Development of a State Medical Surge Plan, Part I: The Procedures, Process, and Lessons Learned or Confirmed

Moser, Royce; Connelly, Colleen; Baker, Lloyd; Barton, Richard G.; Buttrey, John; Morris, Stephen; Saffle, Jeffrey R.; Whitney, Jolene R.

doi:10.1016/j.dmr.2005.07.003

Cited by 7 publications

(2 citation statements)

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“…ACEP ; AHRQ ; Baker et al ; Balcan et al ; Bartlett ; Bartlett and Borio ; Bonnett et al ; D'Aoust et al ; Eastman et al ; ECRI Institute ; Emery et al ; Estacio ; Felland et al ; Fisher et al ; Greenko et al ; Hall ; Hick, Barbera, and Kelen ; Hick, Christian, and Sprung ; Hick et al ; Hirshberg et al ; Hoard et al ; Hodge, Gable, and Calves , ; Hogg et al ; Hsu et al ; Kaji et al ; Kaji, Koenig, and Bey ; Koh et al ; Kort, Stuart, and Bontovics ; Krumkamp et al ; Langabeer et al ; Levin, Gebbie, and Qureshi ; Meredith et al ; Monto et al ; Moser et al , ; Potter and Brough ; Robertson and Cooper ; Romano ; Roszak et al ; Rykken et al ; Scheulen et al ; Sefrin and Kuhnigk ; Severance ; Shih and Koenig ; Stratton and Tyler ; Swanson et al ; Tadmor, McManus, and Koenig ; Taylor ; Watkins et al ; WHO .…”

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Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research

2013

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Context: Over the past decade, a number of high-impact natural hazard events, together with the increased recognition of pandemic risks, have intensified interest in health systems' ability to prepare for, and cope with, "surges" (sudden large-scale escalations) in treatment needs. In this article, we identify key concepts and components associated with this emerging research theme. We consider the requirements for a standardized conceptual framework for future research capable of informing policy to reduce the morbidity and mortality impacts of such incidents. Here our objective is to appraise the consistency and utility of existing conceptualizations of health systems' surge capacity and their components, with a view to standardizing concepts and measurements to enable future research to generate a cumulative knowledge base for policy and practice. Methods:A systematic review of the literature on concepts of health systems' surge capacity, with a narrative summary of key concepts relevant to public health. Findings:The academic literature on surge capacity demonstrates considerable variation in its conceptualization, terms, definitions, and applications. This, together with an absence of detailed and comparable data, has hampered efforts to develop standardized conceptual models, measurements, and metrics. Some degree of consensus is evident for the components of surge capacity, but more work is needed to integrate them. The overwhelming concentration in the United States complicates the generalizability of existing approaches and findings. Conclusions:The concept of surge capacity is a useful addition to the study of health systems' disaster and/or pandemic planning, mitigation, and response, 78Health Systems ' "Surge Capacity" 79 and it has far-reaching policy implications. Even though research in this area has grown quickly, it has yet to fulfill its potential to generate knowledge to inform policy. Work is needed to generate robust conceptual and analytical frameworks, along with innovations in data collection and methodological approaches that enhance health systems' readiness for, and response to, unpredictable highconsequence surges in demand.Keywords: surge capacity, disease outbreaks, disaster planning/organization and administration, disaster medicine/manpower. E vidence shows that the frequency of recorded casualty-producing natural hazard events has increased more than fourfold across the world since the mid-1970s (ADRC 2009;Guha-Sapir et al. 2011). Whether this is a result of more frequent events or of heighted exposure and vulnerability to hazards is unclear, as the detection of patterns and trends in the frequency of physical hazards requires millions (or hundreds of millions) of years. What is clear, however, is that demographic, social, and environmental shifts are forcing increasing numbers of people to occupy (hitherto avoided) areas (Dobbs et al. 2011; UN 2005). Vulnerabilities to natural hazard-induced disasters may be amplified in the future as processes of environmental degradation, ...

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Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research

2013

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Surge capacity: a proposed conceptual framework

Bonnett¹,

Peery²,

Cantrill³

et al. 2007

The American Journal of Emergency Medicine

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Development of a State Medical Surge Plan, Part II: Components of a Medical Surge Plan

Moser¹,

Connelly²,

Baker³

et al. 2006

Disaster Management & Response

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In 2003, the Utah State Department of Health received funding from the Health Resources and Services Administration to develop a medical surge plan to increase the number of available hospital beds in the state by 1250 beds, including 125 beds for burn or critical trauma patients. A prior article discussed the planning procedures and process. This article describes the major components of the plan, including analysis of threats, direction and control, activation and system response; communications; and critical issues.

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Development of a State Medical Surge Plan, Part I: The Procedures, Process, and Lessons Learned or Confirmed

Cited by 7 publications

References 1 publication

Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research

Health Systems’ “Surge Capacity”: State of the Art and Priorities for Future Research

Surge capacity: a proposed conceptual framework

Development of a State Medical Surge Plan, Part II: Components of a Medical Surge Plan

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