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Current Emergency Preparedness Resources and Capabilities Among Academic Health Systems in the United States

  • Paul D. Biddinger (a1) (a2) (a3), David Reisman (a2), Robert F. Seger (a2), Ann L. Prestipino (a1) (a2), Julia Sinclair (a4), Barry Wante (a4), Eric Goralnick (a3) (a4) and Katherine Kemen (a1)...

Abstract

Objective

Although hospital emergency preparedness efforts have been recognized as important, there has been growing pressure on cost containment, as well as consolidation within the US health care system. There is little data looking at what health care emergency preparedness functions have been, could be, or should be centrally coordinated at a system level.

Methods

We developed a questionnaire for academic health systems and asked about program funding, resources provided, governance, and activities. The questionnaire also queried managers’ opinions regarding the appropriate role for the system-level resources in emergency response, as well as about what is most helpful at the system-level supporting preparedness.

Results

Fifty-two of 97 systems (54%) responded. The most frequently occurring system-wide activities included: creating trainings or exercise templates (75%), promoting preparedness for employees in the system (75%), providing access to specific subject matter experts (73%), and developing specific plans for individual member entities within their system (73%). The top resources provided included a common mass notification system (71%), arranging for centralized contracts for goods and services (71%), and providing subject matter expertise (69%).

Conclusions

Currently, there is wide variation in the resources, capabilities, and programs used to support and coordinate system-level emergency preparedness among academic health systems. (Disaster Med Public Health Preparedness. 2018;12:574–577)

Copyright

Corresponding author

Correspondence and reprints request to Paul D. Biddinger, MD, Center for Disaster Medicine, Massachusetts General Hospital, 55 Fruit Street Zero Emerson 344, Boston, MA 02114 (e-mail: Pbiddinger@partners.org)

References

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1. Center for Biosecurity of UPMC. Hospitals rising to the challenge: the first five years of the U.S. Hospital Preparedness Program and priorities going forward. http://www.upmchealthsecurity.org/our-work/pubs_archive/pubs-pdfs/2009/2009-04-16-hppreport.pdf. Published 2009. Accessed July 6, 2017.
2. US Department of Health and Human Services Assistant Secretary for Preparedness and Response. From hospitals to healthcare coalitions: transforming health preparedness and response in our communities. http://www.phe.gov/Preparedness/planning/hpp/Documents/hpp-healthcare-coalitions.pdf. Published 2009. Accessed July 6, 2017.
3. American Hospital Association. Organizational trends. Trendwatch chartbook 2015: Chapter 2. http://www.aha.org/research/reports/tw/chartbook/ch2.shtml. Published 2015. Accessed July 6, 2017.
4. Kaufman, Hall & Associates, LLC. Hospital merger and acquisition activity up sharply in 2015, According to Kaufman Hall analysis. https://www.kaufmanhall.com/software/news-detail/hospital-merger-and-acquisition-activity-up-sharply-in-2015-according-to-kaufman-hall-analysis. Published 2016. Accessed July 6, 2017.
5. US Department of Health and Human Services. Regional offices. https://www.hhs.gov/about/agencies/iea/regional-offices/index.html Published 2016. Accessed July 6, 2017.
6. US Centers for Medicare and Medicaid Services. Emergency Preparedness Rule. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertEmergPrep/Emergency-Prep-Rule.html. Published 2016. Accessed June 30, 2017.

Keywords

Current Emergency Preparedness Resources and Capabilities Among Academic Health Systems in the United States

  • Paul D. Biddinger (a1) (a2) (a3), David Reisman (a2), Robert F. Seger (a2), Ann L. Prestipino (a1) (a2), Julia Sinclair (a4), Barry Wante (a4), Eric Goralnick (a3) (a4) and Katherine Kemen (a1)...

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