Virginia Society of Healthcare Engineers Conference Hospital Preparedness Program Overview Williamsburg, VA May 18, 2012 Steven A. Harrison, MA, MEP
Dec 27, 2015
Virginia Society of Healthcare Engineers Conference
Hospital Preparedness Program Overview
Williamsburg, VA May 18, 2012
Steven A. Harrison, MA, MEP
Topics
• Hospital Preparedness Program (HPP) History
• Funding Goals• Capabilities• Healthcare Coalitions• Financials and Funding• Resiliency
HPP History
• 9/11 Response• Anthrax• 2002- National Bioterrorism Hospital
Preparedness Program created:• 125 million appropriated to provide
States with funding directed toward addressing gaps in hospital preparedness.
• Focused on building capacity
HPP History
• 2004: • Emphasis shifted from bioterrorism to an
all hazards approach.
• 2006 - 2007: • Office of the Assistant Secretary for
Preparedness and Response (ASPR) created
HPP History
• 2007 - 2011: • Built on “all-hazards” capabilities
• Plans• Communications Interoperability• Information Sharing (e.g., VHASS)• Equipment• Exercises• …and much more
HPP – Present Day
• 2011:• The mission of the HPP is to enhance the
resiliency of healthcare systems to deliver coordinated and effective care during public health emergencies and mass casualty events by improving surge capacity and enhancing community and hospital preparedness.
• Consistent with national preparedness strategies
• Capabilities-based planning and implementation
• Provides national guidance with a “whole of community” and “all of nation” approach
• Serve as the foundation for the 2012 HPP-PHEP cooperative agreements
HPP – Present Day
Public Health Emergency Preparedness
Hospital Preparedness Program
Department of Homeland Security
Emphasis on strengthening community resilience
✔ ✔ ✔
“All-of-nation”/whole community approach
✔ ✔ ✔
Capabilities-based approach
✔ ✔ ✔
Identification of “gaps” ✔ ✔ ✔
Requirement for risk assessment
✔ ✔ ✔
Need for demonstration of ROI
✔ ✔ ✔
Inter-disciplinary Crosswalk
• Improving Infrastructure
• Capability-based approach • Inclusive coalitions are key
• Regional benefit
Primary HPP Funding Goals
Healthcare Preparedness Capabilities
• Eight (8) HPP capabilities: • Healthcare System Preparedness (Coalitions)• Recovery • Responder Safety and Health • Emergency Operations Coordination • Medical Surge • Fatality Management• Information Sharing• Volunteer Management
Healthcare Coalition Partnerships
• Hospitals and other healthcare providers
• Emergency management• Public health • Emergency medical
services• Public safety • Long-term care providers • Mental/behavioral health
providers • Private entities associated
with healthcare (e.g., Hospital associations)
• Private/public labs
• Specialty service providers (e.g., dialysis, pediatrics, woman’s health, stand alone surgery, urgent care)
• Support service providers (e.g., laboratories, pharmacies, blood banks, poison control)
• Community health centers • Primary care providers • Federal entities (e.g.,
NDMS, VA hospitals, IHS facilities, Department of Defense facilities)
Healthcare Coalition
Healthcare & Preparedness Financials
• National health expenses grew to $2.5 trillion in 2009, or $8,086 per person, and accounted for 17.6% of Gross Domestic Product (GDP).
• 2010: Hospital expenditures were $814 Billion (CMS)
• Average Hospital Expenditures= approx. $141 million
• The Hospital Preparedness Program 2012 budget is $347 million (.01% of overall NHE)
• $60,305 per hospital• .0455% of overall budget
Virginia Hospital Preparedness Program Funding Trend
FY00 FY01 FY02 FY03 FY04 FY05 FY06 FY07 FY08 FY09 FY10 FY11 FY12 FY13$0
$2,000,000
$4,000,000
$6,000,000
$8,000,000
$10,000,000
$12,000,000
$14,000,000
HPP
HPP
HPP Funding
Year/ Category
2009-2010 2010-2011 2011-2012 2012-2013
HPP $8,857,019 $9,572,306 $9,421,624 $8,739,318
Match HPP $442,285 $957,230 $942,162 $873,931
2013 – 2014 – Not looking so good…
Funding Restrictions
• Must be reasonable, allocable, necessary and consistent (2CFR225)
• Include use and relationship to specific HPP objectives
• May NOT be used for:• Fund-raising, lobbying• Research• Major renovation (e.g., modified footprint)• Clinical care• Vehicle purchases
Resiliency
Hospital Preparedness Program’s (HPP) definition:
The ability of an asset, system, network or function, to maintain its capabilities and function during and
in the aftermath of an all-hazards incident.
Resiliency
• How do you define, measure and evaluate resiliency?
Timex - It takes a licking…and
keeps on ticking!
Energizer – Just keeps going and
going and going…
“Git ‘er done!”
Resiliency
• Ties directly to Critical Infrastructure and Community Resources:
The assets, systems, networks, and functions, whether physical or organizational, whose
destruction or incapacity would have a debilitating impact on the Nation’s security, public health and
safety, and/or economic vitality.
Resiliency
• Continuity of services and reconstitution following a catastrophe...
Resiliency
Regional Approach:
HHS recognizes that healthcare entity level needs will likely be high for these kinds of activities but
still urges awardees to consider activities and purchases that support REGIONAL approaches to planning and response due to limited funding and
competing demands
Resiliency
Regional Approach:
States may propose projects and fund facility upgrades that relate directly to resilience
and protection of critical healthcare entities and services…based on a need identified in
regional HVAs.
Virginia Resiliency Program Focus
• Evaluation – Facility Surveys• Water Projects• Electrical Enhancements• Security• Ventilation/Filtration, Isolation
Other Examples
• Enhance regional hospital radio system• Hospital reporting of HAvBED compliant
information• Add morgue holding capacity• Portable power units for HCCs• Vents• Trailers• Decontamination equipment, tents and
showers• STIPs
Viable Projects
• HVA-based• Build surge capacity• Add regional value• Have consensus of coalition partners • Element of long-term plan