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Consensus and Tools Needed to Measure Health Care Emergency Management Capabilities

Published online by Cambridge University Press:  08 April 2013

Melissa L. McCarthy ,
Peter Brewster ,
Edbert B. Hsu ,
Anthony G. Macintyre  and
Gabor D. Kelen
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Abstract

There is no widely accepted, validated framework of health care emergency management capabilities (HEMCs) that can be used by facilities to guide their disaster preparedness and response efforts. We reviewed the HEMCs and the evaluation methods used by the Veterans Health Administration, The Joint Commission, the Institute of Medicine Metropolitan Medical Response System committee, the Department of Homeland Security, and the Department of Health and Human Services to determine whether a core set of HEMCs and evaluative methods could be identified.

Despite differences in the conceptualization of health care emergency management, there is considerable overlap among the agencies regarding major capabilities and capability-specific elements. Of the 5 agencies, 4 identified occupant safety and continuity of operations as major capabilities. An additional 5 capabilities were identified as major by 3 agencies. Most often the differences were related to whether a capability should be a major one versus a capability-specific element (eg, decontamination, management of resources). All of the agencies rely on multiple indicators and data sources to evaluate HEMCs. Few performance-based tools have been developed and none have been fully tested for their reliability and validity. Consensus on a framework and tools to measure HEMCs is needed. (Disaster Med Public Health Preparedness. 2009;3(Suppl 1):S45–S51)

Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 3 , Issue S1 , June 2009 , pp. S45 - S51
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2009

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References

REFERENCES

1.Sauer, LM, McCarthy, ML, Knebel, A, et alMajor influences on hospital emergency management and disaster preparedness. Disaster Med Public Health Preparedness. 2009;3 (Suppl 1)S68–S73.CrossRefGoogle ScholarPubMed
2.Barbera JA, MacIntyre AG. Medical surge capacity and capability: a management system for integrating medical and health resources during large-scale emergencies. Department of Health and Human Services. 2004. http://www.cna.org/documents/mscc_aug2004.pdf. Accessed March 6, 2009.Google Scholar
3.Federal Emergency Management Agency. Disaster Mitigation Act. P L 106-390. 2000. Amends Chapter 68 of Title 42 of the Stafford Disaster Relief and Emergency Assistance Act.Google Scholar
4.Barbera JA, MacIntyre AG. Emergency management principles and practices for health care systems. Veterans Affairs Web site. http://www1.va.gov/emshg/page.cfm?pg=122. Accessed March 6, 2009.Google Scholar
5.Veterans Health Administration Capabilities Assessment Program. 2008. http://www1.va.gov/EMSHG/page.cfm?pg=133. Accessed September 4, 2008.Google Scholar
6.The Joint Commission Requirements. 2009. http://www.jointcommission.org/Standards/Requirements. Accessed January 2, 2009.Google Scholar
7.Committee on Evaluation of the Metropolitan Medical Response System Program. Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program. Washington, DC: National Academy Press; 2002.Google Scholar
8.Target Capabilities List Version 2.0. Department of Homeland Security Web site. https://www.llis.dhs.gov/docdetails/details.do?contentID=26724. Accessed March 6, 2009.CrossRefGoogle Scholar
9.Homeland Security Exercise and Evaluation Program (HSEEP). Department of Homeland Security Web site. 2007. https://hseep.dhs.gov/pages/1001_HSEEP7.aspx. Accessed March 6, 2009.Google Scholar
10.Department of Health and Human Services. The Hospital Preparedness Program (HPP). http://www.hhs.gov/aspr/opeo/hpp. 2008. Accessed September 20, 2008.Google Scholar
11.Jenkins, JL, Kelen, GD, Sauer, LM, et alReview of hospital preparedness instruments for National Incident Management System compliance. Disaster Med Public Health Preparedness. 2009;3 (Suppl 1)S83–S89.CrossRefGoogle ScholarPubMed
12.Funding Opportunity Announcement for Hospital Preparedness Program. Department of Health and Human Services Web site. http://edocket.access.gpo.gov/2008/E8-11015.htm. Accessed May 16, 2008.Google Scholar
13.Adini, B, Goldberg, A, Cohen, R, et alRelationship between standards of procedures for pandemic flu and level of hospital performance in simulated drills. Ann Emerg Med. 2008;52:223–229.CrossRefGoogle ScholarPubMed
14.Jenckes, MW, Catlett, CL, Hsu, EB, et alDevelopment of evaluation modules for use in hospital disaster drills. Am J Disaster Med. 2007;2:87–95.CrossRefGoogle ScholarPubMed
15.Kaji, AH, Lewis, RJ.Assessment of the reliability of the Johns Hopkins/Agency for Healthcare Research and Quality hospital disaster drill evaluation tool. Ann Emerg Med. 2008;52:204–210.CrossRefGoogle Scholar
16.Cosgrove SE, Jenckes MW, Wilson LM, et al. Tool for Evaluating Core Elements of Hospital Disaster Drills. Agency for Healthcare Research and Quality Web site, publication 08-0019. 2008. http://www.ahrq.gov/prep/drillelements. Accessed September 15, 2008.Google Scholar
17.Kaji, AH, Langford, V, Lewis, RJ.Assessing hospital disaster preparedness: a comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008;52:195–201.CrossRefGoogle ScholarPubMed