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Hospital Preparedness Program Weekly Update

Wednesday, June 28, 2017   (0 Comments)
Posted by: TCAA Staff
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HPP Weekly Update - June 27, 2017

ASPR TRACIE Zika Resources

As additional Zika cases continue to occur in the United States, please be reminded that ASPR TRACIE has developed the Zika Resources At Your Fingertips document, which includes important planning considerations and links to relevant resources, guidance, and other source materials.

CDC Resumes Reporting of Adverse Outcomes in U.S. Territories

As of Thursday, June 22, 2017, CDC has resumed reporting outcomes for pregnancies with laboratory evidence of possible Zika virus infection in U.S. territories and freely associated states (hereafter referred to collectively as “U.S. territories”). The data are from the Zika pregnancy and infant registries, which include all states, and U.S. territories. The registries rely on voluntary reporting from state, tribal, local, and U.S. territorial health departments.

CDC will report Zika-related pregnancy outcomes twice a month, using the standard CDC surveillance case definition to monitor brain abnormalities, microcephaly, and other serious birth defects that have been linked to Zika virus infection during pregnancy. Using the same standard definition for data reported by all states and territories provides a more complete picture of the effect of Zika virus infection during pregnancy, allows comparisons between geographic areas, and helps guide public health action.

CDC continues to support state and U.S. territorial surveillance systems to collect information about birth defects associated with Zika virus infection. For more information about Zika, please click here.

Update on Reported Distribution of Aedes aegypti and Aedes albopictus in the United States, 1995-2016

Intensified mosquito surveillance across the southern United States in the summer of 2016 shows a substantial increase in the number of counties reported evidence of mosquitoes that can spread chikungunya, dengue, and Zika viruses. For more information, see the June 19 issue of the Journal of Medical Entomology.

These findings highlight the need for continued and improved mosquito surveillance. State and local health departments and mosquito control districts can use this information to plan for mosquito control and prevention activities in advance of possible outbreaks of mosquito-borne diseases. More information is available here.

IHS and CDC to Host Zika Provider Update on June 29

The Indian Health Service (IHS) Division of Epidemiology and Disease Prevention, in partnership with CDC subject matter experts, will hold a Clinical Rounds Zika provider update from 3 PM to 4:30 PM ET on Thursday, June 29. This event is planned to help participants maintain and increase their understanding of transmission and the current domestic and international situation, especially in Indian country; presentation, diagnosis, management, and prevention of Zika virus infection; and implications for pregnant women. Registration is required and available to all interested participants on the event registration tab here.

CDC June 26 Zika Topic of the Week is “What’s Your Zika IQ?”

The CDC Zika Topic of the Week for June 26-30 is “What’s Your Zika IQ?” Please share or retweet messages posted on CDC social media channels to make this helpful information available to your followers. Readers can also download the Zika Topic of the Week Widget for their websites in English and Spanish.

CDC Online Resources

CDC Releases Authorization Letters in Advance of BP1 Award Notices

On Monday, June 12, CDC distributed letters to all HPP and PHEP preparedness directors authorizing them to incur costs up to 25% of their total BP1 funding allocations for activities beginning July 1, the BP1 start date. The letters were sent to all 62 awardees since the official grant award notices will be delayed this year. Awardees who have not received their authorization letters should contact their project officers.

Register Now for the Growing and Sustaining: A Discussion About Health Care Coalition Financial Models Webinar

ASPR TRACIE is hosting a series of webinars for health care coalitions (HCCs) interested in improving their preparedness efforts, decision making processes, and operational planning. The fourth webinar in this series will focus on financial models for HCCs and how each are unique. Participants will hear from a variety of panelists about different financial models, lessons learned, benefits, and challenges. If you are looking to improve your current model or transitioning to a new financial model, this webinar is for you! The webinar will take place Thursday, July 20, 2017 from 2:00 – 3:15 PM ET. Click here to register. Please note that this webinar will be limited to the first 1,000 registrants.

Recording Now Available: EMS and Infectious Diseases: Challenges and Resources for Provider Protection Webinar

On June 22, 2017, ASPR TRACIE hosted EMS and Infectious Diseases: Challenges and Resources for Provider Protection. During this webinar, Drs. Alex Isakov and John Hick discussed challenges in the EMS community related to infectious diseases and introduced the EMS Infectious Disease Playbook.

