Regional Disaster
Response Coordination
to Support Health Outcomes
Summary of a Workshop Series
Megan Reeve, Bruce Altevogt, and Miriam Davis, Rapporteurs
Forum on Medical and Public Health Preparedness
for Catastrophic Events
Board on Health Sciences Policy
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, NW • Washington, DC 20001
NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This activity was supported by contracts between the National Academy of Sciences and the American College of Emergency Physicians; American Hospital Association; Association of State and Territorial Health Officials; Centers for Disease Control and Prevention (Contract No. 200-2011-38807, TO #30); Department of Defense (Contract No. HT0011-11-P-0186); Department of Defense, Uniformed Services University of the Health Sciences (Contract No. HT9404-12-1-0022); Department of Health and Human Services’ Administration for Children and Families (Contract No. HHSP2332014001533P); Department of Health and Human Services’ National Institutes of Health: National Institute of Allergy and Infectious Diseases, National Institute of Environmental Sciences, National Library of Medicine (Contract No. HHSN26300007 [Under Base 1 #HHSN263201200074I]); Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (Contract No. HHSO100201000021P); Department of Homeland Security’s Federal Emergency Management Agency (Contract No. HSFE20-13-P-0212); Department of Homeland Security, Office of Health Affairs (Contract No. HSHQDC-13-J-00384 [Under Base 1 #HSHQDC-11-D-00009]); Department of Transportation’s National Highway Traffic Safety Administration (Contract No. DTNH22-10-H-00287); Department of Veterans Affairs (Contract No. 101-G09041); Food and Drug Administration (Contract No. HHSF22301027T [Under Base Contract DHHS-8598]); Infectious Diseases Society of America; Martin, Blanck & Associates; Mayo Clinic; Merck Research Laboratories (Contract No. APA-2014-1666); National Association of Chain Drug Stores; National Association of County and City Health Officials; National Association of Emergency Medical Technicians; Novartis Vaccines and Diagnostics, Inc.; Pharmaceutical Research and Manufacturers of America; Robert Wood Johnson Foundation; Society for Disaster Medicine and Public Health; Target Corporation; Trauma Center Association of America; and United Health Foundation. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.
International Standard Book Number-13: 978-0-309-37149-0
International Standard Book Number-10: 0-309-37149-X
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Suggested citation: IOM (Institute of Medicine). 2015. Regional disaster response coordination to support health outcomes: Summary of a workshop series. Washington, DC: The National Academies Press.
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Willing is not enough; we must do.”
—Goethe
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
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The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.
WORKSHOP PLANNING COMMITTEE1
CRAIG VANDERWAGEN (Chair), Martin, Blanck & Associates, Alexandria, VA
LISA AUSTIN, 2-1-1 Strategic Enhancements and Disaster Recovery, United Way Worldwide, Alexandria, VA
BROOKE COURTNEY, Office of Countermeasures and Emerging Threats, Office of the Commissioner, U.S. Food and Drug Administration, Washington, DC
DAN HANFLING, UPMC Center for Biosecurity, Bethesda, MD
JOHN L. HICK, Hennepin County Medical Center, Minneapolis, MN
SUZET MCKINNEY, Chicago Department of Public Health, Chicago, IL
MARY RILEY, Office of Human Services Emergency Preparedness Response, Administration for Children and Families, Washington, DC
UMAIR SHAH, Harris County Public Health and Environmental Services, Houston, TX
ANDREW STEVERMER, Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services, Washington, DC
KEN STURROCK, Region 8 (CO, MT, ND, SD, UT, WY) Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services, Denver, CO
JOLENE WHITNEY, Bureau of Emergency Medical Services and Preparedness, Utah Department of Health, Salt Lake City
JOHN WIESMAN, Washington State Department of Health, Tumwater
IOM Staff
BRUCE M. ALTEVOGT, Forum Director
MEGAN REEVE, Associate Program Officer
BRADLEY ECKERT, Research Associate (until September 2014)
ASHLEY OTTEWELL, Research Associate (since September 2014)
ALEX REPACE, Senior Program Assistant
ANDREW M. POPE, Director, Board on Health Sciences Policy
________________
1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
FORUM ON MEDICAL AND PUBLIC HEALTH
PREPAREDNESS FOR CATASTROPHIC EVENTS1
DAN HANFLING (Co-Chair), UPMC Center for Biosecurity, Bethesda, MD
LYNNE R. KIDDER (Co-Chair), Consultant, Boulder, CO
ALEX J. ADAMS, National Association of Chain Drug Stores, Alexandria, VA
ROY L. ALSON, American College of Emergency Physicians, Winston-Salem, NC
WYNDOLYN BELL, UnitedHealthcare, Atlanta, GA (until June 2014)
KATHRYN BRINSFIELD, Office of Health Affairs, U.S. Department of Homeland Security, Washington, DC
