# Presentation: 007664

## The Role of the Department of Health and Human Services in Achieving Surge Capacity Capabilities

**Robert**** G. ****Claypool, M.D.**
- Deputy Chief Medical Officer
- Office of the Assistant Secretary for Public Health Emergency Preparedness
- U.S. Department of Health and Human Services
- Washington, DC

## Surge

**Greatest**

**Least**

**Aircraft Accident**

**Major Flooding**

**LOCAL, REGIONAL, & STATE**** **

**FEDERAL**

**Hurricane**

**Weapons of**
**Mass**
**Destruction**

**Impact**

**Surge**
- Generated From Both Natural and Man-made Events

## National Response Plan[Emergency Support Functions]

**National Response Plan**[Emergency Support Functions]

**12**

**1**

**2**

**3**

**4**

**5**

**6**

**7**

**9**

**10**

**11**

**GSA**

**DHS**

**ARC**

**DHS**

**USDA**
**& FS**

**DOD**

**DOT**

**DOE**

**NCS**

**USDA**

**EPA**

***Urban Search***
*** ******and Rescue***

***Hazardous***
***Materials***

***Food***

***Energy***

***Transportation***

***Communication***

***Public Works***
*** ******(USACE)***

***Firefighting***

***Information***
***& Planning***

***Mass Care***

***Resource***
***Support***

_**Support Agencies**_
**DOA****	****ARC**
**DOD ****	****EPA**
**DOE ****	****FEMA**
**DOJ****	****GSA**
**DOT ****	****NCS**
**DVA****	****USPS**
**AID ****	****DHS**

**ESF**

**HHS--Primary Agency**

***Health & Medical***** **
**Services**

**8**

**Notes:**
The National Response Plan establishes the structure and process for the systematic, coordinated, and effective delivery of Federal assistance to augment State, Tribal, and jurisdictional response capabilities. It describes the types of Federal resources that are available to mitigate, prepare for, respond to, and recover from major emergencies and disasters, and it outlines a methodology for  mobilizing and integrating Federal assistance. The types of direct Federal assistance that States, Tribes, and jurisdictions may need, as well as the operations support required to sustain Federal response (e.g., transportation, communications) are organized in the NRP under Emergency Support Function (ESF) annexes. Each ESF is coordinated by a Primary Agency designated on the basis of its authorities, resources, and capabilities in the particular functional area. 

Federal public health and medical assistance is provided under ESF #8 and is coordinated by the Department of Health and Human Services (DHHS). As the Primary Agency for ESF #8, HHS coordinates the provision of Federal public health and medical resources to fulfill the requirements identified by the affected State(s), Tribe(s), and jurisdictional authorities. 

HHS has been given the responsibility under mandates as set forward in the National Response Plan (ESF #8) and Homeland Security Presidential Directive (HSPD) 10 to develop a capability to address the phenomena known as surge. On behalf of the Secretary of HHS, the Assistant Secretary for Public Health Emergency Preparedness, who is currently Stewart Simonson, directs and coordinates all Federal public health and medical assistance provided under ESF #8.  I work for Mr. Simonson.

## How is HHS addressing surge?

**How is HHS addressing surge?**
- Through a Comprehensive and Inter-agency Approach

**Incident**
**(Population at Risk)**

**  ****Mass Casualty **
**Triage**

**Risk/Crisis**
**Communications**
**(Public Affairs)**

**Expanded **
**health care **
**system **
**capacity**

**Alternative**
**care facilities**

**Pre-event Planning & **
**Preparedness**

**Information**
**Management**

**Investigations**

**Mass**
**Prophylaxis &**
**Vaccination**

**Disaster Mental Health**

**Personnel **
- (Registry, Licensure,& Credentialing)

**Laboratories**

**  ****Mass Fatality**
**Management**

**Materiel**
-      --Stockpile
-      --Non-Stockpile

**Shelters in Place**

**Special**
**Needs**

## Public Health Service-Contingency Stations“PHS-CS”

## Public Health Service – Contingency StationsModule Configuration Capabilities

**PHS-CS**
**Base Support**
**With Quarantine**

**PHS-CS**
**Treatment**

**PHS-CS**
**Pharmaceutical**

- Administration
- Support
- Feeding
- Quarantine
- Beds (50)
- Housekeeping
- First Aid Equipment
- Pediatric Care
- Adult Care
- Personal Protective Equipment

- Primary Care
- Non-Acute Treatment
- Special Needs

- Pharmaceutical
- Special Medications
- Prophylaxis

- Beds
- Bedding
- Bedside Equipment

**“****PHS-CS” **
**250 Bed Modules**

## Public Health Service – Contingency StationsFuture Module Configuration Capabilities

**Acute Treatment**

**Isolation**

**“****PHS-CS” Future Modules**

**Burn/Surgical **

**Triage**

**Decontamination**

**Mobile Hospital**

## Developing Ventilator Cross Training Model

**Developing Ventilator Cross Training Model**

_**Problem**_:  Lack of sufficient number of healthcare personnel to provide required ventilator support during a mass casualty incident.
_**Action being taken**_: Sponsoring an AHRQ study designed to:
- Define the scope of problem
- Develop and implement a model to cross train individuals to provide ventilator support
- Test the model that has been developed with an exercise with the SNS to evaluate the efficiency and effectiveness of such a cross training model.
- Determine the applicability of cross training model for other required areas.