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Topic Collection: Mitigation (e.g., business continuity planning, critical infrastructure, physical security and access control)

In order to lessen the impact of a human-caused or natural disaster, healthcare facility staff need to be aware of the risks to their facilities, community, and how to mitigate them. The following resources highlight recent case studies, lessons learned, tools, and promising practices that can help emergency medical planners better understand mitigation and how it applies to their place of work and jurisdiction before and after a disaster strikes.

This ASPR TRACIE Topic Collection is in the process of being developed and comprehensively reviewed. If you have resources to recommend for inclusion in this Topic Collection, specifically illustrative examples, plans, tools or templates, please email your recommendations to askasprtracie@hhs.gov.

Topic Collection (PDF - 338.9 KB)

Centers for Disease Control and Prevention and American Water Works Association. (2012). Emergency Water Supply Planning Guide for Hospitals and Health Care Facilities.

This 15-hour course is geared towards physicians, nurses, physician’s assistants, emergency medical technicians, and others in similar fields. It includes a manual and interactive lectures on: Disasters and Public Health Emergencies; Triage in Disasters and Public Health Emergencies; Health System Surge Capacity for Disasters and Public Health Emergencies; Community Health Emergency Operations and Response; and Legal and Ethical Issues in Disaster.
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Greater New York Hospital Association. (2006). Power Disruptions.

Starting on p. 17, the Greater New York Hospital Association shares links to documents that can help healthcare facilities plan for disruptions to electrical and other power systems.
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Present, D., Clair, J., Belyaev, S., et al. (2005). Effects of the August 2003 Blackout on the New York City Healthcare Delivery System: A Lesson for Disaster Preparedness. (Abstract only.) Critical Care Medicine, 33 (1): S96-S101.

The authors reviewed citywide emergency medical calls for service, emergency department visits, and hospital admissions after the 2003 power failure in New York City. They found unexpected increases in calls for service from respiratory device failures in community-based patients and note the need for better disaster preparedness planning for facilities and homebound patients.
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The Joint Commission. (2016). Emergency Management in Health Care: An All-Hazards Approach, Third Edition.

This publication can help health care organizations through all aspects of emergency management planning, from conducting a hazard vulnerability analysis and developing an emergency operations plan (EOP) to recovery.
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