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Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security Proceedings of a Workshop (2018) / Chapter Skim
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4 ASPR's New Vision for a Regional Health Response System
Pages 43-50

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From page 43...
... Many of these safety and quality metrics, she explained, are already in use in health care settings. Individual participants also discussed how technology could enable the sharing of data and metrics to assess relative performance and ultimately move the field toward shared accountability.
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From page 44...
... Laura Wooster from the American College of Emergency Physicians reported that her table discussed communication and coordination, particularly regarding whether health care coalitions have the resources, skills, and staff to engage in consistent and open communication across sectors for preparedness and response. Wooster noted the importance of looking for opportunities for daily use, such as communicating during the influenza season, using triage tags during smaller events, or using bed-tracking systems.
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From page 45...
... Participants at this table opined that it is easier to work at the community level than at the hospital level given that hospital administrators have to spend most of their time dealing with day-to-day concerns and have little bandwidth to address larger issues. While it is important to help hospitals reach the necessary state of preparedness, it would be more effective to do that through community leaders who can then work with their hospitalbased colleagues, Vanderwagen reported.
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From page 46...
... Kaplan explained that while being a Disaster Center of Excellence is likely to be a money-making proposition in the future, it is not today, and it may be necessary to create incentives, such as a tax offset for unreimbursed care, to get large health centers to embrace the idea of being a Center of Excellence. Kaplan said that because this system needs to work exceptionally well, funding through ASPR's HPP that flows through public health departments may need to be changed because the current mechanism does not demand conformance to the HPP guidelines.
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From page 47...
... This led to a discussion about using other health care resources that are not normally considered in surge capacity planning, but that could make a substantial contribution and affect a major shift in the way the nation funds and sustains preparedness. Participants at this table ended their discussion with the recognition that the current health care system is optimized to the point where there is little wiggle room with regard to capacity and that when aligning NDMS with existing regional health care coalitions, additional demands are made of people who are doing their jobs every day.
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From page 48...
... The group's discussion on regionalized health care pointed to the importance of defining regions for specific situations, Piazza reported. For example, she said, a region for burns might be different from regions for trauma depending on the specific capacities in those regions.
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From page 49...
... Someone suggested that professional societies and local governments could be applying more pressure to hospitals and health care systems to join regional coalitions. The group even noted the possibility of conducting a public relations campaign that would help the public to understand how important preparedness is, which might convince consumers to apply pressure on their health care systems and local governments to take preparedness seriously and dedicate necessary resources.
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From page 50...
... 50 ENGAGING THE PRIVATE-SECTOR HEALTH CARE SYSTEM hurricane, an earthquake, or a Las Vegas mass shooting happens, it is one team, one fight," he said. "This discussion is all about how we assure that when the team comes together, it knows one another, trusts one another, and functions as a team and delivers as a team for the sake of our communities, our patients, and the national security of the country."
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Key Terms

  • public sector
  • shared performance
  • shared vision
  • care coalitions
  • hpp guidelines

  • emergency response
  • individual participants
  • crisis situation
  • preparedness activities
  • disaster preparedness

  • trauma centers
  • piazza noted
  • incident commanders
  • surge capacity
  • table discussed

  • strategic initiatives
  • regionalized health
  • current health
  • health centers
  • health regions

  • home health
  • indian health
  • deploy health
  • wellstar health
  • health security

  • health departments
  • health status
  • emergency health
  • regional health
  • include payers


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