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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> &gt; <a href="index.html" class="crumb_link">Disaster Alternate Care Facility Selection Tool</a> &gt; <a href="dacfrep.htm" class="crumb_link">Disaster Alternate Care Facilities: Selection and Operation</a> &gt; Appendix D</span></p>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
<h2>Appendix D: Alternate Care Facility Questionnaire&#8212;Summary of Results</h2>
<p><em>Notes</em>: Remarks in brackets [example] have been edited by the reviewing investigator to preserve confidentiality. No other changes have been made to survey data. The use of a period (.) in any field indicates no data was received from the survey respondent for that item. </p>
<table border="1" cellspacing="0" cellpadding="2">
<tr valign="top">
<th scope="col">Survey Question/Topic</th>
<th scope="col">Site 1</th>
<th scope="col">Site 1'</th>
<th scope="col">Site 2</th>
<th scope="col">Site 3</th>
<th scope="col">Site 4</th>
<th scope="col">Site 5</th>
<th scope="col">Site 6</th>
<th scope="col">Site 7</th>
<th scope="col">Site 8</th>
<th scope="col">Site 9</th>
</tr>
<tr valign="top">
<td scope="row">ACF Planned?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">ACF Actual?</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">ACF Location?</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>[REDACTED]</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">ACF Dates?</td>
<td>Sept 1, 2005&#8212;Sept 15, 2005</td>
<td>August 31-September 20, 2005</td>
<td>Sept 1-<br />
16, 2006</td>
<td>Immediate post-Katrina</td>
<td>.</td>
<td>Sept. 2&#8212;Oct. 14, 2005</td>
<td>September 2005</td>
<td>August 05</td>
<td>September/<br />
October 2005</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Number of ACF patients?</td>
<td>&gt;4500</td>
<td>Over 27,000 shelter evacuees with over 10,000 patients seen in clinic and over 13,000 immunizations given</td>
<td>&gt; 10,000</td>
<td>&gt; 6000 / 800 beds</td>
<td>&gt; 20,000</td>
<td>7500</td>
<td>200</td>
<td>700</td>
<td>340</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Number of ACF staff?</td>
<td>There were several sources of staff&#8212;for practical purposes I will only represent the outlay that [we] provided</td>
<td>unknown</td>
<td>7 common staff/1,000 workers</td>
<td>several hundred</td>
<td>400 pt 4-2 rest of the number 50</td>
<td>60-100 at any one time</td>
<td>100</td>
<td>Volunteers&#8212;several hundred Medical staff, in total given ~300 (some were transiently involved)</td>
<td>plus or minus 200</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Structure of Opportunity ACF?</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Structure of Opportunity Detail</td>
<td>[Clinic housed in convention center structure]</td>
<td>Convention center structure used for operations</td>
<td>Convention center, parking garage level</td>
<td>Gymnasium</td>
<td>.</td>
<td>.</td>
<td>Closed VA hospital</td>
<td>Former [redacted] box store</td>
<td>College gymnasium.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Portable ACF?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Mobile ACF?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Augmentation: Adult?</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Augmentation: Pediatric?</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Augmentation: <br />
Special Populations?</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Augmentation: Special Populations: Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Special needs population that required routine medical support. The acuity was similar to a nursing home.</td>
<td>.</td>
<td>COPD, asthma, diabetes</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Augmentation: <br />
Special Medical Needs?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Augmentation: Special Medical Needs: Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Reserved nursing home&#8212;did not receive/treat evacuated in-patients.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>COPD, asthma, diabetes</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Replacement: Adult?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Replacement: Pediatric?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Replacement: <br />
Special Populations?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Replacement: Special Populations: Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>VA pt., nursing home pt, ICU patients</td>
<td>Chronic disease&#8212;patients without meds or care for 1 week post-storm</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>If an incident such as pan flu or a hurricane strike necessitates it we would utilize an ACF for possible temporary replacement.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Replacement: <br />
Special Medical Needs?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Inpatient Replacement: Special Medical Needs: Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Hemodialysis, rescued nursing home pts, amputees</td>
<td>Ventilator pt</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Augmentation: Adult?</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Augmentation:<br />
Pediatric?</td>
<td>Yes&#8212;([Location] sent its Emergency Center (EC) for all practical purposes&#8212;it was an effort to prevent [Location] from exceeding its surge capacity)</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Augmentation: <br />
Public Health?</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement: Adult?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement:<br />
Pediatric?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Very minimal</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement: <br />
