(HPP) Performance Measure Manual

HPP 10.1
How is the measure calculated?
Numerator:
Number of HCCs that have a coordinated
mechanism in place to provide an appropriate
level of care to all patients (including preexisting
patients [both inpatient and
outpatient], non-disaster-related patients, and
disaster-specific patients) that includes
providing bed availability 20% above the daily
census within 4 hours of a disaster.
Denominator:
Number of HCCs identified by awardees.
Result Calculation:
In order for an awardee to report a positive
result for the performance measure, the HCC
must answer ‘Yes’ to each data element. A
negative response by the HCC to any data
element will cause a negative result to be
reported for the coalition for that performance
measure.
What other requirements are
there for reporting measure data?
• Reporting for this measure is required for all
awardees.
• Reporting for this measure is required at
least annually, and at Mid-Year in BP 1
• Awardees should collect all data elements at
the HCC level.
What data must be reported?
Data Element #1:
Do the surge plans of the HCC hospitals and
other HCC members include written clinical
practice guidelines for Crisis Standards of Care
for use in an incident, including triggers that
delineate shifts in the continuum of care from
conventional to crisis standards of care?
Technical Assistance Guidance:
Medical Surge
Why is this measure important?
To determine whether HCCs are prepared to
provide healthcare in the immediate aftermath
of a disaster. To ensure immediate bed
availability in times of crisis, coalition partners
must continuously monitor acuity of patients
and maintain full ability for patient movement.
Once a disaster happens, acute care facilities
will need to prepare for an influx of new disaster
patients. Through agreements with coalition
partners, movement of lower acute patients
begins from hospitals to other, appropriate
facilities and care sites; thus making room for
higher acuity patients. These same agreements
ensure that receiving facilities are prepared to
provide the appropriate level of care.
Crisis standards of care are a new area of
planning emphasis in the HPP Cooperative
Agreement. To provide the greatest good for the
greatest number, and ensure that the response
offers the best care possible given the resources
at hand, there is a crucial interdependency
between and among all HCC members in order
to diminish the amount of death, injury or illness
likely to result from a catastrophic event, in the
absence of such planning.
As the HCC works with the State to implement
local planning for Crisis Standards of Care, the
HCC first and foremost is expected to
collaborate with the State and with all of its
members in the development of HCC triggers for
shifting between various points in the
continuum of care from conventional to crisis
standards of care.
To score ‘Yes’ for this data element, the HCC
must facilitate the development of this guidance
about triggers that reflects the HCC's view of the
guidance described in the paragraph above, and
Pre-Incident
Healthcare
Response
Preparedness
Hospital Preparedness Program (HPP) Performance Measure Manual,
Guidance for Using the New HPP Performance Measures Page | 39