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Rural Emergency Preparedness and Response – Resources

Selected recent or important resources focusing on Rural 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 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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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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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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Rural and Frontier Healthcare Coalitions: A Preparedness and Response Snapshot
Summarizes interviews with rural and frontier healthcare coalitions from nine states. Describes the characteristics of healthcare coalitions. Covers strengths, barriers, and opportunities for rural and frontier healthcare coalitions.
Author(s): Shannon Davis
Date: 09/2018
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Picking Up the Pieces: Restoring Rural Housing and Communities After a Disaster
Acts a guide to inform and identify resources for rural survivors, local organizations, and communities to rebuild housing and communities after a disaster with an emphasis on housing assistance.
Additional links: Special Supplement
Date: 09/2018
Type: Document
Sponsoring organization: Housing Assistance Council
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School District Crisis Preparedness, Response, and Recovery Plans — United States, 2006, 2012, and 2016
Examines crisis preparedness in schools, with data on urban, suburban, town, and rural areas. Includes information on district requirements for school preparedness related to family reunification procedures, pandemic influenza or other infectious disease outbreak response, provisions for special needs or mental health services, and funding for or provision of crisis preparedness training.
Author(s): Judy Kruger, Nancy Brener, Rebecca Leeb, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 67(30), 809-814
Date: 08/2018
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Emergency Preparedness and Recovery: A Toolkit for Rural Communities
Provides information and resources to assist a long term recovery group (LTRG) responding to a disaster and implementing recovery plans in a rural community. Addresses the infrastructure and health needs of rural residents in a disaster. Offers considerations for establishing a LTRG in a small and/or rural area and covers topics specific to rural areas, such as organizing volunteers and financial management.
Date: 04/2018
Type: Document
Sponsoring organizations: Planners4Health, Texas Public Health Association
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Tribal Nursing Home Best Practices: Emergency Preparedness
Describes emergency preparedness approaches of 5 tribal nursing homes in Arizona, Washington, New Mexico, and Wyoming.
Date: 12/2017
Type: Document
Sponsoring organization: Centers for Medicare and Medicaid Services
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All-Hazards Preparedness for Rural Communities: A Guide to Help Rural Agriculture Communities Prepare for Threats to Their Families, Farms, Animals and Businesses
Guide for individuals, farmers, and businesses in rural agricultural communities preparing for an all-hazards approach for their communities and commodities. Includes preparedness information and plans for families, homes, pets, farms, livestock, crops, and businesses regarding threats, such as biological, man-made, or technological threats.
Author(s): Jessica Platts, Shaine Devoe, Ashley Osborn, Stellena Nelson, Glenda Dvorak
Date: 08/2016
Type: Document
Sponsoring organization: Center for Food Security and Public Health
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Health and Medical Response to Active Shooter and Bombing Events
Explores key issues and serves as a prompt for responders and planners to consider areas where their communities can address potential gaps. Addresses challenges specific to crisis situations in rural areas.
Author(s): John L. Hick, Dan Hanfling, Bruce Evans, et al.
Date: 06/2016
Type: Document
Sponsoring organization: National Academy of Medicine
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Emergency Preparedness Handbook for Tribal Governments
Describes strategies for developing and implementing plans for disaster management on tribal lands. Includes sample emergency plans and a list of federal and tribal online resources for emergency preparedness and response.
Author(s): Jon Mielke, Dick Winchell, Ashley Murphy
Date: 12/2014
Type: Document
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How EMS in Rural Methow Valley, Washington, Coped with a Devastating Wildfire
Describes the emergency medical service (EMS) response in the aftermath of a wildfire, in which patients and providers were cut off from hospitals, 911 coverage, and power. Shows the importance of advanced preparedness and planning by rural EMS agencies.
Author(s): Cindy Button
Citation: JEMS (Journal of Emergency Medical Services), 39(10), 46-9
Date: 10/2014
Type: Document
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Responding to Medical Surge in Rural Communities: Practices for Immediate Bed Availability
Describes strategies and practices that enable local health departments and healthcare organizations serving rural areas to assist their communities during emergencies resulting in medical surge. Explores ways to ensure adequate levels of care for all patients, including telehealth services and integrated information sharing systems.
Date: 09/2014
Type: Document
Sponsoring organization: National Association of County and City Health Officials
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Tips for Disaster Responders: Cultural Awareness When Working in Indian Country Post Disaster
Provides information for disaster response workers to build cultural awareness for supporting Native Americans before, during, and after a traumatic event. Discusses cultural values, types of traumatic events, traditional teachings, and talking circles.
Date: 09/2014
Type: Document
Sponsoring organization: Substance Abuse and Mental Health Services Administration
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Emergency Medical Services Response to Motor Vehicle Crashes in Rural Areas: A Synthesis of Highway Practice
Identifies potential factors that may help reduce the time necessary to provide effective medical care to vehicle crash victims on rural roads. Includes rural statistics and data.
