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For Planning, Response and Recovery. 360 Degrees of Awareness. By: Carl Taylor. The ability of a healthcare system to rapidly expand beyond normal services to meet sudden or sustained increased demand for medical care. What is Surge Capacity?. Why plan for Surge?.

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360 degrees of awareness

For Planning, Response and Recovery

360 Degrees of Awareness

By: Carl Taylor

What is surge capacity

The ability of a healthcare system to rapidly expand beyond normal services

to meet sudden or sustained increased demand for medical care.

What is Surge Capacity?

Why plan for surge
Why plan for Surge? normal services

The U.S. healthcare system, overall, is woefully unprepared to effectively handle large numbers of casualties caused by man made or natural disasters such as hurricanes or infectious disease outbreaks, and because IT happens.

Surge capacity vs capability

Surge Capacity: normal services

The ability to evaluate and care for a markedly increased volume of patients - one that challenges or exceeds normal operating capacity.

Surge Capability:

The ability to manage patients requiring unusual or very specialized medical evaluation and care, e.g., infectious disease or burn patients.

Surge Capacity vs. Capability

Overcoming challenges and meeting our goal

What key principle will guide our response? normal services

What do planners need to consider in developing a plan?

What important issues must be addressed?

What information, tools and models are available as resources?

Overcoming Challenges and Meeting Our Goal

Planning for a surge

Surge conditions may last for months not just days staff and our patients

Your other patients have needs also

The usual scope of practice may not apply

External events will impact internal response

Planning For A Surge

Planning continued

The time of day or month may matter staff and our patients

Communication both internal and external may be challenged

Physicians will have issues that need to be addressed

Staff challenges will create the need for flexibility both during and after the event

Planning Continued

Planning continued1

Some staff may not be yours staff and our patients

Supplies and supply chain disruption may occur

Transportation and Fuel issues are problematic

Alternate facilities and COOP planning a new challenge

Planning Continued

Planning final

Leadership at every level will matter staff and our patients

Security of staff, patients and facility is paramount

Cash and Financial Management may be more damaging to the facility than wind and water

There is no one size fits all response- the nature of the event matters

Planning Final

Important issues

Do we know our communities health? staff and our patients

Can we communicate with public health and disaster leadership?

Who is making the decisions during a disaster (and can we count on them)?

When we need help where does it come from and do we know how to access it?

Important Issues

What information tools and resources are available

Two guiding points: staff and our patients

Whatever you are doing for exercises JC notwithstanding you are inadequately prepared.

For all of the plans the real issue is do you have situational awareness and can you see around corners?

What Information, Tools and Resources Are Available

Center for Strategic Health Innovation staff and our patients


Alabama Incident Management System (AIMS)


AIMS Training Website


Questions? staff and our patients