Open Access Open Access  Restricted Access Subscription or Fee Access

Comparison of disaster preparedness between Upstate and Downstate community hospitals in New York

Dan J. Vick, MD, MBA, DHA, Asa B. Wilson, PhD, DHA, Michael Fisher, DBA, Carrie Roseamelia, PhD

Abstract


Objective: This study sought to determine whether differences exist in disaster preparedness between Upstate and Downstate community hospitals in New York.

Design: A descriptive and analytical cross-sectional survey study was conducted using a 35-element questionnaire. These questions examined six disaster preparedness components: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness.

Setting: The population surveyed included community hospitals across New York.

Subjects: Invitations to participate in the survey were emailed to the CEOs and disaster preparedness coordinators at 207 of the 208 community hospitals in New York. Eighty hospitals completed surveys, including 41 Upstate hospitals and 39 Downstate facilities.

Main outcome measures: Responses to questions pertaining to the six disaster preparedness elements.

Results: There were differences in disaster preparedness between Upstate and Downstate hospitals with respect to disaster plan development, available materials and resources, and disaster education and training. No differences were identified in onsite surge capacity, disaster preparedness funding levels, or perception of disaster preparedness.

Conclusions: The results demonstrate the current condition of disaster preparedness in Upstate and Downstate community hospitals in New York. Differences in preparedness between hospitals in the two locations may reflect factors such as availability of resources and differing priorities with regard to threat levels. They also suggest opportunities for improvement in disaster preparedness, which may require additional government resources and advocacy organization efforts.


Keywords


disaster preparedness, community hospital, Upstate, Downstate, New York

Full Text:

PDF

References


McGlown KJ, Robinson PD (eds.): Anticipate, Respond, Recover: Healthcare Leadership and Catastrophic Events. Chicago, IL: Health Administration Press, 2011.

Charney RL, Rebmann T, Esguerra CR, et al.: Public perceptions of hospital responsibilities to those presenting without medical injury or illness during a disaster. J Emerg Med. 2013; 45(4): 578-584.

Kaji AH, Koenig KL, Lewis RJ: Current hospital disaster preparedness. JAMA. 2007; 298(18): 2188-2190.

Meyers S: Disaster preparedness: Hospitals confront the challenge. Trustee. 2006; 59(2): 12-19.

American Hospital Association: The state of America’s hospitals—Taking the pulse: Results of AHA survey of hospital leaders. March/April 2010. American Hospital Association Web site. May 24, 2010. Available at http://www.aha.org/content/00-10/100524-thschartpk.pdf. Accessed February 27, 2016.

Beigi RH, Davis G, Hodges J, et al.: Preparedness planning for pandemic influenza among large US maternity hospitals. Emerg Health Threats J. 2009; 2: 2-5. doi:10.3134/ehtj.09.002.

Belsky JB, Klausner HH, Karson J, et al.: Disaster preparedness in Michigan 2005 to 2012: Are we more prepared? [Abstract]. Ann Emerg Med. 2013; 62(4S): S15.

Emergency preparedness survey results: Hospitals. Campus Safety Web site. March 24, 2011. Available at https://www.campussafetymagazine.com/news/u-s-hospitals-meeting-more-hazardpreparedness-measures/. Accessed February 5, 2016.

Helger V, Smith PW: Bioterrorism preparedness: A survey of Nebraska health care institutions. Am J Infect Control. 2002; 30(1): 46-48.

Kaji AH, Lewis RJ: Hospital disaster preparedness in Los Angeles County. Acad Emerg Med. 2006; 13: 1198-1203.

Lenaghan PA, Smith PW, Gangahar D: Emergency preparedness and bioterrorism: A survey of the Nebraska Medical Center staff and physicians. J Emerg Nurs. 2006; 32(5): 394-397.

Niska RW, Burt CW: Emergency response planning in hospitals, United States, 2003-2004. Advance Data from Vital and Health Statistics No. 391. Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics, 2007.

Niska RW, Shimizu IM: Hospital preparedness for emergency response: United States, 2008. National Health Statistics Reports No. 37. Hyattsville, MD: Centers for Disease Control and Prevention, National Center for Health Statistics, 2011.

Rebmann T, Carrico R, English JF: Hospital infectious disease emergency preparedness: A survey of infection control professionals. Am J Infect Control. 2007; 35(1): 25-32.

