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Provider Delivery of Emergency Preparedness Education in Home-Based Primary Care

Published online by Cambridge University Press:  31 October 2018

Tamar Wyte-Lake ,
Claudia Der-Martirosian ,
Maria Claver ,
Darlene Davis  and
Aram Dobalian
Tamar Wyte-Lake*
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs
Claudia Der-Martirosian
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs
Maria Claver
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs Gerontology Program, California State University, Long Beach, California
Darlene Davis
Affiliation:
Geriatrics and Extended Care, Home and Community Based Care, US Department of Veterans Affairs
Aram Dobalian
Affiliation:
Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs Division of Health Systems Management and Policy, School of Public Health, University of Memphis, Memphis, Tennessee
*
Correspondence and reprint requests to Tamar Wyte-Lake, Veterans Emergency Management Evaluation Center, Office of Patient Care Services, US Department of Veterans Affairs,16111 Plummer Street MS-152, North Hills, CA 91343 (e-mail: Tamar.Wyte@va.gov).
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Abstract

Introduction

Home health agencies have been tasked to improve their patients’ disaster preparedness. Few studies have evaluated the robustness of tools to support preparedness in home health. Through evaluation of the Home-Based Primary Care (HBPC) Patient Assessment Tool, we conducted a survey to identify strengths and challenges in supporting the preparedness of patients served by home health programs such as the Veterans Health Administration’s HBPC program.

Methods

Practitioners from 10 HBPC programs fielded the Patient Assessment Tool with all patients during a 3-week period. Logistic regression and bivariate analyses were used to identify patient characteristics associated with the delivery of preparedness education.

Results

A total of 754 Patient Assessment Tools were returned. The educational item most likely to be covered was how to activate 911 services (87%). The item least likely to be discussed was information on emergency shelter registration and emergency specialty transportation (44%). When compared to the low risk group, HBPC patients in the high/medium risk group were more likely to receive preparedness education materials for 6 of the 9 educational preparedness items (P values less than 0.05).

Discussion

Practitioners are relaying preparedness education to their most vulnerable patients, suggesting that home health agencies can provide disaster preparedness in the home. Nonetheless, there is room for improvement. (Disaster Med Public Health Preparedness. 2019;13:547-554)

Keywords

disastershome health agenciesveterans health
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 3 , June 2019 , pp. 547 - 554
Copyright
Copyright © 2018 Society for Disaster Medicine and Public Health, Inc. 

