1. 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

2. Hospital Preparedness Program (HPP): 15 Years

3. 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

4. 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.

5. 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

6. 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

7. 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

8. Enhance Health Care Coalitions
ASPR 2018

9. 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

10. 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

11. 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.

12. 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

13. 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)

14. 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.

15. 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 (304) (304)