Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-25T19:11:29.574Z Has data issue: false hasContentIssue false

Emergency Management for the Outpatient Health Care Environment

Published online by Cambridge University Press:  21 October 2019

Emma Paras*
Affiliation:
Division of Emergency Preparedness, Department of Clinical Operations Support and Services, The Children’s Hospital of Philadelphia, PA
Matthew Butler
Affiliation:
Division of Emergency Preparedness, Department of Clinical Operations Support and Services, The Children’s Hospital of Philadelphia, PA
*
Correspondence and reprint requests to Emma Paras, The Children’s Hospital of Philadelphia, Buerger Building, P1 Suite 1005, 3500 Civic Center Blvd., Philadelphia, PA 19104 (e-mail: [email protected]).

Abstract

Utilization of ambulatory and outpatient services for primary, specialty, and surgical care has risen in the United States over the last decade, in parallel with the evolution of health care emergency management. Regulatory and accreditation authorities; legislature and policies; and real-life events such as hurricanes, tornadoes, and wildfires throughout the country have caused health care systems to take a more all-hazards approach for emergency management. While health care emergency management has grown tremendously in significance, outpatient settings have yet to see the same growth. However, concepts of comprehensive emergency management and the incident command system are important and valuable across all health care system settings, including outpatient facilities. The purpose of this article is to summarize regulatory requirements for outpatient health care emergency management, describe nuances of outpatient settings, and provide recommendations for how to successfully incorporate outpatient and ambulatory locations into the “Enterprise” model for comprehensive health care emergency management.

Type
Concepts in Disaster Medicine
Copyright
Copyright © 2019 Society for Disaster Medicine and Public Health, Inc.

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

REFERENCES

Abrams, K, Balan-Cohen, A, Durbha, P. Growth in outpatient care. 2018. https://www2.deloitte.com/insights/us/en/industry/health-care/outpatient-hospital-services-medicare-incentives-value-quality.html. Accessed February 5, 2019.Google Scholar
Liberty Mutual Insurance White Paper. Emergency preparedness in healthcare: learning from the past to improve the future. 2018. https://viewpoint.libertymutualgroup.com/wp-content/uploads/2018/05/CI3638.NIS_.Healthcare.%20EmergencyPlanning.pdf. Accessed March 27, 2019.Google Scholar
Macintyre, A, Barbera, JA, Brewster, P. Health care emergency management: establishing the science of managing mass casualty and mass effect incidents. Disaster Med Public Health Prep. 2009;3(Suppl 1):S52S58.CrossRefGoogle ScholarPubMed
The Institute for Crisis, Disaster, and Risk Management (ICDRM) at the George Washington University (GWU) for the Veterans Health Administration (VHA). Emergency management principles and practices for healthcare systems. 2nd ed. Washington, DC: US Department of Veterans Affairs (VA); 2010.Google Scholar
Anderson, LG. Disaster preparedness – creating peace of mind. Plast Surg Nurs. 2002;22(1):3334, 41.CrossRefGoogle ScholarPubMed
Petzel, RA. Comprehensive Emergency Management Program. VHA Directive 0320. Washington, DC: Department of Veterans Affairs/Veterans Health Administration; 2013.Google Scholar
Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange (ASPR TRACIE). Emergency preparedness requirements for Medicare and Medicaid participating providers and suppliers. 2015. https://asprtracie.hhs.gov/cmsrule. Accessed March 27, 2019.Google Scholar
The Joint Commission. 2019. https://www.jointcommission.org/. Accessed February 5, 2019.Google Scholar
Centers for Medicare and Medicaid Services Emergency Preparedness Rule. 2019. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertEmergPrep/Emergency-Prep-Rule.html. Accessed February 5, 2019.Google Scholar
Boyd, A, Chambers, N, French, S, et al. Emergency planning and management in health care: priority research topics. Health Syst (Basingstoke). 2014;3(2):8392.CrossRefGoogle ScholarPubMed
Van Vactor, JD. Strategic health care logistics planning in emergency management. Disaster Prev Manag. 2012;21(3):299309.CrossRefGoogle Scholar
Alves, LF, Cagliuso, NV , Sr, Dunne, WJ. Building the bridge between healthcare emergency management and daily operations. J Bus Contin Emer Plan. 2015;9(2):137148.Google Scholar