Expert Answer:Effectiveness of Hazard Vulnerability Analysis dis

  

Solved by verified expert:The Objective:Demonstrate how a Hazard Vulnerability Analysis is completed by completing a HVA for their individual home/business.Describe how a Hazard Vulnerability Analysis is used in developing an emergency management program.Examine different HVA tools. Many hospitals use the Kaiser Permanente tool, but it does have drawbacks.Assess the KP tool and discuss. Refer to: kaiser_model.xls in the attachment.Questions:- Based on your readings and experience, comment on the effectiveness of HVAs. Are they too subjective? How would you approach developing an HVA? – Develop an HVA for a hospital in your community. Provide details on the hospital (bed numbers, location, ect.). List the top 5 hazards. Defend your answers.The hospital is https://christianacare.org/facilities/christianaho… in Newark, Delaware.Reference to appropriate authoritative resources and official websites. Must be accessible online. Use New Times Roman 12 font with 1” margins and APA style. The answer should be at least 400 words.The required readings is in the attachments:Campbell, P., Trockman, S. J., & Walker, A. R. (2011). Strengthening Hazard Vulnerability Analysis: Results Of Recent Research In Maine. Public Health Reports, 126(2), 290–293.Fares, S., Femino, M., Sayah, A., Weiner, D. L., Yim, E. S., Douthwright, S., & … Ciottone, G. (2014). Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters, 38(2), 420-433. doi:10.1111/disa.12047The book is our primary book for the course.
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Page i
HEALTH CARE EMERGENCY MANAGEMENT
PRINCIPLES AND PRACTICE
Editors
Michael J. Reilly, DrPH, MPH, NREMT-P
Director, Graduate Program in Emergency Preparedness
Assistant Director, Center for Disaster Medicine
Assistant Professor, Public Health Practice
New York Medical College
School of Health Science and Practice
Valhalla, New York
and
David Markenson, MD, FAAP, FACEP, EMT-P
Medical Director and Vice President
Disaster Medicine and Regional Emergency Services
Westchester Medical Center
Director, Center for Disaster Medicine
Associate Professor, Public Health Practice
Professor of Pediatrics
New York Medical College
Valhalla, New York
55133_FMxx_Reilly:Achorn Int’l
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professional person should be sought.
Production Credits
Publisher: Michael Brown
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Editorial Assistant: Teresa Reilly
Production Manager: Tracey Chapman
Associate Production Editor: Kate Stein
Senior Marketing Manager: Sophie Fleck
Manufacturing and Inventory Control Supervisor: Amy Bacus
Composition: Achorn International
Art: diacriTech
Associate Photo Researcher: Sarah Cebulski
Cover Design: Kristin E. Parker
Cover Image: Top left: Courtesy of Andrea Booher/FEMA; Top Right: Courtesy of Win Henderson/FEMA;
Bottom left: Courtesy of Jocelyn Augustino/FEMA; Bottom right: Courtesy of Cynthia Hunter/FEMA
Printing and Binding: Malloy, Inc.
Cover Printing: John Pow Company
Library of Congress Cataloging-in-Publication Data
Health care emergency management : principles and practice / [edited by] Michael J. Reilly and David S.
Markenson.
p. ; cm.
Includes bibliographical references and index.
ISBN-13: 978-0-7637-5513-3 (pbk.)
ISBN-10: 0-7637-5513-3 (pbk.)
1. Emergency medical services. 2. Emergency management—Planning. 3. Hospitals—Emergency services.
I. Reilly, Michael J. II. Markenson, David S.
[DNLM: 1. Disaster Planning—organization & administration. 2. Emergencies. 3. Emergency Service,
Hospital—organization & administration. WX 185 H4336 2011]
RA645.5.H38 2011
362.18068—dc22
2010001554
6048
Printed in the United States of America
14 13 12 11 10
10 9 8 7 6 5 4 3 2 1
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Page iii
Dedication
MICHAEL REILLY
I dedicate this text to my family and friends who have supported me
throughout this project. I especially thank my parents, who have provided their unwavering advice and support throughout my life and career. I also dedicate this text to my professional mentors Dr. Linda Degutis
and Dr. Robyn Gershon, who continue to give me invaluable guidance
throughout my professional development. Finally, I dedicate this book to
my coauthor David, who has provided me with the opportunity to pursue academic emergency and disaster medicine professionally, and who
continues to encourage and support my development as a scientist and
scholar in this evolving area of medicine and public health.
