COOP Planning Becomes Major Concern for Healthcare Facilities

The best-laid plans of mice and men – not to mention emergency managers and healthcare officials – can oft go awry. That is particularly true, almost guaranteed in fact, when the plans are only on paper, the emergency assets needed have not been secured, and the numerous other actions needed

Meeting the Challenge: Public Health Emergencies & the Special Needs Populations

Dealing with earthquakes, hurricanes, and/or terrorist attacks is difficult enough for first responders as well as emergency managers. Add to that, though, the need to protect, provide medical care for, and/or possibly transport people suffering from various medical problems makes the challenge exponentially more difficult. Once again, advance planning and

Preparing for Unexpected Hospital Surges

Some of the best “solutions” create other problems, as Canada found out during the 2003 SARS outbreak. Once again, the best way to avoid such secondary problems is through advance planning, plus training and exercises, with all stakeholders involved every step of the way.

Hospital Surge Capacity – A Moving Target

The emergency rooms of most U.S. hospitals are often overcrowded even on a supposedly “slow” day. A mass-casualty incident makes the situation exponentially worse, creating a simultaneous demand for additional space, a larger staff, and more medical supplies. The last resort is usually the use of an alternate-care site –

Leadership and Stewardship in Microeconomic Decision-Making

Protection of the nation’s “critical infrastructure” has long been one of the highest priorities of senior officials at all levels of government. After 9/11, response and recovery started to receive equal billing. Now comes belated recognition that “resilience” also is needed – and should be built into construction projects at

Electronic Medical Records – Potential Benefits of a ‘Health Cloud’

The 21st-century world of high-tech communications – ranging from the transmission of classified information to social texting and junk mail – has not yet, partly because of privacy concerns, significantly improved the forwarding of medical records. What can and should be done about this?

DHR, MEMA, the LEMs & Maryland’s WST Example

The 2009 inauguration of President Barack Obama was a truly historic event in many ways – and for many reasons, not least of which is that it provided a “golden standard” opportunity for the State of Maryland and its National Capital Region partners to use, validate, and learn from a

Hospital Expansion Through Alternate Care Sites

At a time in U.S. history when mass-casualty events are not only more frequent but also much better publicized, the numerous public and private-sector agencies involved are, correctly, focusing greater attention on their own preparedness to cope with such “when, not if” situations. Hospitals, for example, many of which are

A Mall Setting in Georgia for H1N1 Vaccinations

Advance planning, a can-do spirit of cooperation, a focus on the small details, and excellent communications skills – all were essential ingredients in Georgia’s eminently successful campaign to protect the citizens of that great state from the global flu pandemic.

Law Enforcement Pandemic Resilience: Time to Recalibrate

The global-disaster scenario originally forecast fell far short of the dire predictions. Which is a good reason to celebrate. But not a reason to stop planning and preparing for “what might have been.” Hurricane Katrina taught many lessons worth learning, the most important of which is that states, communities, and

Using Regulations to Neutralize Red Tape

In times of urgent need, a “probably acceptable” solution is almost always better than one that is demonstrably not very effective and/or has failed in the past. That is the common-sense understanding reflected in the Emergency Use Authorization rule that permits the FDA to approve apparently effective – but not

Pandemic Preparedness: Advance Planning Is Mandatory

Healthcare workers, first responders, and emergency managers in Louisiana and Missouri used the H1N1 global pandemic to demonstrate how an imminent disaster – combined with information sharing, the early promulgation of preparedness plans, and a modicum of managerial expertise – can provide valuable lessons learned to cope with future disasters


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