ASPR HPP Grant

This document provides guidance to local health departments (LHD) and Local Hospital Preparedness Program (HPP) Entities for 2009-10, on applying for federal public health emergency preparedness (PHEP) funds and H1N1 supplemental funds issued by Centers for Disease Control and Prevention (CDC) and HPP and the State GF monies. In order to ensure greater coordination of separate funding streams and maximize integration of funds, CDPH is issuing a single guidance and Comprehensive Agreement for all funding sources available as of the date of issuance of this guidance.

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The Office of the Assistant Secretary for Preparedness and Response (ASPR), Office of Preparedness and Emergency Operations (OPEO), Hospital Preparedness Program (HPP), requests applications for State and jurisdictional hospital preparedness cooperative agreements (CA), as authorized by section 319C-2 of the Public Health Service (PHS) Act, as amended by the Pandemic and All-Hazards Preparedness Act (PAHPA) (P.L. 109-417). This authorizes the Secretary of Health and Human Services (HHS) to award competitive grants or cooperative agreements to eligible entities to enable such entities to improve surge capacity and enhance community and hospital preparedness for public health emergencies.

The Consolidated Appropriations Act, 2008, provides funding for these awards (P.L. 110-161). Surge capacity is defined as the ability of a healthcare system to adequately care for increased numbers of patients. In 2003, as a planning target HPP defined surge capacity for beds as 500 beds/million population. In 2006, the HPP also defined surge capability as the ability of healthcare systems to treat the unusual or highly specialized medical needs produced as a result of surge capacity.

The HPP started to lay out a series of capabilities that all healthcare organizations participating in this program must possess and this funding opportunity announcement continues to clarify those capabilities.The majority of federal funds (ideally seventy-five percent or more) should be distributed to healthcare facilities. Healthcare facilities are defined broadly as any combination of the following: outpatient facilities and centers (e.g., behavioral health, substance abuse, urgent care), inpatient facilities and centers (e.g., trauma, state and federal veterans, long-term, children's, tribal), and other entities (e.g., poison control, emergency medical services, nursing).

The activities and funding provided through the CA are for the purposes of exercising and improving preparedness plans for all hazards including pandemic influenza.The awardee should work with all potential sub-awardees to develop activities that clearly integrate and enhance preparedness activities with the overall effect of making healthcare systems function in more efficient, resilient, and coordinated manners.Awardees are reminded that these funds are to be used to supplement and develop not supplant current resources supporting healthcare preparedness.

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The federal Hospital Preparedness Program (HPP) enhances the ability of hospitals and health care systems to prepare for and respond to bioterrorism and other public health emergencies. Current program priority areas include interoperable communication systems, bed tracking, personnel management, fatality management planning and hospital evacuation planning. During the past five years HPP funds have also improved bed and personnel surge capacity, decontamination capabilities, isolation capacity, pharmaceutical supplies, training, education, drills and exercises.

Hospitals, outpatient facilities, health centers, poison control centers, EMS and other healthcare partners work with the appropriate state or local health department to acquire funding and develop healthcare system preparedness through this program. Funding is distributed directly to the Health Department of the State or political subdivision of a State (cities and counties are considered political subdivisions of States).

Local Guidance Documents:

• Local Guidance - Narrative
• Attachment 1: 2008-2009 Local Allocations
• Attachment 2: HPP Budget Allocation Breakdown
• Attachment 3: Local Public Health Emergency Preparedness Priorities
• Attachment 11: Local HPP Entity 2008-09 Workplan
• Attachment 12: 2008-09 HPP Participating Healthcare Facilities Form
• Attachment 13: NIMS Tracking Tool
• Attachment 14: CHA AAR - HPP Drills Exercises Report Form
• Attachment 15: Hospital Incident Command System Acronyms
• Attachment 16: 2008-09 HPP Budget
• Attachment 17: Training Drill and Exercises Form

The Office of the Assistant Secretary for Preparedness and Response (ASPR), Office of Preparedness and Emergency Operations (OPEO), Hospital Preparedness Program (HPP), requests applications for State and jurisdictional hospital preparedness cooperative agreements (CA), as authorized by section 319C-2 of the Public Health Service (PHS) Act, as amended by the Pandemic and All-Hazards Preparedness Act (PAHPA) (P.L. 109-417).

This authorizes the Secretary of Health and Human Services (HHS) to award competitive grants or cooperative agreements to eligible entities to enable such entities to improve surge capacity and enhance community and hospital preparedness for public health emergencies. The Consolidated Appropriations Act, 2008, provides funding for these awards.

• Federal Guidance Document