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U.S. Department of Health and Human Services

Performance Measure 26


Percent of non-ICU beds made available during the Hospital Surge Test


Goal or Target

SPPR will establish a baseline based on performance data collected in initial fiscal years, which will be used to set targets and goals for subsequent years.


Operational Intent

In the HST, HCCs and their member organizations are expected to simulate a surge of patients into the emergency department and identify appropriate destinations based on patient care needs. This PM demonstrates the ability of HCCs to increase bed availability on the floor to meet initial patient care needs.


Data Reporting

During the specified time period for end-of-year reporting, recipients should enter this information into the end-of-year performance measure module in PERFORMS. SPPR will calculate percentages.


Data Point Data Entity Data Source Response
PM26.1 Total non-ICU beds made available during the Hospital Surge Test (sum of PM26.2 to PM26.5)Hospital HST

#_______(Beds)

PM26.2 Number of empty staffed non-ICU bedsHospital HST

#_______(Beds)

PM26.3 Number of non-ICU Patients (Yellow) Admitted from the EDHospital HST

#_______(Patients)

PM26.4 Number of non-ICU Patients (Yellow) Transferred Out or DischargedHospital HST

#_______(Patients)

PM26.5 Number of new non-ICU Treatment SpacesHospital HST

#_______(Beds)

PM26.6 Number of total staffed adult medical/surgical (non-ICU) beds (empty or occupied)Hospital HST

#_______(Beds)



Definitions and Interpretation

  • HST: The HST is a user-friendly peer assessment designed to identify gaps in a hospital’s preparedness and help assess its ability to respond to a mass casualty event. The exercise is a low- to no-notice exercise and incorporates the real-life considerations of health care delivery in acute care settings. The exercise is intended for use by hospital emergency managers, hospital administrators, and clinical staff to assess and improve their hospital’s surge plans. Hospitals need to exercise their preparedness for a mass casualty incident regularly. This exercise can help hospital emergency managers make recurring table top exercises a reality by providing a fully-developed table top exercise that can be used at their facilities.

  • Treatment Spaces: Treatment space refers to any space the hospital or facility designates as a space to render emergency care.19



19. Welch, S., et al., “Setting up a Quality Improvement Program for your ED.” Health Administration Press. 2011.


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  • This page last reviewed: November 05, 2020