Medical Surge Capacity: Workshop Summary (Forum on Medical and Public Health Preparedness for Catastrophic Events)

FrontMatter 2 Reviewers 10 Contents 12 Workshop Summary 16 Introduction 16 Goals and Objectives 17 The Communications Challenge: Definitions, Standards, and Metrics 19 Legal Authorities and Government Support 22 An Integrated Approach to Alternate Care 29 Establishing Alternate Care Facilities 36 Creating Situational Awareness: A Systems Approach 45 At-Risk Populations: Behavioral Health Effects and Medical Needs 52 Fatality Management Strategies 60 Ramping Down and Recovery from a Mass-Casualty Incident 67 Financing Surge Capacity and Preparedness 72 Conclusions 78 Appendix A: References 82 Appendix B: Agenda 84 Appendix C: Registered Attendees 104 Appendix D: Surge Medical Response Capability: What Is It? How Do We Get It? How Do We Know When We Have It? 114 Appendix E: Alternate Care Systems: Stratification of Care 128 Appendix F: Creating Situational Awareness: A Systems Approach 138 Appendix G: Vulnerable Populations in Disasters: Health Effects and Needs 148 Appendix H: Fatalities Management Strategies 158 Appendix I: Financing Surge Capacity and Preparedness 172 9780309146746 During Natural Disasters, Disease Pandemics, Terrorist Attacks, And Other Public Health Emergencies, The Health System Must Be Prepared To Accommodate A Surge In The Number Of Individuals Seeking Medical Help. For The Health Community, A Primary Concern Is How To Provide Care To Individuals During Such High Demand, When The Health System's Resources Are Exhausted And There Are More Patients Than The System Can Accommodate. The Iom's Forum On Medical And Public Health Preparedness For Catastrophic Events Held A Workshop June 10-11, 2009, To Assess The Capability Of And Tools Available To Federal, State, And Local Governments To Respond To A Medical Surge. In Addition, Participants Discussed Strategies For The Public And Private Sectors To Improve Preparedness For Such A Surge. The Workshop Brought Together Leaders In The Medical And Public Health Preparedness Fields, Including Policy Makers From Federal Agencies And State And Local Public Health Departments; Providers From The Health Care Community; And Health Care And Hospital Administrators. This Document Summarizes The Workshop.--publisher's Description. Introduction -- Goals And Objectives -- The Communications Challenge: Definitions, Standards, And Metrics -- Legal Authorities And Government Support -- An Integrated Approach To Alternate Care -- Establishing Alternate Care Facilities -- Creating Situational Awareness: A Systems Approach -- -- At-risk Populations: Behavioral Health Effects And Medical Needs -- Fatality Management Strategies -- Ramping Down And Recovery From A Mass-casualty Incident -- Financing Surge Capacity And Preparedness -- Conclusions. Bruce M. Altevogt ... [and Others], Rapporteurs ; Forum On Medical And Public Health Preparedness For Catastrophic Events, Board On Health Sciences Policy, Institute Of Medicine Of The National Academies. Includes Bibliographical References. Also Available Online. Mode Of Access: World Wide Web.