Special Populations?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement: Special Populations: Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>VA, nursing home, ICU</td>
<td>Chronic disease&#8212;patients without meds or care for 1 week post-storm</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement: <br />
Special Medical Needs?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement: Special Medical Needs: Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Ventilator patient</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Ambulatory Replacement: <br />
Shelter Support?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: <br />
Institutional/HC System?</td>
<td>Yes&#8212;With permission from [health dept] [Location] provided oversight of its staff, equipment, supplies, and pharmacy</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Nonprofit/Volunteer?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Local?</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Local: OEM?</td>
<td>Yes&#8212;provided the entire response including the ACF (both the [City] and [County])</td>
<td>Yes</td>
<td>Yes (provided admin support only)</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Local: Public Health?</td>
<td>Yes&#8212;County Health Dept was large part of the governance of the [site] and therefore they were incident command for the [clinic]</td>
<td>Yes&#8212;[County] Public Health &amp; Environmental Services</td>
<td>Yes (medical oversight)</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Local: Other?</td>
<td>.</td>
<td>Yes&#8212;[hospital district] </td>
<td>Yes (County hospital system; [system name])</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Shared responsibility between the hospitals, Emergency Management and Public Health with the use of State Medical Response Teams (similar to Federal DMAT) serving in a command role.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: State?</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Federal?</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Federal: DHHS?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Federal: PHS?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Federal: NDMS?</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>Yes</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Federal: DoD?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Governance: Federal: Other?</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Yes&#8212;and VA staff managed &amp; support.</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">ICS?</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>No&#8212;One already existed</td>
<td>Yes</td>
<td>Yes</td>
<td>No</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">ICS Model</td>
<td>[name redacted] did not set up an IC&#8212;[name redacted] did have their IC at the [site] and it was based on HICS</td>
<td>NIMS</td>
<td>Generic ICS</td>
<td>.</td>
<td>No&#8212;standard ICS for a DMAT</td>
<td>HICS &amp; NIMS</td>
<td>.</td>
<td>Not a formal one. [respondent identifying information redacted] Responsibility was divided with a &quot;deputy&quot; in charge of nursing, medicine, facility setup/management</td>
<td>NEMS</td>
<td>NIMS</td>
</tr>
<tr valign="top">
<td scope="row">IAP?</td>
<td>Don't know&#8212;we were not involved at that level of IC</td>
<td>Yes</td>
<td>No&#8212;medical operation provided intel and data to local emergency management agency.</td>
<td>No&#8212;not formally</td>
<td>No</td>
<td>Yes</td>
<td>No</td>
<td>Do not know what this is but if it involved a form, no.</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">IAP Frequency</td>
<td>.</td>
<td>Daily</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Daily</td>
</tr>
<tr valign="top">
<td scope="row">IAP Frequency&#8212;Other</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Not formally though a per 12 hours shift plan was produced, as well as daily OPS briefings</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>If needed one would be established for each 12 hour operational period (12 hours).</td>
</tr>
<tr valign="top">
<td scope="row">IAP Type</td>
<td>.</td>
<td>Previously prepared form</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>Previously prepared form</td>
<td>.</td>
<td>.</td>
<td>A form we created</td>
<td>Previously prepared form</td>
</tr>
<tr valign="top">
<td scope="row">Command Problems</td>
<td>Yes</td>
<td>Yes</td>
<td>No</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>No</td>
<td>No</td>
<td>No</td>
</tr>
<tr valign="top">
<td scope="row">Command Problem Detail</td>
<td>We were not invited to play initially&#8212;we just showed up&#8212;initially we were not noticed because of the chaos of the moment&#8212;the [name redacted] version of the medical director showed up on night one and began to move pedi pts through the system&#8212;[name] noticed us and felt like we knew what we were doing and gave us more space&#8212;we filled that...&#8212;when things calmed down [name] began to see us as a rogue clinic and made it clear that we had to operate within their IC rules [redacted]</td>
<td>Local government command &amp; control integrating with private partners (e.g. NGO's, CBO's, private partners, etc.)</td>
<td>.</td>
<td>Internal issues of authority and command. Did not impact us as responders from other State but caused issues between local, county, and State players</td>
<td>Above the commanders that came with the teams there was no one above there to give direction.</td>
<td>1st time tested; learning curve</td>
<td>No problem internal to the shelter&#8212;confusing command structure outside of the shelter</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">Transfer of Command</td>
