NSPS Care Delivery Network - Tier C Capabilities Input Survey

The National Special Pathogen System of Care (NSPS) leadership are asking for your feedback and expertise to help us define minimum operational capabilities for facilities in a national Care Delivery Network to support initial assessment, provision of care, and diagnostics. You were nominated to receive this survey by your RESPTC leader or NETEC given your expertise and perspective to offer to this subject.
 
Facilities in the NSPS Care Delivery Network are envisioned to be a part of a national, tiered, coordinated response network for patients suspected of or infected by a special pathogen. The Tiers range from Tier A (the most specialized) to Tier D (the most accessible). The NSPS Care Delivery Network leadership are focused on building out the minimum viable capabilities for Tier C (see additional details in graphic below).

In this survey, we share initial ideas proposed for an overview of Tier C and its minimum viable capabilities. We would greatly appreciate your feedback, specifically what you would add, edit, or remove from the descriptions listed. 
 
We anticipate this survey taking 10-20 minutes. Sharing your name is optional so if you would prefer for your answers to be anonymous you can skip that question.


To learn more about the NSPS and the Care Delivery Network, please visit NETEC's website: https://netec.org/nsps/

Demographics

Optional (to help with survey answer tracking): First and Last Name

Optional (to help with survey answer tracking): Facility / Organization

Tier C Description

Do you agree with the Tier C description listed below? What would you add, edit, or remove?
 
Tier C Description (Approx.200-300 facilities across the U.S.): Tier C facilities provide assurance of the ability to safely stabilize patients and to obtain diagnostic testing in support of the goal of improving patient outcomes and safety nationwide.
 
Tier C facilities are accessible to nearby Tier D facilities and are able to receive transfer of PUIs within two hours time. Tier C facilities can safely identify, isolate, initiate stabilizing medical care, and deliver limited basic clinical testing, and inform local public health authorities. Tier C facilities maintain transfer relationships with Tier B and A facilities to support inpatient care for PUIs who rule-in for HCIDs. 
 
Duration of time to care for patient: Safely provide medical care for up to 12-36 hours; should initiate transfer after stabilization if/when the PUI rules in for an HCID and/or potentially meets other criteria for transfer.

Tier C Capabilities

In this section, we have outlined high-level descriptions of Tier C capabilities by category. We will ask you if you agree with the description of capabilities and what you would add, edit, or remove for each category.

Do you agree with the information listed below? What would you add, edit, or remove?
 
Medical assessment and care
- Can safely identify and isolate patients with possible special pathogen infections (PUIs)
- Can safely receive and isolate PUIs from Tier D facilities
- Can safely evaluate PUIs, initiate basic care (IV start, phlebotomy, IV abx, IV fluids), imaging, and monitor care (VS)
- Can safely provide medical care for up to 12-36 hours

Do you agree with the information listed below? What would you add, edit, or remove?
 
Physical Infrastructure
- ED or other accessible space has appropriate, accessible isolation space (at least a single isolation space/neg pressure room)

Do you agree with the information listed below? What would you add, edit, or remove?
 
Personal Protective Equipment
- Have PPE supply cache for eval (consider cache for up to 96 hours or up to 3 PUIs within a 7-day period for up to 12h)

Do you agree with the information listed below? What would you add, edit, or remove?
 
Hospital Infection Prevention
- Hospital infection preventionist fully engaged in program design, training, and exercising

Do you agree with the information listed below? What would you add, edit, or remove?
 
Hospital Emergency Management
- Collaborates with nearby Tier D, B, and A facilities to develop referral and transfer agreements and systems
- Collaborates with state/local public health agencies and EMS to develop and test coordinated transfer plans

Do you agree with the information listed below? What would you add, edit, or remove?
 
Waste Management
- Safely sequester waste until lab results available

Do you agree with the information listed below? What would you add, edit, or remove?
 
Training and Exercises
- Has on-site clinical staff 24/7 trained in safe treatment and care
- Has trained environmental staff on call
- Conducts regular exercises
- Clinical staff can safely don and doff PPE

Do you agree with the information listed below? What would you add, edit, or remove?
 
Laboratory
- Able to test basic electrolytes
- Able to test for malaria (Binax or other)
- Be able to safely collect/send samples to state and Centers for Disease Control and Prevention (CDC) labs
 

Is there anything else you would add as we consider the minimum viable capabilities for Tier C facilities in the NSPS Care Delivery Network?

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