# Presentation: 674040

## Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP) Program Overview and Benefits of Integrating ESAR-VHP and the Medical Reserve Corps2005 Annual Medical Reserve Corps  National Leadership ConferenceApril 21, 2005

**Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP)**** ****Program Overview and Benefits of Integrating ESAR-VHP and the Medical Reserve Corps****2005 Annual Medical Reserve Corps  ****National Leadership Conference****April 21, 2005**

- Health Resources and Services Administration
- Healthcare Systems Bureau
- Division of Healthcare Preparedness
- ESAR-VHP Program
- Marilyn Biviano, Director, ESAR-VHP

## Presentation Overview 

**Presentation Overview**

- Background of ESAR-VHP Program and Technical and Policy Guidelines Standards and Definitions (Guidelines)
- Guidelines – how they are being developed, tested and implemented
- ESAR-VHP Credentialing & Resource Typing
- Benefits of Advance Credentialing
- Benefits of Integrating MRC and ESAR-VHP
- ESAR-VHP Reports, Papers and Tools
- Appendix

## Background of ESAR-VHP Program and Technical and Policy Guidelines, Standards and Definitions (Guidelines)

## ESAR-VHP Legislative Mandate

**ESAR-VHP Legislative Mandate**

- Public Law—PL 107-188, directs the development of (State based)  Emergency Systems for Advance Registration of Volunteer Health Professionals, or ESAR-VHP. 1/
- Health and Human Services (HHS) has delegated the ESAR-VHP development to the   Health Resources and Services Administration (HRSA).

- 1/ Public Law—PL 107-188, Public Health Security and Bioterrorism Preparedness and Response Act of 2002, Section 107

## Health care personnel surge capacity is ESSENTIAL!

**Health care personnel surge capacity is **_**ESSENTIAL!**_

**Physical Surge **
**Capacity**
**(e.g. Hospitals)**
**(NBHPP)**

**Health Care **
**Personnel**
**Surge Capacity**
**(ESAR-VHP and MRC)**

**+**

**=**

**Health care**
**Preparedness**

**Training**
**(NBHPP & BHPr)  **

**+**

## Building a State-based National System

**Building a State-based National System**

- State** **ESAR-VHPs must be built to national standards and definitions so that they can be shared and utilized across State lines.
- Credentialing (verification of qualifications) and DHS National Incident Management System (NIMS) Resource Typing is at the core of developing a National system.

## Guidelines—how they are being developed, tested and implemented.

**Guidelines—how they are being developed, tested and implemented.**

## ESAR-VHP Essential Partners

_***STATE ***_
_***ESAR-VHP***_

**ESAR-VHP** Essential Partners

**PROFESSIONAL    ASSOCIATIONS &             ORGANIZATIONS**
** **
**Health Professional   Assoc. (AMA, ANA)**
**JCAHO**
**AHA         **
**NCSBN**
**FSMB**
**ABMS**
**Red Cross**

**FEDERAL PARTNERS**
**Medical Reserve**
**   ****Corps**
**Federal**
**CDC**
**HHS**
**DHS**
**FEMA**
**USPHS Readiness **
**	****Corps**
**Citizen Corps**

**HRSA Technical and Policy Guidelines, Definitions & Standards**

**STATE NBHPP**** ****Grantees (62)**

## The Guidelines cover the entire spectrum of advance registration, development and operation features. 

**The Guidelines cover the entire spectrum of advance registration, development and operation features.**

- Each Issue Topic is supported by a national working group

## ESAR-VHP Credentialing and Resource Typing

**Credentialing, Privileging and National Incident Management System (NIMS) Resource Typing**

## Credentialing, Privileging, and NIMS Resource Typing

**Credentialing, Privileging, and ****NIMS Resource Typing**

***Credentialing*** is the process of obtaining, verifying, and assessing the qualifications of a health volunteer.
***Resource Typing ***Within the ESAR-VHP program, resource typing is a uniform process of classifying a health care volunteer based on verified credentials and consistent with the NIMS credentialing system.

## Benefits of Advance Credentialing and Resource Typing of Emergency Medical Volunteers

- Benefits of Advance Credentialing and Resource Typing of Emergency Medical Volunteers

- Reduces credentialing burden for emergency care delivery, e.g., hospitals.
- Allows scarce specialist resources to be allocated according to need (e.g., orthopedic surgeon, anesthesiologist, thoracic surgeon).

## Benefits of Advance Credentialing and Resource Typing Emergency Medical Volunteers, cont.

- Benefits of Advance Credentialing and Resource Typing Emergency Medical Volunteers, cont.

- Credentials standards and verification and resource typing will permit volunteers to be used at the highest possible level.
- Building “hospital ready” volunteer workforce
- Resource typing (based on credentialing standards):
- facilitates intra and interstate sharing of scarce medical volunteers.

## Benefits of Integrating the MRCs and State ESAR-VHPs

**Benefits of Integrating the MRCs and State ESAR-VHPs**

## Benefits of Integrating MRC and State ESAR-VHP

- Benefits of Integrating MRC and State ESAR-VHP

- Precious health profession volunteer resources are maximized and coordinated.
- Integration may reduce MRC operation cost, for example, cost of verifying volunteer’s credentials.

## Benefits of Integrating MRC and State ESAR-VHP, cont.

- Benefits of Integrating MRC and State ESAR-VHP, cont.

- MRC volunteer may be eligible  (through ESAR-VHP) for benefits under state declared emergency authorities
- malpractice liability protection
- workmen’s compensation

## Benefits of Integrating MRC and State ESAR-VHP, cont.

- Benefits of Integrating MRC and State ESAR-VHP, cont.

