Comparison of Disaster Preparedness Between Urban and Rural Community Hospitals in New York State

2018 ◽  
Vol 13 (03) ◽  
pp. 424-428 ◽  
Author(s):  
Dan J. Vick ◽  
Asa B. Wilson ◽  
Michael Fisher ◽  
Carrie Roseamelia

ABSTRACTObjectiveThe intent of this study was to determine whether there are differences in disaster preparedness between urban and rural community hospitals across New York State.MethodsDescriptive and analytical cross-sectional survey study of 207 community hospitals; thirty-five questions evaluated 6 disaster preparedness elements: disaster plan development, on-site surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness.ResultsCompleted surveys were received from 48 urban hospitals and 32 rural hospitals.There were differences in disaster preparedness between urban and rural hospitals with respect to disaster plan development, on-site surge capacity, available materials and resources, disaster education and training, and perception of disaster preparedness. No difference was identified between these hospitals with respect to disaster preparedness funding levels.ConclusionsThe results of this study provide an assessment of the current state of disaster preparedness in urban and rural community hospitals in New York. Differences in preparedness between the two settings may reflect differing priorities with respect to perceived threats, as well as opportunities for improvement that may require additional advocacy and legislation. (Disaster Med Public Health Preparedness. 2019;13:424-428)

2018 ◽  
Vol 16 (6) ◽  
pp. 365
Author(s):  
Dan J. Vick, MD, MBA, DHA ◽  
Asa B. Wilson, PhD, DHA ◽  
Michael Fisher, DBA ◽  
Carrie Roseamelia, PhD

Objective: This study sought to determine whether differences exist in disaster preparedness between Upstate and Downstate community hospitals in New York.Design: A descriptive and analytical cross-sectional survey study was conducted using a 35-element questionnaire. These questions examined six disaster preparedness components: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness.Setting: The population surveyed included community hospitals across New York.Subjects: Invitations to participate in the survey were emailed to the CEOs and disaster preparedness coordinators at 207 of the 208 community hospitals in New York. Eighty hospitals completed surveys, including 41 Upstate hospitals and 39 Downstate facilities. Main outcome measures: Responses to questions pertaining to the six disaster preparedness elements. Results: There were differences in disaster preparedness between Upstate and Downstate hospitals with respect to disaster plan development, available materials and resources, and disaster education and training. No differences were identified in onsite surge capacity, disaster preparedness funding levels, or perception of disaster preparedness.Conclusions: The results demonstrate the current condition of disaster preparedness in Upstate and Downstate community hospitals in New York. Differences in preparedness between hospitals in the two locations may reflect factors such as availability of resources and differing priorities with regard to threat levels. They also suggest opportunities for improvement in disaster preparedness, which may require additional government resources and advocacy organization efforts.


2018 ◽  
Vol 16 (4) ◽  
pp. 213 ◽  
Author(s):  
Dan J. Vick, MD, MBA, DHA ◽  
Asa B. Wilson, PhD, DHA ◽  
Michael Fisher, DBA ◽  
Carrie Roseamelia, PhD

Objective: The intent of this study was to assess disaster preparedness in community hospitals across New York.Design: Descriptive and analytical cross-sectional survey study. The survey instrument consisted of 35 questions that examined six elements of disaster preparedness: disaster plan development, onsite surge capacity, available materials and resources, disaster education and training, disaster preparedness funding levels, and perception of disaster preparedness. Setting: Community hospitals in New York.Subjects: Contact information was obtained for 207 of 208 community hospitals. Email invitations to participate in the survey were sent to hospital CEOs and disaster preparedness coordinators. Completed surveys were received from 80 hospitals.Main Outcome Measures: Hospital responses to questions related to the six elements of disaster preparedness.Results: Most (87.5 percent) hospitals had experienced a disaster event during the past 5 years (2012-2016). Eighty percent had disaster plans that addressed all of six major types of disasters. Only 17.5 percent believed their disaster plans were “very sufficient” and did not require any revisions. Nearly three-quarters (73.3 percent) of hospitals could continue operations for less than a week without external resources. Less than half (49.4 percent) reported being satisfied or very satisfied with the level of funding that they received from the Hospital Preparedness Program. Most (88.8 percent) respondents felt that barriers to disaster preparedness exist for their organizations. Conclusions: The results demonstrate the current level of disaster preparedness among New York hospitals. The study’s approach is discussed as a model that will enable hospitals to identify focus areas for improvement and opportunities for legislation and advocacy.


2006 ◽  
Vol 4 (6) ◽  
pp. 25
Author(s):  
Steven H. Silber, DO, ScM ◽  
Kristine M. Gebbie, DrPH, RN ◽  
Theodore J. Gaeta, DO, MPH

There is no mandatory training for individual physicians with respect to overall emergency preparedness in New York State. This paper explores the policy implications of linking licensure and registration to mandatory competency-based educational programs on emergency preparedness response structure and high-risk biological agents. In this article, we explore the implications of mandatory registration and training with a single emergency response facility or agency, and we propose creative solutions that may make such a policy palatable to all stakeholders.


2021 ◽  
pp. 152483992110654
Author(s):  
Renata Schiavo ◽  
Mayela Arana ◽  
Nicole Levy ◽  
Yesenia Grijalva ◽  
Sarah Ravenhall ◽  
...  

Capacity building and training help empower the community and population health organizations to partner with local health departments and collaboratively design multisectoral interventions that account for the complexity of public health and health promotion challenges in the era of COVID-19 and beyond. Ideally, training programs should be informed by an understanding of the needs and priorities of the professionals for whom they are intended. This brief report focuses on the results of a pilot online survey conducted as part of a larger pilot study by the New York State Association of County Health Officials and the Region 2 Public Health Training Center among population and community health professionals (n = 27) from four counties in New York State during the COVID-19 pandemic. Survey participants included a diverse group of staff members from various large and small nonprofit organizations, federally qualified health centers, academic institutions, hospitals, and insurers. Survey findings provide preliminary insights into the extent to which these organizations have been involved in the COVID-19 response in partnership with LHDs, barriers they faced in responding to the needs of the populations they serve and adjusting their work routines/operations to COVID-19 guidelines, and their top emerging organizational and training needs. Lessons learned from conducting an online survey during a public health emergency and implications for future training interventions for population and community health professionals are also discussed within the context of promoting multisectoral collaboration with local health departments, solving complex public health problems, and advancing health equity.


Sign in / Sign up

Export Citation Format

Share Document