Conceptualization of a Health Care Coalition Framework in Georgia Based on the Existing Regional Coordinating Hospital Infrastructure

2015 ◽  
Vol 10 (1) ◽  
pp. 174-179 ◽  
Author(s):  
Curtis Harris ◽  
Tawny Waltz ◽  
James Patrick O’Neal ◽  
Kelly Nadeau ◽  
Matthew Crumpton ◽  
...  
Keyword(s):  
Health Care ◽  
Law Enforcement ◽  
Hurricane Katrina ◽  
Emergency Response ◽  
Disaster Response ◽  
Community Health Centers ◽  
The United States ◽  
Health Centers ◽  
Care Community ◽  
Department Of Health

AbstractThe watershed events of September 11, 2001; the anthrax attacks; Hurricane Katrina; and H1N1 necessitated that the United States define alternative mechanisms for disaster response. Specifically, there was a need to shift from a capacity building approach to a capabilities based approach that would place more emphasis on the health care community rather than just first responders. Georgia responded to this initiative by creating a Regional Coordinating Hospital (RCH) infrastructure that was responsible for coordinating regional responses within their individual geographic footprint. However, it was quickly realized that hospitals could not accomplish community-wide preparedness as a single entity and that siloed planning must come to an end. To reconcile this issue, Georgia responded to the 2012 US Department of Health and Human Services concept of coalitions. Georgia utilized the existing RCH boundaries to define its coalition regions and began inviting all medical and nonmedical response partners to the planning table (nursing homes, community health centers, volunteer groups, law enforcement, etc). This new collaboration effectively enhanced emergency response practices in Georgia, but also identified additional preparedness-related gaps that will require attention as our coalitions continue to grow and mature.(Disaster Med Public Health Preparedness. 2016;10:174–179)

scholarly journals Comparing Actions and Lessons Learned in Transportation and Logistics Efforts for Emergency Response to Hurricane Katrina and Hurricane Harvey

2020 ◽  
Vol 17 (3) ◽  
Author(s):  
John Collier ◽  
Srijith Balakrishnan ◽  
Zhanmin Zhang
Keyword(s):  
Hurricane Katrina ◽  
Emergency Response ◽  
Disaster Response ◽  
New Technology ◽  
Economic Loss ◽  
The United States ◽  
Lessons Learned ◽  
Primary Role ◽  
Emergency Relief ◽  
The Government

AbstractOver the past years, the frequency and scope of disasters affecting the United States have significantly increased. Government agencies have made efforts in improving the nation’s disaster response framework to minimize fatalities and economic loss due to disasters. Disaster response has evolved with the emergency management agencies incorporating systematic changes in their organization and emergency response functions to accommodate lessons learned from past disaster events. Technological advancements in disaster response have also improved the agencies’ ability to prepare for and respond to natural hazards. The transportation and logistics sector has a primary role in emergency response during and after disasters. In this light, this paper seeks to identify how effective policy changes and new technology have aided the transportation and logistics sector in emergency response and identify gaps in current practices for further improvement. Specifically, this study compares and contrasts the transportation and logistical support to emergency relief efforts during and after two major Hurricane events in the U.S., namely Hurricane Katrina (which affected New Orleans in 2005) and Hurricane Harvey (which affected Houston in 2017). This comparison intends to outline the major steps taken by the government and the private entities in the transportation and logistics sector to facilitate emergency response and the issues faced during the process. Finally, the paper summarizes the lessons learned from both the Hurricane events and provides recommendations for further improvements in transportation and logistical support to disaster response.

“Do Their Own Thing”: Radical Health Care and the Fair Haven Community Health Center

2021 ◽  
pp. e1-e9
Author(s):  
Ezra S. Lichtman
Keyword(s):  
Health Care ◽  
Community Health ◽  
Nurse Practitioners ◽  
Community Health Centers ◽  
Community Health Center ◽  
The United States ◽  
Health Centers ◽  
Free Clinics ◽  
Fee For Service ◽  
Alternative Health

Radical health reform movements of the 1960s inspired two widely adopted alternative health care models in the United States: free clinics and community health centers. These groundbreaking institutions attempted to realize bold ideals but faced financial, bureaucratic, and political obstacles. This article examines the history of Fair Haven Community Health Care (FHCHC) in New Haven, Connecticut, an organization that spanned both models and typified innovative aspects of each while resisting the forces that tempered many of its contemporaries’ progressive practices. Motivated by a tradition of independence and struggling to address medical neglect in their neighborhood, FHCHC leaders chose not to affiliate with the local academic hospital, a decision that led many disaffected community members to embrace the clinic. The FHCHC also prioritized grant funding over fee-for-service revenue, thus retaining freedom to implement creative programs. Furthermore, the center functioned in an egalitarian manner, enthusiastically employing nurse practitioners and whole-staff meetings, and was largely able to avoid the conflicts that strained other community-controlled organizations. The FHCHC proved unusual among free clinics and health centers and demonstrated strategies similar institutions might employ to overcome common challenges. (Am J Public Health. Published online ahead of print September 16, 2021: e1–e9. https://doi.org/10.2105/AJPH.2021.306417 )

