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The Challenge of Measuring Emergency Preparedness: Integrating Component Metrics to Build System-Level Measures for Strategic National Stockpile Operations

Published online by Cambridge University Press:  25 April 2013

Brian A. Jackson  and
Kay Sullivan Faith
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Abstract

Objective

Although significant progress has been made in measuring public health emergency preparedness, system-level performance measures are lacking. This report examines a potential approach to such measures for Strategic National Stockpile (SNS) operations.

Methods

We adapted an engineering analytic technique used to assess the reliability of technological systems—failure mode and effects analysis—to assess preparedness. That technique, which includes systematic mapping of the response system and identification of possible breakdowns that affect performance, provides a path to use data from existing SNS assessment tools to estimate likely future performance of the system overall.

Results

Systems models of SNS operations were constructed and failure mode analyses were performed for each component. Linking data from existing assessments, including the technical assistance review and functional drills, to reliability assessment was demonstrated using publicly available information. The use of failure mode and effects estimates to assess overall response system reliability was demonstrated with a simple simulation example.

Conclusions

Reliability analysis appears an attractive way to integrate information from the substantial investment in detailed assessments for stockpile delivery and dispensing to provide a view of likely future response performance.(Disaster Med Public Health Preparedness. 2013;7:96-104)

Keywords

emergency responsebioterrorism preparednessdispensingStrategic National Stockpileperformance measures
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 7 , Issue 1 , February 2013 , pp. 96 - 104
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2013

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References

1.US Centers for Disease Control and Prevention. Cities Readiness Initiative. Atlanta, GA: Centers for Disease Control and Prevention; May 20, 2010. http://www.bt.cdc.gov/cri/. Accessed August 16, 2010.Google Scholar
2.Willis, HH, Nelson, C, Shelton, SR, etal. Initial Evaluation of the Cities Readiness Initiative. Santa Monica, CA: RAND Corp; 2009.Google Scholar
3.Nelson, C, Parker, AM, Shelton, SR, etal. Analysis of the Cities Readiness Initiative. Santa Monica, CA: RAND Corp; 2012.Google Scholar
4.US Department of Health and Human Services. Point of Dispensing (POD) Standards; April 2008. http://health.mo.gov/emergencies/sns/pdf/12-PODStandards.pdf. Accessed January 31, 2013.Google Scholar
5.Nelson, C, Chan, EW, Fan, C, etal. New Tools for Assessing State and Local Capabilities for Countermeasure Delivery. Santa Monica, CA: RAND Corp; 2009.Google Scholar
6. Loveys D. Medical countermeasure distribution and dispensing composite measure. Paper presented at the 2011 Public Health Emergency Preparedness Director's Conference; July 26-28, 2011; Atlanta, GA. http://www.ndhealth.gov/epr/php/Resources/Med%20Countermeasure%20Slideshow-Composite%20Score.pdf. Accessed January 27, 2011.Google Scholar
7.Jackson, BA, Sullivan Faith, K, Willis, HH. Evaluating the Reliability of Emergency Response Systems for Large-Scale Incident Operations. Santa Monica, CA: RAND Corp; 2010.Google Scholar
8.Ebeling, CE. An Introduction to Reliability and Maintainability Engineering. New York, NY: McGraw Hill; 1997.Google Scholar
9.Modarres, M, Kaminskiy, M, Krivtsov, V. Reliability Engineering and Risk Analysis: A Practical Guide. New York, NY: Marcel Dekker; 1999.Google Scholar
10.Sullivan, FK, Jackson, BA, Willis, HH. Text analysis of after action reports to support improved emergency response planning. J Homeland Security Emergency Manage. doi: 10.2202/1547-7355.1900.Google Scholar
11.US Centers for Disease Control and Prevention. Public Health Preparedness: 2011 State-by-State Update on Laboratory Capabilities and Response Readiness Planning; September 20, 2011. Atlanta, GA: US Centers for Disease Control and Prevention.Google Scholar
12.Jackson, BA, McKay, S. Preparedness exercises 2.0: alternative approaches to exercise design that could make them more useful for evaluating—and strengthening—preparedness. HSAJ. May 2011; 7: 1–19.Google Scholar
13. Jones JR. Strategic National Stockpile (SNS)-related medical countermeasures drills and exercises. Paper presented at the 2011 Public Health Emergency Preparedness Director's Conference; July 26-28, 2011; Atlanta, GA.Google Scholar
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