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ASPR TRACIE–Developed Resources

Since ASPR TRACIE’s launch in 2015, our staff and Subject Matter Expert Cadre have developed resources to support healthcare system preparedness, public health preparedness, and disaster clinical professionals plan for, respond to, and recover from all hazards disasters and emergencies. This page provides a comprehensive list with hyperlinks to all ASPR TRACIE-developed materials.

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Resource Pages
CBRN Resources Page
CMS EP Rule
Countries Experiencing Conflict Resources Page
COVID-19 Resources
Crisis Standards of Care Resources
Cybersecurity Resource Page
Disaster Behavioral Health Resources Page
EMS
Healthcare Coalitions
Healthcare System Partners and Medical Surge
Hurricanes
Infectious Diseases
Mass Violence Resources Page
Medical Operations Coordination Centers (MOCCs)
Medical Product Shortages and Scarce Resources
Mpox Resources
Pediatric Surge Resources
Behind the Response: Experiences from the Field
Active Shooter/Mass Violence
Active Shooters: A Hospital Security Director Reflects on a Decade of Changes
Jacksonville Shooting: Fire Department Response to the Incident
Lessons Learned from the Pulse Nightclub Shooting: An Interview with Staff from Orlando Regional Medical Center
Mass Shootings and Rural Areas
Pre-Hospital Considerations in No-Notice Incidents
The Role of Non-Trauma Hospitals in No-Notice Incidents
Trauma Hospitals and Mass Shootings
Behavioral Health
Adding Alternatives: Complementary Practices and Considerations
Coping on the Front Lines of a Pandemic: Understanding and Managing COVID-19 Stressors
Disaster Behavioral Health: What do the Feds Do?
Florida's Integrated Disaster Behavioral Health Response: The Pulse Nightclub Shooting
Healing After a Traumatic Incident: A Responder's Perspective
Helping the Helpers-Building Responder Resilience
Pandemic Workforce Well-being: Recognizing Stressors and Supporting Our Own
Plan, Do, Check Act: Managing COVID-19 in New Orleans
Support for Overstretched Clinicians During the Ongoing Pandemic: Literature and Practice
Supporting Healthcare Professionals in Times of Disaster: Reflections on “At-Risk Employees”
Total Force Fitness through HOPE: Applying Warrior Principles to Healthcare
Understanding Stress and Taking Care of Each Other (and, In Turn, Ourselves)
Chemical Hazards
Chemical Hazards Preparedness and Response Tools
Next Generation Nerve Agents: Symptoms, Treatment, and Lessons Learned
The Effect of Chemical Incidents on First Responders
The Effect of Chemical Incidents on Hospitals
Civil Unrest
Civil Unrest During a Pandemic-Notes from Minneapolis
Healthcare Preparation for and Response to Local Civil Unrest
Crisis Standards of Care
Crisis Standards of Care and COVID-19
Crisis Standards of Care-The Illinois Initiative
Ethical Dilemmas During and Beyond COVID-19
Ethical Issues Related to COVID-19 Treatments
Issue 15: Ethics in Healthcare during Disasters
You Can't Always Get What You Want
Evacuation
Applying Lessons Learned to Hospital Evacuation
Evacuating a Region: How a Healthcare Coalition Helped Evacuate 1504 Patients from 45 Facilities after Hurricane Harvey
Evacuating and Receiving Patients in the Midst of a Wildfire
Evacuating, Treating, and Tracking People on Dialysis
Experiences from the Field: The Signature Healthcare Brockton Hospital Fire
Hospital Evacuation during a Wildfire and Pandemic: Avista Adventist Shares their Experience
The Last Stand: Evacuating a Hospital in the Middle of a Wildfire
When Hospitals Become Islands: One Facility's Evacuation Story
Extreme Weather
Extreme Heat Events: Lessons from Seattle’s Record-Breaking Summers
Supporting the Community through Historic Flooding: Central Vermont Medical Center’s 2023 Experience
Fatality Management
COVID-19 Decedent Management: Experiences from New York City
COVID-19 Decedent Management: MI-MORT in Action
Disaster Mortuary Operational Response Teams in Action: The Role of DMORT in Natural Disasters, Pandemics, and Beyond
Fatality Management and Mass Gatherings: Looking Back at the Route 91 Harvest Festival Shooting
Fatality Management in Rural Areas: How One Justice of the Peace Oversaw the Uvalde School Shooting
Healthcare Coalitions
Healthcare Coalitions-The Past and the Future
New HPP Capabilities Emphasize Healthcare Response
Healthcare Safety/Operational Considerations
Ensuring Healthcare Safety Throughout the COVID-19 Pandemic
Healthcare Provider Shortages-Resources and Strategies for Meeting Demand
Hospital Incident Command and Scalability in a Pandemic: Notes from the Field
Trends, Policies, and Protocols Related to Healthcare Workplace Violence
Violence in the Emergency Department: Strategies for Prevention and Response
Hospice
Hospice and Emergency Preparedness: Experiences from the Field
Miscellaneous
How the Private Sector Helps Dialysis Patients and Clinics Prepare for and Respond to Disasters
Lessons Learned in Health Care Communications
Managing Blood Supply, Demand, and Donations in a Disaster
Extreme Weather and Healthcare – Are you Ready for a Burn Disaster?