DAVID MARKENSON
This text is dedicated to my parents, who have always guided, supported,
and encouraged me, and who, as physicians, have shown me through
their work that providing care to others in a compassionate and knowledgeable way can be a rewarding endeavor. This text is also dedicated to
my brothers, sister, and sisters-in-law, who are a constant source of advice, support, and energy; without their help and involvement in my life
none of my efforts could have been accomplished. Most importantly
this text is dedicated to my wife Heidi and my wonderful children, Emily,
Rachel, and George, who not only support me but who were willing to
give of their time with me to allow me to write this text.
iii
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iv | Dedication
MICHAEL REILLY AND DAVID MARKENSON
Lastly, this text is dedicated to all healthcare providers, emergency managers, and those in their care. Healthcare providers and emergency
managers work each day in an environment that is unpredictable, often
dangerous, and constantly challenging. They have become champions in
changing the system to become better prepared. They dedicate their lives
to aid the sick and the injured and prepare for any disaster, terrorism
event, or public health emergency, driven only by their care for others and
their devotion to this profession we call healthcare emergency management. We salute all of you in your professionalism and dedication. Also,
we dedicate this to our patients who, in allowing us the privilege to provide them care, teach us each day about humanity.
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Page v
Contents
About the Authors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ix
Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiii
Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xix
Section
I
Chapter
1
Chapter
2
Principles of Emergency Management for
Healthcare Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Introduction to Hospital and Healthcare
Emergency Management. . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Michael J. Reilly, DrPH, MPH, NREMT-P and
David S. Markenson, MD, FAAP, FACEP, EMT-P
Healthcare Incident Management Systems . . . . . . . . . . . . . 21
Arthur Cooper, MD, MS
v
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vi | Contents
Chapter
3
Chapter
4
Chapter
5
Chapter
6
Chapter
7
II
Chapter 8
Section
Chapter
Chapter
9
10
Section
III
Chapter
11
Chapter
12
Improving Trauma System Preparedness for Disasters
and Public Health Emergencies . . . . . . . . . . . . . . . . . . . . . 47
Michael J. Reilly, DrPH, MPH, NREMT-P
Legal Issues and Regulatory Compliance . . . . . . . . . . . . . 67
Doris R. Varlese, JD
Developing the Hospital Emergency Management Plan . . . 89
Nicholas V. Cagliuso, Sr., MPH; Nicole E. Leahy, RN, MPH;
and Marcelo Sandoval, MD
Introduction to Exercise Design and Evaluation . . . . . . . . 111
Garrett T. Doering, MS, EMT-P, CEM, MEP
Integration with Local and Community Resources . . . . . . 143
Isaac B. Weisfuse, MD, MPH
Hospital Workforce Issues . . . . . . . . . . . . . . . . . . . . . . . . 161
Education and Training . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Sean M. Kelly, MA, CCEMT-P and
Lindsey P. Anthony, MPA, CEM, CHEC-III
Functional Roles of Hospital Workers in Disasters
and Public Health Emergencies . . . . . . . . . . . . . . . . . . . . 187
Tony Garcia, RN, CCEMT-P
Credentialing and Management of Volunteer
Health Professionals . . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Deborah Viola, PhD, MBA and Peter Arno, PhD
Hospital Operations During Disasters and
Public Health Emergencies . . . . . . . . . . . . . . . . . . . . . . . 221
Quantitative Planning for Epidemic and Disaster Response:
Logistics and Supply Chain Considerations . . . . . . . . . . . 223
Nathaniel Hupert, MD, MPH; John A. Muckstadt, PhD;
and Wei Xiong, PhD, MS
Risk Communication and Media Relations . . . . . . . . . . . . 233
Linda C. Degutis, DrPH, MSN and Lauren Babcock-Dunning, MPH
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Contents | vii
Chapter
13
Chapter
14
Chapter
15
Chapter
16
IV
C h a p t e r 17
Section
Chapter
18
V
C h a p t e r 19
Section
Chapter
20
Chapter
21
Chapter
22
Security and Physical Infrastructure Protections. . . . . . . . . 271
Robert Michael Schuler, BGS, NREMT-P and
Veronica Senchak Snyder, MHS, MBA
Hospital Decontamination and Worker Safety . . . . . . . . . . 299
Michael J. Reilly, DrPH, MPH, NREMT-P
Pharmaceutical Systems Management in Disasters. . . . . . 317
David S. Markenson, MD, FAAP, FACEP, EMT-P
Laboratory Preparedness. . . . . . . . . . . . . . . . . . . . . . . . . 331
Ramon Rosal, PhD
Clinical Considerations. . . . . . . . . . . . . . . . . . . . . . . . . . . 339
Principles of Disaster Triage . . . . . . . . . . . . . . . . . . . . . . . 341
E. Brooke Lerner, PhD and Richard B. Schwartz, MD
Managing an Infectious Disease Disaster:
A Guide for Hospital Administrators . . . . . . . . . . . . . . . . . 353
Ariadne Avellino, MD, MPH
Special Topics. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 369
Vulnerable Populations and Public Health
