How to operate Alternate Care Sites
Surge capacity operating plans at individual hospitalsFocus of the Project
Developing and managing a process that includes government agencies, providers, stakeholders, and other relevant parties as participants in this project.
Developing written standards and guidelines for delivery of medical care services in a surge environment.
Foundational Knowledge document provides platform for all volumes
Manuals focused on target audience:
Alternate care sites
Reference Manual including legal analysis
Licensed healthcare professionals, including Crisis Care
Long term care facilities
Surge Monitoring Guidelines Table
Green: Usual day to day status. No assistance required
Yellow: Surge managed locally. No assistance required
Orange: Additional healthcare assets required within jurisdiction
Red: Assistance needed outside local jurisdiction or area.
Black: Significant assistance needed outside local jurisdiction.
Maintaining existing revenue streams is critical to hospitals during a healthcare surge. Key concepts surrounding reimbursement during surge include:
Advanced planning and collaboration with commercial health plan partners
Acquiring detailed knowledge of the resources available to hospitals during surge conditions
Methods to access additional resources from federal and State funded programs
A government-authorized Alternate Care Site is NOT part of the expansion of an existing healthcare facility, such as
Accessing the Standards and Guidelines for Healthcare Surge During Emergencies: