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Optimizing Health Care Coalitions: Conceptual Frameworks and a Research Agenda

Published online by Cambridge University Press:  06 November 2015

Nathaniel Hupert ,
Karen Biala ,
Tara Holland ,
Avi Baehr ,
Aisha Hasan  and
Melissa Harvey
Nathaniel Hupert
Affiliation:
US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC Weill Cornell Medical College, Department of Healthcare Policy and Research, New York, New York
Karen Biala
Affiliation:
US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC US Department of Agriculture, Food and Nutrition Service, Alexandria, Virginia
Tara Holland*
Affiliation:
Gap Solutions, Inc. (Contractor) supporting the US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC
Avi Baehr
Affiliation:
US Department of Health and Human Services, Office of Disease Prevention and Health Promotion, Washington, DC University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania.
Aisha Hasan
Affiliation:
US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC
Melissa Harvey
Affiliation:
US Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response, Washington, DC
*
Correspondence and reprint requests to Tara Holland, 200 Independence Ave, SW, Washington, DC 20201 (e-mail: tara.holland@hhs.gov).
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Abstract

The US health care system has maintained an objective of preparedness for natural or manmade catastrophic events as part of its larger charge to deliver health services for the American population. In 2002, support for hospital-based preparedness activities was bolstered by the creation of the National Bioterrorism Hospital Preparedness Program, now called the Hospital Preparedness Program, in the US Department of Health and Human Services. Since 2012, this program has promoted linking health care facilities into health care coalitions that build key preparedness and emergency response capabilities. Recognizing that well-functioning health care coalitions can have a positive impact on the health outcomes of the populations they serve, this article informs efforts to optimize health care coalition activity. We first review the landscape of health care coalitions in the United States. Then, using principles from supply chain management and high-reliability organization theory, we present 2 frameworks extending beyond the Office of the Assistant Secretary for Preparedness and Response’s current guidance in a way that may help health care coalition leaders gain conceptual insight into how different enterprises achieve similar ends relevant to emergency response. We conclude with a proposed research agenda to advance understanding of how coalitions can contribute to the day-to-day functioning of health care systems and disaster preparedness. (Disaster Med Public Health Preparedness. 2015;9:717–723)

Keywords

disaster planninghealth care coalitionsemergency preparednessdelivery of health care
Type
Concepts in Disaster Medicine
Information
Disaster Medicine and Public Health Preparedness , Volume 9 , Issue 6 , December 2015 , pp. 717 - 723
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2015 

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