# Presentation: 028017

## Rocky Mountain Regional Care Model for Bioterrorist Events (RMBT)

**Stephen V. Cantrill, M.D.**
- Associate Director
- Emergency Medical Services
- Denver Health Medical Center

## What is a “model”?

- “A standard or example
- for imitation or comparison”
*Webster’s Unabridged Dictionary*

## X

- IX

- VIII

- VI

- IV

- VII

- V

- III

- II

- I

- Seattle

- Denver

- San
-      Francisco

- Dallas

- Kansas City

- Chicago

- Atlanta

- DC

- Philadelphia

- New York

- Boston

- US Department of Health & Human Services
- REGIONS

- NOTE: These regions are used by DHHS and FEMA.

## RMBT Working Group Federal Region VIII

****** ****Metropolitan Medical Response System Cities (MMRS)**

## Rocky Mountain Regional Care Model for Bioterrorist Events 

**US Northern Command**
**US Air Force**
**Office of Surgeon General**
**Homeland Security Office**
**Development Center for Operational Medicine**
**Colorado US Air Force, Army and National Guard Bases**
**US Public Health Service-Region VIII**
**National Disaster Medical System (NDMS)**
**Department of Veteran Affairs Medical Center**

**STATE**
**Montana DPH**
**Colorado DPHE**
**Utah DPH**
**Wyoming DPH**
**North Dakota DPH**
**South Dakota DPH**
**Colorado Hospital Association**
**Colorado Rural Health Center**

**LOCAL**
**3 Colorado County Health Departments**
**Denver Mayor’s Office of Emergency Management**
**All Hospitals/Health Systems in the Denver Metro Area**

- Rocky Mountain Regional Care Model for Bioterrorist Events
- (RMBT) Working Group

## Tools to Assess Baseline Regional Surge Capacity

**Available Beds**
- National Disaster Medical System (NDMS)
- Collected from hospitals bi-weekly in the Colorado Rocky Mountain Front Range and Salt Lake City, Utah metro area in Federal Region VIII

**Hospital Resources and Preparedness**
- Health Resources and Services Administration (HRSA) Hospital Needs Assessment
- Hospital survey developed and administered by states independently

**Facilities**
- American Hospital Association (AHA)

**Staffing Levels**
- State licensing boards
- American Medical Association (AMA)

## Additional Resources to Address Surge Capacity Needs

**	****Regional Medical Surge Capacity Templates for Disaster Preparedness**
- Identification of alternative care sites and infrastructure requirements
- Preparation for excess staffing and supply needs

**Medical Armory Supply List**

## Regional Measures of Preparedness

| Current Capacity | Compare to Surge Needs |
| --- | --- |
| Available beds

 | HRSA preparedness benchmark of 500 beds per 1 million population
 |
| Medical Staffing | RMBT group benchmarks for staffing and supplying based on a 50 bed unit
 |
| Supply estimates 
(difficult to measure)
 | RMBT group benchmarks for staffing and supplying based on a 50 bed unit |

## RMBT Exportable Components to Help Your Region Plan for Surge

- Lessons learned for multi-state, regional collaboration
- Civilian collaboration with Department of Defense (DoD)
- DoD oxygen supply options
- Measures of regional preparedness
- Surge capacity development templates
- Medical armory supply list
- Regional drills and exercises

## Our Grant Web site:www.denverhealth.org/bioterror