- Integration provides for a seamless linking of
- State and local medical volunteer
- emergency response efforts that will:
- Reduce emergency response time,
- Increase capability to respond to bigger emergencies within a state, and
- Enable interstate responses—EMAC is a state-to-state response.

## ESAR-VHP Reports, Papers, and Tools

**ESAR-VHP Reports, Papers, and Tools**

## ESAR-VHP Reports, Papers, and Tools:

***Interim Technical and Policy Guidelines, Standards, and Definitions***—A “Handbook” that provides a set of recommendations and approaches for developing, implementing, and maintaining an ESAR-VHP system. (Available Soon)
***Legal and Regulatory Issues***—Examines and summarizes areas of law relevant to ESAR-VHP, such as emergency declarations, licensing, credentialing, liability and workmen’s compensation issues.

## ESAR-VHP Reports, cont:

***Hospital Implementation Issues and Solutions Focus Group Meeting Report—***Identifies and assess hospital issues as they relate to the development and implementation of an ESAR-VHP system.
***Will the States’ ESAR-VHP Build Adequate Hospital Personnel Surge Capacity***—A White Paper that discusses the options for credential verification of health professionals and the implications of not meeting hospital level verification standards.

## ESAR-VHP Reports, cont:

***ESAR-VHP Legal and Regulatory Issues Draft Toolkit – ***Provides information, contacts, and resources to help you assess of many of the legal issues that may arise during implementation of your States ESAR-VHP system.  Includes, among other items, a checklist and model documents.

- Easy to use registration tool will allow MRCs to collect the information needed to verify credentials and assign resource types to volunteers.

**MRC Credentialing Portal Pilot**

- http://www.esarvhp.com/mrc/

- Please visit the ESAR-VHP & MRC Project Table to learn more about:
- 	ESAR-VHP & MRC integration plans
-  	MRC Credentialing Portal Project
- ESAR-VHP will also be discussed in the following presentations later today:
*Integrating MRC and ESAR-VHP across Minnesota*
*Database and Reporting Options for Local MRCs, *Jeff Reilly, Westchester County MRC

**MRC Credentialing Portal Pilot**

## Additional Information

- Marilyn Biviano, Director ESAR-VHP
- HSB, Division of Healthcare Preparedness
- Room 13C-105
- 5600 Fishers Lane
- Rockville, MD  20857
- Email:   mbiviano@hrsa.gov

## APPENDIX

**APPENDIX**

## Credentialing and Resource Typing High Priority Occupations 

- Credentialing and Resource Typing High Priority Occupations

**Bold**

**= Draft Resource Typing Completed**

## Timeline for State-Based ESAR-VHP2004-2006

**Timeline for State-Based ****ESAR-VHP****2004-2006**

- ESAR-VHP  Focus group meeting

**Develop Guidelines and common definitions and assess hospital, liability, and other key implementation issues.**

**May**
**2004**

- Develop baseline number of ESAR-VHP providers (update annually)

- NBHPP FY04 Supplement to 30 States to pilot guidelines and develop systems
- *Remaining NBHPP awardees supplemental approved but unfunded

- 2nd ESAR-VHP Focus Group Meeting

**Jan.**
**2005**

- Complete Interim Guidelines, issue analysis & best practices

**Nov.**
**2004**

**Sept. **
**2004  **

## Timeline for State-Based ESAR-VHP 2004-2006, cont’d

**July**
**2005**

**Dec.**
**2005**

- 10 ESAR-VHP
- systems
- initiated

**Timeline for State-Based ****ESAR-VHP ****2004-2006, cont’d**

**June**
**2005**

**Pilot test Guidelines in 10 States and refine Guidelines**

**Sept.**
**2005**

- NBHPP FY 05 Award to 32 States to develop systems.

**Provide technical assistance to 20 States.  Conduct regional focus and technical assistance meetings and refine Guidelines**

- 30 (Total) ESAR-VHPs initiated.  Guidelines revised.

**Jan.**
**2005**

- ESAR-VHP Focus Group Meeting

## Timeline for State-Based ESAR-VHP 2004-2006, cont’d

**Jan.**
**2006**

**Dec.**
**2006**

**Timeline for State-Based ****ESAR-VHP**** 2004-2006, cont’d**

**Provide technical assistance to remaining (32) States and jurisdictions in development of their ESAR-VHP.  Conduct regional focus and technical assistance meetings and refine Guidelines**

- .

**June**
**2006**

## Phases of ESAR-VHP Development and Technical Assistance

- HI

- AK

- CA

- OR

- WA

- ID

- MT

- TX

- SD

- WY

- NV

- OK

- KS

- NE

- CO

- NM

- AZ

- UT

- ND

- SC

- MN

- WI

- IO

- MO

- AR

- LA

- VA

- NC

- GA

- FL

- AL

- MS

- IL

- WV

- KY

- TN

- NY

- PA

- IN

- OH

- MI

- DE

- NJ

- CT

- RI

- MA

- ME

- DC

- MD

- NH

- VT

- PR - *(Puerto Rico)*
- VI - *(U.S. Virgin Islands)*

**PHASE III**

**PHASE I**

**PHASE II**

**Phases of ESAR-VHP Development and Technical Assistance**

##  Credentialing, Privileging, and NIMS Resource Typing of Physicians

** ****Credentialing, Privileging, and NIMS Resource Typing of Physicians**

**Initial Guidelines focus on credentialing requirements for physicians, registered nurses, and behavioral health professionals 1/.  We will expeditiously add additional professions.**

**1/ Psychologists, medical and public health social workers, mental and substance abuse social workers, marriage and family therapists and clinical mental health counselors.**