We cannot assume, based on Boston's response to the marathon bombings, that other U.S. cities are as prepared. Emergency managers and public safety agencies remain focused on disaster preparedness, but some hospitals have lapsed into thinking that it is a costly distraction from daily business.
This first report describes the initial plans for initiative implementation in the six participating school districts and the first steps taken toward implementation in the first year after grant award in August 2011.
Better integration of health and social services in Washington, D.C., may help facilitate the use of preventive health services such as for asthma, obesity, and sexual and mental health, according to a community health needs assessment.
While the expansion of Medicaid under the Affordable Care Act will require additional spending by the Commonwealth of Pennsylvania, these costs will be more than offset by additional revenue or reductions in other spending in the 2014-2020 timeframe.
Three mass-casualty events occurring in three very different settings show that disaster preparedness should not be limited to large cities or “target” areas in the United States. One trait that is common to all such events is the need for coordinated, responsive trauma care for victims.
One doesn't need a clear link to a global terror group to carry out an attack; one needs only the resources, the means and an Internet connection. But the global nature of these communities and their online links also create openings police can exploit.
The medical home has gained national attention as a model to reorganize primary care to improve health outcomes. Pennsylvania has undertaken one of the largest state-based, multipayer medical home pilot projects.
Community-based practitioners can improve their programs using Getting To Outcomes®, a toolkit, training, and onsite-support package which enhances their ability to prevent drug and alcohol use among youth.
Oral health is important to children’s overall health and well-being. However, access to care can be a challenge for parents seeking oral health services for children who are Medicaid beneficiaries. Also, providers have noted a general unawareness among parents about the importance of preventive oral health care.
Boston's health care providers reacted the way they did because they knew what they were supposed to do. Those who did not were smart enough to follow the lead of those who did. That's how a “ritualized” disaster plan works.
The risk of overreaching in the name of homeland security is great. But the best and most likely outcome of this latest attack would be a measured security response built around Americans engaging anew in their own security, writes Brian Michael Jenkins.
What's the difference if they ascribe this atrocity to a neo-Nazi, radical Islamist, or separatist anti-government ideology? Whatever their motive, they're cowardly murderers who need to be brought to justice, writes Andrew Liepman.
In recent years, especially following the economic downturn, states, counties, and cities have looked for ways to reduce costs and maintain basic policing services, leading many to question what the investment in counterterrorism and homeland security has achieved for their jurisdiction.
If Pennsylvania opts into Medicaid expansion under the Affordable Care Act, more residents would have health coverage and the state would enjoy a positive economic effect. However, benefits would have a long-term cost, with uneven regional results.