NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS PROGRAM NBHPP JANUARY 2006

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NATIONAL BIOTERRORISM HOSPITAL PREPAREDNESS
PROGRAM (NBHPP)JANUARY 2006

• COUNTY OF LOS ANGELES
• EMERGENCY MEDICAL SERVICES AGENCY

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Overview of the NBHPP Grant

• Authorized by the Public Health and Social
  Services Emergency Fund
• Funded through the Health Resources and Services
  Administration
• FY 2002 Los Angeles received 3.6 million
• FY 2003 Los Angeles received 16.1 million
• FY 2004 Los Angeles receiving 15.5 million
• FY 2005 Los Angeles receiving 15.7 million

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Mission of the NBHPP Grant

• 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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Regional Surge Capacity for the Care of Adult and
Pediatric Victims of Terrorism

• CB 2-1 Hospital Bed Capacity
• Disaster Resource Centers (Year Two, Three and
  Four)
• Partnering with Umbrella hospitals, clinics and
  provider agencies
• Purchase of equipment and supplies
• CB 2-2 Isolation Capacity
• Inventory of isolation capacity (Year Three)
• Hospital identified projects (Year Two)
• Portable tents with isolation capacity for DRCs
  (Year Three)
• No new activities for Year Four

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Regional Surge Capacity for the Care of Adult and
Pediatric Victims of Terrorism

• CB 2-3 and 2-4 Health Care Personnel
  Resources and Advance Registration System
• Work with California for Statewide strategy (Year
  Two and Three)
• Work with contractor to develop credentialing
  system (Year Three and Four)
• Work with contractor to develop volunteer
  registry and volunteer management (Year Four)

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Regional Surge Capacity for the Care of Adult
and Pediatric Victims of Terrorism

• CB 2-5 Pharmaceutical Caches
• Establish Cache at Disaster Resource Centers
  (Year Two)
• Expand Contents (Year Three)
• Pre-position antibiotics at all participating
  hospitals (Year Four)
• Stockpile antivirals as part of Pandemic
  Influenza planning (Year Four)
• Store CHEMPACK at select sites (Year Two and
  Three)
• CB 2-6 Personal Protective Equipment
• 64 participating hospital received PPE for
  decontamination (Year One, Two and Three). Any
  new participant will also receive PPE.
• Expand total number of participating hospitals
• Infection Control PPE stockpile for all
  participants (Year Three)

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Regional Surge Capacity for the Care of Adult and
Pediatric Victims of Terrorism

• CB 2-7 Decontamination Capacity
• 48 participating hospitals received funding for
  fixed warm water decontamination capability (Year
  One, Two and Three)
• Expand total number of participating hospitals
• County Mobile Decontamination Units deployable to
  impact area (purchased with State Homeland
  Security Grant Program funds)
• CB 2-8 Behavioral Health
• Evaluate current capabilities, MH response plans
  and develop response protocols (Year Two and
  Three)
• Develop training programs for hospitals
  addressing behavioral health needs in disasters
  (Year Four)

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Regional Surge Capacity for the Care of Adult and
Pediatric Victims of Terrorism

• CB 2-9 Trauma and Burn Care
• Subcommittee of the Trauma Hospital Advisory
  Committee established.
• Funding to Trauma Centers includes (Year Two)
• Trauma Surge Coordinator
• Monitoring equipment
• Ventilators
• Exploring Mobile Hospital and partnering with
  Trauma Centers
• CB 2-10 Communications and Information
  Technology
• Enhance ReddiNet and HEAR radio system (Year Two
  and Three)
• Clinic communication capability (Year Two)
• Evaluation of paramedic communication system
  (Year Three)

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Emergency Medical Services

• CB 3 Mutual Aid plan for upgrading and
  deploying EMS to a mass casualty incident due to
  terrorism.
• Already exists in LA County
• MCI Taskforce working on issues
• Funding for Fire/EMS activities from Homeland
  Security Grant Program

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Linkages to Public Health

• CB 4-1 Hospital Laboratories
• Expand electronic laboratory reporting from
  hospital to Public Health Laboratory (Year Two,
  Three and Four)
• CB 4-2 Surveillance and Tracking
• Implemented ReddiNet ED volume reporting (Year
  Two and Three)
• All 9-1-1 participating hospitals reporting
• Expand syndromic surveillance reporting program

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Education and Preparedness Training

• CB 5 Develop education and training programs
  for health care professionals responding to a
  terrorist incident.
• Funding to off-set staff costs (Year Two Three
  and Four)
• Development of annual decontamination training
  self-study module ( Year Two and Three). Will be
  completed in 2006.

