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In Preparation or Response: Examining Health Care Coalitions Amid a Changing Economic and Political Landscape

Published online by Cambridge University Press:  06 November 2015

Mark E. Dornauer
Mark E. Dornauer*
Affiliation:
Office of the Assistant Secretary for Preparedness and Response via GAP Solutions, Inc, Arlington, Virginia.
*
Correspondence and reprint requests to Mark Dornauer, MBE, 1201 N. Fillmore St., #810, Arlington, VA 22201 (e-mail: dornmark@mail.med.upenn.edu).
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Abstract

The Office of the Assistant Secretary for Preparedness and Response within the US Department of Health and Human Services leads the nation in preparing for, responding to, and recovering from the adverse health effects of public health emergencies, in part through formal collaborations between hospitals, health systems, community health centers, public health departments, and community organizations via health care coalitions (HCCs). HCCs endeavor to meet the medical surge demands inherent to disasters and to improve health outcomes before, during, and after public health emergencies. Nevertheless, significant changes in health economics and policy can impact the operations, capabilities, and scope of HCCs. Specifically, hospital consolidation and the Affordable Care Act (ACA) are altering the national health care landscape, as well as the emergency preparedness sector, and are challenging HCCs to adapt to large-scale, industry-wide transformations. This article examines HCCs in the context of the developments of hospital consolidation and the ACA in order to facilitate future discourse regarding the strategy and policy of HCCs amid a changing economic and political landscape. (Disaster Med Public Health Preparedness. 2015;9:698–703)

Keywords

health policyhealth care economics and organizationshealth care coalitionsgovernmentemergency preparedness
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 6 , December 2015 , pp. 698 - 703
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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