Hostname: page-component-76fb5796d-22dnz Total loading time: 0 Render date: 2024-04-25T14:46:06.225Z Has data issue: false hasContentIssue false
  • English
  • Français

Contributions of Health Care Coalitions to Preparedness and Resilience: Perspectives From Hospital Preparedness Program and Health Care Preparedness Coalitions

Published online by Cambridge University Press:  06 November 2015

Joie Acosta ,
Stefanie Howard ,
Anita Chandra ,
Danielle Varda ,
Sara Sprong  and
Lori Uscher-Pines
Joie Acosta*
Affiliation:
RAND Corporation, Arlington, Virginia
Stefanie Howard
Affiliation:
RAND Corporation, Arlington, Virginia
Anita Chandra
Affiliation:
RAND Corporation, Arlington, Virginia
Danielle Varda
Affiliation:
The School of Public Affairs, University of Colorado, Denver, Colorado.
Sara Sprong
Affiliation:
The School of Public Affairs, University of Colorado, Denver, Colorado.
Lori Uscher-Pines
Affiliation:
RAND Corporation, Arlington, Virginia
*
Correspondence and reprint requests to Joie Acosta, PhD, RAND Corporation, 1200 South Hayes Street, Arlington, VA 22202 (e-mail at jacosta@rand.org).
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective

The purpose of this article was to describe how the Hospital Preparedness Program (HPP) and other health care coalitions conceptualize and measure progress or success and to identify strategies to improve coalition success and address known barriers to success.

Methods

We conducted a structured literature review and interviews with key leaders from 22 HPPs and other coalitions. Interview transcripts were analyzed by using constant comparative analysis.

Results

Five dimensions of coalition success were identified: strong member participation, diversity of members, positive changes in members’ capacity to respond to or recover from disaster, sharing of resources among members, and being perceived as a trendsetter. Common barriers to success were also identified (eg, a lack of funding and staff). To address these barriers, coalitions suggested a range of mitigation strategies (eg, establishing formal memoranda of agreement). Both dimensions of and barriers to coalition success varied by coalition type.

Conclusions

Currently, the term health care coalition is a one-size-fits-all term. In reality, this umbrella term describes a variety of different configurations, member bodies, and capabilities. The analysis offered a typology to categorize health care coalitions by primary function during a disaster response. Developing a common typology that could be used to specify capabilities or functions of coalitions may be helpful to advancing their development. (Disaster Med Public Health Preparedness. 2015;9:690–697)

