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Are We Ready and How Do We Know? The Urgent Need for Performance Metrics in Hospital Emergency Management

  • Eliot J. Lazar, Nicholas V. Cagliuso and Kristine M. Gebbie


An extraordinary number of health care quality and patient safety indicators have been developed for hospitals and other health care institutions; however, few meaningful indicators exist for comprehensive assessment of hospital emergency management. Although health care institutions have invested considerable resources in emergency management preparedness, the need for universally accepted, evidence-based performance metrics to measure these efforts remains largely unfulfilled. We suggest that this can be remediated through the application of traditional health care quality paradigms, coupled with novel analytic approaches to develop meaningful performance data in hospital emergency management. (Disaster Med Public Health Preparedness. 2009;3:57–60)


Corresponding author

Address correspondence and reprint requests to Nicholas V. Cagliuso Sr, MPH, Corporate Director, Emergency Management, Continuum Health Partners, 1111 Amsterdam Ave, New York, NY 10025(e-mail:


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1.Berman, MA, Lazar, EJ. Hospital emergency preparedness—lessons learned since Northridge. N Engl J Med. 2003;348:13071309.
2.Kohn, LT, Corrigan, JM, Donaldson, MS. To Err Is Human: Building a Safer Health System. Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine; 2000.
3.Lenape, LL, Berwick, DM. Five years after To Err Is Human—what have we learned?. JAMA. 2005;293:23842390.
4. HHS Fact Sheet: Accomplishment in Biodefense Preparedness. US Department of Health and Human Services. Accessed April 24, 2007.
5.Lurie, N, Wasserman, J, Nelson, CD. Public health emergency preparedness: evolution or revolution?. Health Aff. 2006;25:935945.
6.Birnbaum, ML. Accentuate the positive. Prehosp Disast Med. 2006;21:221222.
7.Nelson, C, Lurie, N, Wasserman, J, et alConceptualizing and defining public health emergency preparedness. Am J Public Health. 2007;97 (Suppl 1) S9S11.
8. Health Care at the Crossroads—Strategies for Creating and Sustaining Community-wide Emergency Preparedness Systems. Accessed September 28, 2008.
9.Donabedian, A. Evaluating the quality of medical care. Milbank Mem Fund Q. 1966;44:166203.
10.Donabedian, A. A Guide to Medical Care Administration, Vol. II: Medical Care Appraisal—Quality and Utilization. New York: American Public Health Association; 1969.
11.Donabedian, A. The quality of care. How can it be assessed?. JAMA. 1988;260:17431748.
12.Pandemic and All-hazards Preparedness Act, Pub L No. 109-417, s101 et seq (2006).
13.Hodge, JG, Gostin, LO, Vernick, JS. The Pandemic and All-hazards Preparedness Act—improving public health emergency response. JAMA. 2007;297:17081711.


Are We Ready and How Do We Know? The Urgent Need for Performance Metrics in Hospital Emergency Management

  • Eliot J. Lazar, Nicholas V. Cagliuso and Kristine M. Gebbie


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