Preparedness Resources for Partners

• Baxter’s Hurricane Helene Updates
  
• Baxter's Hurricane Helene Clinical Resources
  
• FDA’s Dedicated Hurricane Helene Updates
• HHS Newsroom (includes statements, fact sheets and updates related to Helene)
  
• ASPR TRACIE Medical Product Shortages and Scarce Resources
  
• ASPR's Response to Hurricane Helene
  
• Healthcare Ready Alerts Hub (Supply Chain)
  
• American Society of Health-system Pharmacists: Small- and Large-Volume Fluid Shortages- Suggestions for Management and Conservation
  
• Pediatric Pandemic Network: Conserving IV Fluids and Oral Rehydration
  

Influenza Guidance for Hospitals

Hospitals and medical providers in Oregon are encountering a high number of patients seeking medical care due to flu symptoms and an increase in bed capacity.

• Hospital Checklist (PDF):Use this checklist as a guide for hospitals and health care facilities to prepare for, and respond to medical surge.
• Hospital Medical Surge FAQ (PDF): Hospitals are seeking guidance from the Oregon Health Authority (OHA) related to surge capacity, variances, and EMS requirements. This document was developed to explain regulatory limitations and to outline potentially useful options as they respond to the current situation.
• Oregon Facility Transfer Guidance (PDF): Patient admissions and transfers during periods of widespread influenza activity can create unusually high demand for emergency and inpatient services.

Additional resources

• Regional Hospital Visitation Policy Recommendation (PDF)
• Regional Hospital Mask Use Policy Recommendation (PDF)
• EMTALA requirements during a disaster (PDF)

Cyanotoxins in Public Drinking Water System

In 2018, the Oregon Health Authority developed rules related to cyanotoxins in drinking water. Below are links to more information and resources from OHA's Drinking Water Services.

• Cyanotoxin resources for drinking water
• Key contacts and Drinking Water Services resources in an emergency
  

Shortage of Saline, Other Medications and Medical Supplies (2017-2018)

Hurricane-related damage to Baxter Healthcare Corporation facilities in Puerto Rico has led to declines in production of small-volume bags of saline and other medications. The resources below may be of assistance to healthcare partners concerned about these supply shortages during this challenging time.

Additional resources

• FDA/ASHP Guidance in Response to Current Saline and Medications Shortage (PDF)
• Small-Volume Parenteral Solutions Shortages Suggestions for Management and Conservation (PDF)
• FDA Drug Shortage website
• FDA Commissioner update on ongoing shortages related to IV fluids (January 16, 2018)

CMS Preparedness Rules Resources (as of January 2017)

The Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers regulation is 651 pages. The beginning is essentially the responses to suggestions and inquiries that were captured during the public comment period. The middle section details estimated costs associated with implementing the rule within provider sectors. The last 50 pages is dedicated to the breakdown of the individual rule requirements for each provider type. Find your provider type and read the requirements carefully. The core elements are essentially the same but there is distinction regarding conducting testing and some variance in infrastructure mitigation and preparation.

See the following links for more information on:

Documentation review

• CMS Emergency Preparedness Final Rule Crosswalk July 2017, Version 3 (PDF)
• CMS Emergency Preparedness Rule Implementation March 2017 (PDF)
• 17 Facility- Provider Supplier Types Impacted (PDF)
• EP Rule - Table Requirements by Provider Type (PDF)
• Frequently Asked Questions (FAQs) Round One (PDF)
• Frequently Asked Questions (FAQs) Round Two (PDF)
• CMS Preparedness Rule Page
• ASPR TRACIE CMS Rule Page
• ASPR TRACIE CMS Emergency Preparedness Rule by provider type (PDF)

Initiating preparedness assessments

• TRACIE Topic Collection: Hazard Vulnerability & Risk Assessment
• Organizational Resilience: Security, Preparedness & Continuity Management Systems (PDF)
• California Hospital Association: Hazard Vulnerability Analysis Tool

Emergency planning

• TRACIE Topic Collection: Emergency Operations Plans/ Emergency Management Program
• TRACIE Topic Collection: Communication Systems

Training resources

• TRACIE Topic Collection Incident Management Training
• FEMA Independent Study Program

Researching testing and exercising

• TRACIE Topic Collection Exercise Program Design, Evaluation & Facilitation
• HSEEP Preparedness Toolkit
  

Pediatric Surge

Pediatric Annex for a Hospital Emergency Operations Plan 
Regional Pediatric Specialty Care Capacity Report

Surge Planning Toolkit:

• Surge Planning Master Spreadsheet
• Hospital Pediatric Surge Toolkit
  
• Hospital Pediatric Surge Toolkit - Worksheet 1
• Hospital Pediatric Surge Toolkit - Worksheet 2
• Hospital Pediatric Surge Toolkit - Worksheet 3
• Pediatric Surge Summit Highlights: Surge Planning Toolkit Basics (video)