Rebmann T, Wilson R, LaPointe S, et al.: Hospital infectious disease emergency preparedness: A 2007 survey of infection control professionals. Am J Infect Control. 2009; 37(1): 1-8.

Survey shows hospitals could operate one week with current disaster plans. Healthc Purch News. 2007; 31(7): 10.

Treat KN, Williams JM, Furbee PM, et al.: Hospital preparedness for weapons of mass destruction incidents: An initial assessment. Ann Emerg Med. 2001; 38(5): 562-565.

University of Pittsburgh Medical Center: Hospitals Rising to the Challenge: The First Five Years of the U.S. Hospital Preparedness Program and Priorities Going Forward. Baltimore, MD: UPMC Center for Biosecurity, 2009.

Vesely R, Hoppszallern S: Planning for disaster: Hospitals learn valuable lessons in responding to natural and man-made catastrophes. Health Facil Manage. 2014; 27(7): 16-23.

Adalja AA, Watson M, Bouri N, et al.: Absorbing citywide patient surge during Hurricane Sandy: A case study in accommodating multiple hospital evacuations. Ann Emerg Med. 2014; 64(1): 66-73.

Andrieni J: Dress rehearsal for disaster. Skin Allergy News. 2003; 34(10): 10.

Becker C: ‘We have survived, and we’re stronger’. Mod Healthc. 2002; 32(35): 22-26.

Espiritu M, Patil U, Cruz H, et al.: Evacuation of a neonatal intensive care unit in a disaster: Lessons from Hurricane Sandy. Pediatrics. 2014; 134(6): e1662-e1669. doi:10.1542/peds.2014-0936.

Kirschenbaum L, Keene A, O’Neill P, et al.: The experience at St. Vincent’s Hospital, Manhattan, on September 11, 2001: Preparedness, response, and lessons learned. Crit Care Med. 2005; 33(1 suppl): S48-S52.

Powell T, Hanfling D, Gostin LO: Emergency preparedness and public health: The lessons of Hurricane Sandy. JAMA. 2012; 308(24): 2569-2570.

Prezant DJ, Clair J, Belyaev S, et al.: Effects of the August 2003 blackout on the New York City healthcare delivery system: A lesson for disaster preparedness. Crit Care Med. 2005; 33(1 suppl): S96-S101.

Verni C: A hospital system’s response to a hurricane offers lessons, including the need for mandatory interfacility drills. Health Aff. 2012; 31(8): 1814-1821.

Kanter RK, Moran JR: Hospital emergency surge capacity: An empiric New York statewide study. Ann Emerg Med. 2007; 50(3): 314-319.

American Hospital Association: Fast facts on U.S. hospitals. American Hospital Association Web site. January 2016. Available at http://www.aha.org/research/rc/stat-studies/fast-facts.shtml#community. Accessed February 22, 2016.

US Department of Homeland Security: Plan and prepare for disasters. US Department of Homeland Security Web site. December 27, 2013. Available at http://www.dhs.gov/topic/plan-andprepare-disasters. Accessed February 5, 2016.

Disaster-preparedness plan. Mosby’s Medical Dictionary. 8th ed. The Free Dictionary Web site. Available at http://medical-dictionary.thefreedictionary.com/disaster-preparedness+plan. Accessed February 26, 2016.

Surge capacity. Segen’s Medical Dictionary. The Free Dictionary Web site. Available at http://medical-dictionary.thefreedictionary.com/surge+capacity. Accessed February 26, 2016.

Kaji AH, Langford V, Lewis RJ: Assessing hospital disaster preparedness: A comparison of an on-site survey, directly observed drill performance, and video analysis of teamwork. Ann Emerg Med. 2008; 52(3): 195-201.

Aday LA, Cornelius LJ: Designing and Conducting Health Surveys: A Comprehensive Guide. 3rd ed. San Francisco, CA: Jossey-Bass, 2006.

Vick DJ, Wilson AB, Fisher M, et al.: Comparison of disaster preparedness between urban and rural community hospitals in New York State. Disaster Med Public Health Prep. 2018 (in press). doi:10.1017/dmp.2018.85.




DOI: https://doi.org/10.5055/jem.2018.0385

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 Journal of Emergency Management