Developing Metrics for Measuring Hospital Response Capability for Mass Casualty I

描述(申请人提供)：最近的9/11事件、炭疽袭击以及卡特里娜和丽塔飓风表明，美国医疗保健系统没有做好足够的准备来处理涉及平民的大规模伤亡事件(MCIS)。由于灾害最初需要地方应对，因此我们能够在全国数千个司法管辖区衡量地方一级的国内准备情况，这对公众的健康至关重要。在衡量地方一级的准备情况时，医院是卫生保健提供系统的中心核心单位。这次会议的总体目标是召集一个专家小组来制定衡量医院对大规模伤亡事件(MCI)的反应能力的指标。更具体地说，与会者将负责制定一种方法，并根据医院的正常运营能力、最大涌浪能力和应急管理计划，就量化医院反应能力的公式达成共识。2008年6月，应急管理、灾难医学、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。会议前，组委会成员将汇编相关背景资料，并就如何客观、标准化地衡量涌浪能力和应急管理的关键组成部分和要素制定建议草案。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。专家小组将确定增援能力和应急管理的不同组成部分的优先次序，并讨论如何最好地开发一个全面但可行(即不过分冗长或负担过重)的工具。专家小组还将讨论是否应对浪涌能力和应急管理的不同组成部分给予同等权重，或者是否应得出权重。这一会议赠款被视为开发一种方法的第一步，以可靠和有效的方式衡量MCIS的医院反应能力。

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.