james e m bender bs emt p l.
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Hospital Surge Capacity: A Comprehensive Study of EMS Region 2 Surge Capacity

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James E.M. Bender, BS, EMT-P. Hospital Surge Capacity: A Comprehensive Study of EMS Region 2 Surge Capacity. Qualitative Study. EMS Region 2 of Illinois What is surge capacity? Are there any standards of surge capacity (met?) Barriers and Best Practices. My Story. What is Surge Capacity?.

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Presentation Transcript
qualitative study
Qualitative Study
  • EMS Region 2 of Illinois
  • What is surge capacity?
  • Are there any standards of surge capacity (met?)
  • Barriers and Best Practices
what is surge capacity
What is Surge Capacity?
  • Surge Capacity is the ability of a hospital to expand its capacity to add additional beds, beyond the hospital’s State licensed beds during a declared emergency.
  • Hospitals have to make the decision to go from a standard of care to a sufficiency of care.
identified surge capacity
Identified Surge Capacity
  • Prime Mover is the JC standards and ASPR (HRSA) grants.
    • Reference (2003 Bioterror grants) 500 acute beds per million population
  • Region has:
    • 3731 Licensed Patient Care Beds
    • 876 Surge Capacity Beds
    • 100 Surge Beds from Mobile Hospital
hospital policy
Hospital Policy
  • Addresses surge capacity through non-traditional patient care areas and non-traditional beds.
    • No standard of “what is a surge bed / acuity of patient”.

Public expects healthcare response during a disaster!

barrier policy and regulation
Barrier: Policy and Regulation
  • Expect Surge Capacity
    • Joint Commission
    • IDPH “approved” Regional Disaster Medical Plan
    • Grants
barrier policy and regulation10
Barrier: Policy and Regulation
  • Illinois Hospital Act
  • The Emergency Medical Treatment And Labor Act (EMTALA)…Remember to get your 1135 waiver
  • HIPPA
  • Illinois Emergency Management Act
    • What is a Public Health Emergency?
    • Gov. suspend acts for 30 days
  • Does not address emergency opening of hospitals.
conclusion
Conclusion
  • Hospitals have made great strides in EM in the last 10 years.
  • Willing and wanting to be a first responder
    • Get very little support from regulatory authorities.
  • There are best practices:
    • California has implemented an entire program on surge and alternative care sites.
thank you
Thank You
  • Research paper at:
    • http://cemr-network.org/
    • Comprehensive Emergency

Management

Research

Network