Agency overview | |
---|---|
Formed | January 2009 |
Jurisdiction | United States of America |
Annual budget | $2.6 billion USD 2021 |
Parent department | U.S. Department of Health and Human Services |
Website | ASPR |
The Emergency Care Coordination Center (ECCC) is the policy home for the emergency care community within the federal government. It is charged with strengthening the U.S. response systems to better prepare for times of crisis. [1] It was established in January 2009.
The ECCC is within the Office of the Assistant Secretary for Preparedness and Response agency (ASPR), which is, in turn, overseen by the U.S. Department of Health and Human Services. Its charter was published in the Federal Register on Wednesday, April 29, 2009. [2] Its requested budget for 2021 was $2.6 billion. [3]
To lead the United States Government’s efforts to create an emergency care system that is patient- and community-centered, integrated into the broader healthcare system, high quality, and prepared to respond in times of public health emergencies. [4]
The ECCC supports the ASPR mission by focusing federal efforts on improvements to the delivery of daily emergency care that are the foundation of response to disasters and public health emergencies. The ECCC is an essential part of Office of Policy and Planning (OPP), [5] and the Division of Health System Policy (DHSP). [6]
The ECCC works in close coordination with the Federal Interagency Committee for Emergency Medical Services (FICEMS) and its supporting agency, the National Highway Traffic Safety Administration’s Office of Emergency Medical Services (EMS). [7] While FICEMS specifically focuses on issues relating to pre-hospital care, the ECCC and FICEMS work together to coordinate and align the efforts of the Federal Government throughout the entire spectrum of the emergency care system. [8]
In 2006, the Institute of Medicine’s (IOM) Committee on the Future of Emergency Care in the United States Health System released its findings on the state of the U.S. Emergency Care System in three volumes. The reports, titled Hospital-Based Emergency Care: At the Breaking Point; [9] Emergency Medical Services: At the Crossroads; [10] and Emergency Care for Children: Growing Pains [11] describe a system that is “overburdened,” “underfunded,” “highly fragmented,” and “increasingly unable to appropriately respond to the demands placed upon it each and every day.” [12] Recognizing the precarious state of the emergency care in the U.S., the IOM recommended the development of “regionalized, coordinated, and accountable emergency care systems throughout the country.” [13] The report also recommended that Congress “establish a lead agency for emergency and trauma care…housed in the Department of Health & Human Services (DHHS).” [14] Following the IOM report in 2007, Homeland Security Presidential Directive #21 mandated the creation of an office within DHHS that would “address the full spectrum of issues that have an impact on care in hospital emergency departments, including the entire continuum of patient care from pre-hospital to disposition from emergency or trauma care.” [15]
On December 4, 2013, Brendan G. Carr, MD, MA, MS was announced director of the ECCC, under Nicole Lurie at the ASPR, and remained under Robert Kadlec. [16] Dr. Carr is residency trained and board certified in emergency medicine, and completed fellowships in trauma and surgical critical care, as well as in health policy research at the University of Pennsylvania as a part of the Robert Wood Johnson Foundation’s Clinical Scholar program. Dr. Carr’s research focuses on the association between emergency care system design and outcomes for unplanned critical illness including trauma, stroke, and cardiac arrest. He remains clinically active, caring for patients in the Emergency Department. As of 2021, Nikki Bratcher-Bowman is the Acting Assistant Secretary. [17]
The United States Department of Health and Human Services (HHS) is a cabinet-level executive branch department of the U.S. federal government created to protect the health of the U.S. people and providing essential human services. Its motto is "Improving the health, safety, and well-being of America". Before the separate federal Department of Education was created in 1979, it was called the Department of Health, Education, and Welfare (HEW).
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.
A trauma center is a hospital equipped and staffed to provide care for patients suffering from major traumatic injuries such as falls, motor vehicle collisions, or gunshot wounds. A trauma center may also refer to an emergency department without the presence of specialized services to care for victims of major trauma.
The Strategic National Stockpile (SNS), originally called the National Pharmaceutical Stockpile (NPS), is the United States' national repository of antibiotics, vaccines, chemical antidotes, antitoxins, and other critical medical supplies. Its website states:
"The Strategic National Stockpile's role is to supplement state and local supplies during public health emergencies. Many states have products stockpiled, as well. The supplies, medicines, and devices for life-saving care contained in the stockpile can be used as a short-term stopgap buffer when the immediate supply of adequate amounts of these materials may not be immediately available."
A disaster medical assistance team (DMAT) is a group of professional medical personnel organized to provide rapid-response medical care or casualty decontamination during a terrorist attack, natural disaster, or other incident in the United States.
The National Disaster Medical System (NDMS) is a federally coordinated healthcare system and partnership of the United States Departments of Health and Human Services (HHS), Homeland Security (DHS), Defense (DOD), and Veterans Affairs (VA). The purpose of the NDMS is to support State, local, Tribal and Territorial authorities following disasters and emergencies by supplementing health and medical systems and response capabilities. NDMS would also support the military and the Department of Veterans Affairs health care systems in caring for combat casualties, should requirements exceed their capacity.
A public hospital, or government hospital, is a hospital which is government owned and is fully funded by the government and operates solely off the money that is collected from taxpayers to fund healthcare initiatives. In some countries, this type of hospital provides medical care free of charge to patients, covering expenses and wages by government reimbursement.
