Conceptualization of a Health Care Coalition   Framework in Georgia Based on the Existing Regional   Coordinating Hospital Infrastructure.
The watershed events of September 11, 2001; the anthrax attacks; Hurricane Katrina; and H1N1 necessitated that the United States define alternative mechanisms for disaster response. Specifically, there was a need to shift from a capacity building approach to a capabilities based approach that would place more emphasis on the health care community rather than just first responders. Georgia responded to this initiative by creating a Regional Coordinating Hospital (RCH) infrastructure that was responsible for coordinating regional responses within their individual geographic footprint. However, it was quickly realized that hospitals could not accomplish community-wide preparedness as a single entity and that siloed planning must come to an end. To reconcile this issue, Georgia responded to the 2012 US Department of Health and Human Services concept of coalitions. Georgia utilized the existing RCH boundaries to define its coalition regions and began inviting all medical and nonmedical response partners to the planning table (nursing homes, community health centers, volunteer groups, law enforcement, etc). This new collaboration effectively enhanced emergency response practices in Georgia, but also identified additional preparedness-related gaps that will require attention as our coalitions continue to grow and mature.
Curtis
C
Harris
Tawny
T
Waltz
James Patrick
JP
O'Neal
Kelly
K
Nadeau
Matthew
M
Crumpton
Sara
S
Ervin
D057191:Capacity Building / Q000379:methods; D003210:Concept Formation; D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000379:methods*; D004189:Disaster Planning / Q000379:methods; D005845:Georgia; D006265:Health Care Coalitions; D006761:Hospitals / Q000639:trends*; D006801:Humans