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Contributions of Health Care Coalitions to Preparedness and Resilience: Perspectives From Hospital Preparedness Program and Health Care Preparedness Coalitions

Published online by Cambridge University Press:  06 November 2015

Joie Acosta ,
Stefanie Howard ,
Anita Chandra ,
Danielle Varda ,
Sara Sprong  and
Lori Uscher-Pines
Joie Acosta*
Affiliation:
RAND Corporation, Arlington, Virginia
Stefanie Howard
Affiliation:
RAND Corporation, Arlington, Virginia
Anita Chandra
Affiliation:
RAND Corporation, Arlington, Virginia
Danielle Varda
Affiliation:
The School of Public Affairs, University of Colorado, Denver, Colorado.
Sara Sprong
Affiliation:
The School of Public Affairs, University of Colorado, Denver, Colorado.
Lori Uscher-Pines
Affiliation:
RAND Corporation, Arlington, Virginia
*
Correspondence and reprint requests to Joie Acosta, PhD, RAND Corporation, 1200 South Hayes Street, Arlington, VA 22202 (e-mail at jacosta@rand.org).
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Abstract

Objective

The purpose of this article was to describe how the Hospital Preparedness Program (HPP) and other health care coalitions conceptualize and measure progress or success and to identify strategies to improve coalition success and address known barriers to success.

Methods

We conducted a structured literature review and interviews with key leaders from 22 HPPs and other coalitions. Interview transcripts were analyzed by using constant comparative analysis.

Results

Five dimensions of coalition success were identified: strong member participation, diversity of members, positive changes in members’ capacity to respond to or recover from disaster, sharing of resources among members, and being perceived as a trendsetter. Common barriers to success were also identified (eg, a lack of funding and staff). To address these barriers, coalitions suggested a range of mitigation strategies (eg, establishing formal memoranda of agreement). Both dimensions of and barriers to coalition success varied by coalition type.

Conclusions

Currently, the term health care coalition is a one-size-fits-all term. In reality, this umbrella term describes a variety of different configurations, member bodies, and capabilities. The analysis offered a typology to categorize health care coalitions by primary function during a disaster response. Developing a common typology that could be used to specify capabilities or functions of coalitions may be helpful to advancing their development. (Disaster Med Public Health Preparedness. 2015;9:690–697)

Keywords

public healthdisaster planningemergency preparednesshealth care facilitieshealth care coalitions
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 6 , December 2015 , pp. 690 - 697
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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