Keywords

public healthdisaster planningemergency preparednesshealth care facilitieshealth care coalitions
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 6 , December 2015 , pp. 690 - 697
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Courtney, B, Toner, E, Waldhorn, R, et al. Healthcare coalitions: the new foundation for national healthcare preparedness and response for catastrophic health emergencies. Biosecur Bioterror. 2009;7(2):153-163. http://dx.doi.org/10.1089/bsp.2009.0020 CrossRefGoogle ScholarPubMed
2. Nelson, CD, Lurie, N, Wasserman, J. Assessing public health emergency preparedness: Concepts, tools, and challenges. Annu Rev Public Health. 2007a28(1):1-18. http://dx.doi.org/10.1146/annurev.publhealth.28.021406.144054 Google Scholar
3. Nelson, CD, Lurie, N, Wasserman, J, Zakowski, S. Conceptualizing and defining public health emergency preparedness. Am J Public Health. 2007b; 97(Supplement_1):S9-S11. http://dx.doi.org/10.2105/AJPH.2007.114496 Google Scholar
4. Nelson, CD, Beckjord, EB, Dausey, DJ, et al. How can we strengthen the evidence base in public health preparedness? Disaster Med Public Health Prep. 2008;2(4):247-250. http://dx.doi.org/10.1097/DMP.0b013e31818d84ea Google Scholar
5. Hossain, L, Kuti, M. Disaster response preparedness coordination through social networks. Disasters. 2010;34(3):755-786. http://dx.doi.org/10.1111/j.1467-7717.2010.01168.x Google Scholar
6. Emergency Preparedness. State Efforts to Plan for Medical Surge Could Benefit from Shared Guidance for Allocating Scarce Medical Resources. Washington, DC: Government Accountability Office; 2012.Google Scholar
7. US Department of Health and Human Services. National Health Security Strategy of the United States of America. Public Health Emergency website. http://www.phe.gov/Preparedness/planning/authority/nhss/Pages/default.aspx. Accessed October 8, 2015.Google Scholar
8. Assistant Secretary for Preparedness and Response. Hospital Preparedness Program (HPP) Performance Measure Manual: Guidance for Using the New HPP Performance Measures. http://www.phe.gov/Preparedness/planning/evaluation/Documents/fy2012-hpp-082212.pdf. July 1, 2012–June 30, 2013. Accessed June 7, 2015.Google Scholar
9. Varda, DM, Chandra, A, Stern, S, Lurie, N. Core Dimensions of Connectivity in Public Health Collaboratives. Core dimensions of connectivity in public health collaboratives. J Public Health Manag Pract. 2008;14(5):E1-E7. http://dx.doi.org/10.1097/01.PHH.0000333889.60517.46 CrossRefGoogle ScholarPubMed
10. US Department of Health and Human Services, Assistant Secretary for Preparedness and Reponses. From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in Our Communities. http://www.phe.gov/Preparedness/planning/hpp/Documents/hpp-healthcare-coalitions.pdf. End-of-Year 2007–2009 reporting periods. Accessed October 8, 2015.Google Scholar
11. US Office of Management and Budget. OMB Bulletin No. 10-02: Update of Statistical Area Definitions and Guidance on Their Uses. http://www.whitehouse.gov/omb/assets/bulletins/b10-02.pdf. Published December 1, 2009. Accessed February 12, 2012.Google Scholar
12. Kelly, C, Meurer, J, Lachance, L, et al. Engaging health care providers in coalition activities. Health Promot Pract. 2006;7(2 suppl):66S-75S.CrossRefGoogle ScholarPubMed
13. Agranoff, R. Collaborarchy: A different kind of management. In. Managing Within Networks: Adding Value to Public Organizations. Washington, DC: Georgetown University Press; 2007:83-124.Google Scholar
14. Eisenman, DP, Glik, D, Gonzalez, L, et al. Improving Latino disaster preparedness using social networks. Am J Prev Med. 2009;37(6):512-517. http://dx.doi.org/10.1016/j.amepre.2009.07.022 CrossRefGoogle ScholarPubMed
15. Luke, DA, Harris, JK. Network analysis in public health: history, methods, and applications. Annu Rev Public Health. 2007;28(1):69-93. http://dx.doi.org/10.1146/annurev.publhealth.28.021406.144132 Google Scholar
16. Mays, GP, Scutchfield, FD. Improving public health system performance through multiorganizational partnerships. Prev Chronic Dis. 2010;7(6).Google Scholar
17. Mays, GP, Halverson, PK, Baker, EL, Stevens, R, Vann, JJ. Availability and perceived effectiveness of public health activities in the nation’s most populous communities. Am J Public Health. 2004;94(6):1019-1026. http://dx.doi.org/10.2105/AJPH.94.6.1019 CrossRefGoogle ScholarPubMed
18. Bailey, SBC. Focusing on solid partnerships across multiple sectors for population health improvement. Prev Chronic Dis. 2010;7(6):A115.Google Scholar
19. Chen, L, Roberts, S, Xu, L, et al. Effectiveness and challenges of regional public health partnerships in Nebraska. J Public Health Manag Pract. 2012;18(2):148-155. http://dx.doi.org/10.1097/PHH.0b013e318239918f CrossRefGoogle ScholarPubMed
20. Honeycutt, TC, Strong, DA. Using social network analysis to predict early collaboration within health advocacy coalitions. Am J Eval. 2011; Oct 14. doi: 10.1177/1098214011424201 Google Scholar
21. Kamensky, A, Burlin, T, Abramson, M. Collaboration: Using Networks and Partnership. Oxford: Rowman & Littlefield Publishers; 2004.Google Scholar
22. Powell, W, Grodal, S. Networks of Innovators. The Oxford Handbook of Innovation. Oxford, United Kingdom: Oxford University Press; 2005.Google Scholar
23. Provan, K, Veazie, M, Staten, L, Teufel-Shone, NI. The use of network analysis to strengthen community partnerships. Public Adm Rev. 2005;65(5):603-613. http://dx.doi.org/10.1111/j.1540-6210.2005.00487.x Google Scholar
24. Rainey, H. Understanding and Managing Public Organizations. San Francisco: Jossey-Bass; 2009.Google Scholar
25. Scearce, D, Kasper, G, McLeod Grant, H. Working Wikily 2.0. http://www.workingwikily.net/Working_Wikily_2.0.pdf. Published 2010. Accessed October 8, 2015.Google Scholar
26. Mandell, M, Keast, R. Evaluating network arrangements: toward revised performance measures. Public Perform Manag Rev. 2007;30(4):574-597. http://dx.doi.org/10.2753/PMR1530-9576300406 Google Scholar
27. Butterfoss, FD, Francisco, VT. Evaluating partnerships to prevent and manage chronic disease. Prev Chronic Dis. 2009;6(2):A64.Google Scholar
28. Petersen, D, Minkler, M, Vasquez, V, et al. Community bases participatory research as a tool for policy change: A case study of the southern California environmental justice collaborative. Rev Policy Res. 2006;23(2):339-353. http://dx.doi.org/10.1111/j.1541-1338.2006.00204.x Google Scholar
29. Kapucu, N, Arslan, T, Collins, ML. Examining intergovernmental and interorganizational response to catastrophic disasters: toward a network-centered approach. Adm Soc. 2010;42(2):222-247. http://dx.doi.org/10.1177/0095399710362517 Google Scholar
30. Cigler, B. Pre-conditions for the emergence of multicommunity collaborative organizations. Policy Stud Rev. 1999;16(1):86-102. http://dx.doi.org/10.1111/j.1541-1338.1999.tb00842.x CrossRefGoogle Scholar
31. Francisco, VT, Paine, AL, Fawcett, SB. A methodology for monitoring and evaluating community health coalitions. Health Educ Res. 1993;8(3):403-416. http://dx.doi.org/10.1093/her/8.3.403 Google Scholar
32. Burkle, FMJ. Measures of effectiveness in large-scale bioterrorism events. Prehosp Disaster Med. 2003;18(3):258-262.Google Scholar
33. Asch, SM, Stoto, M, Mendes, M, et al. A review of instruments assessing public health preparedness. Public Health Rep. 2005;120(5):532-542.Google Scholar
34. Kaji, AH, Langford, V, Lewis, RJ. Assessing hospital disaster preparedness: A comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008;52(3):195-201. http://dx.doi.org/10.1016/j.annemergmed.2007.10.026 Google Scholar
35. LeRoux, K, Wright, N. Does performance measurement improve strategic decision making? Findings from a national survey of nonprofit social service agencies. Nonprofit Volunt Sector Q. 2010;39(4):571-587. http://dx.doi.org/10.1177/0899764009359942 CrossRefGoogle Scholar
36. Varda, D. Data-Driven Management Strategies in Public Health Collaboratives. Data-Driven Management Strategies in Public Health Collaboratives. J Public Health Manag Pract. 2011;17(2):122-132. http://dx.doi.org/10.1097/PHH.0b013e3181ede995 Google Scholar