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U.S. Department of Health and Human Services

Performance Measure 28

Percent of patients with a bed identified in the emergency department 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 in the emergency department 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
PM28.2 Number of total regular treatment beds in the main part of the ED at the end of the exerciseHospital HST


PM28.3 Number of total emergent (Red) and urgent (Yellow) patients at the end of the exerciseHospital HST


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.


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  • This page last reviewed: November 05, 2020