Nutrition and Meal Plans-An Often Neglected Pillar of Healthcare Emergency Planning
The Opioid Crisis-How Can Coalitions Help?
Patient Surge
Alternative Care Sites-The Federal Experience in New York City
Augmenting Rural Hospital Capacity in California: Lessons Learned from COVID-19
COVID-19 and Urgent Care Centers: Lessons Learned for the Future
COVID-19 and Tribal Hospitals: Tuba City Regional Health Care Corporation
Managing a Pediatric Tripledemic: Lessons Learned from 2022
Managing Patient Surge in Rural Areas: Experiences from Gallup Indian Medical Center
Medical Operations Coordination Centers (MOCC)/Patient Load-Balancing: Summary of Lessons Learned during COVID-19
Moving Patients in a Pandemic: A Hybrid California Model Rescues Overwhelmed Hospitals
The Evolution of Patient Load Balancing: The Southwest Texas Regional Advisory Council
Pharmacy
The Advancing and Evolving Role of Pharmacy in Preparedness and Response
The Pharmacy Response to Patient Surge
Telehealth
Telehealth in Alternate Care Sites: Ensuring Patient Care and Staff Safety in Massachusetts
Utility Outages
Challenges and Considerations for Healthcare Facilities and Residents Affected by Planned Power Outages
Crisis in Mississippi: The Emergency Management and Hospital Response to the City of Jackson's Water Outage
Going with No Flow: Coping with Hospital Water Supply Issues
Identifying and Overcoming Healthcare Communications Vulnerabilities: Nashville, TN
Impacts of Planned and Unplanned Power Disruptions on California's Public Health and Medical Systems
Lessons Learned from the Medstar Health System Outage
Managing the Storm After the Storm: Healthcare in TX Recovers from Severe Winter Weather
No-Notice Health Care Facility Water Loss: HCA Houston Healthcare Tomball's Experience
Sudden Water Loss and Actionable Considerations
The Hurricane Ian Experience at Lee Health: Wreckage, Resilience, and Recovery
Wildfires
Hospital Evacuation during a Wildfire and Pandemic: Avista Adventist Shares their Experience
Recovery in Butte County a Year After the Camp Fire
Shelter from the (Fire) Storm: Sonoma County's Experience
Wildfires and Public Safety Planned Shutoffs: Napa County’s Experience
Comprehensive Topic Collections
Communications
Decontamination
Emergency Management
Healthcare Coalitions
Location-Specific Collections
Recovery and COOP
Specific Hazards
The Exchange
The Exchange, Issue 1
Issue 2: Cybersecurity and Cyber Hygiene
Issue 3: Preparing For and Responding to No-Notice Events
Issue 4: Disaster Behavioral Health and Resilience
Issue 5: Looking Back, Looking Forward
Issue 6: Evacuating Healthcare Facilities
The Exchange, Issue 7: Providing Healthcare During No-Notice Incidents
Issue 8: Supporting Hospital Surge—Meeting Patient and Staff Needs
Issue 9: Preparing for and Responding to Chemical Incidents
Issue 10: Preparing for and Responding to Wildfires and Planned Outages
Issue 11: COVID-19 Lessons Learned
Issue 12: COVID-19 and Healthcare Professional Stress and Resilience
Issue 13: The Work of Hospital Allied and Supportive Care Providers During COVID-19
Issue 14: The Impact of Civil Unrest and Workplace Violence on Healthcare
Issue 15: Ethics in Healthcare during Disasters
Issue 16: Decedent Management during Disasters
Issue 17: Health Care Facility Water and Other Utility Outages
Issue 18: Innovations in Health Care Surge Capacity Management
Issue 19: Extreme Weather and Healthcare--Lessons Learned and Considerations for the Future
The Express
2024
The Express: January 2024
The Express: February 2024
The Express: March 2024
The Express: May 2024
The Express: July 2024
The Express: September 2024
The Express: October 2024
The Express: November 2024
Access issues of The Express from 2016-2023
Tip Sheets and Fact Sheets
Crisis Standards of Care
