Healthcare Coalition Pediatric Surge Annex Template

The 2019-2023 HPP Funding Opportunity Announcement (FOA) requires Healthcare Coalitions (HCCs) to develop a complementary coalition-level Pediatric Annex to its base medical surge/trauma mass casualty response plan to improve capacity and capabilities to manage a large number of casualties that are children.

According to the 2017-2022 Health Care Preparedness and Response Capabilities, HCCs “should promote…members’ planning for pediatric medical emergencies and foster relationships and initiatives with emergency departments that are able to stabilize and/or manage pediatric medical emergencies” (Capability 4, Objective 2, Activity 4).

This pediatric-focused operational annex is meant to be an annex to a coalition’s HCC Response Plan. It is intended to be a high-level response plan, identifying the experts and specialized resources that exist within the HCC, the mechanisms/ processes that will be used to determine which patients go to which facilities, and an understanding of how many children each facility will need to plan to receive.

Each facility is encouraged to develop more detailed plans that support their individual operations, but that level of detail is not necessary in this annex. This template provides general headers and descriptions for a sample HCC Pediatric Surge Annex Template.

The resources used to develop this template include sample HCC plans and the Health Care Preparedness and Response Capabilities. View the template.

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