Development of a Quantitative Assessment Score for Analyzing Emergency Department Disaster Preparedness (original) (raw)
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2020
In 1999, a robust National Health Preparedness and Response Center was conceptualized and piloted, but never fully operationalized. This study revisits the expansive, coordinated efforts invested in this concept, considered an overdue remedy for persistent shortfalls in medical Chemical, Biological, Radiological, Nuclear, and High Yield Explosives training, proficiency, and preparation. The concept defined a robust mission for longstanding, proven programs for prepositioning equipment and associated training of personnel. This study explores the reasons that ended military and governmental support, attendant funding, and operations of the created Joint/Interagency Civil Support Center, which ceased on September 30, 2006. Unfortunately, the concept remains relevant. Major gaps in disaster medical response capabilities have been recognized for decades. Experts from the Institute of Medicine, United States Northern Command, and multiple academic centers and professional organizations h...
Disaster Medicine and Public Health Preparedness
Objective: To assess the current state of graduate-level disaster-related curricula (i.e., Masters and Doctoral programs, degree concentrations, and graduate certificates) offered by the Council on Education for Public Health (CEPH)-accredited public health schools and programs in the US. Methods: This research reviewed, evaluated, and summarized the content of websites of all US-based CEPH-accredited schools and programs to identify disaster-related degree programs, degree concentrations and graduate certificates from April – June 2021. Results: Of 191 schools and programs reviewed, 29 (15%) offered disaster-related curricula, totaling 44 degrees and programs. Programs included Masters-level degrees and Masters/ Doctoral degree concentrations, with the majority taking the form of graduate certificates (64%). Schools that offered disaster-related curricula were clustered in eastern and Gulf states. Conclusion: Most US CEPH-accredited schools and programs do not offer graduate-level ...
Conceptualizing and Defining Public Health Emergency Preparedness
2000
Since September 11, 2001, and the anthrax attacks that followed, a substantial federal investmenttotaling well in excess of $5 billionhas been made to increase our nation's ability to prepare for, and respond to, public health emergencies. Yet despite anecdotal reports ...
BMC Public Health, 2012
Background: In 2003, 11 public health epidemiologists were placed in North Carolina's largest hospitals to enhance communication between public health agencies and healthcare systems for improved emergency preparedness. We describe the specific services public health epidemiologists provide to local health departments, the North Carolina Division of Public Health, and the hospitals in which they are based, and assess the value of these services to stakeholders. Methods: We surveyed and/or interviewed public health epidemiologists, communicable disease nurses based at local health departments, North Carolina Division of Public Health staff, and public health epidemiologists' hospital supervisors to 1) elicit the services provided by public health epidemiologists in daily practice and during emergencies and 2) examine the value of these services. Interviews were transcribed and imported into ATLAS.ti for coding and analysis. Descriptive analyses were performed on quantitative survey data. Results: Public health epidemiologists conduct syndromic surveillance of community-acquired infections and potential bioterrorism events, assist local health departments and the North Carolina Division of Public Health with public health investigations, educate clinicians on diseases of public health importance, and enhance communication between hospitals and public health agencies. Stakeholders place on a high value on the unique services provided by public health epidemiologists. Conclusions: Public health epidemiologists effectively link public health agencies and hospitals to enhance syndromic surveillance, communicable disease management, and public health emergency preparedness and response. This comprehensive description of the program and its value to stakeholders, both in routine daily practice and in responding to a major public health emergency, can inform other states that may wish to establish a similar program as part of their larger public health emergency preparedness and response system.
Public health reports (Washington, D.C. : 1974), 2014
In today's environment of an increased need to demonstrate the value of the federal investment in public health preparedness and response (PHPR), it is encouraging to see the results of the research conducted by the Preparedness and Emergency Response Research Centers (PERRCs), which were funded by the U.S. Centers for Disease Control and Prevention (CDC). 1 The research generated by the PERRCs represented in this special supplement of Public Health Reports, "Outcomes from the Federal Investment in Public Health Systems Research to Strengthen Preparedness and Response," is not only impressive but also vital in adding to the evidence base for our PHPR efforts. The PERRCs have demonstrated the value of public health research that collectively advances our thinking and understanding of how to improve our public health system's preparedness for and response to disasters. Investigators share a wealth of practical insights to help bolster the continuing development and refinement of the public health system contribution to emergency preparedness and response. The research reported in this supplement reflects a confluence of three disciplinary trends in the field: (1) the application of methods, frameworks, and analytical strategies from the evolving field of public health systems and services research (PHSSR) to the specialized practice domain of PHPR; (2) a move, generally, toward more rigorous study design within the field of public health emergency preparedness and response research; and (3) the influence of themes and analytical strategies from more established fields, such as social science-oriented disaster research, psychometrics, and operations research.
Organizing state and local health departments for public health preparedness
Rand Technical Report, 2006
This product is part of the RAND Corporation technical report series. Reports may include research findings on a specific topic that is limited in scope; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.
Social scientific insights on preparedness for public health emergencies
2008
This article discusses how the recent events of September 11, 2001, the anthrax attacks, the flu vaccine shortage, and the response to Hurricane Katrina have shown the importance of public health emergency preparedness. Specifically, this article explores Quality Improvement (QI) for Public Health Emergency Preparedness (PHEP) and identifies a framework for how QI could be applied to PHEP. Findings suggest that in order for QI to flourish and become standard practice, it is necessary to improve training and education and integrate quality improvement into routine PHEP practices, as well as to align incentives to reward improvement in PHEP.
Public Health Systems Research in Emergency Preparedness
American Journal of Preventive Medicine, 2009
Background: Despite the acknowledged promise of developing a public health systems research (PHSR) agenda for emergency preparedness, there has been no systematic review of the literature in this area. The purpose of this study was to conduct a systematic literature review in order to identify and characterize the PHSR literature produced in the U.S. in the past 11 years in the field of public health emergency preparedness. Evidence acquisition: Articles were searched in MEDLINE and EMBASE, as well as in the gray literature. Two independent reviewers classified the articles according to study design and IOM public health emergency preparedness (PHEP) research goal areas.