Because natural and manmade disasters can occur at any time, individuals, communities, and governments must be prepared. RAND has developed guidelines for individual preparedness in response to terrorist attacks; evaluated, modeled, and enhanced preparedness policy options for government officials at all levels; and recommended actions that communities should take to prepare for bioterrorist attacks, pandemic flu outbreaks, and other large-scale emergencies.
BLOG
A better solution than restricting emergency department use by Medicaid enrollees is to reverse what for many years has been a trend of shrinking access to primary care for Medicaid beneficiaries.
COMMENTARY
The fact that many ED (emergency department) visits could be managed in primary care settings does not mean that such care is available, write Arthur L. Kellermann and Robin M. Weinick.
REPORT
The Cities Readiness Initiative (CRI) aims to improve communities' ability to rapidly provide life-saving medications during public health emergencies. The authors examine (1) the status of communities' operational capability to meet the goal of delivering medical countermeasures within 48 hours of a federal decision to deploy assets and (2) whether there is evidence that CRI has improved communities' capability to meet that goal.
REPORT
The study reports on the evidence and potential for use of 'emergency readmissions within 28 days of discharge from hospital' as an indicator within the NHS Outcomes Framework, drawing on a rapid review of systematic reviews.
JOURNAL ARTICLE
Describes the importance of a Continuity of Operations Plan (COOP), and identifies common strengths and potential vulnerabilities of laboratory-specific COOPs.
JOURNAL ARTICLE
A wide range of products and services exist to help patients convey personal health information. Health care providers should be familiar with their features, so they can access the information in a disaster or emergency.
TOOL
The Promising Practices Network has developed an emergency planning guide that presents high-priority preparedness activities and documents to help child-serving organizations customize their emergency plans.
PERIODICAL
RAND Health Quarterly is an online journal sharing the results of recent RAND research areas across a broad spectrum of health-related issues.
RESEARCH BRIEF
Between 1990 and 2009, the number of emergency rooms (ERs) in nonrural U.S. hospitals declined by 27 percent (from 2,446 to 1,779). Economic factors play a central role in an ER's ability to remain open.
JOURNAL ARTICLE
Organizational culture differences between public health and emergency management entities may hinder inter-agency collaboration.
COMMENTARY
Fortunately for the nation's capitol, Hurricane Irene and the East Coast earthquake proved to be relatively minor events, as far as disasters go. But before everyone breathes a sigh of relief, it would be wise to reflect on how people responded to what were essentially dress rehearsals for much bigger events, write Lynn E. Davis and Arthur L. Kellermann.
COMMENTARY
If the U.S. does not improve its ability to track federal spending and develop reliable measures of effectiveness, precious federal disaster aid will continue to be at risk of being squandered, writes Agnes Gereben Schaefer.
JOURNAL ARTICLE
This study found that the number of emergency departments operating in the US from 1990 to 2009 declined by 27%. EDs with safety-net status, for-profit ownership, and low profit margin were at higher risk of closure.
JOURNAL ARTICLE
In this paper, we describe a methodology for measuring a region's exposure to infrastructure-related risks that captures both a community's concentration of facilities or sites considered to be vulnerable and of the proximity of these facilities to surrounding infrastructure systems.
MULTIMEDIA
Admiral Thad Allen, then a senior fellow at RAND, presented “Managing the Unexpected” on April 19, 2011, as part of RAND's Issues in Focus public outreach series. Retired Commandant of the U.S. Coast Guard and National Incident Commander for the response to the BP oil spill in the Gulf of Mexico, Allen discussed his experiences leading the nation's high-profile response to two national emergencies—the oil spill and Hurricane Katrina.
REPORT
This documented briefing presents the results of a rapid review of the funding landscape for complex trauma research in the UK. Recommendations are made about how to strengthen this niche and orphan area of research.
JOURNAL ARTICLE
Preparedness exercises play central roles in both the building and assessment of organizational readiness for future incidents. Though processes for designing and evaluating exercises are well established, there are opportunities to improve the value of exercises for strengthening preparedness and as tools for gathering assessment data. This article describes the application of systems analytical approach adapted from engineering that…
REPORT
Communities can build resilience to disasters through efforts such as joint planning of government and non-governmental organizations and the development of community networks.
RESEARCH BRIEF
Examines ways in which communities can improve their ability to withstand and recover from adversity.
NEWS RELEASE
Communities can build resilience to disasters through efforts such as joint planning of government and non-governmental organizations and the development of community networks.
RAND® is a registered trademark. Copyright © 1994-2012 RAND Corporation.