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How to Choose? Using the Delphi Method to Develop Consensus Triggers and Indicators for Disaster Response

Published online by Cambridge University Press:  03 February 2017

Rebecca Lis ,
Vicki Sakata  and
Onora Lien
Rebecca Lis*
Affiliation:
Northwest Healthcare Response Network, Tukwila, Washington
Vicki Sakata*
Affiliation:
Northwest Healthcare Response Network, Tukwila, Washington Mary Bridge Children’s Hospital, MultiCare Health System, Tacoma, Washington, and University of Washington, Seattle, Washington
Onora Lien
Affiliation:
Northwest Healthcare Response Network, Tukwila, Washington
*
Correspondence and reprint requests to Rebecca Lis, MPH, Northwest Healthcare Response Network, 7100 Fort Dent Way, Suite 210, Tukwila, WA 98188 (e-mail: Rebecca.lis@nwhrn.org) or Vicki Sakata MD, FAAEM, FAAP, Northwest Healthcare Response Network, 7100 Fort Dent Way, Suite 210, Tukwila, WA 98188 (e-mail: Vicki.sakata@nwhrn.org).
Correspondence and reprint requests to Rebecca Lis, MPH, Northwest Healthcare Response Network, 7100 Fort Dent Way, Suite 210, Tukwila, WA 98188 (e-mail: Rebecca.lis@nwhrn.org) or Vicki Sakata MD, FAAEM, FAAP, Northwest Healthcare Response Network, 7100 Fort Dent Way, Suite 210, Tukwila, WA 98188 (e-mail: Vicki.sakata@nwhrn.org).
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Abstract

Objective

To identify key decisions along the continuum of care (conventional, contingency, and crisis) and the critical triggers and data elements used to inform those decisions concerning public health and health care response during an emergency.

Methods

A classic Delphi method, a consensus-building survey technique, was used with clinicians around Washington State to identify regional triggers and indicators. Additionally, using a modified Delphi method, we combined a workshop and single-round survey with panelists from public health (state and local) and health care coalitions to identify consensus state-level triggers and indicators.

Results

In the clinical survey, 122 of 223 proposed triggers or indicators (43.7%) reached consensus and were deemed important in regional decision-making during a disaster. In the state-level survey, 110 of 140 proposed triggers or indicators (78.6%) reached consensus and were deemed important in state-level decision-making during a disaster.

Conclusions

The identification of consensus triggers and indicators for health care emergency response is crucial in supporting a comprehensive health care situational awareness process. This can inform the creation of standardized questions to ask health care, public health, and other partners to support decision-making during a response. (Disaster Med Public Health Preparedness. 2017;11:467–472)

Keywords

health care emergency preparednesshealth care public health decision-makingtriggers/indicatorscrisis standards of care
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 11 , Issue 4 , August 2017 , pp. 467 - 472
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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