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Setting Targets for Emergency Preparedness for a Jurisdiction’s Whole Health Care System: The Approach Taken by New York City’s Department of Health and Mental Hygiene

Published online by Cambridge University Press:  20 February 2018

Dennis Darrin Pruitt  and
Erkan Gunay
Dennis Darrin Pruitt*
Affiliation:
Bureau of Healthcare System Readiness, Office of Emergency Preparedness and Response (OEPR), NYC Department of Health and Mental Hygiene (DOHMH), Long Island City, New York
Erkan Gunay
Affiliation:
Bureau of Healthcare System Readiness, Office of Emergency Preparedness and Response (OEPR), NYC Department of Health and Mental Hygiene (DOHMH), Long Island City, New York
*
Correspondence and reprint requests to Dennis Darrin Pruitt, PhD, MPH Bureau of Healthcare System Readiness, Office of Emergency Preparedness and Response (OEPR), NYC Department of Health and Mental Hygiene (DOHMH), 42-09 28th Street, 6th Floor, Long Island City, NY 11101-4132 (e-mail: dpruitt@health.nyc.gov).
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Abstract

There is little existing in the literature that provides a definition of readiness for a jurisdiction’s whole health care system. As defining readiness at the system level has proven to be challenging, an approach that provides a framework for planning and measuring health care readiness with broad utility is needed. The New York City Department of Health and Mental Hygiene (DOHMH) devised the Readiness Target Project. Nine areas or dimensions of readiness emerged from this work. Through focus groups and feedback from hospital stakeholders DOHMH developed a matrix of readiness areas outlining current state, target state, gaps, and recommendations to achieve readiness. The matrix is in use as a systematic approach to discover and close gaps in the readiness of the whole health care system and to provide that system a locally valid framework to drive continuous improvement. This paper describes a framework for planning and determining the status of health care readiness at the system level for the jurisdiction. (Disaster Med Public Health Preparedness. 2018;12:759-764))

Keywords

emergency preparednesshealth caresystem-leveltargetsbenchmarks
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 12 , Issue 6 , December 2018 , pp. 759 - 764
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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