SUSAN COOPER, Regional Medical Center, Memphis, TN
BROOKE COURTNEY, Office of Counterterrorism and Emerging Threats, U.S. Food and Drug Administration, Washington, DC
DAVID T. DYJACK, National Association of County and City Health Officials, Washington, DC
BRUCE EVANS, National Association of Emergency Medical Technicians, Upper Pine River Fire Protection District, Bayfield, CO
JULIE L. GERBERDING, Merck Vaccines, Merck & Co., Inc., West Point, PA
LEWIS R. GOLDFRANK, New York University School of Medicine, New York
JOHN L. HICK, Hennepin County Medical Center, Minneapolis, MN
JAMES J. JAMES, Society for Disaster Medicine and Public Health, Bethesda, MD
PAUL E. JARRIS, Association of State and Territorial Health Officials, Arlington, VA
LISA G. KAPLOWITZ, Office of the Assistant Secretary for Preparedness and Response, U.S. Department of Health and Human Services, Washington, DC
ALI S. KHAN, Centers for Disease Control and Prevention, Atlanta, GA (until September 2014)
MICHAEL G. KURILLA, National Institute of Allergy and Infectious Diseases, Washington, DC
________________
1Institute of Medicine forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
DONALD M. LUMPKINS, Federal Emergency Management Agency, U.S. Department of Homeland Security, Washington, DC (since March 2014)
JAYNE LUX, National Business Group on Health, Washington, DC
LINDA M. MACINTYRE, American Red Cross, San Rafael, CA
MONIQUE K. MANSOURA, Novartis Vaccines and Diagnostics, Inc., Boston, MA
SUZET M. MCKINNEY, Chicago Department of Public Health, Chicago, IL
NICOLE MCKOIN, Target Corporation, Furlong, PA
MARGARET M. MCMAHON, Emergency Nurses Association, Williamstown, NJ (until January 2014)
AUBREY K. MILLER, National Institute of Environmental Health Sciences, Bethesda, MD
MATTHEW MINSON, Texas A&M University, College Station
ERIN MULLEN, Pharmaceutical Research and Manufacturers of America, Washington, DC
JOHN OSBORN, Mayo Clinic, Rochester, MN
TARA O’TOOLE, In-Q-Tel, Arlington, VA
ANDREW T. PAVIA, Infectious Disease Society of America, Salt Lake City, UT
STEVEN J. PHILLIPS, National Library of Medicine, Bethesda, MD
ALONZO PLOUGH, Robert Wood Johnson Foundation, Princeton, NJ (since September 2014)
LEWIS J. RADONOVICH, U.S. Department of Veterans Affairs, Washington, DC
STEPHEN C. REDD, Centers for Disease Control and Prevention, Atlanta, GA (since September 2014)
MARY J. RILEY, Administration for Children and Families, U.S. Department of Health and Human Services, Washington, DC
KENNETH W. SCHOR, Uniformed Services University of the Health Sciences, Bethesda, MD
ROSLYNE SCHULMAN, American Hospital Association, Washington, DC
RICHARD SERINO, Harvard School of Public Health, Boston, MA
DAVID SMITH, U.S. Department of Defense, Washington, DC
MARGARET VANAMRINGE, The Joint Commission, Washington, DC
W. CRAIG VANDERWAGEN, Martin, Blanck & Associates, Alexandria, VA
JENNIFER WARD, Trauma Center Association of America, Las Cruces, NM
JOHN M. WIESMAN, Washington State Department of Health, Tumwater
GAMUNU WIJETUNGE, National Highway Traffic Safety Administration, Washington, DC
MATTHEW K. WYNIA, Center for Bioethics and Humanities, University of Colorado, Denver
IOM Staff
BRUCE M. ALTEVOGT, Forum Director
MEGAN REEVE, Associate Program Officer
BRADLEY ECKERT, Research Associate (until September 2014)
ASHLEY OTTEWELL, Research Associate (since September 2014)
ALEX REPACE, Senior Program Assistant
ANDREW M. POPE, Director, Board on Health Sciences Policy
Reviewers
This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
ANNETTE BERTELSON, Trauma Center Association of America
PAMELA BLACKWELL, Cobb and Douglas County Public Health
BRUCE CLEMENTS, Texas Department of State Health Services
CAROL CUNNINGHAM, Ohio Department of Public Safety
ONORA LIEN, Northwest Healthcare Response Network
CAROLYN MEIER, Administration for Children and Families, U.S. Department of Health and Human Services
MONICA SCHOCH-SPANA, UPMC Center for Health Security
Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the workshop summary before its release. The review of this workshop summary was overseen by KRISTINE M. GEBBIE, Flinders University School of Nursing and Midwifery. Appointed by the Institute of Medicine, she was
responsible for making certain that an independent examination of this workshop summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.
Contents
National Health Security Preparedness Index (NHSPI)
Topics Highlighted During Presentations and Discussions
2 EVACUATION, PATIENT TRACKING, AND INFORMATION SHARING IN A REGIONAL RESPONSE
Challenges in Evacuation and Patient Tracking
Information Sharing Across Sectors During a Response
Highlighted Opportunities for Operational Changes
3 PUBLIC HEALTH SURGE CAPACITY AND COMMUNITY RESILIENCE
Reducing Clinical Surge Through Public Health and Community Services
Highlighted Opportunities for Operational Changes
4 COORDINATION OF A COMMUNITY RESPONSE
Promoting Cross-Sector Collaboration
Managing Volunteers Across a Region
Building Sustainable Coalitions and Collaborations