TY - JOUR
T1 - From silos to coalitions
T2 - The evolution of the US Hospital Preparedness Program
AU - Medcalf, Sharon
AU - Roy, Shreya
AU - Bekmuratova, Sarbinaz
AU - ElRayes, Wael
AU - Sayles, Harlan
AU - Gruba, Jonathon
AU - Shope, Ronald
N1 - Funding Information:
Source of support: Funding for this research was received from the University of Nebraska Foundation, Healthcare and Public Health Preparedness Fund.
Funding Information:
State and local readiness programs funded through PHEP and CRI grants have sustained an approximately 35 percent reduction in funding since the peak funding in 2002.9ASPR programs funded through the HPP have sustained even greater reductions. Since the fiscal year 2004, HPP funding has been reduced by $260M, or just over 55 percent.10
Publisher Copyright:
© 2020 Weston Medical Publishing. All rights reserved.
PY - 2020/3
Y1 - 2020/3
N2 - Objective: The objective of this article is to trace the hospital emergency preparedness movement in the United States, strengthen the case for hospital investments in emergency preparedness, and make recommendations to ensure sustainability of the program. Design/Approach: This article is a narrative review. Main themes from the literature about the US Hospital Preparedness Program (HPP) are discussed, beginning with the trends in funding levels of the HPP, the rise of regional healthcare coalitions, preparedness performance measures, and the challenges faced over the past 15 years of HPP activities. Finally, recommendations are made about ways to sustain the program. Findings: The HPP was established in 2002 and funding for the program has seen a 56 percent decrease over the last 16 years. Beyond the initial investment in supplies and equipment, hospitals have received very little of the healthcare preparedness funding. Disaster drills and exercises to test emergency plans in hospitals are perceived as a costly distraction from daily work. The biggest challenge is the lack of engagement and support from hospital leadership. Conclusions: To ensure the sustainability of the HPP, the positive impact of preparedness activities on the hospital's day-to-day operations must be demonstrated.
AB - Objective: The objective of this article is to trace the hospital emergency preparedness movement in the United States, strengthen the case for hospital investments in emergency preparedness, and make recommendations to ensure sustainability of the program. Design/Approach: This article is a narrative review. Main themes from the literature about the US Hospital Preparedness Program (HPP) are discussed, beginning with the trends in funding levels of the HPP, the rise of regional healthcare coalitions, preparedness performance measures, and the challenges faced over the past 15 years of HPP activities. Finally, recommendations are made about ways to sustain the program. Findings: The HPP was established in 2002 and funding for the program has seen a 56 percent decrease over the last 16 years. Beyond the initial investment in supplies and equipment, hospitals have received very little of the healthcare preparedness funding. Disaster drills and exercises to test emergency plans in hospitals are perceived as a costly distraction from daily work. The biggest challenge is the lack of engagement and support from hospital leadership. Conclusions: To ensure the sustainability of the HPP, the positive impact of preparedness activities on the hospital's day-to-day operations must be demonstrated.
KW - Business case
KW - Federal funding
KW - Hospital emergency preparedness
KW - Hospital leadership
KW - Hospital preparedness program
KW - United States
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U2 - 10.5055/jem.2020.0459
DO - 10.5055/jem.2020.0459
M3 - Article
C2 - 32181871
AN - SCOPUS:85082097938
SN - 1543-5865
VL - 18
SP - 163
EP - 169
JO - Journal of Emergency Management
JF - Journal of Emergency Management
IS - 2
ER -