Health Care Coalitions Assistant Secretary for Preparedness and Response Hospital Preparedness Program Health Care Coalitions Carolyn Elswick, PhD Healthcare System Preparedness Director West Virginia Department of Health and Human Resources Bureau for Public Health, Center for Threat Preparedness Emergency Preparedness Taskforce Meeting September 07, 2018

Hospital Preparedness Program (HPP): 15 Years

2017 Impact Survey: HCC Capabilities Respondents strongly agreed or agreed that they are more capable of providing surge care, maintaining operations, communicating, and coordinating due to HPP’s emphasis on health care system coordination Communication Communicating situational awareness and risk information as early as possible to other health care organizations 97% Coordination Appropriately coordinating and supporting response activities with other health care organizations 95% Providing Surge Care Providing care to a surge of patients that exceeds my HCC’s member organizations’ day-to-day patient volume baseline 94% Maintaining Operations Maintaining operations throughout the surge of patients during an emergency 91% ASPR 2018

HCCs: Diverse and Growing Membership There are over 31,000 HCC members nationwide, a 92 percent increase from 2012.* HCC Core Members *Data from Puerto Rico and the U.S. Virgin Islands are not included in BP5 numbers due to ongoing hurricane recovery efforts.

Critical Role of HCCs in Preparedness and Response Republican National Convention Hurricane Harvey Amtrak Cascades Derailment Northeast Ohio Regional HCC Coordinated surge support with 27 medical facilities Regularly surveyed health care facilities to ensure inventories of specialized equipment, contact information, blood inventories, and bed availability were up-to-date in preparation for over 20,000 Convention visitors SouthEast Texas Regional Advisory Council (SETRAC) HCC Coordinated effectively across Houston’s health care system using emergency management systems and communication Operated catastrophic medical operations center to manage safe hospital evacuations and patient transfers Washington state’s Northwest Healthcare Response Network HCC activated the HPP-funded patient-tracking system within an hour of the event, facilitating the distribution of 70 patients to nine hospitals across two counties Reconciled Amtrak’s passenger manifest with the patient tracking system within 24 hours Success Stories are accessible on the HPP homepage www.phe.gov/hpp

Expand Response Partners Be Responsive Expand the capacity and capabilities of the health care system Expand NDMS hospital membership to all hospitals Hospital-sponsored Disaster Medical Assistance Teams (DMAT) in each state Increases response team capacity by ~100% Increases care capability Using telemedicine and mobile teams to provide subject matter expertise across the system Engagement of EMS Revised engagement of Veterans Affairs (VA) and Department of Defense VA sponsored teams, training Training of civilian community ASPR 2018

Reasons for New Approach ASPR has provided the following as reasons for a new approach for building readiness Casualty estimates for 21st-century threats (and some old threats) far exceed the capacity and capability of the current health care system Health care preparedness and response is fragmented and uncoordinated across jurisdictions Hospitals do not routinely plan, train, or exercise together Communications during disasters are incomplete Situational awareness of health care operating status is challenging State access to federal health care teams and equipment is limited in non-Stafford Act events National Disaster Medical System (NDMS) and HPP require updating to meet current challenges ASPR 2018

Enhance Health Care Coalitions ASPR 2018

HPP-PHEP Grants Management Transition ASPR is in the process of assuming responsibility for the grants management functions for HPP; transition takes effect July 2019 This does not change HPP-PHEP programmatic alignment. Improved customer service for awardees is the primary goal of this transition ASPR grants specialists will focus their attention on HPP cooperative agreement administration and will respond to any issues that may arise Likewise, the CDC grants team can focus attention on the administration of the Public Health Emergency Preparedness (PHEP) cooperative agreements ASPR 2018

Renewed Focus on Funding for HCCs HPP has re-examined the amount of awardee-level direct costs (ALDC) that awardees may retain for managing and monitoring the HPP cooperative agreement This includes the sum of the Personnel, Fringe, and Travel object class categories The average ALDC across awardees for 2014–2015 was 21% HPP consulted with the Association of State and Territorial Health Officials, the American Hospital Association, and the Association of American Medical Colleges to develop the following guidance ALDC (excluding sub-awards to HCCs and health care entities) must be limited to no more than 18% of the HPP cooperative agreement award By the end of 2021, ALDC (excluding sub-awards to HCCs and health care entities) must be no more than 15% of the HPP cooperative agreement award ASPR 2018

CTP Partners WV Regional Health Care Coalitions WV Primary Care Association WV Health Care Association Local Health Departments WV Voluntary Organizations Active in Disasters (VOAD) WV Poison Center DHHR’s Office of Emergency Medical Services (OEMS) EMS for Children Program WV Hospital Association (WVHA) Ebola Treatment Center – WVU Medicine Ebola Assessment Center – CAMC General Division WV Division of Homeland Security and Emergency Management Others Statewide HCC Partners Collaboration Meeting to take place in late winter or early spring. More details on this meeting will be forthcoming.

CTP Staff New CTP Staff: Timothy Priddy, MCM Coordinator Kristi George, Public Information Officer Caitlin Cohn, CDC PHAP Associate (October 01, 2018) Other CTP Program Staff include: Donnie Haynes, Director Teri Surface, Office Manager, Pamela Aultz, Office Assistant III Dianna Gertz, Health Alert Network Scott Eubank, Emergency Planner Tony Leach, Volunteer Management and Responder Safety Consultant Linda Lipscomb, PHEP Grants Manager Tamara Surtees, CDC PHAP Associate Arielle Lippman, CDC Public Health Field Assignee Vacancies: Exercise Coordinator Deputy Director

CTP Updates Hepatitis A Response and Vaccine Distribution Opioid Grant Application and Activities End-of-Year ASPR-HPP and PHEP Reporting Ebola End-of-Year Report Processing Sub-recipient Agreements (HPP and PHEP) Partnership for Regional Disaster Health Response System (RDHRS) Competitive Cooperative Agreement Application SMARTT System Upgrade LiveProcess Expansion to include Hazard Vulnerability Assessment Component and expanded membership 2019 International Scout Jamboree Planning (July 22 – August 02, 2019)

Thank You Thank you for your time today and all of the work that you do to support the ASPR-HPP and State of West Virginia in their efforts to improve patient outcomes, minimize the need for supplemental state and federal resources during emergencies, and enable rapid recovery. Through our collaborative efforts we have a response ready health care system preparedness program spanning the state to take action during times of disaster.

Contact Carolyn Elswick, PhD Healthcare System Preparedness Director West Virginia Department of Health and Human Resources Bureau for Public Health Center for Threat Preparedness 505 Capitol Street, Suite 200 Charleston, West Virginia 25301 (304) 558-6900 (304) 558-0464 Carolyn.S.Elswick@wv.gov