General Information

Pandemic H1N1 Update
CHA presents testimony on hospital preparedness

CHA presented the attached testimony Aug. 27 before the Legislature on hospital preparedness and response related to the 2009 H1N1 influenza pandemic.

State Health Officer Letter on H1N1

California Department of Public Health (CDPH) Director Mark Horton, M.D., issued the attached letter Aug. 25 stating, “While none of us can predict the course of the novel H1N1 influenza outbreak, it has the potential to sicken millions of people in our state in the months ahead; as many as 1 in 4 Californians may be affected. All of us must prepare for the disruptions the novel H1N1 influenza virus may have on our daily lives.”

CDPH H1N1 Vaccine Website for Health Care Providers

CDPH will launch its Pandemic H1N1 Influenza Vaccine website — — on Sept. 1. The website will allow local health departments, providers and public health partners to pre-register for vaccine, order vaccine and report H1N1 vaccine usage. The website will also post updated vaccine information and available resources.

EMTALA H1N1 Triage Requirements

EMTALA requirements and options for hospitals experiencing an extraordinary surge in demand for emergency department (ED) services have been developed to assist hospitals and their communities in planning for a potential surge in ED volume this fall related to H1N1 influenza. A copy of the Centers for Medicare & Medicaid Services document is attached.

HHS Survey on Mechanical Ventilators

The American Association for Respiratory Care (AARC) is surveying all U.S. hospitals to obtain an accurate count of mechanical ventilators available as the nation braces for the H1N1 flu virus this fall. The survey is being conducted for the Department of Health and Human Services’ Office of Preparedness and Response. Information on completing the survey was sent to hospital respiratory care or critical care service managers. The deadline to submit the survey is Aug. 30. To respond to the survey, visit the AARC website at

ESCAPE Crisis Care Project

According to draft guidelines for the Enhancing Surge Capacity and Preparedness Effort (ESCAPE) Crisis Care Project, “the development of crisis care guidelines for delivering critical care to compliment other elements of the ESCAPE Partnership is paramount. After a Multi-Casualty Incident (MCI), the early states of patient surge become evident, and thus adequate planning, preparation and mitigation are essential in order to develop the best response. In particular, patient care must be delivered in a uniform manner, with equality to access and level of care at all partnership sites.” Comments on the draft guidelines are due Sept. 7. For a copy of the guidelines, visit the UC Davis Health System website at

National Strategic Plan for ED Management of H1N1

The National Strategic Plan for Emergency Department Management of Outbreaks of Novel H1N1 Influenza has been developed in collaboration with the Office of the Assistant Secretary for Preparedness and Response, Emergency Care Coordination Center and American College of Emergency Physicians. For a copy, visit CHA’s Emergency Preparedness website at, under “Articles and Reports.”

MCN Policy Manual Subscription

The deadline for hospitals to verify their MCN Healthcare Emergency Management and Bioterrorism Manual and Pandemic Influenza Guide subscriptions has been extended to Aug. 31. The three-year subscription was offered through CHA’s Hospital Preparedness Program to assist general acute-care hospitals with developing and/or updating their Emergency Operation Plans. To confirm a subscription, visit CHA’s Emergency Preparedness website at