ASPR TRACIE Crisis Standards of Care Briefs-Summary
Emergency Prescription Assistance Program
Emergency Prescription Assistance Program (EPAP): Overview Fact Sheet
Emergency Prescription Assistance Program (EPAP): Hurricane Gustav Data Fact Sheet
Emergency Prescription Assistance Program (EPAP): Hurricane Ike Data Fact Sheet
Emergency Prescription Assistance Program (EPAP): Hurricanes Irma and Maria, Puerto Rico Data Fact Sheet
Emergency Prescription Assistance Program (EPAP): Hurricanes Irma and Maria, USVI Data Factsheet
Emergency Prescription Assistance Program (EPAP) Louisiana Floods Data Fact Sheet
Emergency Prescription Assistance Program (EPAP): Natural Disasters Activation 2018
Emergency Prescription Assistance Program (EPAP): Superstorm Sandy Data Fact Sheet
Federal Patient Movement
Federal Patient Movement: Overview Fact Sheet
Noble Lifesaver Patient Movement Workshop: Promising Practices and Lessons Learned
Infectious Disease
Considerations for the Use of Temporary Care Surge Sites for Managing Seasonal Patient Surge
EMS Infectious Disease Playbook
Step Care for Ebola/Viral Hemorrhagic Fever Patients: Guidance for International Field Hospitals
Zika Virus Planning Considerations for Healthcare Facilities and Coalitions
Zika: Resources at Your Fingertips
Legal Resources
1135 Waiver Information
EMTALA and Disasters
HIPAA and Disasters: What Emergency Professionals Need to Know
Mass Casualty/No-Notice Incidents
Burn Mass Casualty Incidents: Triage, Assessment, and Treatment Considerations
Mass Casualty Trauma Triage: Paradigms and Pitfalls
Mass Shooting/ No-Notice Incident After-Action Interview Guide: Medical Resource Requirements
Mass Violence/Active Shooter Incidents: Community Response and Media Management
Mass Violence/Active Shooter Incidents: EMS Considerations
Mass Violence/Active Shooter Incidents: Expanding Traditional Roles to Address Patient Surge
Mass Violence/Active Shooter Incidents: Family Assistance
Mass Violence/Active Shooter Incidents: Fatality Management
Mass Violence/Active Shooter Incidents: Hospital Triage, Intake, and Throughput
Mass Violence/Active Shooter Incidents: Non-Trauma Hospital Considerations
Mass Violence/Active Shooter Incidents: Trauma Surgery Adaptations and Lessons
Mass Violence/Active Shooter Incidents: Trauma System Considerations
Post-Mass Shooting Programs and Resources Overview
SOFA Score: What it is and How to Use it in Triage
Tips for Healthcare Facilities: Assisting Families and Loved Ones after a Mass Casualty Incident
Tips for Healthcare Facilities: Assisting Families and Loved Ones after a Mass Casualty Incident (Summary)
Tips for Retaining and Caring for Staff after a Disaster
Medical Surge and the Role of Healthcare Providers
Engaging Healthcare Partners in the Disaster Healthcare Delivery System
Medical Surge and the Role of Accountable Care Organizations
Medical Surge and the Role of Accountable Care Organizations (Summary)
Engagement of ACOs in Medical Surge Activities (FAQ)
Medical Surge and the Role of Health Clinics
Medical Surge and the Role of Health Clinics (Questions and Answers for Clinics and Stakeholders)
Medical Surge and the Role of Health Clinics (Summary)
Medical Surge and the Role of Home Health and Hospice Agencies (Full Report)
Medical Surge and the Role of Home Health and Hospice Agencies (Summary)
Engagement of Home Health and Hospice Agencies in Medical Surge Activities
Medical Surge and the Role of Practice-Based Primary Care Providers
Medical Surge and the Role of Urgent Care Centers
Medical Surge and the Role of Urgent Care Centers (Questions and Answers for Urgent Care Centers and Stakeholders)
Medical Surge and the Role of Urgent Care Centers (Summary)
Natural Disasters
After the Flood: Mold-Specific Resources
Major Earthquakes & Cascading Events: Potential Health and Medical Implications
