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U.S. Department of Health and Human Services

Hospital Preparedness Program H1N1 Fact Sheet

FY09 Pandemic Influenza Healthcare Preparedness Improvements for States

Program Funding FY09: $90,000,000

FY09 HPP H1N1 Funding Opportunity Announcement:

Awarding Agency: U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Preparedness and Response (ASPR), Office of Preparedness and Emergency Operations (OPEO), Division of National Healthcare Preparedness Programs (DNHPP)

Funding Opportunity Title: Pandemic Influenza Healthcare Preparedness Improvements for States

Announcement Type: New Grant

Catalog of Federal Domestic Assistance (CFDA) Number: 93.889

Application Due Date: July 24, 2009

Anticipated Award Date: July 31, 2009

Project Period: One year

FY09 Budget Period: One year

Executive Summary:

The Hospital Preparedness Program (HPP) has provided all-hazard preparedness funding to 62 awardees since federal, fiscal year 2002 (FY02), to increase the capacities and capabilities of healthcare systems (e.g., hospitals and supporting healthcare facilities) that include outpatient facilities and centers (e.g., behavioral health, substance abuse, urgent care), inpatient facilities and centers (e.g., trauma, State and Federal veterans, long-term, children's, tribal), and other entities (e.g., poison control, emergency medical services, CHCs, nursing, etc.) to improve surge capacity, and enhance community and hospital preparedness for public health emergencies and mass casualty events.

In FY09, the HPP performed structured, in-depth interviews with state awardees and sub-recipient hospitals after the H1N1 event, and documented many gaps in pandemic influenza preparedness within healthcare systems. In addition, independent analysis has recommended that hospitals need to limit the spread of the virus in order to protect and maintain their workforce, to prevent hospitals from being a disease amplifier, and to protect non-flu patients from infection. In addition, hospitals need to provide innovative solutions for handling the medical surge resulting from a pandemic influenza event, and keep emergency rooms open and available for influenza patients.

Purpose: The primary purpose of this funding is to improve the healthcare systems ability to develop and implement activities within the following two priority areas, in preparation for a pandemic influenza event:

  • Healthcare Workforce Protection
  • Comprehensive Coalition Strategy for Optimization of Health Care

Awardees are expected to undertake planning and execute strategies in preparation for a fall influenza event. Awardees should plan for robust community and provider engagement, the needs of at-risk individuals, and work with established State/local Pandemic Influenza Preparedness Committees to coordinate ongoing activities with CDC and other federal funding sources and initiatives, appropriate inpatient and outpatient healthcare systems identified in this Funding Opportunity Announcement (FOA), and other first responders when developing their applications, work-plans and budgets.

Eligible Entities: State/Territory health departments (plus NYC, LA County, DC, and Chicago)

Program Goals:

Healthcare Workforce Protection

  • Mass Vaccination for Employees:  Develop and implement plans for hospital employees, and those from other facilities and centers identified in this FOA, to participate in mass vaccination efforts, to minimize absenteeism and maximize the healthcare workforce available to manage the surge resulting from a pandemic influenza event.
  • Employee Workplace Policies:   Develop and implement plans focused on family support for employees, absentee policies, plans for respiratory isolation of influenza like illness patients presenting to the emergency department, and policies for the protection of staff and other patients in waiting rooms and the emergency department.
  • Personal Protection Equipment (PPE) and Systems:  Develop and implement specific plans to provide adequate worker infection control education and to improve existing stockpiles to levels adequate to insure healthcare personnel are supplied with proper equipment to respond to a pandemic influenza event, including hospital infection control and other substantial worker protection mechanisms and systems. Awardees should ensure adequate amounts and types of PPE to protect current and additional healthcare personnel (e.g., volunteer providers) that would be utilized during an influenza pandemic.

Comprehensive Coalition Strategy for Optimization of Health Care

  • Healthcare System Decompression:  Develop plans and procedures to decompress the healthcare system and to provide for optimal utilization. This would include systematic planning and integrated risk communications messaging designed to optimize access to the highest quality health care for all citizens while managing patients and population health needs in the most appropriate care setting including at home, in the community, and at various healthcare facility locations. Key to such optimization of health care is comprehensive situational awareness inclusive of all health care providers including the primary care community, school nurses, public health personnel, hospital staff, and State and local governmental leadership. Such situational awareness is key for the allocation of scarce assets at the local, State, regional, and federal levels. The goal would be ensuring adequate healthcare system capacity and capability for patient care during a pandemic influenza event.
  • Alternate Care Site (ACS) Capability:  Develop and implement specific plans to establish and/or enhance current State/healthcare system ACS plans and equipment for patient care outside the hospital setting (e.g., schools, hotels, airport hangars, gymnasiums, armories, stadiums, convention centers) during a pandemic influenza event. Establishment of ACS is critical to providing appropriate high quality health care in a resource constrained environment, with the goal of providing care and allocating scarce equipment, supplies, and personnel. Planning should therefore include thresholds for altering triage algorithms and otherwise optimizing the allocation of scarce resources. Effective planning and implementation will depend on close collaboration among State and local health departments (e.g., State Public Health Agencies, State Medicaid Agencies, State Survey Agencies), provider associations, community partners, emergency management, mental health and substance abuse treatment facilities, and other healthcare systems. These plans must define the concept of operations, staffing, equipment, supplies as needed to maintain the response to medical demand, and include methods for triaging patients who don’t need hospital care, and coordinating with primary care and other providers. Activities that can be funded include but are not limited to:
    • Focus on at-risk individuals and close collaboration with community health centers and private practitioners; demonstrate strong community engagement in medical surge planning efforts;
    • Development of comprehensive staffing plans to include ACS;
    • Planning for supply/re-supply considerations;
    • Planning for Mobile Medical Facility usage as surge capacity sites; and
    • Development of operational plans, and how those coordinate with other State and Federal assets.

*Purchases should support the planning components detailed above including but not limited to:

    • Purchase of equipment/supplies (e.g., IV bags, tubing and pumps);
    • Ventilators; and Antivirals.
  • Situational Awareness:  Develop and implement specific plans and procedures to establish real-time processes to collect and disseminate hospital level situational awareness including, but not limited to bed, ventilator and status of other equipment and supplies for a pandemic influenza response. Awareness systems of this type will assist currently established horizontal and vertical information flow, and enable Federal resources to position more timely to assist State and local response efforts. Encourage real-time reporting of emergency department utilization and resource availability to pre hospital care agencies, local and state health departments, and federal agencies using resources like the Hospital Available Beds for Emergencies and Disasters (HAvBED) system, and to develop emergency department wide surveillance mechanisms. Please continue to report real-time, complete data as requested through HAvBED.
  • ASPR will require that States provide situational awareness on the severity of cases being treated in hospitals. Reporting methods and requirement specifics will be provided.
  • Media Strategies: Develop and implement specific plans and strategies to appropriately inform and educate the public, update clinicians with current information and guidance (e.g. treatment guidelines, etc.), describe community care and family support alternatives and options, and educate the public and primary care providers on appropriate use of the emergency departments.

  • This page last reviewed: April 04, 2011