- Open Access
Measuring healthcare preparedness: an all-hazards approach
© Marcozzi and Lurie; licensee BioMed Central Ltd. 2012
- Received: 4 October 2012
- Accepted: 8 October 2012
- Published: 25 October 2012
In a paper appearing in this issue, Adini, et al. describe a struggle familiar to many emergency planners—the challenge of planning for all scenarios. The authors contend that all-hazards, or capabilities-based planning, in which a set of core capabilities applicable to numerous types of events is developed, is a more efficient way to achieve general health care system emergency preparedness than scenario-based planning. Essentially, the core of what is necessary to plan for and respond to one kind of disaster (e.g. a biologic event) is also necessary for planning and responding to other types of disasters, allowing for improvements in planning and maximizing efficiencies. While Adini, et al. have advanced the science of health care emergency preparedness through their consideration of 490 measures to assess preparedness, a shorter set of validated preparedness measures would support the dual goals of accountability and improved outcomes and could provide the basis for determining which actions in the name of preparedness really matter.
- Public Health System
- Emergency Preparedness
- Mass Casualty
- Public Health Emergency
- Preparedness Planning
David Marcozzi, M.D., MHS-CL, FACEP, serves as the Director of the National Healthcare Preparedness Programs (NHPP) within the Office of the Assistant Secretary for Preparedness and Response at the U.S Department of Health and Human Services (HHS). The NHPP provides leadership, evaluation and funding through grants and cooperative agreements to States, territories, and eligible municipalities to improve United States healthcare preparedness and enhance community and health system preparedness for public health emergencies.
Nicole Lurie, M.D., M.S.P.H, is the Assistant Secretary for Preparedness and Response (ASPR) at the U.S. Department of Health and Human Services (HHS). As such, she serves as the Secretary’s principal advisor on matters related to bioterrorism and other public health emergencies. Her office is the lead agency for federal public health and medical preparedness and response, helping the nation prepare for, respond to, and recover from disasters.
The views expressed are solely those of the authors and do not necessarily represent those of the US Government or the Department of Health and Human Services.
- Adini B, Goldberg A, Cohen R, Bar-Dayan Y: Relationship between standards of procedures (SOPs) for Pandemic Flu and level of hospital performance in simulated drills. Ann Emerg Med. 2008, 52 (3): 223-229. 10.1016/j.annemergmed.2008.03.022.View ArticlePubMedGoogle Scholar
- Sarpy SA, Warren CR, Kaplan S, et al: Simulating public health response to a severe acute respiratory syndrome (SARS) event: a comprehensive and systematic approach to designing, implementing, and evaluating a tabletop exercise. J Public Health Manag Pract. 2005, S75-82.Google Scholar
- Einav S, Feigenberg Z, Weissman C, et al: Evacuation priorities in mass casualty terror-related events: implications for contingency planning. Ann Surg. 2004, 239 (3): 304-10. 10.1097/01.sla.0000114013.19114.57.PubMed CentralView ArticlePubMedGoogle Scholar
- Adini B, Goldberg A, Cohen R, Laor D, Bar-Dayan Y: Evidence-based support for the all-hazards approach to emergency preparedness. Isr J of Health Policy Res. 2012, 1: X.View ArticleGoogle Scholar
- US Department of Homeland Security. Presidential Policy Directive / PPD-8: National Preparedness. 2012,http://www.dhs.gov/presidential-policy-directive-8-national-preparedness.
- US Department of Health and Human Services. Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness. 2012,http://www.phe.gov/Preparedness/planning/hpp/reports/Documents/capabilities.pdf.
- US Department of Health and Human Services. Public Health Preparedness Capabilities: National Standards for State and Local Planning. 2012,http://www.cdc.gov/phpr/capabilities/DSLR_capabilities_July.pdf.
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.