Public Health Emergency - Leading a Nation Prepared
One hundred percent of HCCs must submit a draft and final response plan specialty surge annex each fiscal year. Final plans must be submitted with the Annual Progress Report (APR).
Each HCC’s specialty surge annex must have 100 percent approval by the core member organizations of each HCC for every fiscal year. One hundred percent of additional member organizations have been provided an opportunity to provide input into the specialty surge annex, and 100 percent of core and additional member organizations have received a final copy of the response plan annex.
HCCs must have a draft response plan annex addressing burn care surge or infectious disease preparedness and surge completed and uploaded in the CAT by April 1, 2021. Final plans must be submitted with the FY2020 APR. ASPR will use this measure as a benchmark to assess achievement of preparedness goals for the health care system. Pursuant to Section 319C-1(g)(5) of the Public Health Service Act, failure to achieve this benchmark for one of two consecutive years may result in withholding of 10% of funding amounts and increased withholding amounts in subsequent years that this benchmark is not met.
Integration of complementary coalition-level specialty surge annexes will support HCC management of large numbers of casualties with specific needs. Recipients should incorporate the HCC annexes into their jurisdiction’s plan for awareness and support coordination of state resources. 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 per 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
Homeland Security Exercise and Evaluation Program (HSEEP) principles for exercises and planning. The data sheet is a web-based form, 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.
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.
During the specified time period for end-of-year reporting, recipients should enter this information on behalf of each HCC into the end-of-year performance measure module in PERFORMS. SPPR will calculate percentages.
1. 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.
2. 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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