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Assessment of the 2007 Maryland Hospital Preparedness Program: Applying New Federal Guidelines Sadia Aslam, MPH, Heather Brown, MPH, Marsha Davenport*, MD, Al Romanosky, MD, PhD, Isaac Ajit, MD, MPH, Sherry B. Adams, RN, CPM Office of Preparedness and Response Maryland Department of Health and Mental Hygiene OBJECTIVE This evaluation provided a baseline assessment of the 2007 Maryland Hospital Preparedness Table 2: Program (HPP) under the new federal guidelines from the Office of the Assistant Secretary for Level One Sub- Preparedness and Response (ASPR). Capabilities 15% (No) 21% (No) 1. Interoperable Communications BACKGROUND Table 1: Table 3: Overarching Capabilities 2. Bed Availability The Office of Preparedness and Response (OP&R) provides expert technical guidance , Level Two Sub- 1.National Incident 3. Emergency System for Capabilities coordination, and leadership for Maryland’s Department of Health and Mental Hygiene (DHMH) on Management System Advance Registration of preparedness programs. DHMH serves as the lead for the Emergency Support Function 8 Public Volunteer Health 1. Alternate Care sites (NIMS) Compliance 85% (Yes) 79% (Yes) Health and Medical to coordinate public health emergency response in the State of Maryland. Professionals (ESAR-VHP) 2. Mobile Medical Assets 2. Education and Preparedness Training 4. Fatality Management 3. Pharmaceutical Caches Planning Maryland is compromised of 24 jurisdictions divided into 23 counties and Baltimore City. The 3. Exercises, Evaluation and Corrective Actions 5. Medical Evacuation and 4. Personal Protective estimated population for the State is 5,618,344 people. There are 46 acute care hospitals and 16 Shelter in Place Planning Equipment 4. Needs of At-Risk state facilities participating in the Maryland Hospital Preparedness Program. Figure 1 shows the 6. Telecommunications Populations 5. Decontamination Figure 2: Capability to staff the Figure 3: Capability of acute number of participating acute care hospitals serving each county in Maryland. The participating Service Priority (TSP) positions for its Incident Command care hospitals to report bed state facilities are located in Allegany, Baltimore, Baltimore City, Carroll, Montgomery, Washington Program System for acute care hospitals. availability within 1 hour. and Wicomico counties. 7. Partnership/Coalition Development The purpose of the HPP is develop emergency preparedness capacity and capability for the healthcare system at both State and national levels. The Maryland HPP focuses on enhancing ACHIVEMENTS and LESSONS LEARNED Table 1,2 &3: Components of Overarching Capabilities, Level One Sub- Capabilities and Level Two Sub- All of the acute care hospitals completed Phase 1 of the assessment tool. In addition, this preparedness and response activities for acute care hospitals, State facilities, pre-hospital Capabilities assessment shows the progress that hospitals have made under the new federal guidance for the emergency medical services, community health centers, and long-term care facilities. Tables 1, 2 &3 METHODS Maryland’s HPP. The Maryland acute care hospitals participating in the HPP continue to enhance list the HPP sub-capabilities for Overarching, Level and Level II . This evaluation provided a baseline their emergency preparedness efforts. However, one of the lessons learned related to the design of assessment of the 2007 Maryland HPP under new federal guidelines from ASPR. Maryland developed an evaluation tool to monitor the progress of its acute care hospitals and State the assessment tool. A major limitation of the assessment tool was that the questions were mostly facilities funded under the ASPR HPP in 2007. The evaluation tool was administered in two phases. “yes” or “no” categorical questions. Therefore , the data provided only limited information about the Phase I was designed to assess compliance with the National Incident Management System (NIMS) programs, Future assessment tools for the Maryland HPP should use a more detailed measure to and was conducted in June 2008. Phase II was conducted in July 2008, and focused on factors such evaluate the program. as education and training, reporting bed availability, evacuation and fatality management planning, 1 4 access to alternate care sites, stockpiling medications, and other preparedness and medical surge 1 1 2 1 capabilities. The evaluation tool was distributed to both acute care hospitals and state facilities via CONCLUSION 1 1 All healthcare entities, especially acute care hospitals, are key partners during public health email. Hospital emergency planners completed the survey and returned to OP&R via email. Basic 11 1 emergencies. On-going monitoring of these programs is critical to identify gaps for quality 1 summary statistics were calculated. The data for the acute care hospitals and state facilities were 5 improvement and areas to target for expanding medical surge response capacity and capability. In analyzed separately because these facilities have different roles and responsibilities in the healthcare addition, this is assessment helped to target funding priorities of the current and future Maryland HPP 2 system. Only data from the acute care hospitals are presented in this poster. activities. 6 1 RESULTS 1 1 Forty-six acute care hospitals received the assessment tool. All 46 acute care hospitals completed 1 1 Phase I. The findings from this assessment showed that for NIMS compliance, 85% of acute care Acknowledgement 1 hospitals (as seen in Figure 2) reported having the capability to staff the positions for its Incident •Office of the Assistant Secretary for Preparedness and Response/ Hospital Preparedness Program 1 1 • Maryland Hospital Association Command System. For Phase II, approximately 74% of acute care hospitals completed the •Acute Care Hospitals and State Facilities in Maryland assessment. A key goal for Maryland is to enhance medical surge capabilities. Figure 3 shows that •Mark Bailey and Terri Andrews (OP&R) for working on HPP Project 79% of acute care hospitals can report their bed availability within 1 hour. Further, 82% of acute care Figure 1: Number of Hospital by Counties in Maryland have designated alternate care sites. * CAPT Marsha Davenport completed this work as a CDC-CEFO assignee to the Maryland Department of Health and Mental Hygiene. CAPT Davenport is currently assigned to the U.S. Department of Homeland Security.
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