The American College of Surgeons Health Policy Research Institute

American College of Surgeons Health Policy Research Institute
Advancing Health Policy Information
for Surgery in the United States

Using ASPR TRACIE to Plan for Surgical Capacity Disruptions

Emergency preparedness · surgical capacity

ASPR TRACIE offers preparedness resources, technical assistance and peer exchange. Those resources can strengthen a surgical disruption plan, but their presence does not prove that a hospital or region is ready for a particular emergency.

Editorial status: independent source analysis; see the research contributor directory.Source retrieved August 27, 2026

What the federal resource actually provides

The Administration for Strategic Preparedness and Response describes TRACIE as a gateway serving healthcare coalitions, healthcare entities, clinicians, emergency managers and other preparedness partners. Its three main functions are a searchable technical-resource collection, an assistance center and a registered information exchange.

For a surgical service, that makes TRACIE a starting point for locating planning materials on medical surge, healthcare coalitions, crisis standards, cybersecurity, evacuation and treatment or supply shortages. It is not a public scorecard of staffed operating rooms, anesthesia coverage, sterile-processing capacity or bed availability.

Translate a resource into a local planning question

  1. Name the disruption: loss of power, cyber downtime, evacuation, supply interruption or a sudden rise in demand.
  2. Record the specific TRACIE resource, its date, intended audience and stated purpose.
  3. Identify the surgical dependency it addresses, such as staffing, oxygen, sterilization, blood products, recovery space or patient transfer.
  4. Match the recommendation to a current local plan, exercise record or responsible role.
  5. Document the evidence still missing before describing readiness.
Guidance is not performance evidence

A toolkit can show what planners should consider. Only current local records can show whether the relevant people, equipment, agreements and procedures are in place and have been tested.

What remains uncertain without local records

A resource-library search cannot establish which procedures a facility performs, how long it can operate during a utility failure, whether a transfer partner has accepted a role, or how rapidly elective work can be reduced. It also cannot establish that one community is better prepared than another.

A defensible assessment needs dated documents: the facility emergency plan, hazard-vulnerability analysis, continuity procedures, staffing rosters, mutual-aid or transfer agreements, exercise findings and corrective-action status. Sensitive operational details may not be public, so an article should describe the evidence category without implying access to confidential plans.

Questions planners can verify next

  • Which surgical services are essential during the defined disruption?
  • Which dependencies have no tested fallback?
  • Who can activate transfers, conserve supplies or change the operating schedule?
  • When was the plan last exercised, and which corrective actions remain open?
  • Which statement can be supported publicly without exposing security-sensitive details?

For the broader distinction between planning evidence and demonstrated local access, return to the Surgical Workforce and Care Access hub.

Primary source

U.S. Department of Health and Human Services, Administration for Strategic Preparedness and Response, ASPR TRACIE. Page last updated and retrieved August 27, 2026.

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