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Terrorism Preparedness Exercises

• CB 6 Conduct at least one bioterrorism
  disaster exercise in the jurisdiction.
• Development of drill/exercise resource manual
  (Year Three)
• Funding to off-set staff cost (Year Three and
  Four)

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Los Angeles County Plan

• Current Participation
• Basic
• 18 Hospitals participating
• Expanded
• 46 Hospitals participating
• Disaster Resource Center
• 11 Hospitals participating
• Trauma Surge
• 13 designate Trauma Centers Participating

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New Participants Hospital Receivables

• Basic Level
• Personal Protective Equipment (13,500) for
  decontamination procedures and Infection Control
  PPE kits
• Training of Decontamination Team
• Funding (16,500) to off-set the cost of
  training/education
• Funding (10,000) to off-set the cost of staff
  participating in drills/exercises
• Funding (10,000) for Command Center
  communication/IT equipment

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New Participants Hospital Receivables

• Expanded Level
• Personal Protective Equipment (13,500) for
  decontamination procedures and Infection Control
  PPE kits
• Training of Decontamination Team
• Funding (26,500) to off-set the cost of
  training/education
• Funding (10,000) to off-set the cost of staff
  participating in drills/exercises
• Funding (15,000) for Command Center
  communication/IT equipment
• Funding (minimum of 44,220 up to 94,220 for
  actual expenses) for Mass Casualty
  Decontamination Capability

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Current Participants Hospital Receivables

• Basic Level
• Funding (16,500) to off-set the cost of
  training/education
• Funding (10,000) to off-set the cost of staff
  participating in drills/exercises
• Funding (10,000) for Command Center
  communication/IT equipment
• If CHEMPACK storage site funding (1,000) to
  off-set on-going costs

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Current Participants Hospital Receivables

• Expanded Level
• Funding (26,500) to off-set the cost of
  training/education
• Funding (10,000) to off-set the cost of staff
  participating in drills/exercises
• Funding (15,000) for Command Center
  communication/IT equipment
• If CHEMPACK storage site funding (1,000) to
  off-set on-going costs

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Hospital DeliverablesBasic and Expanded

• Store, secure, maintain, and replace PPE
• Establish a decontamination team
• Identify Decontamination Team Safety Officer
• Establish a Respiratory Protection Program
• Establish Medical Monitoring Program
• Training
• Conduct on-going decontamination team training at
  least quarterly
• Provide disaster related training for hospital
  staff including NIMS IS 700 course for Command
  and General Staff that staff HEICS

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Hospital DeliverablesBasic and Expanded

• Exercises
• Conduct decontamination drill annually
• Participate in exercises and drill with the
  County and State
• Complete/update a SURGE CAPACITY survey conducted
  by the County of Los Angeles
• Participate in the hospital volume based
  surveillance program through the ReddiNet system
  (9-1-1 receiving hospitals only)
• If a CHEMPACK storage site, comply with location
  requirements

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Hospital Deliverables

• Decontamination Capability
• Basic Level
• Describe hospitals capability
• Expanded Level
• Fixed turnkey warm water structure capable of
  decontaminating 50 ambulatory individuals per
  hour

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Hospital Preparedness

• A facility that can demonstrate that they have
  already purchased comparable PPE and/or have
  constructed a fixed decontamination capability
  will still be eligible to receive the funding.
• PPE - 13,500
• Decontamination Capability Minimum of 44,220

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Hospital Agreement

• To receive funding each hospital will need to
  sign an agreement with the County of Los Angeles.

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Contact Information

• National Bioterrorism Hospital
• Preparedness Program Staff
• Kay Fruhwirth, RN, MSN Assistant Director
• [phone], kfruhwirth_at_ladhs.org
• Richard Zoraster, MD Co-Medical Director
• [phone], rzoraster_at_ladhs.org
• Peter Katona, MD Co- Medical Director
• pkatona_at_ucla.edu

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Contact Information

• Roel Amara, RN, BS
• [phone], ramara_at_ladhs.org
• Kathy Baker RN, MSN
• [phone], kbaker_at_ladhs.org
• Gary Chambers, RN, BS
• [phone], gchambers_at_ladhs.org
• Dolores Hill, RN, BSN
• [phone], dolhill_at_ladhs.org
• Sandra Shields, LMFT, CTS
• [phone], sanshields_at_ladhs.org

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Questions?