Coordination of Autonomous Healthcare Entities: Emergency Response to Multiple Casualty Incidents

If you need an accessible version of this item, please submit a remediation request.
Date
2017
Language
English
Embargo Lift Date
Committee Members
Degree
Degree Year
Department
Grantor
Journal Title
Journal ISSN
Volume Title
Found At
Wiley
Abstract

In recent years, many urban areas have established healthcare coalitions (HCCs) composed of autonomous (and often competing) hospitals, with the goal of improving emergency preparedness and response. We study the role of such coalitions in the specific context of response to multiple-casualty incidents in an urban setting, where on-scene responders must determine how to send casualties to medical facilities. A key function in incident response is multi-agency coordination. When this coordination is provided by an HCC, responders can use richer information about hospital capacities to decide where to send casualties. Using bed availability data from an urban area and a suburban area in the United States, we analyze the response capability of healthcare infrastructures under different levels of coordination, and we develop a stress test to identify areas of weakness. We find that improved coordination efforts should focus on decision support using information about inpatient resources, especially in urban areas with high inter-hospital variability in resource availability. We also find that coordination has the largest benefit in small incidents. This benefit is a new value proposition for HCCs, which were originally formed to improve preparedness for large disasters.

Description
item.page.description.tableofcontents
item.page.relation.haspart
Cite As
Mills, A. F., Helm, J. E., Jola‐Sanchez, A. F., Tatikonda, M. V., & Courtney, B. A. (2017). Coordination of Autonomous Healthcare Entities: Emergency Response to Multiple Casualty Incidents. Production and Operations Management., http://dx.doi.org/10.1111/poms.12790
ISSN
Publisher
Series/Report
Sponsorship
Major
Extent
Identifier
Relation
Journal
Production and Operations Management
Source
Author
Alternative Title
Type
Article
Number
Volume
Conference Dates
Conference Host
Conference Location
Conference Name
Conference Panel
Conference Secretariat Location
Version
Author's manuscript
Full Text Available at
This item is under embargo {{howLong}}