Capability Cliff Notes Series HPP Capability 1—Healthcare System Preparedness What Is It And How Will We Measure It?

Learning Objectives Become familiar with Capability Functions Become familiar with Tasks that complete the Functions Understand how these Functions and Tasks are measured or may be measured in the future (Performance Measures)

Healthcare System Preparedness Healthcare system preparedness is the ability of a community’s healthcare system to prepare, respond, and recover from incidents that have a public health and medical impact in the short and long term. (defined by CDC) How can healthcare coalitions help their healthcare organizations to achieve preparedness? How can healthcare coalitions assist healthcare organizations prepare for disasters?

Healthcare System Preparedness Functions How Can Health Departments Help Healthcare Organizations Prepare for Disasters? 1.Develop, refine, or sustain Healthcare Coalitions. 2.Coordinate healthcare planning to prepare the healthcare system for a disaster, through healthcare coalitions. 3.Identify and prioritize essential healthcare assets and services, through healthcare coalitions. 4.Determine gaps in the healthcare preparedness and identify resources for mitigation of these gaps, through healthcare coalitions. 5.Coordinate training to assist healthcare responders to develop the necessary skills in order to respond, through healthcare coalitions. 6.Improve healthcare response capabilities through coordinated exercise and evaluation, through healthcare coalitions. 7.Coordinate with planning for at-risk individuals and those with special medical needs, through healthcare coalitions.

Capabilities and Measures Resources The presentation will be an overview of what the functions and tasks mean, linked to the performance measures. Please note that since the capabilities PDF document has come out, more performance measures have been developed. If performance measures have come out since the creation of the capabilities document below, they have been included in these tutorials following their function slide, even if the PDF lists that there are no measures. For functions that still have no measures, questions for health departments to begin thinking about measures have been included instead. For exact lists of the capabilities and performance measures, and data collected for the measures, documents can be found at these links: For Capabilities, Functions, and Tasks For Performance Measures

Healthcare Coalitions’ Roles It is understood that while some healthcare coalitions take an active role in healthcare operations, others are in support and coordination positions only. All tasks can be read or adjusted to account for coalitions’ coordination rather than direct actions.

Healthcare Coalitions: Definition Healthcare Coalitions are multi-agency coordinating groups that assist Emergency Management and Emergency Support Function (ESF) #8 with preparedness, response, recovery, and mitigation activities related to healthcare organization disaster operations.

Healthcare Coalitions: Purpose Healthcare Coalitions can help healthcare organizations to plan together for preparedness, response, and recovery, connect resources, and use them in the most efficient manner.

Function 1: Develop, refine, or sustain Healthcare Coalitions Tasks: What things can health departments do to connect with and assist healthcare coalitions? 1.Connect with a preparedness planning group to collaborate on integration, coordination, and organization of regional healthcare preparedness and response activities. 2.Participate in a regional healthcare multi-agency coalition to share incident-specific healthcare information for coordination during response and recovery activities.

Function 1 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

What Does A Fully Functioning Healthcare Coalition Look Like? How does ASPR determine that healthcare coalitions qualify as having the ability to execute the capabilities described in Healthcare Preparedness Capabilities? Healthcare Preparedness Capabilities This is determined according to the Preparedness Cycle: For Preparedness: Follow the steps of the Preparedness Cycle to effectively mitigate, respond to and recover from a disaster. For Response: Integrate with ESF#8 and the ICS to provide healthcare situational awareness to inform the decision-making process for allocation of resources. For Recovery: Assist HCOs within their region to return to normal healthcare delivery operations. The Preparedness Cycle can be found at the following link on pg XV: lities.pdf

Function 2: Coordinate healthcare planning to prepare the healthcare system for a disaster Tasks: What things can healthcare coalitions do to assist their healthcare systems in disaster planning? 1.Engage response and healthcare partners to figure out the likelihood of disasters that might affect the healthcare delivery in a given area, and prioritize response and mitigation activities with available resources. 2.Engage healthcare partners to coordinate healthcare planning with local and state emergency operations planning to include healthcare priorities and needs in response and recovery operations.

Function 2 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

Function 3: Identify and prioritize essential healthcare assets and services Tasks: What things can health departments do determine what services and assets are most needed? 1.Identify and prioritize the essential healthcare assets and services of the community. 2.Coordinate planning and preventative measures that will protect those assets and services.

Function 3 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

Function 4: Determine gaps in the healthcare preparedness and identify resources for mitigation of these gaps Tasks: What things can health departments do to identify gaps in service and resources to fill gaps? 1.Determine available resources and gaps by analyzing healthcare organization needs and evaluating exercises, training, and actual incidents or events. These are sometimes called resource assessments and gap analyses. 2.Keep track of resources to make sure that they are not over-allocated or assigned to multiple stakeholders within the community.

Function 4 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

Function 5: Coordinate training to assist healthcare responders to develop the necessary skills in order to respond Tasks: What things can health departments do to help train healthcare responders? 1.Assist in providing National Incident Management System training for healthcare organizations to improve response knowledge, skills, and abilities in accordance with the National Response Framework (NRF). 2.Assist in providing other needed training for healthcare organizations based on existing gaps identified in assessment.

Function 5 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

Function 6: Improve healthcare response capabilities through coordinated exercise and evaluation Tasks: What things can health departments do to help partners improve response? 1.Coordinate and implement capability-based exercises that test disaster planning efforts. 2.Utilize a coordinated method to evaluate exercises and actual incident responses. 3.Use findings from gap analysis and corrective actions to revise planning, training, and exercises to minimize response gaps.

Function 6 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

Function 6 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities. Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13: coag.pdf

Function 7: Coordinate with planning for at-risk individuals and those with special medical needs Tasks: What things can health departments do to help plan for at-risk people, or people with special medical needs? 1.Participate in planning that identifies multiple care options for people with special medical needs who cannot stay in mass care shelters and require care at medical facilities during incidents. 2.Participate in coordinated planning with public health and ESF#6 agencies to determine protocols for the transfer of patients between mass care and healthcare settings during a disaster.

Function 7 Measurement How does ASPR measure that health departments are working with and assisting their healthcare coalitions? (Same for All Functions) Percent of healthcare coalitions (HCCs) that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery as defined in Healthcare Preparedness Capabilities.Healthcare Preparedness Capabilities Numerator: Number of HCCs that have established formalized agreements and demonstrate their ability to function and execute the capabilities for healthcare preparedness, response, and recovery. Denominator: Number of HCCs identified by awardees. Target is 100%. All data elements must be answered ‘yes’ for an HCC to count in the numerator. Specific data elements that were included in the measure can be found at this link on pgs 13-17: coag.pdf

Questions? Please contact: Rachel Coles Program Evaluator--CDPHE