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(HPP) Performance Measure Manual

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<strong>HPP</strong> 1.1<br />

<strong>HPP</strong> 1.1: Healthcare System Preparedness<br />

Introduction<br />

Healthcare system preparedness is the ability of a community’s<br />

healthcare service delivery system to prepare, respond, and<br />

recover from incidents that have a public health and medical<br />

impact in the short and long term. The healthcare system role in<br />

community preparedness involves coordination with emergency<br />

management, public health, mental or behavioral health providers,<br />

community and faith-based partners, and State, local, and<br />

territorial governments in order to do the following:<br />

• Provide and sustain a tiered, scalable, and flexible approach to<br />

attain needed disaster response and recovery capabilities<br />

while not jeopardizing services to individuals in the community<br />

• Provide timely monitoring and management of resources<br />

• Coordinate the allocation of emergency medical care<br />

resources<br />

• Provide timely and relevant information on the status of the<br />

incident and healthcare system to key stakeholders<br />

Healthcare system preparedness is achieved through a continuous<br />

cycle of planning, organizing, equipping, training, exercises,<br />

evaluations and corrective actions.<br />

Capability Functions<br />

• Has the HCC established a formal self-governance structure (e.g.,<br />

By-laws for the board of directors and a charter that is<br />

multidisciplinary and representative of all members of the<br />

coalition)?<br />

• Please estimate the total percentage of the State population<br />

covered by each HCC within the State<br />

• Does the HCC include emergency management and public health<br />

as integral partners?<br />

• Has the HCC and its members participated in at least one HSEEPcompliant<br />

exercise to test State, regional and facility-level<br />

healthcare disaster plans considering scenarios identified by a<br />

Hazard Vulnerability Assessment (HVA) within the past year?<br />

• In the past year, did the HCC achieve its established exercise<br />

participation goals for its member organizations engagement in<br />

exercises or real events to test regional State, regional and<br />

facility-level healthcare disaster plan?<br />

• In the past year, did the exercises or real events to test regional,<br />

State, and facility-level healthcare disaster plans demonstrate<br />

the HCC capabilities to function as a coordinated entity?<br />

• Has the HCC successfully implemented “lessons learned” and<br />

corrective actions from an exercise or event within the past<br />

year?<br />

Healthcare System Preparedness<br />

• Develop, refine, or sustain Healthcare Coalitions<br />

• Coordinate healthcare planning to prepare the healthcare<br />

system for a disaster<br />

• Identify and prioritize essential healthcare assets and<br />

services<br />

• Determine gaps in the healthcare preparedness and<br />

identify resources for mitigation of these gaps<br />

• Coordinate training to assist healthcare responders to<br />

develop the necessary skills in order to respond<br />

• Improve healthcare response capabilities through<br />

coordinated exercise and evaluation<br />

• Coordinate with planning for at-risk individuals and those<br />

with special medical needs<br />

<strong>HPP</strong> 1.1: Healthcare System<br />

Preparedness<br />

<strong>Measure</strong> 1.1:<br />

Percent of healthcare coalitions (HCCs) that have established<br />

formalized agreements and demonstrate their ability to function<br />

and execute the capabilities for healthcare preparedness,<br />

response, and recovery as defined in Healthcare Preparedness<br />

Capabilities.<br />

<strong>Performance</strong> Target:<br />

100% by the end of the project period (Year 1 data will be used to<br />

establish baselines).<br />

Data Elements:<br />

• Are there formal documents such as: Memoranda of<br />

Understanding (MOUs), Mutual Aid Agreements (MAAs),<br />

Interagency Agreement (IAAs), articles of incorporation, letters<br />

of agreement, contracts, charters, or other supporting formal<br />

documents?<br />

Thinking It Through<br />

Key Questions To Think Through Before<br />

Beginning to Answer the Data Elements<br />

• Are there formal agreements that bind your HCC together?<br />

• Is the HCC Integrated with the command and control structure<br />

of the local, regional, or State jurisdiction?<br />

• Does the HCC have a collaborative governance structure with<br />

defined roles and responsibilities for HCC leaders and member<br />

representatives?<br />

• What is the population size of the HCC’s geographical area and<br />

the relationship to the State population?<br />

• Does the HCC coordinate/integrate with State, regional, tribal,<br />

county, and city (where applicable) emergency management<br />

and public health for emergency response and recovery<br />

planning?<br />

• Has the HCC and its members participated with regional and<br />

State jurisdictions planning efforts to conduct a coordinated<br />

HVA within in the past 3 years?<br />

• Has the HCC participated in regional or State exercises that<br />

evaluates one of the scenarios identified in the HVA?<br />

• Have “lessons learned” and corrective actions been<br />

implemented?<br />

Pre-Incident<br />

Healthcare<br />

Preparedness<br />

Response<br />

Hospital Preparedness Program (<strong>HPP</strong>) <strong>Performance</strong> <strong>Measure</strong> <strong>Manual</strong>,<br />

Guidance for Using the New <strong>HPP</strong> <strong>Performance</strong> <strong>Measure</strong>s Page | 11

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