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Health Care Emergency Management: Establishing the Science of Managing Mass Casualty and Mass Effect Incidents

Published online by Cambridge University Press:  08 April 2013

Anthony G. Macintyre ,
Joseph A. Barbera  and
Peter Brewster
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Abstract

Particularly since 2001, the health care industry has witnessed many independent and often competing efforts to address mitigation and preparedness for emergencies. Clinicians, health care administrators, engineers, safety and security personnel, and others have each developed relatively independent efforts to improve emergency response. A broader conceptual approach through the development of a health care emergency management profession should be considered to integrate these various critical initiatives. When based on long-standing emergency management principles and practices, health care emergency management provides standardized, widely accepted management principles, application concepts, and terminology. This approach could also promote health care integration into the larger community emergency response system. The case for a formally defined health care emergency management profession is presented with discussion points outlining the advantages of this approach. (Disaster Med Public Health Preparedness. 2009;3(Suppl 1):S52–S58)

Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 3 , Issue S1 , June 2009 , pp. S52 - S58
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2009

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References

REFERENCES

1.Comprehensive Emergency Management: A Governor’s Guide. The National Governor’s Association (NGA).Washington, DC: US Government Printing Office; 1979.Google Scholar
2.Barbera J, Macintyre A, DeAtley C. Ambulances to Nowhere: America’s Critical Shortfall in Medical Preparedness for Catastrophic Terrorism. BCSIA Discussion Paper 2001-15. Executive Session on Domestic Preparedness (ESDP) Discussion Paper 2001-07. Boston: John F. Kennedy School of Government, Harvard University; 2001.Google Scholar
3.Dara, S, Ashton, R, Farmer, C, et alWorldwide disaster medical response: a historical perspective. Crit Care Med. 2005;33 Suppl 1S2–S6.CrossRefGoogle ScholarPubMed
4.Taylor, I.Hurricane Katrina’s impact on Tulane’s teaching hospitals. Trans Am Clin Climatol Assoc. 2007;118:69–78.Google Scholar
5.Okie, S.Dr. Pou and the hurricane: implications for patient care during disasters. N Engl J Med. 2008;358:1–5.CrossRefGoogle ScholarPubMed
6.Emergency Management Principles and Practices for Healthcare Systems. The Institute for Crisis, Disaster, and Risk Management (ICDRM) at the George Washington University (GWU); for the Veterans Health Administration (VHA)/US Department of Veterans Affairs (VA). June 2006. http://www1.va.gov/emshg. Accessed October 13, 2008.Google Scholar
7.Emergency Management Standards, Hospital Accreditation Program. The Joint Commission. Prepublication version: http://www.jointcommission.org/NR/rdonlyres/DCA586BD-1915-49AD-AC6E-C88F6AEA706D/0/HAP_EM.pdf. Accessed October 13, 2008.Google Scholar
8.McGlown, J.Terrorism and Disaster Management: Preparing Healthcare Leaders for the New Reality. Chicago: Health Administration Press/ACHE; 2004.Google Scholar
9.Hospital Security Best Practices, Benchmarks, and Compliance. Seivold G, ed. New York: Institute of Management and Administration; 2007.Google Scholar
10.Mitchell, G.A brief history of triage. Disaster Med Public Health Preparedness. 2008;2 Suppl 1S4–S6.CrossRefGoogle ScholarPubMed
11.Disaster Medicine Section. American College of Emergency Physicians. Accessed October 13, 2008.Google Scholar
12.Prehospital and Disaster Medicine. World Association for Disaster and Emergency Medicine. http://pdm.medicine.wisc.edu. Accessed October 13, 2008.Google Scholar
13.Franco, C, Toner, E, Waldhorn, R, et alThe national disaster medical system: past, present, and suggestions for the future. Biosecur Bioterror. 2007;5:319–326.CrossRefGoogle ScholarPubMed
14.Bradt, D, Drummond, C.Professionalization of disaster medicine—an appraisal of criterion-referenced qualifications. Prehosp Disaster Med. 2007;22:360–368.CrossRefGoogle ScholarPubMed
15.Mihelic F, Stockton M, Cole S, et al. The changing role of physicians in disaster management and hospital incident command. HSI J Homeland Security. May 2008. http://www.homelandsecurity.org/journal/Default.aspx?oid=173&ocat=1. Accessed October 16, 2008.Google Scholar
16.Ciottone, G, Anderson, P, Auf der Heide, E, et alDisaster Medicine. St Louis, MO: Mosby; 2006.Google Scholar
17.Advanced Disaster Life Support. National Disaster Life Support Foundation. Curriculum Outline. http://www.ndlsf.org/common/content.asp?PAGE=348. Accessed October 13, 2008.Google Scholar
18.Homeland Security Presidential Directive 21: Public Health and Medical Preparedness. October 18, 2007. http://www.whitehouse.gov/news/releases/2007/10/20071018-10.html. Accessed October 13, 2008.Google Scholar
