Promoting Regional Disaster Preparedness Among Rural Hospitals

Edwards, Janine C.; Kang, Jung-Eun; Silenas, Rasa

doi:10.1111/j.1748-0361.2008.00176.x

Cited by 22 publications

(19 citation statements)

References 7 publications

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“…This tabletop exercise showed evidence of being a simple and acceptable tool for rural medical planners, because it could improve medical preparedness, analysis of weak spots, development of regional teamwork, and rapid response. 9 Field exercises, drills, and other simulations have additional benefits other than just reviewing the course material. Successful large-scale exercises help to improve the nature of trust between the participating individuals and organizations, changing the trust from a situational trust to a personal trust.…”

Section: Discussionmentioning

confidence: 99%

Methods of Instruction of the Incident Command System and Related Topics at US Veterinary Schools

Smith

Kuldau

2014

Disaster med. public health prep.

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Section: Discussionmentioning

confidence: 99%

Methods of Instruction of the Incident Command System and Related Topics at US Veterinary Schools

Smith

Kuldau

2014

Disaster med. public health prep.

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“…Limited literature exists on emergency and disaster preparedness for rural medical centers in communities that serve populations between 10,000 and 20,000 citizens (Gursky, 2004;Manley et al, 2006). Thus, there is a need to address the significant literature gap that exists for the emergency and disaster planning processes of rural medical centers across regions of a state, as well as for staff training and exercising of medical center EOPs (Edwards, Kang, & Silenas, 2008;Mueller, 2017;Murphy, Cody, Frank, Glik, & Ang, 2009).…”

Section: The Centers For Medicare and Medicaid Services (Cms) Emergenmentioning

confidence: 99%

The CMS Emergency Preparedness Rule: Challenges for Rural Medical Centers

Sloan¹,

Obisesan²

2020

Risk Hazard & Crisis Pub Pol

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This study examines how rural medical centers in Northwest Missouri achieve emergency planning compliance with the current Centers for Medicare and Medicaid Services (CMS) emergency preparedness rule. This 2017 study focused on rural hospitals, critical access hospitals, and long‐term care facilities. An exploratory qualitative research study with an interpretive phenomenological approach was applied. Data were gathered from 11 face‐to‐face interviews with medical centers’ emergency and disaster planners in Northwest Missouri. Several categories and subcategories were identified in the data and developed into themes. Thematic analysis indicated significant barriers, including a CMS unfunded mandate, preparedness conducted by a single individual with other duties, lack of a whole community approach, and a lack of financial planning by medical center administration, hinder compliance with the CMS rule, necessary to mitigate nationwide emergencies. All participants agreed to the development of the emergency operations plan, which is essential for compliance. The findings from this study support the need for additional planning staff, time, and training to understand the elements of preparedness. Compliance with the CMS emergency preparedness rule cannot be achieved unless identified barriers are addressed.

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“…44 A study from the University of Toronto showed that emergency department ambulance diversion might increase by 2.5 hours per emergency department for every 100 cases of influenza in the community, and that during influenza seasons, 24.3% of observed weekly ambulance diversion was attributable to influenza. Although rural hospitals may have insufficient facilities and resources to manage disaster events, 46 the overcrowding of most urban emergency departments suggests that there is likely insufficient surge capacity to manage the demand that would develop early in an influenza pandemic. Although rural hospitals may have insufficient facilities and resources to manage disaster events, 46 the overcrowding of most urban emergency departments suggests that there is likely insufficient surge capacity to manage the demand that would develop early in an influenza pandemic.…”

Section: Emergency Departmentsmentioning

confidence: 99%

Role of the Primary Care Safety Net in Pandemic Influenza

et al. 2009

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An influenza pandemic would have a disproportionately adverse impact on minority populations, the poor, the uninsured, and those living in underserved communities. Primary care practices serving the underserved would face special challenges in an influenza pandemic. Although not a formalized system, components of the primary care safety net include federally qualified health centers, public hospital clinics, volunteer or free clinics, and some local public health units. In the event of an influenza pandemic, the primary care safety net is needed to treat vulnerable populations and to provide health care surge capacity to prevent the overwhelming of hospital emergency departments. We examined the strength, capacity, and preparedness of key components of the primary care safety net in responding to pandemic influenza.

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Promoting Regional Disaster Preparedness Among Rural Hospitals

Abstract: The tabletop exercise gave evidence of being a simple and acceptable tool for rural medical planners. It lends itself well to improving medical preparedness, analysis of weak spots, development of regional teamwork, and rapid response.

Cited by 22 publications

References 7 publications

Methods of Instruction of the Incident Command System and Related Topics at US Veterinary Schools

Methods of Instruction of the Incident Command System and Related Topics at US Veterinary Schools

The CMS Emergency Preparedness Rule: Challenges for Rural Medical Centers

Role of the Primary Care Safety Net in Pandemic Influenza

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