Bridging the Policy/Clinical Practice Divide: A Conversation With Parmeeth M. S. Atwal, JD, MSN, RN, MPH, FNP

2017 ◽  
Vol 23 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Parmeeth “Par” M. S. Atwal ◽  
Marie Manthey
Keyword(s):  
Health Care ◽  
Community Health Centers ◽  
Health Care Policy ◽  
Health Centers ◽  
Direct Patient Care ◽  
Major Health ◽  
Bachelor Of Science ◽  
Family Nurse Practitioner ◽  
Department Of Health ◽  
Cardiac Critical Care

Marie Manthey, founder of Creative Health Care Management, interviews Parmeeth “Par” Atwal, whose first career included representing the National Association of Community Health Centers as an attorney, editor of a major health policy journal, and a senior position in the Office of the National Coordinator for Health Information Technology at the U.S. Department of Health and Human Services. He then became an active participant in the health care system, earning a bachelor of science in nursing, working in cardiac critical care, and now becoming a family nurse practitioner. He shares his perspective on the divide between health care policy and regulation, and the delivery of direct patient care.

Revisiting ‘The Clinic’: ethical and policy challenges in US community health centers

2014 ◽  
Vol 9 (4) ◽  
pp. 425-434 ◽  
Author(s):  
Nancy Berlinger ◽  
Michael K. Gusmano ◽  
Eva Turbiner
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Community Health Centers ◽  
Safety Net ◽  
The United States ◽  
Health Centers ◽  
Poor People ◽  
Ethical Challenges ◽  
The Us ◽  
Care System

AbstractWhere do poor people in the United States (US) go when they get sick? Often, they go to Federally Qualified Health Centers (FQHCs) and hospital emergency departments. Even after the implementation of the Patient Protection and Affordable Care Act (ACA), these safety-net health care organizations will continue to play a crucial role in the US health care system. FQHCs have long grappled with some of the biggest questions facing the US health care system and their leaders and clinicians face ethical challenges in everyday practice. Ethical and policy challenges in the US health care safety-net are not usually ‘tragic choices’ involving the allocation of transplantable organs, or ventilators during a pandemic. They are everyday choices with a tragic dimension because, even with the adoption of the ACA, the US has not yet decided whether poor people deserve a ‘home’ or a ‘net’ when they are sick, and whether even a net should be in good repair.

scholarly journals Health Care Coalitions as Response Organizations: Houston After Hurricane Harvey

2017 ◽  
Vol 11 (6) ◽  
pp. 637-639 ◽  
Author(s):  
Lori Upton ◽  
Thomas D. Kirsch ◽  
Melissa Harvey ◽  
Dan Hanfling
Keyword(s):  
Health Care ◽  
Human Services ◽  
Large Scale ◽  
The United States ◽  
Operational Planning ◽  
Advisory Council ◽  
East Texas ◽  
Health And Human Services ◽  
Department Of Health ◽  
Response Information

AbstractHealth care coalitions play an increasingly important role in both preparedness for, response to, and recovery from large scale disaster events occurring across the United States. The actions taken by the South East Texas Regional Advisory Council (SETRAC) in response to the landfall of Hurricane Harvey, and the consequential flooding that ensued, serve as an excellent example of how health care coalitions are increasingly needed to play a unifying role in response. This paper highlights a number of the strategic planning, operational planning and response, information sharing, and resource coordination and management activities that were undertaken for the response to Hurricane Harvey. The successful response to this devastating storm in the Houston, Texas area serves as an example to other regions across the country as they work to implement the 2017-2022 health care capabilities articulated by the Department of Health and Human Services Office of the Assistant Secretary for Preparedness and Response. (Disaster Med Public Health Preparedness. 2017;11:637–639)

After the Affordable Care Act: Health Reform and the Safety Net

2016 ◽  
Vol 44 (4) ◽  
pp. 585-588
Author(s):  
Peter Shin ◽  
Marsha Regenstein
Keyword(s):  
Health Care ◽  
Community Health ◽  
Affordable Care Act ◽  
Health Reform ◽  
Community Health Centers ◽  
Safety Net ◽  
Public Hospitals ◽  
Health Centers ◽  
Safety Net Providers ◽  
The Affordable Care Act

Two major safety net providers – community health centers and public hospitals – continue to play a key role in the health care system even in the wake of coverage reform. This article examines the gains and threats they face under the Affordable Care Act.

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