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Audit of the Assistant Secretary for Preparedness and Response Oversight of the Hospital Preparedness Program With Respect to Crisis Standards of Care

The HHS Assistant Secretary for Preparedness and Response (ASPR) administers the Hospital Preparedness Program (HPP), which awards grants to State, territorial, and major metropolitan public health agencies to advance preparedness in health care systems for emergencies and disasters. Crisis standards of care are guidelines for how providers ration resources, such as ventilators, during mass casualty events, such as pandemics. State public health agencies receiving HPP funds must issue these guidelines, and providers can choose to adopt them. An HHS awarding agency must administer Federal awards in a manner that ensures that programs are implemented in full accordance with U.S. statutory and public policy requirements, including the prohibition of discrimination. Recipients of Federal funds are required to comply with an award's terms and conditions as well as Federal civil rights laws. The objective of our audit is to conduct a grant performance review of ASPR's oversight of the HPP program with respect to awardees' adopting crisis standards of care that comply with Federal nondiscrimination laws.

Announced or Revised Agency Title Component Report Number(s) Expected Issue Date (FY)
Completed Assistant Secretary for Preparedness and Response Audit of the Assistant Secretary for Preparedness and Response Oversight of the Hospital Preparedness Program With Respect to Crisis Standards of Care Office of Audit Services W-00-21-59451;
A-01-21-01502		 2023