Major Hurricanes: Potential Public Health and Medical Implications
Tips for Retaining and Caring for Staff after a Disaster
Hurricane Resources at Your Fingertips
Preparedness Planning
ASPR TRACIE Evaluation of Hazard Vulnerability Assessment Tools
Healthcare Coalition Fiscal Models
Provider and Supplier Types Covered by the CMS Emergency Preparedness Rule
Radiological/Nuclear
Major Radiological or Nuclear Incidents: Potential Health and Medical Implications
Mass Burn Event Overview
Recovery
Federal Recovery Programs for Healthcare Organizations
Healthcare System Recovery Timeline: A White Paper for Texas
Tips for Retaining and Caring for Staff after a Disaster
Special Considerations/At-Risk Populations
Blood and Disasters: Frequently Asked Questions
CMS and Disasters: Resources at Your Fingertips
Considerations for Oxygen Therapy in Disasters
Considerations for the Use of Temporary Surge Sites for All-Hazards Incidents
Controlled Substances & Emergency Response Fact Sheet: Frequently Asked Questions
Disaster Behavioral Health: Resources at Your Fingertips
Durable Medical Equipment in Disasters
Healthcare System Cybersecurity: Readiness & Response Considerations (Document)
Intravenous Fluid Shortage Strategies
Opioids: Frequently Asked Questions
Partnering with the Healthcare Supply Chain During Disasters
Post-Disaster Lessons Learned: Dialysis Patient Management
Shortage Strategies and Resources: Peritoneal Dialysis Solution
Solar Eclipses: Planning Resources
Tools and Templates
Miscellaneous Tools and Templates
ASPR TRACIE Tools and Templates for Healthcare Coalitions
Emergency Preparedness Information Modules for Nurses in Acute Care Settings
Health Care Labor Action Preparation Checklist
Health Equity Officer Job Action Sheet (PDF)
Healthcare Coalition Preparedness Plan
Healthcare Coalition Recovery Plan Template
Healthcare Coalition Resource and Gap Analysis Aggregator
Healthcare Coalition Resource and Gap Analysis Tool
Healthcare Coalition Response Plan
Mass Casualty Hospital Capacity Expansion Toolkit (PDF)
Mass Shooting/ No-Notice Incident After-Action Interview Guide: Medical Resource Requirements
On-Campus Health Care Facility Armed Assailant Planning Considerations
Burn
Healthcare Coalition Burn Surge Annex Template
Step-by-Step Guide to Implementing the Coalition Burn Surge Annex TTX Template (PDF)
Chemical
Chemical Emergency Considerations for Healthcare Facilities
Healthcare Coalition Chemical Emergency Surge Annex Template
Step-by-Step Guide to Implementing the Coalition Chemical Surge TTX Template (PDF)
Infectious Disease
EMS Infectious Disease Playbook
Healthcare Coalition Infectious Disease Surge Annex Template
Healthcare Coalition Influenza Pandemic Checklist
Step-by-Step Guide to Implementing the Coalition Infectious Disease Annex TTX Template (PDF)
Patient Surge
ASPR TRACIE Hospital Mass Casualty Response Plan Considerations
Disaster Available Supplies in Hospitals (DASH) Tool
Health Care Coalition Surge Test Tool
Healthcare Coalition Surge Estimator Tool: Aggregator
Healthcare Coalition Surge Estimator Tool: Hospital Data Collection Form
Medical Operations Coordination Centers Toolkit (Third Edition)
Template - Hospital Crisis Standards of Care Resource Allocation Annex
Template - Hospital Crisis Standards of Care Resource Allocation Annex (Word Version)
Pediatric
Healthcare Coalition Pediatric Surge Annex Template
Step by Step Guide to Implementing the Pediatric Surge Annex TTX Template (PDF)
Radiation Emergency
Healthcare Coalition Radiation Emergency Surge Annex Template
Step-by-Step Guide to Implementing the Coalition Radiation Surge TTX Template (PDF)
Utility Outages
Utility Failures in Health Care Toolkit
Webinars and Videos
Click here to access all ASPR TRACIE webinars and videos. 
