Overview: National Bioterrorism Hospital Preparedness Program

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Overview National Bioterrorism Hospital
Preparedness Program

• June 10, 2004
• Y. Teresa Brown, MSW, MPH
• Region IV Project Officer

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Mission Statement

• To ready hospitals and supporting health care
  systems to deliver coordinated and effective care
  to victims of terrorism and other public health
  emergencies

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September 11, 2001New York City, New York
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Memoranda of Agreements between the Federal
Government and

• All 50 State Health Departments
• Three largest cities New York City, Chicago, Los
  Angeles
• Washington, D.C.
• Territories Puerto Rico, Virgin Islands,
  American Samoa, Guam, Northern Marianas, Marshall
  Islands, Micronesia and Palau

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Hospitals and Supporting Health Care Systems

• Hospital preparedness program primarily
• Emergency departments
• Inpatient and critical care areas as well
• Hospitals are part of larger health care system
• Poison control centers
• Emergency medical services (pre-hospital)
• Community Health centers

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Coordinated and Effective Care

• DHHS, Centers for Disease Control
• Terrorism readiness for health departments
• Interface between health department and hospitals
• Office of Homeland Security
• Metropolitan medical response systems (MMRS)
• Strategic National Stockpile

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Terrorism and Other Public Health Emergencies

• Expansion of scope
• Bioterrorism-plus
• Readiness for other communicable diseases
• Pandemic influenza
• SARS
• West Nile Virus
• Monkeypox

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Hospital Preparedness Program

• 135 M for hospital preparedness (2002)
• 514 M appropriated (2003)
• 514 M appropriated (2004)

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Priority Areas (2004)

• Surge capacity for adults and children
• Emergency medical services
• Links to public health departments
• Education and preparedness training
• Terrorism preparedness exercises

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Surge Capacity

• Hospital bed capacity
• 500 acutely ill patients / million population
• Pediatric and adult mix based on population
• Decontamination facilities
• 500 acutely ill patients / million population
• Isolation facilities
• Negative pressure isolation capacity for one
  person per hospital
• Negative pressure isolation capacity for ten
  patients per region in a regional facility

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Surge Capacity

• Health care personnel
• Additional health care personnel to support surge
  bed capacity
• Personal protective equipment
• Sufficient to protect these personnel
• Existing staff Surge
• Training must be provided

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Surge Capacity

• Behavioral health
• Training for providers to recognize, treat, and
  coordinate care
• Trauma and burn care
• 50 severe injuries / million per day
• Pediatric and adult mix

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Surge Capacity

• Pharmaceutical caches
• Regional caches to meet needs for three days
• Hospital personnel
• First responders
• General community
• Communications and information technology
• Secure and redundant
• Connects health care system components

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Emergency Medical Services (EMS)

• Mutual aid across EMS jurisdictions in response
  to terrorism
• EMS coverage for an additional 500 adults and
  children per million population per day

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Links to Public Health Departments

• Laboratory capacity at hospital level
• Supplements health department capacity
• Surveillance and Patient Tracking
• Electronic information from clinical settings to
  health department
• Clinical syndromes or diagnoses consistent with
  terrorism

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Emergency Preparedness Training

• Competency based education and training
• Pre-hospital
• Hospital
• Outpatient providers
• Complimentary to Center for Disease Control
  efforts

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Terrorism Preparedness Exercises

• Culmination of planning efforts
• At least one biological terrorism exercise for
  each grantee during 2004
• Scenarios include both children and adults
• Other exercises also encouraged
• Chemical attacks
• Radiological releases
• Explosions