(HPP) Performance Measure Manual

HPP 10.1
It is the expectation that the HCC will be
participating in regional exercises. As such, the
HCC is responsible for successfully coordinating
and identifying all issues and is expected to
address all identified issues for which the HCC
and its HCOs have control.
The HCC and its HCOs are expected to establish
realistic, measureable, and time-specific
resolutions to mitigate items identified as part
of the corrective actions. All corrective actions
must be assigned a targeted completion date.
To score a ‘Yes’ for this data element, the HCC
must have fully completed the outstanding
corrective actions from its formal AAR and any
other "lessons learned" that were due to be
completed during the reporting period, within
the time frames and at the level of correction
and completion, specified by the HCC.
If there was no event or exercise, it must score
‘No’ because of no opportunity.
Although the HPP FOA requires that all hospitals
and HCCs participate in at least one regional or
statewide exercise over the 5-year grant period,
an HCC must identify each year whether the
HCC and its members have participated in an
exercise or an event. The HCC is strongly
encouraged to participate in a yearly exercise or
event if the opportunity arises. If there was no
event or exercise, it must score ‘No’ because of
no opportunity.
The HCC does not have to be the lead organizer,
but the HCC must participate as an operational
entity.
Data Element #5:
Does the HCC have the ability to expand its
coalition-wide surge capacity according to the
scope and magnitude of the incident?
Technical Assistance Guidance:
Medical Surge
Data Element #4:
Has the HCC demonstrated the ability to
communicate regional healthcare surge status in
an exercise or event within the past year?
Technical Assistance Guidance:
The ability to communicate Healthcare Surge
status to the appropriate contact in the State or
jurisdictional Emergency Operations Center
(EOC) and/or Incident Command System (ICS) is
critical. The HCC should e able to both send and
receive information related to healthcare surge
status. Surge status must address at least the
following three (3) levels of surge relative to the
baseline (i.e., the "normal resources to beds"
number) identified in Measure 3, Data Element
2:
• Diversion of patients to maintain baseline
• Capability or Capacity Building necessary to
reach 20% beds above baseline
• Decompression to achieve 20% of baseline
“immediate” bed availability (i.e., within
four-hours of a disaster)
The scope and magnitude of the incident should
include but not be limited to consideration of
the surge need for:
• Medical Surge?
• Critical Care — Pediatrics?
• Critical Care — Adult?
• Pediatrics?
• Psychiatric?
• Burn?
The HCC or region should define trigger
conditions, which indicate the local healthcare
response capability is insufficient and State or
Federal response teams must be requested for
activation. This trigger must be formally agreed
upon with the State.
The HCC should answer ‘Yes’ if it is able to surge
to the maximum level that does not trigger a
State-level response.
Although the HPP FOA requires that all hospitals
and HCCs participate in at least one regional or
statewide exercise over the 5-year grant period,
an HCC must identify each year whether the
Hospital Preparedness Program (HPP) Performance Measure Manual,
Guidance for Using the New HPP Performance Measures Page | 41
Pre-Incident
Healthcare
Response
Preparedness