Chemical/Radiological/Nuclear Hazards
Healthcare Challenges After Radiological Incidents
Healthcare Challenges in Chemical Incidents: Webinar
Cybersecurity
Cybersecurity and Healthcare Facilities
Healthcare System Cybersecurity Response: Experiences and Considerations (Webinar)
Healthcare System Cybersecurity: Readiness & Response Considerations (Presentation)
Healthcare Coalitions
Growing and Sustaining: A Discussion About Healthcare Coalition Financial Models
Healthcare Coalition Involvement in Mass Gatherings
Healthcare Pediatric Surge Annex: Leveraging Templates for Operational Impact
HPP Coalition Surge Test Webinar
Learning More About the 2017-2022 Health Care Preparedness and Response Capabilities
N95 Respirator Fit Testing-Emerald Coast Healthcare Coalition
New Resources to Help Improve Health Care Coalition Preparedness
Strategic Development for Building Operational Healthcare Coalitions
Using the ASPR TRACIE Burn Surge Templates to Enhance an HCC (PPT)
Hospital Incident Command
Hospital-Based Incident Command Systems: Real Experiences and Practical Applications
Hospital-Based Incident Command Systems: Small and Rural Hospitals
Infectious Disease
EMS & Infectious Diseases: Challenges & Resources for Provider Protection
Healthcare System Readiness for Highly Pathogenic Infectious Diseases
Highly Pathogenic Infectious Disease Exercise Planning for Frontline Facilities
Highly Pathogenic Infectious Disease Exercise Planning for Health Care Coalitions
Highly Pathogenic Infectious Disease Exercise Planning for Regional Transport Webinar
Highly Pathogenic Infectious Disease Exercise Planning Tools
Highly Pathogenic Infectious Disease Training and Exercise Resources Webinar
Infection Prevention and Control: Incorporating Lessons Learned in Managing Special Pathogens
Lessons Learned in Developing an Effective Regional Ebola CONOPS
Lessons Learned on Crisis Standards of Care in Kenema
Miscellaneous
ASPR Healthcare and Public Health Risk Identification and Site Criticality (RISC) Toolkit Webinar
ASPR TRACIE Roundtable: Lessons Learned in Health Care Communications
Clinicians and Coalitions: A Conversation about Finding Solutions for Medication Shortages
Disaster Behavioral Health Self Care for Healthcare Workers Modules
Health and Social Services Recovery Lessons Learned from the 2016 Louisiana Flooding
Health Care System Preparedness Considerations (Speaker Series Summary)
Healthcare Facility Extreme Weather Resilience and Mitigation
Healthcare Preparedness Series: Leadership During a Disaster
Healthcare Response to a No-Notice Incident: Las Vegas
Innovations in Hospital Design-Mayo Clinic
Innovations in Hospital Design-Penn Med Pavilion
Lessons Learned from the Signature Healthcare Brockton Hospital Fire
Search and Rescue in the Big Horn Basin (PPT)
Special Needs Population Readiness: Dialysis Preparedness and Response
Tennessee Disaster Mental Health Strike Team
Patient Surge
Developing a Healthcare Coalition Pediatric Surge Annex (Webinar)
Disaster Available Supplies in Hospitals: Demonstration of the DASH Tool
Introduction to the Disaster Available Supplies in Hospitals (DASH) Tool
Patient Surge Strategies: 2018 Lehigh Valley Health System
Patient Surge Strategies: NYC Health and Hospitals 2018
Pediatric
Developing a Healthcare Coalition Pediatric Surge Annex (Webinar)
Lessons Learned from the Pediatric Tripledemic-Systems, Staff, Space, and Supplies (ASPR TRACIE Roundtable)
Pediatric Issues in Disasters: Webinar
Pediatric Issues: Informing Current and Future Disaster Planning (Webinar)
Utility Outages
The Hurricane Ian Experience at Lee Health: Wreckage, Resilience, and Recovery
City of Jackson Water Crisis Response
Workplace Violence
ASPR TRACIE Healthcare Workplace Violence Speaker Series (Summary)
Buffalo Strong: Response and Recovery to an Active Shooter Incident
Strategies for Healthcare Workplace Violence Prevention: Risk Assessment and De-Escalation
About ASPR TRACIE and Website Tutorials
ASPR TRACIE Assistance Center
ASPR TRACIE Celebrates Two Years of Service
ASPR TRACIE Fact Sheet
ASPR TRACIE Resources Overview Webinar (2019)
ASPR TRACIE User Experience and Dashboard
ASPR TRACIE: 2021 Year in Review
ASPR TRACIE: 2022 Year in Review
ASPR TRACIE: 2023 Year in Review
ASPR TRACIE: A Year in Review
ASPR TRACIE: User Comments
ASPR TRACIE-Developed Resources Digest (Calendar Year 2020)
Select ASPR TRACIE TA Responses
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