ASPR HPP Bed Tracking System

HAvBED Requirements

1. Report aggregate State level data to the HHS SOC no more often than twice daily during emergencies. The frequency of data required from the hospitals is dependent on the incident. The time necessary for data entry must be minimized so that it does not interfere with the other work responsibilities of the hospital staff during a mass casualty incident (MCI). Ideally, all institutions would enter data at the same time on similar days in order to reduce variability due to daily and weekly fluctuations in bed capacity. The report must possess the following Hospital Identification Information:
   1. Hospital Name
   2. Contact Name
   3. Street Address
   4. City
   5. State
   6. Zip Code
   7. Area Code
   8. Local Telephone Number
   9. County
2. Report on the following categories of Vacant / Available Beds:
   1. Intensive Care Unit (ICU)
   2. Medical and Surgical (Med/Surge)
   3. Burn Care
   4. Pediatric ICU
   5. Pediatrics (Peds)
   6. Psychiatric (Psych)
   7. Negative Pressure Isolation
   8. Emergency Department Divert Status
   9. Decontamination Facility Available
   10. Ventilators Available

Bed Definitions

1. Vacant/Available Beds: Beds that are vacant and to which patients can be transported immediately. These must include supporting space, equipment, medical material, ancillary and support services, and staff to operate under normal circumstances. These beds are licensed, physically available, and have staff on hand to attend to the patient who occupies the bed.
2. Adult Intensive Care (ICU): Can support critically ill/injured patients, including ventilator support.
3. Medical/Surgical: Also thought of as “Ward” beds.
4. Burn or Burn ICU: Either approved by the American Burn Association or self-designated. (These beds should not be included in other ICU bed counts.)
5. Pediatric ICU: The same as adult ICU, but for patients 17 years and younger
6. Pediatrics: Ward medical/surgical beds for patients 17 and younger
7. Psychiatric: Ward beds on a closed/locked psychiatric unit or ward beds where a patient will be attended by a sitter.
8. Negative Pressure/Isolation: Beds provided with negative airflow, providing respiratory isolation. Note: This value may represent available beds included in the counts of other types.
9. Operating Rooms: An operating room that is equipped and staffed and could be made available for patient care in a short period.

Use of these standardized definitions and estimates of future bed availability will provide greater consistency among hospitals in reporting bed availability information. Further information on the HAvBED system can be found at http://www.ahrq.gov/research/havbed/.

Award recipients should note that the HHS SOC plans on conducting a nationwide exercise involving HAvBED reporting ability by the States. All States will be expected to participate in this exercise to determine the reporting capability across the country. Further details will be made as they become available.