Howard University Hospital, previously known as Freedmen's Hospital, is a major hospital located in Washington, D.C., built on the site of Griffith Stadium, a former professional baseball stadium that served as the home field of the Washington Senators. The hospital has served the African American community in the Washington metropolitan area since its 1862 founding.
Good Samaritan Regional Medical Center is a 188-bed teaching hospital located in Corvallis, Oregon, United States. Founded in 1922, it is the only hospital in the city. The hospital operates a level II trauma center, and serves the Linn, Benton, and Lincoln County area. The hospital operates a number of residency training and fellowship programs for newly graduated physicians, psychologists, and pharmacists.
The Erlanger Health System, incorporated as the Chattanooga-Hamilton County Hospital Authority, a non-profit, public benefit corporation registered in the State of Tennessee, is a system of hospitals, physicians, and medical services based in Chattanooga, Tennessee. Erlanger's main location, Erlanger Baroness Hospital, is a tertiary referral hospital and Level I Trauma Center serving a 50,000 sq mi (130,000 km2) region of East Tennessee, North Georgia, North Alabama, and western North Carolina. The system provides critical care services to patients within a 150 mi (240 km) radius through six Life Force air ambulance helicopters, which are equipped to perform in-flight surgical procedures and transfusions.
The Biomedical Advanced Research and Development Authority(BARDA) is a U.S. Department of Health and Human Services (HHS) office responsible for the procurement and development of medical countermeasures, principally against bioterrorism, including chemical, biological, radiological and nuclear (CBRN) threats, as well as pandemic influenza and emerging diseases. BARDA was established in 2006 through the Pandemic and All-Hazards Preparedness Act (PAHPA) and reports to the Office of the Assistant Secretary for Preparedness and Response (ASPR). The office manages Project BioShield, which funds the research, development and stockpiling of vaccines and treatments that the government could use during public health emergencies such as chemical, biological, radiological or nuclear (CBRN) attacks.
In Ukraine, emergency medical services are provided by the Ukrainian Emergency Medical Services (UEMS), a special type of government rescue service, the main task of which is to provide free of charge medical assistance to victims, rescuers and any other persons who take part in the response to and/or recovery process after incidents of any kind.
The Administration for Strategic Preparedness and Response (ASPR) is an operating agency of the U.S. Public Health Service within the Department of Health and Human Services that focuses preventing, preparing for, and responding to the adverse health effects of public health emergencies and disasters. Its functions include preparedness planning and response; building federal emergency medical operational capabilities; countermeasures research, advance development, and procurement; and grants to strengthen the capabilities of hospitals and health care systems in public health emergencies and medical disasters. The office provides federal support, including medical professionals through ASPR’s National Disaster Medical System, to augment state and local capabilities during an emergency or disaster.
ChristianaCare is a network of private, non-profit hospitals providing health care services to all of the U.S. state of Delaware and portions of seven counties bordering the state in Pennsylvania, Maryland and New Jersey. The system includes two hospitals in Delaware, Wilmington Hospital and Christiana Hospital, and one in Maryland, ChristianaCare Union Hospital in Elkton. ChristianaCare operates the Helen F. Graham Cancer Center & Research Institute, the Center for Heart & Vascular Health, The Center for Women & Children's Health, and ChristianaCare HomeHealth, as well as the Eugene du Pont Preventive Medicine & Rehabilitation Center, and a wide range of outpatient and satellite services. ChristianaCare is headquartered in Wilmington, Delaware.
The Emergency Medical Services for Children (EMSC) program is a US federal government health initiative. It is administered by the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA), and the Maternal and Child Health Bureau (MCHB). Its aim is to reduce child and youth disability and death due to severe illness or injury by increasing awareness among health professionals, provider and planners and the general public of the special needs of children receiving emergency medical care.
Reading Hospital is a 738-bed non-profit teaching hospital located in West Reading, Pennsylvania. The hospital was established in 1867 and is a part of Tower Health System.
The Trauma Systems and Regionalization of Emergency Care Reauthorization Act is a bill that would amend the Public Health Service Act to authorize funding for public and private entities that provide trauma and emergency care services and for the administration of the Federal Interagency Committee on Emergency Medical Services (FICEMS).
Cook Children's Medical Center is a not-for-profit pediatric hospital located in Fort Worth, Texas. One of the largest freestanding pediatric medical centers in the U.S., Cook Children's main campus is located in Tarrant County. The hospital provides comprehensive pediatric specialties and subspecialties to infants, children, teens, and young adults aged 0–21 throughout the Dallas-Fort Worth metro and the greater region. Cook Children's also has an ACS verified level II pediatric trauma center. The hospital has a rooftop helipad for the critical transport of pediatric patients to and from the hospital.
The Pandemic and All-Hazards Preparedness and Advancing Innovation Act (PAHPAI) is legislation introduced and passed by the U.S. Congress in 2019 that aims to improve the nation's preparation and response to public health threats, including both natural threats and deliberate man-made threats.
Brendan G. Carr is an American medical doctor and professor. He is Professor and Endowed System Chair of Emergency Medicine at the Icahn School of Medicine at Mount Sinai and the Mount Sinai Health System.