CDC Releases “Receiving 60-day Anthrax Medical Countermeasures from CDC’s Strategic National Stockpile: Planning Considerations for State, Local, Tribal, and Territorial Partners”

To help state, local, tribal, and territorial governments prepare for, respond to, and recover from exposures to anthrax and other biological agents, CDC has released “Receiving 60-day Anthrax Medical Countermeasures from CDC's Strategic National Stockpile: Planning Considerations for State, Local, Tribal, and Territorial Partners.” The planning considerations will help public health and health care planners coordinate operations to receive medical countermeasures (MCMs) from CDC’s Strategic National Stockpile during an anthrax response. The document is available via CDC’s Online Technical Resource and Assistance Center (On-TRAC). Questions about the planning considerations document can be submitted as technical assistance requests via On-TRAC by choosing Technical Assistance Type: SNS Formulary. For instructions on how to access or register for On-TRAC, please click here. CDC has tentatively scheduled a webinar for MCM planners in August 2017 to discuss the main topics of the 60-day anthrax planning considerations and to answer questions. Details about the webinar will be announced in July.

CDC’s “Did You Know?” Highlights Updated Influenza Pandemic Resources

The June 16 issue of CDC’s “Did You Know” weekly feature includes the updated Community Mitigation Guidelines to Prevent Pandemic Influenza-United States, 2017 to prepare now for a flu pandemic. The updated 2017 Guidelines explain why nonpharmaceutical intervention (NPIs) should be used during a flu pandemic, summarize key lessons learned from the 2009 H1N1 pandemic response, describe new pandemic planning and assessment tools, and provide the latest scientific findings on the use of NPIs. “Did You Know?” is a weekly feature from CDC’s Office for State, Tribal, Local and Territorial Support.

CMS Technical Assistance Resources

In response to numerous technical assistance requests received by the Centers for Medicare & Medicaid Services (CMS) and ASPR TRACIE, CMS provided the following guidance for providers and suppliers that are unclear on whether the CMS Emergency Preparedness Rule applies to them:

  1. Review the 17 providers/suppliers affected – a list is available here.
  2. If a facility is still unclear on what provider/supplier type they are based on reviewing the list, it is recommended that they check with their facility CFO, CEO or management, or the financial billing departments for their CMS Certification Number (CCN).
  3. The CCN number identifies what provider or supplier type the facility is certified under by Medicare. The CCN for providers and suppliers paid under Part A has 6 digits. The first two codes are the State Codes, the following four codes are those reserved the provider type. For example, codes 0001-0879 are typically reserved for Short-term (General and Specialty) Hospitals. Facilities can refer to this guidance to search for the State Codes and applicable four code reserved designations for providers.
  4. Compare the CCN and identified provider/supplier type to the 17 provider/supplier type affected by the CMS Emergency Preparedness Rule list.

CMS released an advanced copy of the Emergency Preparedness Rule Interpretive Guidance. Because the individual regulations for each specific provider and supplier share a majority of standard provisions, CMS developed the "Appendix Z- Emergency Preparedness for All Provider and Certified Supplier Types Interpretive Guidance" to provide consistent guidance and survey procedures in a single document. Additional information can also be found here under the Downloads section.

The final rule was designed to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters. ASPR TRACIE has developed a dedicated CMS EP Rule landing page on our website and the newly updated ASPR TRACIE CMS EP Rule: Resources at Your Fingertips, which includes key planning considerations and links to relevant additional resources.

Unrelated to the CMS Emergency Preparedness Rule, but important to health care providers is a memo released from CMS on the Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease. This memo was updated on June 9 to clarify the provider types affected. 


Now Available: ASPR TRACIE EMS Infectious Disease Playbook

ASPR TRACIE released the EMS Infectious Disease Playbook last week. The Playbook is a one-stop information source to guide the safe transport of patients known or suspected of having an infectious disease. 

Now Available: Rural Disaster Health Topic Collection

The newest ASPR TRACIE Topic Collection, Rural Disaster Health, highlights guidance for, and lessons learned by, health care practitioners who serve rural and tribal communities.


The Express June 2017 Second Issue was released last week. This issue includes information on ASPR TRACIE webinars, links to new resources, reminders regarding the CMS EP Rule, and a link to the newest report published by the Health Care Industry Cybersecurity Task Force. 

ASPR Blog: What About Sparky? Incorporating Animals into Disaster Preparedness

As an emergency responder, what would you do if you suddenly had to care for 6,000 animals after a disaster? That was one of the biggest questions that I faced during Hurricane Katrina. In the wake of the storm, thousands of pets ended up at the Lamar Dixon Expo Center in Louisiana. The link between disaster veterinary health and the disaster human health became obvious really quickly. Evacuees and their pets both needed disaster health support.


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