james e.m. bender, bs, emt-p. qualitative study ems region 2 of illinois what is surge capacity? are...
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HOSPITAL SURGE CAPACITY: A
COMPREHENSIVE STUDY OF EMS REGION
2 SURGE CAPACITY
James E.M. Bender, BS, EMT-P
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Qualitative Study EMS Region 2 of Illinois What is surge capacity? Are there any standards of surge capacity
(met?) Barriers and Best Practices
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My Story
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What is Surge Capacity?
Surge Capacity is the ability of a hospital to expand its capacity to add additional beds, beyond the hospital’s State licensed beds during a declared emergency.
Hospitals have to make the decision to go from a standard of care to a sufficiency of care.
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Identified Surge Capacity Prime Mover is the JC standards and
ASPR (HRSA) grants.Reference (2003 Bioterror grants) 500 acute
beds per million population Region has:
3731 Licensed Patient Care Beds876 Surge Capacity Beds100 Surge Beds from Mobile Hospital
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Hospital Policy Addresses surge capacity through non-
traditional patient care areas and non-traditional beds.No standard of “what is a surge bed / acuity
of patient”.
Public expects healthcare response during a disaster!
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Barrier: Policy and Regulation Expect Surge Capacity
Joint CommissionIDPH “approved” Regional Disaster Medical
PlanGrants
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Barrier: Policy and Regulation Illinois Hospital Act The Emergency Medical Treatment And
Labor Act (EMTALA)…Remember to get your 1135 waiver
HIPPA Illinois Emergency Management Act
What is a Public Health Emergency?Gov. suspend acts for 30 days
Does not address emergency opening of hospitals.
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Conclusion
Hospitals have made great strides in EM in the last 10 years.
Willing and wanting to be a first responderGet very little support from regulatory
authorities. There are best practices:
California has implemented an entire program on surge and alternative care sites.
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Thank You
Research paper at:http://cemr-network.org/Comprehensive
Emergency
Management
Research
Network