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(HPP) Performance Measure Manual

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<strong>HPP</strong> 3.1<br />

Data Element #2:<br />

Has the HCC planned with partner hospitals and<br />

other HCOs to identify each hospital and other<br />

HCO’s maximum patient capacity to establish its<br />

baseline as a coalition?<br />

Technical Assistance Guidance:<br />

It is expected that the HCC and its members<br />

together establish a baseline of the HCC’s total<br />

bed capacity for the defined geographic region<br />

to achieve the goal outlined in Capability 10.1,<br />

Function 3.<br />

Once there is an established HCC baseline, then<br />

the necessary calculations related to surge can<br />

be established:<br />

• Diversion of patients to maintain baseline.<br />

• Capability or Capacity Building necessary to<br />

reach 20% beds above baseline.<br />

• Decompression to achieve 20% of baseline<br />

“immediate” bed availability (i.e., within<br />

four-hours of a disaster).<br />

• If crisis standards of care have been defined,<br />

capacity can be calculated, assuming<br />

alternate care standards are in effect.<br />

The “maximum patient capacity” is the staffed<br />

bed capacity of the hospital or other ‘inpatient”<br />

HCO providers during peak operation as<br />

calculated for an accrediting organization. The<br />

baseline does not include any “extra” peak<br />

capacity (See Capability 10, F 3 page 36), such as<br />

Alternate Care Sites, that its HCOs could plan to<br />

“stand up” and staff.<br />

Data Element #3:<br />

Has the HCC coordinated healthcare response<br />

operations with appropriate patient transport<br />

operations within the community, in an exercise<br />

or event, within the past year?<br />

Technical Assistance Guidance:<br />

The exercise or event must have included<br />

patient transport processes (as defined in<br />

Capability X, Function 3) capable of transporting<br />

victims from every location affected by the<br />

event or exercise.<br />

Although the <strong>HPP</strong> FOA requires that all hospitals<br />

and HCCs participate in at least one regional or<br />

statewide exercise over the 5-year grant period,<br />

an HCC must identify each year whether the<br />

HCC and its members have participated in an<br />

exercise or an event. The HCC is strongly<br />

encouraged to participate in a yearly exercise or<br />

event if the opportunity arises. If there was no<br />

event or exercise, it must score ‘No’ because of<br />

no opportunity.<br />

The HCC does not have to be the lead organizer,<br />

but the HCC must participate as an operational<br />

entity.<br />

Data Element #4:<br />

In the past year, which of the following<br />

functions were successfully demonstrated by<br />

the HCC’s hospitals and other HCOs in the<br />

exercise or event in which the HCC participated?<br />

• Triage<br />

• Treatment<br />

• Transport<br />

• Tracking of patients<br />

• Documentation of care<br />

• Off-loading<br />

Technical Assistance Guidance:<br />

The event or the nature of the exercise is the<br />

driver as to which of the 6 (or all of the 6)<br />

functions must be successfully demonstrated.<br />

In order to respond that a function was<br />

'successfully demonstrated,' the function must<br />

have been included in the scope of the exercise<br />

and must have achieved exercise goals specific<br />

to each capability.<br />

Emergency Operations Coordination<br />

Pre-Incident<br />

Healthcare<br />

Response<br />

Preparedness<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 | 25

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