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Rural Health
Resources by Topic: Emergency preparedness and response

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
Addresses 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 challenges implementing the public assistance program.
Date: 07/2019
Type: Document
Sponsoring organization: Government Accountability Office
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Emergency Preparedness for Rural Communities Policy Paper
Policy position paper focused on emergency preparedness for rural communities. Covers fostering community involvement and a rural culture of readiness, mass casualty incidents, cyber security, communications, workforce barriers, and rural specific considerations.
Author(s): Tara Haskins, David Barney, Bishow Paudel
Date: 07/2019
Type: Document
Sponsoring organization: National Rural Health Association
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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: Office of the Assistant Secretary for Preparedness and Response
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Critical Access Hospital Requirements: CMS Emergency Preparedness Final Rule
Provides a reference source for Critical Access Hospital (CAH) requirements related to the final rule from Centers for Medicare & Medicaid Services (CMS), "Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers." Includes excerpts from the final rule as well as related CMS interpretive guidelines for CAHs. Addresses development of an emergency plan, related policies and procedures, communications, training, and more.
Date: 03/2019
Type: Document
Sponsoring organization: Office of the Assistant Secretary for Preparedness and Response
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Planning and Partnerships: Coordinating Rural Resources for Emergency Preparedness and Response
Discusses how rural healthcare facilities can prepare for natural and man-made disasters, the need for flexibility, and the importance of learning from others' experiences. Includes examples of rural communities and providers responding to a tornado in Iowa, an earthquake in Alaska, and an armed hostage standoff in South Dakota.
Author(s): Tami Lichtenberg
Citation: Rural Monitor
Date: 03/2019
Type: Document
Sponsoring organization: Rural Health Information Hub
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Morovis Community Health Center Uses Home Visits to Manage Diabetes after a Hurricane
Highlights a health center in Puerto Rico and how it responded to Hurricanes Irma and Maria in 2017. Focuses on the health center's emergency plan, community visits, lessons learned, and how they cared for patients with diabetes.
Date: 02/2019
Type: Document
Sponsoring organization: Bureau of Primary Health Care
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2019 National Tribal and Rural Training Needs Assessment
Reports findings from a survey of rural and tribal first response organizations to understanding their training needs. Includes information on demographics, core capabilities, training needs, and training information and delivery preferences.
Author(s): Kay Lang, Christopher Murtagh, Richards P. Davis
Date: 2019
Type: Document
Sponsoring organizations: Center for Best Practices in Law Enforcement, Rural Domestic Preparedness Consortium
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