1. National Bioterrorism Hospital Preparedness Program Brad Austin, M.P.H. Commander, U.S. Public Health Service Hospital Bioterrorism Preparedness Program Human Resources and Services Administration US Department of Health and Human Services

2. Mission Statement “To ready hospitals and supporting health care systems to deliver coordinated and effective care to victims of terrorism and other public health emergencies”

3. Cooperative Agreements with: State Health Departments State Health Departments DC, New York, Chicago, Los Angeles DC, New York, Chicago, Los Angeles Puerto Rico, Virgin Islands, American Samoa, Guam, Northern Marianas Puerto Rico, Virgin Islands, American Samoa, Guam, Northern Marianas Marshall Islands, Micronesia and Palau just added in FY 2003 Marshall Islands, Micronesia and Palau just added in FY 2003

4. Hospital Preparedness Program $135 M for hospital preparedness (2002) $135 M for hospital preparedness (2002) $514 M appropriated in 2003 $514 M appropriated in 2003  New guidance just published May 2  “Hospital preparedness and infrastructure”

5. Surge Capacity Hospital bed capacity Hospital bed capacity  500 acutely ill patients / million population Decontamination facilities Decontamination facilities  500 acutely ill patients / million population Isolation facilities Isolation facilities  At least one per grantee  To support 10 patients at a time

6. Surge Capacity Maximum patient load Maximum patient load To prepare for an overwhelming number of patients either for an acute period or over an extended period of time To prepare for an overwhelming number of patients either for an acute period or over an extended period of time

7. Surge Capacity Beds Beds Staffing Staffing Equipment Equipment EMS Systems EMS Systems

8. Surge Capacity Health care personnel Health care personnel  250 additional / million in urban areas  125 additional / million in rural areas Personal protective equipment Personal protective equipment  Sufficient to protect these personnel

9. Surge Capacity Pharmaceutical caches Pharmaceutical caches  Local pharmacies  Till Strategic National Stockpile is delivered Communications and information technology Communications and information technology  Secure and redundant  Connects health care system components

10. Regionalization Approaches One hospital alone not sufficient One hospital alone not sufficient HRSA lets grantees define this to best facilitate their own geography and circumstances HRSA lets grantees define this to best facilitate their own geography and circumstances

11. Surge Capacity and Regionalization Primary health clinics, IHS facilities, VA hospitals, military medical facilities Primary health clinics, IHS facilities, VA hospitals, military medical facilities Integrate strengths of individual facilities and systems Integrate strengths of individual facilities and systems Begin by assessing your current local and regional capacity Begin by assessing your current local and regional capacity

12. More Program Information http://www.hrsa.gov/bioterrorism.htm CDR Brad Austin (301) 443-1860 BAustin@hrsa.gov