Disaster Preparedness. . . . . . . . . . . . . . . . . . . . . . . . . . . 371
Elizabeth A. Davis, JD, EdM; Rebecca Hansen, MSW;
and Jennifer Mincin, PhD (ABD)
Altered Standards of Care in Disasters and
Public Health Emergencies . . . . . . . . . . . . . . . . . . . . . . . 401
John Rinard, BBA, MSCPI
Mass Fatality Management . . . . . . . . . . . . . . . . . . . . . . . 423
Barbara A. Butcher, MPH and Frank DePaolo, RPA-C
Research in Emergency and Disaster Medicine . . . . . . . . 447
Kobi Peleg, PhD, MPH and Michael Rozenfeld, MA
Appendix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .463
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .469
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Page ix
About the Authors
MICHAEL J. REILLY, DRPH, MPH, NREMT-P
Dr. Michael Reilly is currently the Assistant Director of the Center for
Disaster Medicine at New York Medical College in Valhalla, New York.
Additionally, he is an Assistant Professor of Public Health Practice and the
Director of the Graduate Program in Emergency Preparedness at the
School of Health Science and Practice.
Dr. Reilly has over a decade of multidisciplinary experience in
emergency preparedness, public safety, intergovernmental relations,
public health, and emergency management. He has been published in
the world’s leading disaster medicine and public health preparedness
journals, and received international awards and recognition for his
work on trauma systems and health systems in the context of disaster
and public health preparedness. Dr. Reilly is an internationally recognized expert in the areas of emergency medical services, and health system preparedness and response, with direct experience in responding
ix
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x | About the Authors
to mass casualty events and public health emergencies. Dr. Reilly is frequently called upon to provide expert consultation, subject matter expertise, and to evaluate healthcare systems preparedness, emergency
planning, and drills and exercises.
Dr. Reilly has designed numerous educational curricula and training programs for a variety of preparedness functional roles for public
health, emergency management, and public safety audiences at the
professional and graduate levels. He is a senior lecturer for multiple
federal agencies including the Department of Justice, Department of
Homeland Security, and the Occupational Safety and Health
Administration. Additionally, he is an active member of several state and
national committees on homeland security and emergency management programs.
He received his undergraduate education at Northeastern University in paramedic technology and health science. He earned his
Masters of Public Health from Yale University, and a doctorate in public health from New York Medical College.
Dr. Reilly remains active as a paramedic in the Metro New York City
region and maintains numerous specialty and technical certifications
and instructor credentials in the areas of emergency medical services,
worker safety, environmental health, hazardous materials emergency
response, emergency management, counterterrorism, and weapons of
mass destruction preparedness and response.
DAVID SAMUEL MARKENSON, MD, FAAP, FACEP, EMT-P
Dr. David Markenson is a board-certified pediatrician with Fellowship
training in both pediatric emergency medicine and pediatric critical care.
He is the Vice President and Medical Director of Disaster Medicine and
Regional Emergency Services at the Westchester Medical Center and Maria
Fareri Children’s Hospital. In addition, he is the Director of the Center for
Disaster Medicine and the Interim Chair of Epidemiology and Community
Health at the School of Health Sciences and Practice at New York Medical
College. Dr. Markenson is also a Professor of Pediatrics and an Associate
Professor of Public Health at the School of Health Sciences and Practice
at New York Medical College in Valhalla, New York.
He is an active member of, and has served in leadership positions
within, multiple professional societies, including the American
Academy of Pediatrics (AAP), the American College of Emergency
Physicians, the Society of Critical Care Medicine, the American College
of Physician Executives, and the National Association of EMS Physicians.
Dr. Markenson has been actively involved with the American Red Cross
for over 20 years and currently serves as the National Chair of the
Advisory Council which oversees disaster health, preparedness, and
health and safety. In this role he directs the scientific and technical as-
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About the Authors | xi
pects of all programs and products in these areas including their development, implementation, and research. Prior to coming to
Westchester Medical Center and New York Medical College he was the
Deputy Director of the National Center for Disaster Preparedness at
the Mailman School of Public Health, Columbia University, and was
also the Director of the Program for Pediatric Preparedness of the
National Center, a program dedicated to improving the care children
receive in times of disasters or acts of terrorism.
