Collaboration in the San Francisco Bay Area Metropolitan Medical Response System

Collaboration in the San Francisco Bay Area Metropolitan Medical Response System
Author: Bruce K. Martin
Publisher:
Total Pages: 141
Release: 2010
Genre: Fremont (Calif.)
ISBN:

Within the San Francisco Bay Area there are four cities that host a Metropolitan Medical Response System (MMRS) program: San Francisco, San Jose, Oakland and Fremont. The four Bay Area MMRS cities are within fifty miles of each other. The MMRS resources could be used to reinforce each other's planning and response. The 103-city, 10-county Bay Area is under one Urban Area Security Initiative (UASI). Currently though, the MMRS programs in the four cities work independently of each other and of the UASI. How can these agencies collaborate to address mission gaps and overlaps? This thesis uses a Delphi survey methodology to ascertain institutional perspectives on benefits, processes, enablers and barriers to collaboration in the San Francisco Bay Area. With collaborative effort, gaps and overlaps in San Francisco Bay Area mass casualty preparedness and response can be mitigated. This thesis recommends short term and long term actions to encourage collaboration in the Bay Area, which, in turn, can lead to better patient outcomes in infrequent mass casualty incidents.

Disaster Preparedness for Seniors

Disaster Preparedness for Seniors
Author: Charles A. Cefalu
Publisher: Springer
Total Pages: 365
Release: 2014-08-21
Genre: Medical
ISBN: 1493906658

Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals outlines specific disaster scenarios for homebound, community, hospitalized, long term care, homeless and aged veterans. Chapters are written by a diverse group of authors, all of whom offer insight and expertise in training healthcare professionals in preparing for disasters. Topics include myths and realities of natural disasters and disaster preparedness for special populations of elders-the acute care elderly, the community-dwelling elderly, home based primary care senior veterans, the immune-compromised elderly, those with multiple and co morbid illnesses, the long-term care elderly, those elderly at the end of life and the effects of disaster on caregivers. A significant portion of the book is also devoted to training, competencies, literacy, cultural competency and resilience in disaster preparedness as well as the role of the academic medical center. The volume concludes with coverage of the management of behavioral, medical and psychological consequences of disasters. Disaster Preparedness for Seniors: A Comprehensive Guide for Healthcare Professionals is an important new volume and will serve as a guide for the development of programs, policies and procedures for evacuation of seniors during various disaster scenarios.

Increasing National Resilience to Hazards and Disasters

Increasing National Resilience to Hazards and Disasters
Author: The National Academies
Publisher: National Academies Press
Total Pages: 138
Release: 2011-09-26
Genre: Science
ISBN: 0309215307

Natural disasters are having an increasing effect on the lives of people in the United States and throughout the world. Every decade, property damage caused by natural disasters and hazards doubles or triples in the United States. More than half of the U.S. population lives within 50 miles of a coast, and all Americans are at risk from such hazards as fires, earthquakes, floods, and wind. The year 2010 saw 950 natural catastrophes around the world-the second highest annual total ever-with overall losses estimated at $130 billion. The increasing impact of natural disasters and hazards points to increasing importance of resilience, the ability to prepare and plan for, absorb, recover from, or more successfully adapt to actual or potential adverse events, at the individual , local, state, national, and global levels. Assessing National Resilience to Hazards and Disasters reviews the effects of Hurricane Katrina and other natural and human-induced disasters on the Gulf Coast of Louisiana and Mississippi and to learn more about the resilience of those areas to future disasters. Topics explored in the workshop range from insurance, building codes, and critical infrastructure to private-sector issues, public health, nongovernmental organizations and governance. This workshop summary provides a rich foundation of information to help increase the nation's resilience through actionable recommendations and guidance on the best approaches to reduce adverse impacts from hazards and disasters.

NATO AND TERRORISM Catastrophic Terrorism and First Responders: Threats and Mitigation

NATO AND TERRORISM Catastrophic Terrorism and First Responders: Threats and Mitigation
Author: Friedrich Steinhäusler
Publisher: Springer Science & Business Media
Total Pages: 218
Release: 2007-05-22
Genre: Social Science
ISBN: 1402035853

September 11, 2001 in the U.S., March 11, 2004 in Madrid – just two examples of a series of major terror attacks against NATO member states on both sides of the Atlantic. We now know that international terrorism is capable of transboundary planning and military style execution of attacks, resulting in several thousand dead and wounded. In the future even larger terror attacks can no longer be ruled out, including the deployment of weapons of mass destruction. This new form of catastrophic terrorism poses a major challenge to the first responder community in their search and rescue operations, since these new threats represent an unprecedented risk for their health, possibly even questioning their own survival. Since the first responders are the first line of defence of every community in the aftermath of such a terror attack, it is essential for every community to ensure that its first responders are able to provide their valuable services even in such extreme situations. In this important new book a group of experts represents the current knowledge on the various terrorism threats to first responders resulting from the novel use of conventional weapons, as well radiological, nuclear, biological and chemical weapons. Also, the current situation in selected countries of different sizes and practical experience with terrorism countermeasures (Austria, Israel, Slovenia, Russia, U.S.) is reviewed, focusing on the national operational logistics and the individual needs for improving the present situation. Finally, this book offers innovative solutions to strengthen the level of protection of the first responders, culminating in fifty-one practically applicable recommendations.

Emergency Medical Services

Emergency Medical Services
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 311
Release: 2007-06-03
Genre: Medical
ISBN: 0309101743

Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Crisis Standards of Care

Crisis Standards of Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 0
Release: 2012-08-26
Genre: Medical
ISBN: 9780309253468

Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Communities in Action

Communities in Action
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 583
Release: 2017-04-27
Genre: Medical
ISBN: 0309452961

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.

Applied Policy Research

Applied Policy Research
Author: J. Fred Springer
Publisher: Taylor & Francis
Total Pages: 491
Release: 2017-06-26
Genre: Political Science
ISBN: 1135215413

Beginning with an orientation and overview of policy research, outlining the processes of policy analysis and evaluation from start to finish, Applied Policy Research, 2e then walks students through an examination of case studies to demonstrate how these theories play out in real policy situations. Illustrative figures help students understand the stages of policy research, and end-of-chapter tools such as discussion questions, assignments and activities, and case studies ‘at a glance’ help students master not only the particulars of each case but the broader skills needed in future research. This book will be essential reading in all policy research courses with a focus on practical outcomes and student preparation for public service.

Crisis Standards of Care

Crisis Standards of Care
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 217
Release: 2013-10-27
Genre: Medical
ISBN: 0309285526

Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.