19.Subbarao, I, Lyznicki, J, Hsu, E, et alA consensus-based educational framework and competency set for the discipline of disaster medicine and public health preparedness. Disaster Med Public Health Preparedness. 2008;2:57–68.CrossRefGoogle ScholarPubMed
20.Powers, R, Daily, E.Nursing issues in disaster health. Prehosp Disaster Med. 2008;23:S1–S2.CrossRefGoogle ScholarPubMed
21.Daily, E.The nursing section of the World Association of Disaster and Emergency Medicine. Prehosp Disaster Med. 2008;23:S3.CrossRefGoogle ScholarPubMed
22.University of Rochester Medical Center: New Nursing Master’s Program Teaches Disaster Response. September 18, 2003. http://www.urmc.rochester.edu/pr/news/story.cfm?id=381. Accessed October 13, 2008.Google Scholar
23.APIC Bioterrorism Working Group: April 2002 Interim Bioterrorism Readiness Planning Suggestions. Association for Professionals in Infection Control and Epidemiology. http://www.apic.org/Content/NavigationMenu/PracticeGuidance/Topics/Bioterrorism/APIC_BTWG_BTRSugg.pdf. Accessed October 13, 2008.Google Scholar
24.Luizzo, A, Scaglione, B.How has hospital security changed since 9/11? J Healthc Prot Manage. 2004;20:44–48.Google ScholarPubMed
25. ED managers react to threat against hospitals: here are security strategies. ED Manag. 2003;15:1–5.Google Scholar
26.Kuebler, S.Communications issues during bomb threats. J Healthc Prot Manage. 1998;14:55–58.Google Scholar
27.Stymiest D. Managing Hospital Emergency Power Systems: Testing, Operation, Maintenance. A 2006 Management Monograph. American Society for Healthcare Engineering. http://www.ashe.org/ashe/products/pubs/pdfs/2006manageep.pdf. Accessed October 16, 2008.Google Scholar
28.Y2K Guidebook. St Louis, MO: Center for Engineering and Occupational Safety and Health, Veterans Health Administration; 1999.Google Scholar
29.Hsu, E, Casani, J, Romanosky, A, et alAre regional hospital pharmacies prepared for public health emergencies? Biosecur Bioterror. 2006;4:237–243.CrossRefGoogle ScholarPubMed
30.Armistead, J, Burton, D.Enhanced pharmacy training for counter-terrorism and disaster response. J Telemed Telecare. 2006;12 (Suppl 1)3–5.CrossRefGoogle Scholar
31.Feldbush, M.The role of clergy responding to disaster events. South Med J. 2007;100:942–943.CrossRefGoogle ScholarPubMed
32.Millar D, Bagg F. A Crisis Communications Primer for Hospital CEOs. An Emergency Readiness Resource From the American Hospital Association (AHA). 2006. http://www.aha.org/aha/issues/Emergency-Readiness/crisiscomprimer.html. Accessed October 16, 2008.Google Scholar
33.Healthcare Executive’s Role in Emergency Preparedness. A Policy Statement From the American College of Healthcare Executives. November 2006. http://www.ache.org/policy/emergency_preparedness.cfm. Accessed October 16, 2008.Google Scholar
34.Standard Guide for Hospital Preparedness and Response E 2413.West Conshohocken, PA: ASTM International; 2004.Google Scholar
35.Emergency Management Program Guidebook. Emergency Management Strategic Healthcare Group (EMSHG), the Veterans Health Administration (VHA). March 2008. http://www1.va.gov/emshg/page.cfm?pg=114. Accessed October 16, 2008.Google Scholar
36.Emergency Management Principles and Practices for Healthcare Systems. The Institute for Crisis, Disaster, and Risk Management (ICDRM) at the George Washington University (GWU); for the Veterans Health Administration (VHA)/US Department of Veterans Affairs (VA). June 2006. http://www1.va.gov/emshg. Accessed October 13, 2008.Google Scholar
37.Barbera J, Macintyre A. Medical Surge Capacity and Capability: A Management System for Integrating Medical and Health Resources During Large Scale Emergencies. By the CNA Corp for the US Department of Health and Human Services. 2nd ed. September 2007. http://www.hhs.gov/disasters/discussion/planners/mscc080626.pdf. Accessed October 16, 2008.Google Scholar
38.Bachelor of Science in Healthcare Emergency Management course description. Loyola University Health System. http://www.luc.edu/scps/hcemanagement_curriculum.shtml. Accessed October 16, 2008.Google Scholar
39.Merriam-Webster Dictionary. http://www.merriam-webster.com/dictionary/profession. Accessed October 16, 2008.Google Scholar
40.Federal Emergency Management Agency. An Introduction to Emergency Management.Emmitsburg, MD: Emergency Management Institute; 1995.Google Scholar
41.Integrated Emergency Management System: Process Overview. Federal Emergency Management Agency. Comprehensive Preparedness Guidance (CPG) 100-1. September 1983. http://training.fema.gov/EMIWeb/edu/docs/IEM%20Process%20Overview%209-83.pdf. Accessed October 16, 2008.Google Scholar
42.Glossary of terms. National Incident Management System (NIMS). US Department of Homeland Security. March 2004. http://www.dhs.gov/xlibrary/assets/NIMS-90-web.pdf. Accessed October 16, 2008.Google Scholar
43.Guide for All Hazards Emergency Operations Planning. State and Local Guidance 101. Federal Emergency Management Agency. September 1996. http://www.fema.gov/pdf/plan/slg101.pdf. Accessed October 16, 2008.Google Scholar