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Appendix I: Financing Surge Capacity and Preparedness
Pages 157-162

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From page 157...
... The dawn of less advantageous private third-party payor agreements and reductions in federal reimbursements, along with increasing human resource, supply, and technology costs and an aging infrastructure, have created significant hardships. In addition to this economic stress, hospital emergency departments and inpatient facilities are routinely operating at or near 100 percent of capacity on a daily basis.
From page 158...
... The goal of the Institute of Medicine (IOM) Forum on Medical and Public Health Preparedness for Catastrophic Events Financing Surge Capacity and Preparedness section is to "identify funding mechanisms that could be utilized to ensure effective and efficient medical surge capacity preparedness and response."2 PROJECTED SURGE IMPACT ISSUES The effects of an acute or extended surge event on hospitals include numerous factors.
From page 159...
... Funding Use Restrictions Current grant programs used by healthcare facilities to improve surge capacity include significant restrictions on the use of the funds. What is the process by which future grant guidelines should be evaluated in terms of the most efficacious use of these funds to promote true surge capacity enhancements?
From page 160...
... If the states choose to withdraw their matching funds, the hospitals could face a reduction of about $1.2 billion. The hospi tals told the Committee that these funding cuts will force them "to significantly reduce services" in the future and that "loss of resources of this magnitude inevitably will lead to curtailing of critical health care safety net ser vices such as emergency, trauma, burn, HIV/AIDS, neo natology, asthma care, diabetes care, and many others.7 What are the regulatory efforts that could assist in improvement of institutions' pre-incident preparation for catastrophic events and ensure viability after the incident?
From page 161...
... Surge capacity associated with restrictions on nonurgent hospital utilization and expected admission during an influenza pan demic: Lessons learned for the Toronto severe acute respiratory syn drome outbreak. Acad Emerg Med 2(11)
From page 162...
... U.S. House of Representatives Committee on Oversight and Gov ernment Reform, majority staff, Hospital Emergency Surge Capac ity: Not Ready for the "Predictable Surprise." May 2008.

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