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Assessing the Integration of Health Center and Community Emergency Preparedness and Response Planning

Published online by Cambridge University Press:  08 April 2013

Nicole V. Wineman ,
Barbara I. Braun ,
Joseph A. Barbera  and
Jerod M. Loeb
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Abstract

Background: To assess the state of health center integration into community preparedness, we undertook a national study of linkages between health centers and the emergency preparedness and response planning initiatives in their communities. The key objectives of this project were to gain a better understanding of existing linkages in a nationally representative sample of health centers, and identify health center demographic and experience factors that were associated with strong linkages.

Methods: The objectives of the study were to gain a baseline understanding of existing health center linkages to community emergency preparedness and response systems and to identify factors that were associated with strong linkages. A 60-item questionnaire was mailed to the population of health centers supported by the Health Resources and Services Administration’s Bureau of Primary Health Care in February 2005. Results were aggregated and a chi square analysis identified factors associated with stronger linkages.

Results: Overall performance on study-defined indicators of strong linkages was low: 34% had completed a hazard vulnerability analysis in collaboration with the community emergency management agency, 30% had their role documented in the community plan, and 24% participated in community-wide exercises. Stronger linkages were associated with experience responding to a disaster and a perception of high risk for experiencing a disaster.

Conclusions: The potential for health centers to participate in an integrated response is not fully realized, and their absence from community-based planning leaves an already vulnerable population at greater risk. Community planners should be encouraged to include health centers in planning and response and centers should receive more targeted resources for community integration. (Disaster Med Public Health Preparedness. 2007;1:96–105)

Keywords

emergency preparednesscommunity preparednessdisaster response
Type
Original Research and Critical Analysis
Information
Disaster Medicine and Public Health Preparedness , Volume 1 , Issue 2 , November 2007 , pp. 96 - 105
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2007

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References

REFERENCES

1. National Association of Community Health Centers. America’s Health Centers-Fact Sheet, August 2006. http://www.nachc.com/research/Files/IntroHealthCenters8.06.pdf. Accessed January 8, 2007.Google Scholar
2. Health Resources and Services Administration. Bureau of Primary Health Care Web site. http://bphc.hrsa.gov. Accessed December 18, 2006.Google Scholar
3. National Association of Community Health Centers. Letter outlining concerns to House-Senate Conference Committee on bioterrorism legislation, May 7, 2002. http://www.nachc.com/advocacy/files/Bioterrorism_Letter.pdf. Accessed December 18, 2006.Google Scholar
4. National Association of Community Health Centers. Ready or Not? Two Years After September 11th Health Centers Work Steadily to Prepare for Future Disasters. http://www.nachc.com/pubmgr/Files/IB/specialtopics4dphcsurvey.pdf. Accessed December 18, 2006.Google Scholar
5. Health Resources and Services Administration, Bureau of Primary Health Care. Program Assistance Letter 2002-02: Emergency Preparedness and the Potential Role for Health Centers in Community Response. ftp://ftp.hrsa.gov/bphc/docs/2002pals/2002-02.pdf. Accessed December 18, 2006.Google Scholar
6. Duke EM. Remarks to the National Association of Community Health Centers’ 2005 Annual Convention and Community Health Institute. September 19, 2005, Miami, FL.Google Scholar
7.Kidney, R.Primary care associations and their roles when disaster strikes. Commun Health Forum. 2006;6 (5).Google Scholar
8. Present at the table, absent from the plans II: update on the involvement of health centers in state bioterrorism preparedness planning. National Association of Community Health Centers Web site. http://www.nachc.com/pubmgr/Files/IB/special%20topics_dppcasurvey.pdf. Accessed December 18, 2006.Google Scholar
9.Braun, BI, Wineman, NV, Finn, NL, et alIntegrating hospitals into community emergency preparedness planning. Ann Intern Med. 2006;144:799–811.CrossRefGoogle ScholarPubMed
10. 2006 Ambulatory Accreditation Standards for Emergency Management Planning, Emergency Management Drills, Infection Control. Joint Commission on Accreditation of Healthcare Organizations Web site. http://www.jointcommission.org/NR/rdonlyres/54374D17-DCFC-493B-B4BE-E88C12A34612/0/06_amb_accred_stds.pdf. Accessed June 26, 2007.Google Scholar
11. National Bioterrorism Hospital Preparedness Program Fiscal Year 2006 Program Guidance. Health Services and Resources Administration Web site. https://grants.hrsa.gov/webexternal/DisplayAttachment.asp?ID=1C655E9F-924B-41A9-8539-FA022BF91DFE. Accessed December 18, 2006.Google Scholar
12. Medical Surge Capacity and Capability (MSCC): A Management System for Integrating Medical and Health Resources During Large-Scale Emergencies. US Department of Health and Human Services Web site. http://www.cna.org/documents/mscc_aug2004.pdf. Accessed December 18, 2006.Google Scholar
13. Legacy of a disaster: health centers and Hurricane Katrina one year later. National Association of Community Health Centers Web site. http://www.nachc.com/press/Files/katrinareport.pdf. Accessed December 18, 2006.Google Scholar
14. Gray BH, Hebert K. Hospitals in Hurricane Katrina: challenges facing custodial institutions in a disaster. The Urban Institute Web site. http://www.urban.org/UploadedPDF/411348_katrinahospitals.pdf. Accessed January 23, 2007.Google Scholar
15. The White House Report. The Federal Response to Hurricane Katrina: Lessons Learned. White House Web site. http://www.whitehouse.gov/reports/katrina-lessons-learned.pdf. Accessed January 23, 2007.Google Scholar
16. Pandemic and All-Hazards Preparedness Act. Pub L No. 109-417.Google Scholar
17. Office of the Assistant Secretary for Preparedness and Response (ASPR), US Department of Health and Human Services Web site. http://www.hhs.gov/ophep. Accessed January 26, 2007.Google Scholar
18.Health Resources and Services Administration. Draft Program Information Notice: Emergency Management Program Expectations. http://bphc.hrsa.gov/draftsforcomment/emergencymanagement.htm. Accessed June 26, 2007.Google Scholar
19. Sorrel AL. Liability and licensure hassles impede disaster response. AMA News. Published July 3, 2006. http://www.ama-assn.org/amednews/2006/07/03/gvsc0703.htm. Accessed June 26, 2006.Google Scholar
20. Liability insurance issues thwart relief efforts (still) after Katrina. National Association of Community Health Centers Web site. http://www.nachc.com/press/feb1006.asp. Accessed February 21, 2006.Google Scholar