Defining “Community” in Emergency Preparedness
Authors: Barbara I. Braun, Nicole V. Wineman, Jerod M. Loeb, Joseph A. Barbera
Journal: Annals of Internal Medicine (2007)

Letters2 January 2007Defining “Community” in Emergency PreparednessBarbara I. Braun, PhD, Nicole V. Wineman, MA, MPH, MBA, Jerod M. Loeb, PhD, and Joseph A. Barbera, MDBarbara I. Braun, PhDFrom the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois, and George Washington University, Washington, DC.Search for more papers by this author, Nicole V. Wineman, MA, MPH, MBAFrom the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois, and George Washington University, Washington, DC.Search for more papers by this author, Jerod M. Loeb, PhDFrom the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois, and George Washington University, Washington, DC.Search for more papers by this author, and Joseph A. Barbera, MDFrom the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois, and George Washington University, Washington, DC.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-146-1-200701020-00017 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail IN RESPONSE: Dr. Jarrett makes the point that integration among all medical assets in the community is a necessary step toward increasing response capacity and capability. We fully support this concept. Too often, disparate local health care organizations are not planning collaboratively for a coordinated, community-wide emergency response. Health care and response organizations expect to work together during an emergency but do not necessarily share plans or have a commonly understood framework for coordination under the urgency and uncertainty of a rapidly evolving incident, and major problems result. For example, during Hurricane Wilma, several hospitals had transportation agreements with the ...References1. Lessons learned from Hurricane Wilma. Jt Comm Perspect. 2006;26:5-7, 15. [PMID: 16933567] MedlineGoogle Scholar2. Medical Surge Capacity and Capability: A Management System for Integrating Medical and Health Resources During Large-Scale Emergencies. (Prepared for the U.S. Department of Health and Human Services by The CNA Corporation under contract no. 233-03-0028.). Alexandria, VA: The CNA Corporation; 2004. Google Scholar3. National Bioterrorism Hospital Preparedness Program, Program Guidance, Fiscal Year 2006 U.S. Department of Health and Human Services, Health Resources and Services Administration, July 2, 2006. Google Scholar4. Barbera JA, Macintyre AG, Shaw GL, Seefried VI, Westerman LT, de Cosmo S. Emergency Management (EM) Principles and Practices for Healthcare Systems. (Prepared for the U.S. Department of Veterans Affairs Veterans Health Administration by the Institute for Crisis.) Washington, DC: U.S. Department of Veterans Affairs; June 2006. Accessed at www1.va.gov/emshg/page.cfm?pg=122 on 14 August 2006. Google Scholar5. National Incident Management System. Washington, DC: U.S. Department of Homeland Security; 1 March 2004. Accessed at www.fema.gov/emergency/nims/nims_compliance.shtm#nimsdocument on 28 November 2006. Google Scholar Author, Article, and Disclosure InformationAuthors: Barbara I. Braun, PhD; Nicole V. Wineman, MA, MPH, MBA; Jerod M. Loeb, PhD; Joseph A. Barbera, MDAffiliations: From the Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois, and George Washington University, Washington, DC.Disclosures: Consultancies: J.A. Barbera (Joint Commission on Accreditation of Healthcare Organizations); Grants received: B.I. Braun (Agency for Healthcare Research and Quality), N.V. Wineman (Agency for Healthcare Research and Quality), J.M. Loeb (Agency for Healthcare Research and Quality). PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoIntegrating Hospitals into Community Emergency Preparedness Planning Barbara I. Braun , Nicole V. Wineman , Nicole L. Finn , Joseph A. Barbera , Stephen P. Schmaltz , and Jerod M. Loeb Defining “Community” in Emergency Preparedness Mark P. Jarrett Metrics 2 January 2007Volume 146, Issue 1Page: 72-73KeywordsAmbulancesComplex systemsConflicts of interestGeographic areasHealth careHealth care facilitiesHealth care qualityHealth services administration and managementHealth services researchResearch quality assessment ePublished: 2 January 2007 Issue Published: 2 January 2007 Copyright & PermissionsCopyright © 2007 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...