When disaster strikes, it rarely impacts just one jurisdiction. Many catastrophic disaster plans include support from neighboring jurisdictions that likely will not be available in a regional disaster. Bringing multiple stakeholders together from sectors that do not routinely work with each other can augment a response to a disaster, but can also be extremely difficult because of the multi-disciplinary communication and coordination needed to ensure effective medical and public health response. As many communities within a region will have similar vulnerabilities, a logical step in planning is to establish responsibilities and capacities, and be able to work toward common goals to address all-hazards when the entire region is affected. To explore these considerations, the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events organized a series of three regional workshops in 2014 to explore opportunities to strengthen the regional coordination required in response to a large scale multijurisdictional disaster. The purpose of each regional workshop was to discuss ways to strengthen coordination among multiple jurisdictions in various regions to ensure fair and equitable treatment of communities from all impacted areas. Regional Disaster Response Coordination to Support Health Outcomes summarizes the presentation and discussion of these workshops.

Contents

• THE NATIONAL ACADEMIES
• WORKSHOP PLANNING COMMITTEE
• FORUM ON MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR CATASTROPHIC EVENTS
• Reviewers
• 1. Introduction
  • NATIONAL HEALTH SECURITY PREPAREDNESS INDEX (NHSPI)
  • MEETING OBJECTIVES
  • ORGANIZATION OF THE REPORT
  • TOPICS HIGHLIGHTED DURING PRESENTATIONS AND DISCUSSIONS
• 2. Evacuation, Patient Tracking, and Information Sharing in a Regional Response
  • CHALLENGES IN EVACUATION AND PATIENT TRACKING
  • INFORMATION SHARING ACROSS SECTORS DURING A RESPONSE
  • HIGHLIGHTED OPPORTUNITIES FOR OPERATIONAL CHANGES
• 3. Public Health Surge Capacity and Community Resilience
  • REDUCING CLINICAL SURGE THROUGH PUBLIC HEALTH AND COMMUNITY SERVICES
  • BUILDING COMMUNITY RESILIENCE
  • HIGHLIGHTED OPPORTUNITIES FOR OPERATIONAL CHANGES
• 4. Coordination of a Community Response
  • PROMOTING CROSS-SECTOR COLLABORATION
  • MANAGING VOLUNTEERS ACROSS A REGION
  • BUILDING SUSTAINABLE COALITIONS AND COLLABORATIONS
  • HIGHLIGHTED OPPORTUNITIES FOR OPERATIONAL CHANGES
• 5. Final Remarks
• APPENDIXES
  • A References
  • B Acronyms
  • C Statement of Task
  • D Agendas
  • E Biographical Sketches of Invited Speakers and Panelists
  • F Speakers and Registered Attendees

Rapporteurs: Megan Reeve, Bruce Altevogt, and Miriam Davis.

This activity was supported by contracts between the National Academy of Sciences and the American College of Emergency Physicians; American Hospital Association; Association of State and Territorial Health Officials; Centers for Disease Control and Prevention (Contract No. 200-2011-38807, TO #30); Department of Defense (Contract No. HT0011-11-P-0186); Department of Defense, Uniformed Services University of the Health Sciences (Contract No. HT9404-12-1-0022); Department of Health and Human Services' Administration for Children and Families (Contract No. HHSP2332014001533P); Department of Health and Human Services' National Institutes of Health: National Institute of Allergy and Infectious Diseases, National Institute of Environmental Sciences, National Library of Medicine (Contract No. HHSN26300007 [Under Base 1 #HHSN263201200074I]); Department of Health and Human Services' Office of the Assistant Secretary for Preparedness and Response (Contract No. HHSO100201000021P); Department of Homeland Security's Federal Emergency Management Agency (Contract No. HSFE20-13-P-0212); Department of Homeland Security, Office of Health Affairs (Contract No. HSHQDC-13-J-00384 [Under Base 1 #HSHQDC-11-D-00009]); Department of Transportation's National Highway Traffic Safety Administration (Contract No. DTNH22-10-H-00287); Department of Veterans Affairs (Contract No. 101-G09041); Food and Drug Administration (Contract No. HHSF22301027T [Under Base Contract DHHS-8598]); Infectious Diseases Society of America; Martin, Blanck & Associates; Mayo Clinic; Merck Research Laboratories (Contract No. APA-2014-1666); National Association of Chain Drug Stores; National Association of County and City Health Officials; National Association of Emergency Medical Technicians; Novartis Vaccines and Diagnostics, Inc.; Pharmaceutical Research and Manufacturers of America; Robert Wood Johnson Foundation; Society for Disaster Medicine and Public Health; Target Corporation; Trauma Center Association of America; and United Health Foundation. The views presented in this publication do not necessarily reflect the views of the organizations or agencies that provided support for the activity.

Suggested citation:

IOM (Institute of Medicine). 2015. Regional disaster response coordination to support health outcomes: Summary of a workshop series. Washington, DC: The National Academies Press.

NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.