title: Hospital-based coalition to improve regional surge capacity.
abstract: BACKGROUND
  Surge capacity for optimization of access to hospital beds is a limiting factor in response to catastrophic events. Medical facilities, communication tools, manpower, and resource reserves exist to respond to these events. However, these factors may not be optimally functioning to generate an effective and efficient surge response. The objective was to improve the function of these factors.
  
  
  METHODS
  Regional healthcare facilities and supporting local emergency response agencies developed a coalition (the Healthcare Facilities Partnership of South Central Pennsylvania; HCFP-SCPA) to increase regional surge capacity and emergency preparedness for healthcare facilities. The coalition focused on 6 objectives: (1) increase awareness of capabilities and assets, (2) develop and pilot test advanced planning and exercising of plans in the region, (3) augment written medical mutual aid agreements, (4) develop and strengthen partnership relationships, (5) ensure National Incident Management System compliance, and (6) develop and test a plan for effective utilization of volunteer healthcare professionals.
  
  
  RESULTS
  In comparison to baseline measurements, the coalition improved existing areas covered under all 6 objectives documented during a 24-month evaluation period. Enhanced communications between the hospital coalition, and real-time exercises, were used to provide evidence of improved preparedness for putative mass casualty incidents.
  
  
  CONCLUSIONS
  The HCFP-SCPA successfully increased preparedness and surge capacity through a partnership of regional healthcare facilities and emergency response agencies.
authors: Pennsylvania State University College of Medicine, Department of Emergency Medicine, Hershey, Pennsylvania.
authors: Thomas E
authors: TE
authors: Terndrup
authors: James M
authors: JM
authors: Leaming
authors: R Jerry
authors: RJ
authors: Adams
authors: Spencer
authors: S
authors: Adoff