His career has been dedicated to improving the approach to pediatric care, disaster medicine, EMS, and emergency medicine. He is the
principal investigator on several federal grants related to pediatric disaster medicine, including Model Pediatric Component for State Disaster
Plans and National Consensus Conference on the Needs of Children in
Disasters. He has also addressed the needs of other special and vulnerable populations and directed a federal grant to develop the first and only
national guidelines for emergency preparedness for persons with disabilities. In addition to this, he has conducted research on healthcare preparedness and healthcare provider and student education. In this area he
was the principal investigator for a federal grant which developed the first
competencies for all healthcare students in emergency preparedness and
then piloted this set of competencies in a medical, dental, public health,
and nursing school. Dr. Markenson has been recently appointed to the
FEMA National Advisory Council as the In-Patient Medical Provider representative. The FEMA NAC is comprised of emergency management
and law enforcement leaders from state, local, and tribal government
and the private sector to advise the FEMA Administrator on all aspects of
disaster preparedness and management to ensure close coordination
with all partners across the country.
He is a frequent presenter and lecturer at medical conferences
across the country, serves in editorial roles for multiple professional scientific journals, and has authored numerous articles and books on pediatric care, disaster medicine, and prehospital medicine. His work in
disaster medicine started during his college career when he worked in
disaster services in upstate New York providing direct services and education to other disaster services workers on behalf of the local Red
Cross and county office of emergency management. Dr. Markenson is
a graduate of Albert Einstein College of Medicine in the Bronx,
New York.
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Page xiii
Contributors
Lindsey P. Anthony, MPA, CEM, CHEC-III
Operational Medicine Education Coordinator
Center for Operational Medicine
Medical College of Georgia
Augusta, Georgia
Peter Arno, PhD
Professor
Department of Health Policy and Management
New York Medical College
School of Health Sciences and Practice
Valhalla, New York
xiii
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xiv | Contributors
Ariadne Avellino, MD, MPH
Research Associate
Center for Disaster Medicine
New York Medical College
Valhalla, New York
Lauren Babcock-Dunning, MPH
Research Associate
Center for Transportation Safety, Security and Risk
Rutgers, The State University of New Jersey
New Brunswick, New Jersey
Barbara A. Butcher, MPH
Chief of Staff
Office of the Chief Medical Examiner
City of New York
New York, New York
Nicholas V. Cagliuso, Sr., MPH
Corporate Director
Emergency Management
Continuum Health Partners, Inc.
New York, New York
Arthur Cooper, MD, MS
Professor of Surgery
Columbia University College of Physicians & Surgeons
Director of Trauma and Pediatric Surgical Services
Harlem Hospital
New York, New York
Elizabeth A. Davis, JD, EdM
Principal
EAD & Associates, LLC
Brooklyn, New York
Linda C. Degutis, DrPH, MSN
Associate Professor of Surgery (Emergency Medicine) and Public
Health
Director, Center for Public Health Preparedness
Yale University School of Medicine
New Haven, Connecticut
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Contributors | xv
Frank DePaolo, RPA-C
Director
Special Operations Division
Office of the Chief Medical Examiner
City of New York
New York, New York
Garrett T. Doering, MS, EMT-P, CEM, MEP
Director of Emergency Management
Westchester Medical Center
Valhalla, New York
Tony Garcia, RN, CCEMT-P
Training Specialist
Texas Engineering Extension Service
Texas A&M University System
College Station, Texas
Rebecca Hansen, MSW
Senior Project Manager
EAD & Associates, LLC
Brooklyn, New York
Nathaniel Hupert, MD, MPH
Associate Professor of Public Health and Medicine
Weill Cornell Medical College
New York, New York
Sean M. Kelly, MA, CCEMT-P
Lecturer
New York Medical College
School of Health Sciences and Practice
Valhalla, New York
Nicole E. Leahy, RN, MPH
Manager
Burn Outreach and Professional Education
New York-Presbyterian Hospital / Weill Cornell Medical Center
New York, New York
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xvi | Contributors
E. Brooke Learner, PhD
Associate Professor
Department of Emergency Medicine
Department of Population Health
Medical College of Wisconsin
Milwaukee, Wisconsin
David S. Markenson, MD, FAAP, FACEP, EMT-P
Medical Director and Vice President
Disas …
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