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Rural Health
Resources by Topic: Emergency preparedness and response

Evidence-Based Practice for Public Health Emergency Preparedness and Response
Reviews evidence on public health emergency preparedness and response (PHEPR) practices and improvements necessary to strengthen the PHEPR system. Focuses on training of community-based partners to improve the outcomes of at-risk populations, activation of an emergency operations center, communication of alerts and guidance to technical audiences during an emergency, and implementation of quarantines.
Date: 2020
Type: Document
Sponsoring organization: Health and Medicine Division (HMD), National Academies of Sciences, Engineering, and Medicine
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The Future of Rural Value‐Based Health Care and Surge Capacity
Describes the conflict between value-based care and surge capacity investments at rural hospitals, as well as the role of primary care providers can play during disasters. Presents questions for consideration about the future of rural value‐based care, payment, and healthcare networks and community partnerships in light of the COVID-19 pandemic.
Author(s): A. Clinton MacKinney
Date: 2020
Type: Document
Sponsoring organization: Rural Health Value
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U.S. Virgin Islands Recovery: Additional Actions Could Strengthen FEMA's Key Disaster Recovery Efforts
Examines the status of federal public assistance programs and grant funding for the U.S. Virgin Islands in response to the hurricanes of September 2017. Includes evaluation and recommendations for further action.
Additional links: Full report
Date: 11/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Pre-Disaster Recovery Planning Guide for Tribal Governments
Provides a framework and guidance for tribal government leadership involved in pre-disaster recovery planning to ensure their communities can act rapidly and efficiently once a disaster occurs. Identifies a set of activities recognizing that tribes have varying levels of capacity and methods of planning. These include: basic activities to assist in identifying recovery partners, community assets, resources and resource gaps, and financial and management procedures; recommended activities discussing the development of a recovery ordinance and recovery priorities; and formal activities for tribes with significant resources to develop a comprehensive holistic pre-disaster plan.
Date: 09/2019
Type: Document
Sponsoring organization: Federal Emergency Management Agency
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Inclusive Public Health Preparedness Program to Promote Resilience in Rural Appalachia (2016–2018)
Describes a collaborative planning process for responding to public health emergencies in a rural Appalachian setting where citizens are more vulnerable to emergencies and natural disasters. Emphasizes the importance of including rural populations with access and functional needs in the planning process to create all-inclusive, all-hazards emergency response services.
Author(s): Jennifer Schroeder, Erin Bouldin
Citation: American Journal of Public Health, 109(Suppl 4), S283-S285
Date: 09/2019
Type: Document
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Disaster Response: HHS Should Address Deficiencies Highlighted by Recent Hurricanes in the U.S. Virgin Islands and Puerto Rico
Examines the federal public health and medical services response in the U.S. Virgin Islands and Puerto Rico following the 2017 hurricanes, Irma and Maria. Identifies shortcomings of the response and provides recommendations to improve future response efforts.
Additional links: Full report
Date: 09/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Emergency Management: FEMA's Disaster Recovery Efforts in Puerto Rico and the U.S. Virgin Islands
Describes the disaster recovery efforts of the Federal Emergency Management Agency (FEMA) in Puerto Rico and the U.S. Virgin Islands in response to hurricane damage, including damage to hospitals and infrastructure. Discusses grant funding and recovery office establishment, and addresses the challenges in implementing the public assistance program.
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Healthcare System Readiness Measurement Framework
Offers an all-hazards measurement framework to help healthcare systems evaluate their readiness to respond to disasters and emergencies. The framework was developed to cover mitigation, preparedness, response, and recovery at the request of the Department of Health and Human Services. Includes some considerations specific to rural areas.
Date: 06/2019
Type: Document
Sponsoring organization: National Quality Forum
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Disaster Exposure and Mental Health Among Puerto Rican Youths After Hurricane Maria
Results of a survey administered to 96,108 public school students between February and June 2018. Features statistics including percentage by educational region of students reporting exposure to stressors that warrant mental health services.
Author(s): Rosaura Orengo-Aguayo, Regan W. Stewart, Michael A. de Arellano
Citation: JAMA Network Open 2(4)
Date: 04/2019
Type: Document
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Hospital-Based Incident Command Systems: Small and Rural Hospitals
Provides slides and additional links from a webinar featuring case studies of how rural, Indian Health Service, and Critical Access Hospitals responded to emergencies and used Incident Command Systems in Tennessee, Nebraska, Texas, South Dakota, Georgia, and Utah. Features training examples and actual situations - shooting incidents, school bus accidents, water contamination, and more - addressing challenges faced and lessons learned.
Date: 03/2019
Type: Presentation Slides
Sponsoring organization: Administration for Strategic Preparedness and Response
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