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Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
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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.

www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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

Additional copies of this workshop summary are available for sale from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2015 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

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.

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

Knowing is not enough; we must apply.
Willing is not enough; we must do.
”      

                                                —Goethe

image

INSTITUTE OF MEDICINE
              OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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.

The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.

The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.

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.

www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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.

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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.

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
×

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.

Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
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Suggested Citation:"Front Matter." Institute of Medicine. 2015. Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series. Washington, DC: The National Academies Press. doi: 10.17226/21713.
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When disaster strikes, it rarely impacts just one jurisdiction. Many catastrophic disaster plans include support from neighboring jurisdictions that likely will not be available in a regional disaster. Bringing multiple stakeholders together from sectors that do not routinely work with each other can augment a response to a disaster, but can also be extremely difficult because of the multi-disciplinary communication and coordination needed to ensure effective medical and public health response. As many communities within a region will have similar vulnerabilities, a logical step in planning is to establish responsibilities and capacities, and be able to work toward common goals to address all-hazards when the entire region is affected. To explore these considerations, the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events organized a series of three regional workshops in 2014 to explore opportunities to strengthen the regional coordination required in response to a large scale multijurisdictional disaster. The purpose of each regional workshop was to discuss ways to strengthen coordination among multiple jurisdictions in various regions to ensure fair and equitable treatment of communities from all impacted areas. Regional Disaster Response Coordination to Support Health Outcomes summarizes the presentation and discussion of these workshops.

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