Date: 04/2013
Type: Document
Sponsoring organization: National Cooperative Highway Research Program
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Regional Resilience: Research and Policy Brief
Summarizes research on disaster resiliency. Provides a framework for assessing current policy and practice as it relates to regional resilience. Includes rural areas.
Author(s): Brian Dabson, Colleen M. Heflin, Kathleen K. Miller
Date: 02/2012
Type: Document
Sponsoring organization: Rural Policy Research Institute
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2011 National EMS Assessment
Provides a comprehensive description of emergency medical services (EMS), EMS emergency preparedness, and 911 systems at state and national levels. Chapters 9, 10, 158, and 194 discuss rural EMS, including rural status, rural patient transports, and Critical Access Hospitals (CAHs).
Author(s): Greg Mears, Beth Armstrong, Antonio R. Fernandez, et al.
Date: 12/2011
Type: Document
Sponsoring organization: National Highway Traffic Safety Administration
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Rural Health Preparedness
Policy brief discussing the nation's critical needs for maintaining an adequate rural healthcare system and public health infrastructure that can effectively respond to both natural and manmade disasters and emergencies.
Date: 04/2011
Type: Document
Sponsoring organization: National Rural Health Association
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Urban to Rural Evacuation: Planning for Rural Population Surge
Analyzes the likelihood of urban evacuation to rural areas in disaster or emergency situations and provides recommendations for rural planning and response.
Author(s): Michael Meit, Thomas Briggs, Alene Kennedy
Date: 08/2008
Type: Document
Sponsoring organization: NORC Walsh Center for Rural Health Analysis
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Partnering to Achieve Rural Emergency Preparedness: A Workbook for Healthcare Providers in Rural Communities
Provides a tool to assist Rural Health Clinics (RHCs), community health centers and migrant health centers plan effective community emergency preparedness plans. Encourages a team effort coordination between community leaders and healthcare facilities.
Author(s): Texas A&M Health Science Center School of Public Health
Date: 2007
Type: Document
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Rural Disaster Health
Consists of a collection of resources highlighting guidance for and lessons learned by healthcare practitioners serving rural and tribal communities. Features categories including Critical Access Hospitals (CAH), education and training, tribal health resources, and surge planning from urban to rural areas.
Type: Website
Sponsoring organization: Office of the Assistant Secretary for Preparedness and Response
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FirstNet (First Responder Network Authority)
Provides information on the development of a national high-speed wireless broadband public safety network, supporting the work of first responders, including emergency medical services personnel.
Type: Website
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PubMed Search: Emergency Preparedness and Rural Health
Searches PubMed's collection of journal article citations on the topics of emergency preparedness and response and rural health in the U.S.
Type: Literature Search
Sponsoring organization: U.S. National Library of Medicine
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Preparedness and Emergency Response Learning Centers (PERLC)
Consists of 14 centers that provide public health preparedness and response training to state, local, and tribal public health authorities.
Type: Website
Sponsoring organization: Centers for Disease Control and Prevention
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Emergency Preparedness & Continuity of Operations
Highlights the emergency preparedness programs and initiatives with the Health Resources and Services Administration (HRSA). Includes information on federal financial assistance in declared emergencies, disaster responses, public assistance, individual assistance, response and recovery, hazard mitigation, and small business loans.
Type: Website
Sponsoring organization: Health Resources and Services Administration
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All Hazards: Resources to Help Rural Communities Prepare for Disasters and Other Hazards
Provides resources to help citizens in rural agricultural communities prepare for and recover from disasters and emergency situations, including dangers related to agrochemicals.
Type: Website
Sponsoring organization: Iowa State University
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Cultural Competency Curriculum for Disaster Preparedness and Crisis Response
Provides free, online cultural and linguistic competency education designed for emergency medical technicians (EMTs), psychologists, psychiatrists, and social workers responding in disaster situations.
Type: Website
Sponsoring organization: U.S. Department of Health and Human Services Office of Minority Health
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WISER: Wireless Information System for Emergency Responders
Assists first responders in hazardous material incidents. Provides information on hazardous substances, including substance identification support, physical characteristics, human health information, and containment and suppression advice.
Type: Website
Sponsoring organization: U.S. National Library of Medicine
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State Offices and Agencies of Emergency Management
Lists state and territory offices of emergency management and contact information.
Type: Directory
Sponsoring organization: Federal Emergency Management Agency
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Disaster Assistance.gov
Serves as the federal site for registration of services for people affected by disasters in federally designated disaster areas. Includes rural housing repair and rental loans.
Type: Website
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Additional resources are available related to this guide. See the full list of resources by topic for:


Last Updated: 10/23/2019