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Area of Science:

  • Healthcare preparedness and disaster response.
  • Public health policy and emergency management.

Background:

  • The National Disaster Medical System (NDMS) has limited capacity for mass-casualty surge events.
  • The COVID-19 pandemic highlighted the vulnerability of the US healthcare system to overwhelming patient influx.

Purpose of the Study:

  • To propose the inclusion of post-acute care (PAC) entities into the NDMS to bolster capacity during mass-casualty surges.
  • To evaluate the suitability of PAC entities in supporting the healthcare system during large-scale emergencies.

Main Methods:

  • Review of the unique capabilities and functions of PAC entities.
  • Analysis of evidence regarding PAC entities' roles in national emergencies.
  • Examination of federal emergency preparedness requirement changes impacting PAC entities.

Main Results:

  • PAC entities traditionally support over-capacity hospitals by housing stabilized patients.
  • PAC entities can adapt functions to support broader community response efforts.
  • Recent regulatory changes enhance PAC entities' disaster response capabilities, with ongoing NDMS pilot programs showing promise.

Conclusions:

  • PAC entities are well-positioned to increase NDMS capacity for mass-casualty events.
  • Challenges include limited PAC staffed beds, ambulance availability, and staffing shortages.
  • Addressing these challenges is crucial for successful integration into the NDMS.