Developing Metrics for Measuring Hospital Response Capability for Mass Casualty I

描述（由申请人提供）：最近的9/11事件、炭疽袭击和卡特里娜飓风和丽塔飓风表明，美国卫生保健系统没有充分准备好处理涉及平民的大规模伤亡事件。由于灾害最初需要地方应对，因此我们能够在全国数千个管辖区衡量地方一级的国内准备情况，这对公众健康至关重要。在衡量地方一级的准备情况时，医院是医疗保健提供系统的核心单位。本次会议的总体目标是召集一组专家，制定衡量医院应对大规模伤亡事件（MCI）能力的指标。更具体地说，与会者将负责制定一种方法，并就一个公式达成共识，该公式根据医院的正常运作能力、最大激增能力和应急管理方案来量化医院的反应能力。2008年6月，应急管理、灾害医学、医院管理和仪器开发领域的20名专家将举行为期一天半的会议，讨论衡量医院反应能力的指标。在会议之前，组织委员会成员将汇编相关背景资料，并就如何以客观和标准化的方式衡量快速部署能力和应急管理的关键组成部分和要素拟订建议草案。在会议上，他们将与专家小组的所有20名成员一起审查这些建议草案。专家小组将优先考虑快速部署能力和应急管理的不同组成部分，并讨论如何最好地开发一个全面但可行（即不过长或负担过重）的工具。专家小组还将讨论快速部署能力和应急管理的不同组成部分是否应同等加权，或是否应得出加权数。该会议补助金被视为开发一种方法的第一步，以可靠和有效的方式衡量医院对MCI的反应能力。

DESCRIPTION (provided by applicant): The recent events of 9/11, the anthrax attacks and Hurricanes Katrina and Rita demonstrated that the U.S. health care system is not adequately prepared to deal with mass casualty incidents (MCIs) involving civilians. Since disasters initially require a local response, it is critical to the public's health that we are able to measure domestic preparedness at the local level, in thousands of jurisdictions across the country. When measuring preparedness at the local level, hospitals are a central core unit of the health care delivery system. The overall objective of this conference is to convene a group of experts to develop metrics for measuring hospital response capability for mass casualty incidents (MCI). More specifically, conference participants will be charged with developing a method and reaching consensus on a formula for quantifying hospital response capability based on a hospital's normal operating capacity, maximum surge capacity and emergency management program. In June of 2008, 20 experts in the field of emergency management, disaster medicine, hospital administration and instrument development will convene for 1 and 1/2 days to discuss metrics for measuring hospital response capability. Prior to the meeting, members of the organizing committee will have compiled relevant background information and developed draft recommendations for how to measure key components and elements of surge capacity and emergency management in an objective and standardized way. At the meeting, they will review these draft recommendations with all 20 members of the expert panel. The expert panel will prioritize the different components of surge capacity and emergency management and discuss how best to develop a comprehensive but feasible (i.e. not unduly long or burdensome) tool. The expert panel will also discuss whether different components of surge capacity and emergency management should be equally weighted or if weights should be derived. This conference grant is viewed as a first step in the development of a method to measure hospital response capability for MCIs in a reliable and valid way.