National Bioterrorism Hospital Preparedness Program

Brad Austin, M.P.H.Brad Austin, M.P.H.Commander, U.S. Public Health ServiceCommander, U.S. Public Health ServiceHospital Bioterrorism Preparedness ProgramHospital Bioterrorism Preparedness ProgramHuman Resources and Services Human Resources and Services

AdministrationAdministrationUS Department of Health and Human US Department of Health and Human

ServicesServices

Mission Statement

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

Cooperative Agreements with:

State Health DepartmentsState Health Departments

DC, New York, Chicago, Los AngelesDC, New York, Chicago, Los Angeles

Puerto Rico, Virgin Islands, American Puerto Rico, Virgin Islands, American Samoa, Guam, Northern MarianasSamoa, Guam, Northern Marianas

Marshall Islands, Micronesia and Marshall Islands, Micronesia and Palau just added in FY 2003 Palau just added in FY 2003

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 2New guidance just published May 2 ““Hospital preparedness and Hospital preparedness and

infrastructure”infrastructure”

Surge Capacity

Hospital bed capacity Hospital bed capacity 500 acutely ill patients / million population500 acutely ill patients / million population

Decontamination facilitiesDecontamination facilities 500 acutely ill patients / million population500 acutely ill patients / million population

Isolation facilitiesIsolation facilities At least one per granteeAt least one per grantee To support 10 patients at a timeTo support 10 patients at a time

Surge Capacity

Maximum patient loadMaximum patient load

To prepare for an overwhelming number To prepare for an overwhelming number of patients either for an acute period or of patients either for an acute period or over an extended period of timeover an extended period of time

Surge Capacity

BedsBeds StaffingStaffing EquipmentEquipment EMS SystemsEMS Systems

Surge Capacity

Health care personnelHealth care personnel 250 additional / million in urban areas250 additional / million in urban areas 125 additional / million in rural areas125 additional / million in rural areas

Personal protective equipmentPersonal protective equipment Sufficient to protect these personnelSufficient to protect these personnel

Surge Capacity

Pharmaceutical cachesPharmaceutical caches Local pharmaciesLocal pharmacies Till Strategic National Stockpile is Till Strategic National Stockpile is

delivereddelivered

Communications and information technologyCommunications and information technology Secure and redundantSecure and redundant Connects health care system componentsConnects health care system components

Regionalization Approaches

One hospital alone not sufficientOne hospital alone not sufficient

HRSA lets grantees define this to best HRSA lets grantees define this to best facilitate their own geography and facilitate their own geography and circumstancescircumstances

Surge Capacity and Regionalization

Primary health clinics, IHS facilities, Primary health clinics, IHS facilities, VA hospitals, military medical facilitiesVA hospitals, military medical facilities

Integrate strengths of individual Integrate strengths of individual facilities and systemsfacilities and systems

Begin by assessing your current local Begin by assessing your current local and regional capacityand regional capacity

More Program Information

http://www.hrsa.gov/bioterrorism.htmhttp://www.hrsa.gov/bioterrorism.htm

CDR Brad AustinCDR Brad Austin

(301) 443-1860(301) 443-1860

BAustin@hrsa.govBAustin@hrsa.gov