<td>Verbal report<br />
Other</td>
<td>Verbal report<br />
Written report</td>
<td>Verbal report</td>
<td>Verbal report</td>
<td>Verbal report</td>
<td>Verbal report</td>
<td>Verbal report<br />
Written report</td>
<td>Verbal report</td>
<td>Verbal report<br />
Written report</td>
<td>Verbal report</td>
</tr>
<tr valign="top">
<td scope="row">Transfer of Command Detail</td>
<td>[Clinic] Medical Directors came from [location] so we formally checked out. [name] IC meetings were held twice daily and our main medical director was eventually invited and made the official [name] IC medical director for the [clinic]</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>N/A</td>
<td>.</td>
<td>.</td>
<td>.</td>
</tr>
<tr valign="top">
<td scope="row">How Open?</td>
<td>Two of our faculty showed up at the request of the news media to help with the response and noticed that there were only 2 pediatricians on site&#8212;hours later we were coordinating the pediatric response</td>
<td>State &amp; county elected officials made decision</td>
<td>Joint decision between OEM (city Office of Emergency Management), city EMS medical directors, and county public health authority.</td>
<td>Was already open. Local &amp; regional health care providers had staffed it for about 48 hours prior to our arrival</td>
<td>Federal deployment</td>
<td>Request via EMAC</td>
<td>N/A</td>
<td>Ask to do so by the State</td>
<td>E.O.C. contacted the M.O.C who contacted the Public Health Department</td>
<td>Assessment of surge impact.</td>
</tr>
<tr valign="top">
<td scope="row">Who Decides?</td>
<td>The physician who showed up and took command of the pedi clinic contacted the admin for [location] who then agreed to full out resource support of the effort.</td>
<td>Governor &amp; County Judge</td>
<td>Medical director of county public health dept (health authority)</td>
<td>Unknown</td>
<td>NDMS/DHS</td>
<td>State of [State Redacted]</td>
<td>N/A</td>
<td>An assistant to the Governor</td>
<td>Health Authority. After being asked by the fire chief.</td>
<td>Collective decision between the Incident Commander, the Emergency Manager, the Medical Director and the Health Department Director with hospital input.</td>
</tr>
<tr valign="top">
<td scope="row">How Close?</td>
<td>When it was clear that patient volume had dropped significantly, the med director from [Location] worked with [Locations] to relinquish control over the [clinic] to the [Location] and they sent a pedi medical director to take over (transitioned over one weekend). </td>
<td>Another impending Category 5 Hurricane was set to strike community&#8212;so shelter was closed &amp; residents evacuated.</td>
<td>Declined in shelter population as evacuees were placed in more permanent housing locations</td>
<td>After about 8-9 days patients were no longer arriving for care&#8212;and the patients we had were able to be shipped out</td>
<td>NDMS/DHS&#8212;all the patients had been evacuated</td>
<td>Demobilization plan prepared between [State] Office of EMS &amp; [State] Dept. of Health</td>
<td>N/A</td>
<td>The expected surge was directed elsewhere.</td>
<td>Once all evacuees had a safe place to be transferred to.</td>
<td>Collective decision between the ACF Commander, the Emergency Manager, the Medical Director, the Health Department Director and the hospitals.</td>
</tr>
<tr valign="top">
<td scope="row">Pre-Close Check?</td>
<td>Lack of patients</td>
<td>Ensuring all evacuees were relocated safely to other shelter facilities elsewhere</td>
<td>None</td>
<td>Local and regional health care facilities were decompressed enough to receive patients directly. Transfer of PMAC patients were completed</td>
<td>No more patients</td>
<td>Rebuilding and increased service delivery of the affected community hospital.</td>
<td>Patient load, discharge philosophy, shelter occupants desire to go home ASAP</td>
<td>There were no predetermined requirements</td>
<td>All evacuees had to have a safe home.</td>
<td>N/A</td>
</tr>
<tr valign="top">
<td scope="row">CONOPS?</td>
<td>Yes&#8212;remember that we were separate for the [site redacted] plan&#8212;we used our own concept of operations&#8212;50 years in the business of taking care of [patients]</td>
<td>Yes</td>
<td>No&#8212;we made it up as we went along</td>
<td>Yes and no; our initial ops plan did not entail such a large number of patients with so many needs</td>
<td>No</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes&#8212;although not written</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">NIMS/HICS Training?</td>
<td>No</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes&#8212;our own team did</td>
<td>Yes</td>
<td>No</td>
<td>Yes</td>
<td>No</td>
<td>Yes</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">Training %?</td>
<td>.</td>
<td>60</td>
<td>25</td>
<td>75</td>
<td>100</td>
<td>.</td>
<td>20</td>
<td>.</td>
<td>20</td>
<td>UND</td>
</tr>
<tr valign="top">
<td scope="row">EMTALA?</td>
<td>No</td>
<td>Unknown</td>
<td>No</td>
<td>No</td>
<td>No</td>
<td>No</td>
<td>No</td>
<td>No</td>
<td>No</td>
<td>Yes</td>
</tr>
<tr valign="top">
<td scope="row">EMTALA Detail</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>It was an evacuation&#8212;patients came from high centers which had nothing to us (aid station)</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>.</td>
<td>We anticipate there will be issues related to the use of non-hospital facilities and issues if hospitals send people to an ACF without a full assessment first.</td>
</tr>
<tr valign="top">
<td scope="row">Info Issues?</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>Yes</td>
<td>No</td>
<td>Yes</td>
<td>No</td>
<td>Yes</td>
</tr>
</table>
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