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References

REFERENCES

1. Mitigation Framework Leadership Group. Draft Interagency Concept for Community Resilience Indicators and National-Level Measures. https://www.fema.gov/media-library-data/1466085676217-a14e229a461adfa574a5d03041a6297c/FEMA-CRI-Draft-Concept-Paper-508_Jun_2016.pdf. Published 2016. Accessed January 9, 2018.Google Scholar
2. US Census Bureau. An Aging Nation: The Older Population in the United States. https://www.census.gov/prod/2014pubs/p25-1140.pdf. Published 2014. Accessed January 9, 2018.Google Scholar
3. Aldrich, N, Benson, WF. Disaster Preparedness and the Chronic Disease Needs of Vulnerable Older Adults. http://www.cdc.gov/pcd//issues/2008/jan/07_0135.htm. Published 2008. Accessed January 9, 2018.Google Scholar
4. Gamble, JL, Hurley, BJ, Schultz, PA, et al. Climate change and older Americans: state of the science. Environ Health Perspect. 2013;121(1):15-22.Google Scholar
5. Al-Rousan, TM, Rubenstein, LM, Wallace, RB. Preparedness for natural disasters among older US adults: a nationwide survey. Am J Public Health. 2014;104(3):506-511.Google Scholar
6. Dostal, PJ. Vulnerability of urban homebound older adults in disasters: a survey of evacuation preparedness. Disaster Med Public Health Prep. 2015;9(3):301-306.Google Scholar
7. Fernandez, LS, Byard, D, Lin, CC, et al. Frail elderly as disaster victims: emergency management strategies. Prehosp Disaster Med. 2002;17(2):67-74.Google Scholar
8. Toner, JA. Geriatric Mental Health Disaster and Emergency Preparedness. New York: Springer Publishing Company; 2010.Google Scholar
9. Wang, C. Bracing for hurricanes: a qualitative analysis of the extent and level of preparedness among older adults. Gerontologist. 2018;58(1):57-67.Google Scholar
10. National Center for Health Statistics. Fast Stats Home Health Care. https://www.cdc.gov/nchs/fastats/home-health-care.htm. Published 2014. Accessed January 9, 2018.Google Scholar
11. National Center for Health Statistics. Characteristics and Use of Home Health Care by Men and Women Aged 65 and Over. Centers for Disease Control and Prevention website. https://www.cdc.gov/nchs/data/nhsr/nhsr052.pdf. Published 2012. Accessed October 16, 2018.Google Scholar
12. Claver, ML, Wyte-Lake, T, Dobalian, A. Disaster preparedness in home-based primary care: policy and training. Prehosp Disaster Med. 2015;30(4):1-7.Google Scholar
13. Laditka, SB, Laditka, JN, Cornman, CB, et al. Disaster preparedness for vulnerable persons receiving in-home, long-term care in South Carolina. Prehosp Disaster Med. 2008;23(2):133-142.Google Scholar
14. Khorram-Manesh, A, Yttermyr, J, Sörensson, J, et al. The impact of disasters and major incidents on vulnerable groups: risk and medical assessment of Swedish patients with advanced care at home. Home Health Care Manage Pract. 2017;29(3):183-190.Google Scholar
15. Wyte-Lake, T, Claver, M, Der-Martirosian, C, et al. Developing a home-based primary care disaster preparedness toolkit. Disaster Med Public Health Prep. 2016;11(1):56-63.Google Scholar
16. Daugherty, JD, Eiring, H, Blake, S, et al. Disaster preparedness in home health and personal-care agencies: are they ready? Gerontology. 2012;58(4):322-330.Google Scholar
17. Selim, AJ, Berlowitz, DR, Fincke, G, et al. The health status of elderly veteran enrollees in the Veterans Health Administration. J Am Geriatr Soc. 2004;52(8):1271-1276.Google Scholar
18. Karuza, J, Gillespie, SM, Olsan, T, et al. National structural survey of Veterans Affairs home-based primary care programs. J Am Geriatr Soc. 2017;65(12):2697-2701.Google Scholar
19. Wyte-Lake, T, Claver, M, Dalton, S, et al. Disaster planning for home health patients and providers: a literature review of best practices. Home Health Care Manage Pract. 2014;27(4):1-9.Google Scholar
20. Centers for Medicare & Medicaid Services. Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers. https://www.federalregister.gov/documents/2013/12/27/2013-30724/medicare-and-medicaid-programs-emergency-preparedness-requirements-for-medicare-and-medicaid. Accessed October 16, 2018.Google Scholar
21. Wyte-Lake, T, Claver, M, Dobalian, A. Assessing patients’ disaster preparedness in home-based primary care. Gerontology. 2016;62(3):263-274.Google Scholar
22. Eisenman, DP, Cordasco, KM, Asch, S, et al. Disaster planning and risk communication with vulnerable communities: lessons from Hurricane Katrina. Am J Public Health. 2007;97(suppl 1):S109-S115.Google Scholar
23. Federal Emergency Management Agency. Personal Preparedness in America: Findings from the 2012 FEMA National Survey. https://www.fema.gov/media-library-data/1409146548070-7c8016a9a41b65b2c584ffacdbe4f920/2012_FEMA_National_Survey_Report_FINAL_508_v11.pdf. Published July 2013. Accessed October 16, 2018.Google Scholar
24. Zane, R, Biddinger, P. Home health patient assessment tools: preparing for emergency triage. Rockville, MD: Agency for Healthcare Research and Quality; 2011.Google Scholar
25. Fiscella, K, Epstein, RM. So much to do, so little time: care for the socially disadvantaged and the 15-minute visit. Arch Intern Med. 2008;168(17):1843-1852.Google Scholar
26. Oliva, N, Wexler, B, Gullickson, G, et al. Disaster preparedness for veterans with dementia and their caregivers. Fed Pract. 2013;July:29-34.Google Scholar
27. National Institute on Aging. Alzheimer’s Disease & Related Dementias. https://www.nia.nih.gov/health/alzheimers. Accessed January 10, 2018.Google Scholar
28. Alzheimer’s Association, Research Triangle Institute International, US Administration on Aging. Disaster Preparedness: Home and Community-Based Services for People with Dementia and Their Caregivers. http://www.une.edu/sites/default/files/Toolkit_2_Disaster_Preparedness.pdf Accessed May 31, 2018.Google Scholar