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Bethesda Hospitals' Emergency Preparedness Partnership: A Model for Transinstitutional Collaboration of Emergency Responses

Published online by Cambridge University Press:  08 April 2013

Abstract

The events of September 11, 2001 identified a need for health care institutions to develop flexible, creative, and adaptive response mechanisms in the event of a local, regional, or national disaster. The 3 major health care institutions in Bethesda, MD—the National Naval Medical Center (NNMC), the Suburban Hospital Healthcare System (SHHS), and the National Institutes of Health Clinical Center (NIHCC)—have created a preparedness partnership that outstrips what any of the institutions could provide independently by pooling complementary resources. The creation of the partnership initially was driven by geographic proximity and by remarkably complementary resources. This article describes the creation of the partnership, the drivers and obstacles to creation, and the functioning and initial accomplishments of the partnership. The article argues that similar proximity and resource relationships exist among institutions at academic centers throughout the United States and suggests that this partnership may serve as a template for other similarly situated institutions. (Disaster Med Public Health Preparedness. 2009;3:168–173)

Type
Special Focus
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2009

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References

REFERENCES

1.Arnold, JL, Dembry, LM, Tsai, MC, et alRecommended modifications and applications of the Hospital Emergency Incident Command System for hospital emergency management. Prehospital Disaster Med. 2005;20:290300.Google Scholar
2. California Emergency Medical Services Authority. Hospital Incident Command System. http://www.emsa.ca.gov/hics/hics.asp. Accessed May 22, 2008.Google Scholar
3.Berman, MA, Lazar, EJ.Hospital emergency preparedness—lessons learned since Northridge. N Engl J Med. 2003;348:13071308.Google ScholarPubMed
4.Braun, BI, Wineman, NV, Finn, NL, et alIntegrating hospitals into community emergency preparedness planning. Ann Intern Med. 2006;144:799811.Google Scholar
5.Buehler, JW, Whitney, EA, Berkelman, RL.Business and public health collaboration for emergency preparedness in Georgia: a case study. BMC Public Health. 2006;6:285.Google Scholar
6.DiMaggio, C, Markenson, D, Henning, K, et alPartnership for preparedness: a model of academic public health. J Public Health Manag Pract. 2006;12:2227.Google Scholar
7.Estrada, LC, Fraser, MR, Cioffi, JP, et alPartnering for preparedness: the project public health ready experience. Public Health Rep. 2005;120 (Suppl 1)6975.CrossRefGoogle Scholar
8.Gerberding, JL, Hughes, JM, Koplan, JP.Bioterrorism preparedness and response: clinicians and public health agencies as essential partners. JAMA. 2002;287:898900.CrossRefGoogle Scholar
9.Baker, MS.Creating order from chaos: II. Tactical planning for mass casualty and disaster response at definitive care facilities. Mil Med. 2007;172:237243.Google Scholar
10.Barbisch, DF, Koenig, KL.Understanding surge capacity: essential elements. Acad Emerg Med. 2006;13:10981102.Google Scholar
11.Estacio, PL.Surge capacity for health care systems: early detection, methodologies, and process. Acad Emerg Med. 2006;13:11351137.Google Scholar
12.Kaji, AH, Lewis, RJ.Hospital disaster preparedness in Los Angeles County. Acad Emerg Med. 2006;13:11981203.Google Scholar
13.Katz, A, Staiti, AB, McKenzie, KL.Preparing for the unknown, responding to the known: communities and public health preparedness. Health Aff (Millwood). 2006;25:946957.Google Scholar
14.Kelen, GD, Kraus, CK, McCarthy, ML, et alInpatient disposition classification for the creation of hospital surge capacity: a multiphase study. Lancet. 2006;368:19841990.Google Scholar
15.Koh, HK, Shei, AC, Bataringaya, J, et alBuilding community-based surge capacity through a public health and academic collaboration: the role of community health centers. Public Health Rep. 2006;121:211216.Google Scholar
16.Schultz, CH, Stratton, SJ.Improving hospital surge capacity: a new concept for emergency credentialing of volunteers. Ann Emerg Med. 2007;49:602609.Google Scholar
17.Traub, M, Bradt, DA, Joseph, AP.The Surge Capacity for People in Emergencies (SCOPE) study in Australasian hospitals. Med J Aust. 2007;186:394398.CrossRefGoogle ScholarPubMed
18.Farmer, JC, Carlton, PK JrProviding critical care during a disaster: the interface between disaster response agencies and hospitals. Crit Care Med. 2006;34 (Suppl 3)S56S59.Google Scholar
19.Romundstad, L, Sundnes, KO, Pillgram-Larsen, J, et alChallenges of major incident management when excess resources are allocated: experiences from a mass casualty incident after roof collapse of a military command center. Prehospital Disaster Med. 2004;19:179184.Google Scholar
20.Adini, B, Goldberg, A, Laor, D, et alAssessing levels of hospital emergency preparedness. Prehospital Disaster Med. 2006;21:451457.Google Scholar
21.Arnold, JL, Levine, BN, Manmatha, R, et alInformation-sharing in out-of-hospital disaster response: the future role of information technology. Prehospital Disaster Med. 2004;19:201207.Google Scholar
22.Davis, MV, MacDonald, PD, Cline, JS, Baker, EL.Evaluation of public health response to hurricanes finds North Carolina better prepared for public health emergencies. Public Health Rep. 2007;122:1726.CrossRefGoogle ScholarPubMed
23.Glik, DC.Risk communication for public health emergencies. Annu Rev Public Health. 2007;28:3354.Google Scholar
24.Hsu, EB, Thomas, TL, Bass, EB, et alHealthcare worker competencies for disaster training. BMC Med Educ. 2006;6:19.Google Scholar
25.Lenert, LA, Palmer, DA, Chan, TC, Rao, R.An intelligent 802.11 triage tag for medical response to disasters. AMIA Annu Symp Proc. 2005;2005:440444.Google ScholarPubMed
26.Zhao, X, Rafiq, A, Hummel, R, et alIntegration of information technology, wireless networks, and personal digital assistants for triage and casualty. Telemed J E Health. 2006;12:466474.Google Scholar