Public Health Emergency - Leading a Nation Prepared
A complete response plan has all of the required components identified in the FOA as well as in the
2017-2022 Health Care Preparedness and Response Capabilities. HCCs may elect to address the components associated with the response plan in two separate documents or in multiple documents; however, all components must be documented.
Each HCC funded by the recipient
must develop a response plan that is informed by its members’ individual emergency operations plans and submit the plan to ASPR with annual progress reports. Each HCC’s response plan
must describe the HCC’s operations that support strategic planning, information sharing, and resource management. The plan
must also describe the integration of these functions with the ESF-8 lead agency to ensure information is provided to local officials and to effectively communicate and address resource and other needs requiring ESF-8 assistance. In cases where the HCC serves as the ESF-8 lead agency, the HCC response plan may be the same as the ESF-8 response plan.
The interests of all members and stakeholders should be considered in the response plan; however, each HCC
must coordinate the development of its response plan by involving core members and other HCC members so that, at a minimum, acute care hospitals, EMS, emergency management agencies, and public health agencies are represented in the plan. Each HCC
must review and update its response plan regularly, as well as after exercises and real incidents.
The HCC response plan can be presented in various formats, including the placement of information described below in a supporting annex. Regardless of the format, each HCC’s response plan must clearly outline:
Each HCC should also monitor their members’ progress toward closing gaps in their own plans and offer assistance to help close the gaps as appropriate.
More information about the HCC response plan can be found in Capability 2, Objective 1, Activity 2 of the
2017-2022 Health Care Preparedness and Response Capabilities.
must provide a complete and approved response plan annex addressing the required annual Specialty Surge requirement. HCCs must include a draft response plan annex addressing pediatric surge completed and uploaded into the CAT. Final plans
must be submitted with the FY2019 Annual Progress Report (APR).
must develop complementary, coalition-level annexes to their base medical surge/trauma mass casualty response plan(s) to manage a large number of casualties with specific needs. Recipients should incorporate the HCC annexes into their jurisdiction's plan for awareness and to support coordination of state resources. In addition to the usual information management and resource coordination functions, each specialty surge annex framework should be similarly formatted and emphasize the following core elements:
In addition to the general requirements above, the specialty surge annex must address additional factors for each of the specialties listed below (depending upon which is exercised which year):
ASPR has clarified the special surge annex tabletop/discussion exercise format and data sheet requirement for each required specialty surge annex (i.e., FY2019 Pediatric Care Surge Annex, FY2020 Burn Care Surge Annex or Infectious Disease Preparedness and Surge Annex, FY2021 Burn Care Surge Annex or Infectious Disease Preparedness and Surge Annex, FY2022 Radiation Emergency Surge Annex, and FY2023 Chemical Emergency Surge Annex). Recipients and HCCs must validate their specialty surge annexes via a standardized tabletop/discussion exercise format that meets HSEEP principles for exercises and planning. The data sheet is a web-based form and is being developed as a module in the CAT where the data can be input directly. Detailed instructions will be provided regarding the specific information that should be entered into the CAT.
NOTE: The Pediatric Surge TTX and associated data sheet in the CAT were waived in FY2019 due to real-world COVID-19 response.
ASPR has clarified the requirement for incorporating transfer agreements into corresponding specialty surge annexes. Transfer agreements with pediatric, trauma, and burn centers should be referenced in the corresponding HCC specialty surge annexes. HCCs are not required to obtain a copy of all transfer agreements, nor do they need to be included in the annex; however, HCCs should be capable of demonstrating their knowledge of existing transfer agreements that support each specialty surge annex. HPP FPOs will verify the availability of transfer agreements during recipient site visits. ASPR understands that some specialty centers do not use written transfer agreements but will always accept referrals (subject to resources available). If this the case, a statement by the specialty center to this effect will suffice.
36 Due to the Coronavirus Disease 2019 (COVID-19), HCCs must develop either the Burn Care Surge Annex or the Infectious Disease Preparedness and Surge Annex in FY2020 and must develop the other in FY2021
37 Due to the Coronavirus Disease 2019 (COVID-19), HCCs must develop either the Burn Care Surge Annex or the Infectious Disease Preparedness and Surge Annex in FY2020 and must develop the other in FY2021
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