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A 3-year Health Care Coalition Experience in Advancing Hospital Evacuation Preparedness

Published online by Cambridge University Press:  19 September 2016

John J. Lowe*
Affiliation:
Director of Public Health Training and Exercise Programs, Center for Preparedness Education, College of Public Health, University of Nebraska Medical Center, Omaha, NebraskaUSA Assistant Professor, Department of Environmental, Agricultural, and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NebraskaUSA
Keith F. Hansen
Affiliation:
Associate Director, Center for Preparedness Education, College of Public Health, University of Nebraska Medical Center, Omaha, NebraskaUSA
Kristine K. Sanger
Affiliation:
Director of Hospital Training and Exercise Programs, Center for Preparedness Education, College of Public Health, University of Nebraska Medical Center, Omaha, NebraskaUSA
Jannah M. Obaid
Affiliation:
Graduate Research Assistant, Department of Environmental, Agricultural, and Occupational Health, College of Public Health, University of Nebraska Medical Center, Omaha, NebraskaUSA
*
Correspondence: John J. Lowe, PhD Department of Environmental Agricultural, and Occupational Health University of Nebraska Medical Center 984320 Nebraska Medical Center Omaha, Nebraska USA 68198-4320, E-mail: jjlowe@unmc.edu

Abstract

This report outlines a 3-year health care coalition effort to advance and test community capacity for a large-scale hospital evacuation. The multi-year effort utilized a variety workshops, seminars, webinars, tabletops, functional exercises, and culminated with a full-scale exercise testing hospital evacuation. While most hospital evacuation exercises focus on internal movement of patients, this exercise process tested command-level decision making and it tested external partners such as transportation agencies, law enforcement, receiving hospitals, and local emergency management. This process delivered key coalition-building activities and offered a variety of training and exercise opportunities to assist a number of organizations, all at different stages of hospital evacuation planning. The 2012 Hospital Preparedness Program outlined the incorporation of health care coalition activities to transform individual organization preparedness to community-level readiness. This report outlines a health care coalition effort to deliver training and exercises to advance community capacity for a large-scale hospital evacuation.

LoweJJ, HansenKF, SangerKK, ObaidJM. A 3-year Health Care Coalition Experience in Advancing Hospital Evacuation Preparedness. Prehosp Disaster Med. 2016;31(6):658–662.

Type
Special Reports
Copyright
© World Association for Disaster and Emergency Medicine 2016 

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References

1. Davies, E. Emergency hospital evacuation as Hurricane Sandy hits New York. BMJ. 2012;345:e7357.Google Scholar
2. Sexton, KH, Alperin, LM, Stobo, JD. Lessons from Hurricane Rita: the University of Texas Medical Branch Hospital’s evacuation. Acad Med. 2012;82(8):792-796.Google Scholar
3. Thomas, J, Lackey, N. How to evacuate a psychiatric hospital: a Hurricane Katrina success story. J Psychosoc Nurs. 2008;46(1):35-40.Google Scholar
4. Schultz, CH, Koenig, KL, Lewis, RJ. Implications of hospital evacuation after the Northridge, California earthquake. N Engl J Med. 2003;348(14):1349-1355.Google Scholar
5. SoRelle, R. Breaking news: tornado pummels Joplin hospital, but EM spirit survives. Emergency Medicine News. 2011;33(10):6-7.Google Scholar
6. Siders, C, Jacobson, R. Flood disaster preparedness: a retrospect from Grand Forks, North Dakota. J Healthc Risk Manag. 1998;18(2):33-40.Google Scholar
7. Bell, JR. 200 patients evacuated in hospital fire. Fire J. 1985;79(4):55-63; 88-94.Google Scholar
8. Sternberg, E, Lee, GC, Huard, D. Counting crises: US hospital evacuations, 1971-1999. Prehosp Disaster Med. 2004;19(2):150-157.Google Scholar
9. Hospital Preparedness Program. National Guidance for Healthcare System Preparedness; 2012. http://www.phe.gov/Preparedness/planning/hpp/reports/Documents/capabilities.pdf. Accessed January 10, 2013.Google Scholar
10. Powell, T, Hanfling, D, Gostin, LO. Emergency preparedness and public health: the lessons of Hurricane Sandy. JAMA. 2012;308(24):2569-2570.Google Scholar
11. Department of Homeland Security. The Homeland Security Exercise and Evaluation Program (HSEEP). Washington, DC USA; 2007. https://hseep.dhs.gov/support/VolumeI.pdf. Accessed February 10, 2013.Google Scholar
12. Office of the Assistant Secretary for Preparedness and Response. From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in our Communities; 2011. http://www.phe.gov/Preparedness/planning/hpp/Documents/hpp-healthcare-coalitions.pdf. Accessed January 27, 2013.Google Scholar
13. Zane, RD, Biddinger, P, Hassol, A, et al. Hospital Evacuation Decision Guide: US Department of Health and Human Services, Agency for Healthcare Research and Quality, 2010. http://archive.ahrq.gov/prep/hospevacguide/. Accessed February 12, 2013.Google Scholar
14. Bish, DR, Agca, E, Glick, R. Decision support for hospital evacuation and emergency response. Ann Oper Res. 2011: 1-18.Google Scholar
15. Zaenger, D, Efrat, N, Riccio, RR, et al. Shelter‐in‐place versus evacuation decision making: a systematic approach for health care facilities. Risk, Hazards, & Crisis in Public Policy. 2012;1(3):19-33.Google Scholar