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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/prep/" class="crumb_link">Public Health Preparedness Archive</a> > <a href="." class="crumb_link">Reopening Shuttered Hospitals to Expand Surge Capacity</a></span></p>
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<td><h1>Reopening Shuttered Hospitals to Expand Surge Capacity</h1></td>
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<td><div id="centerContent"><p><strong>Public Health Emergency Preparedness</strong></p> <div class="headnote">
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<p>This resource was part of AHRQ's Public Health Emergency Preparedness program, which was discontinued on June 30, 2011, in a realignment of Federal efforts.</p>
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<h2>With Detailed Appendix on Legal and Regulatory Issues</h2>
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<p><strong>Prepared for:</strong></p>
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<p>Agency for Healthcare Research and Quality<br />
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IDSRN Task Order #8</p>
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<p><strong>Prepared by:</strong></p>
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<p>Abt Associates Inc.<br />
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Andrea Hassol, Project Director and Co-Investigator</p> <p>Partners Healthcare System<br />Richard Zane, M.D., Co-Investigator</p>
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<a id="Contents" name="Contents"></a>
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<h2>Contents</h2>
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<p> <a href="shuthospsum.htm">Executive Summary</a><br />
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<a href="shuthosp1.htm">1.0 Background and Introduction</a><br />
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<a href="shuthosp1.htm#1.1">1.1 Hospital Surge Capacity</a><br />
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<a href="shuthosp1.htm#1.2">1.2 Use of Shuttered Facilities to Expand Surge Capacity</a><br />
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<a href="shuthosp1.htm#1.3">1.3 How Much Additional Capacity is Needed?</a><br />
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<a href="shuthosp1.htm#1.4">1.4 Facility Selection</a><br />
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<a href="shuthosp1.htm#1.5">1.5 Assumptions for Reopening Shuttered Hospital as a Surge Facility</a><br />
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<a href="shuthosp1.htm#1.6">1.6 Planning Phases</a><br />
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<a href="shuthosp1.htm#1.7">1.7 Report Organization</a><br />
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<a href="shuthosp2.htm">2.0 Facility Structure and Status</a><br />
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<a href="shuthosp2.htm#2.1">2.1 Location and Access</a><br />
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<a href="shuthosp2.htm#2.2">2.2 Building Security and Life Safety Systems</a><br />
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<a href="shuthosp2.htm#2.3">2.3 Structural Components</a><br />
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<a href="shuthosp2.htm#2.4">2.4 Utilities</a><br />
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<a href="shuthosp2.htm#2.5">2.5 Water and Plumbing</a><br />
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<a href="shuthosp2.htm#2.6">2.6 Containment and Wastes</a><br />
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<a href="shuthosp2.htm#2.7">2.7 Services</a><br />
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<a href="shuthosp2.htm#2.8">2.8 Patient Care Spaces and Patient Care Needs</a><br />
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<a href="shuthosp2.htm#2.9">2.9 Non-Patient-Care Spaces</a><br />
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<a href="shuthosp2.htm#2.10">2.10 IT/Communications</a><br />
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<a href="shuthosp2.htm#2.11">2.11 Summary</a><br />
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<a href="shuthosp2.htm#2.12">2.12 Preparing to Open a Partially-Shuttered Hospital</a><br />
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<a href="shuthosp3.htm">3.0 Equipment and Supplies</a><br />
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<a href="shuthosp3.htm#3.1">3.1 Shuttered Hospitals' Existing Equipment</a><br />
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<a href="shuthosp3.htm#3.2">3.2 Procuring Equipment, Supplies and Associated Support</a><br />
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<a href="shuthosp4.htm">4.0 Staffing Considerations</a><br />
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<a href="shuthosp4.htm#4.1">4.1 Skills Needed, by Staff Type</a><br />
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<a href="shuthosp4.htm#4.2">4.2 Federal and State Regulations on Staffing</a><br />
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<a href="shuthosp4.htm#4.3">4.3 Staff Types Needed in a Surge Situation</a><br />
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<a href="shuthosp4.htm#4.4">4.4 Typical Staffing Ratios and Community Hospitals and SNFs</a><br />
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<a href="shuthosp4.htm#4.5">4.5 Staff Organization</a><br />
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<a href="shuthosp4.htm#4.6">4.6 Staffing Based on the Modular Emergency Medical System Acute Care Center</a><br />
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<a href="shuthosp4a.htm#4.7">4.7 Preparing to Staff a Surge Facility</a><br />
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<a href="shuthosp4b.htm#4.8">4.8 Licensing, Credentials and Privileging Issues</a><br />
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<a href="shuthosp4b.htm#4.9">4.9 Orientation and Training</a><br />
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<a href="shuthosp4b.htm#4.10">4.10 Summary</a><br />
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<a href="shuthosp5.htm">5.0 Patient Transport</a><br />
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<a href="shuthosp5.htm#5.1">5.1 Surge Facility Location and Route</a><br />
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<a href="shuthosp5.htm#5.2">5.2 Preparing Patients for Transport</a><br />
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<a href="shuthosp5.htm#5.3">5.3 Appropriate Transport Vehicles</a><br />
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<a href="shuthosp5.htm#5.4">5.4 Regulatory Issues</a><br />
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<a href="shuthosp5.htm#5.5">5.5 Preparing for Patient Transportation</a><br />
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<a href="shuthosp6.htm">6.0 Security</a><br />
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<a href="shuthosp6.htm#6.1">6.1 Security Needs</a><br />
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<a href="shuthosp6.htm#6.2">6.2 Preparing to Open a Shuttered Facility</a> <br />
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<a href="shuthosp7.htm">7.0 Patient Information</a><br />
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<a href="shuthosp8.htm">8.0 Conclusions</a><br />
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<a href="shuthospref.htm">References</a><br />
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<a href="shuthospapa.htm">Appendix A: List of Supplies and Equipment Needed for Operation of a Shuttered Facility</a><br />
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<a href="shuthospapb.htm">Appendix B: Preliminary "Basic" Pharmacy List</a><br />
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<a href="shuthospapc.htm">Appendix C: RN Nursing Skills for Possible Delegation</a><br />
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<a href="shuthospapd.htm">Appendix D: Legal & Regulatory Issues</a></p>
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<p class="size2"><em>AHRQ Publication No. 06-0029<br />Current as of February 2006</em></p>
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<p class="size2"><strong>Internet Citation:</strong></p>
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<p class="size2"><em>Reopening Shuttered Hospitals to Expand Surge Capacity</em>. AHRQ Publication No. 06-0029, February 2006. Agency for Healthcare Research and Quality, Rockville, MD. https://www.ahrq.gov/research/shuttered/shuthosp.htm</p>
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