An Alternate Care Site (ACS) is a community-based off-site location that can provide a minimum specific level of care in response to a mass casualty incident creating a large number of people seeking medical assistance. The community ACS template and tools below can be used by a community to increase local response capabilities through interagency coordination and planning.

• Community Alternate Care Site Template

Hospitals should collaborate with local law enforcement, emergency management, and other community partner agencies to complete the HVA and Gap Analysis forms. Hospital preparedness grant funds can be used to minimize identified “gaps” in planning, equipment, training, exercise, or other areas. Community hospitals are required to complete an HVA and GAP Analysis every other year. An updated HVA and Gap Analysis are required for the 2011-2012 grant. The completed HVA and Gap Analysis must be submitted to the Preparedness assigned planner for approval (see Planning & Development Review Team Map for assigned reviewer).

• Hospital HVA Tool - version 1.4 (.xls)
• Hospital HVA Tool User's Guide - version 1.4 (.pdf)

• Fit testing procedures for N95 Respirators (.pdf)
• Medical Clearance for Respirator use Questionnaire (.pdf)
• Public Health Respiratory Protection Program Template (.doc)
• Respirator Fit Test Form (.pdf)
• Respirator Fact Sheet - National Institute for Occupational Safety and Health (NIOSH)
• NIOSH National Personal Protective Equipment Laboratory