Monday, December 29, 2008

Half of States Ill-Prepared

Half of the healthcare systems are ill-prepared for a major disaster, according to a recent report titled “Ready or Not? Protecting the Public’s Health from Diseases, Disasters, and Bioterrorism.”

The annual report examines and scores healthcare systems’ ability to effectively handle mass casualties following natural and man-made disasters. Scores are based on ten key factors on a state-by-state basis.

Best and Worst

Five states achieved a 10 of 10:
  • Louisiana
  • New Hampshire
  • North Carolina
  • Virginia, and
  • Wisconsin

Six states scored five out of 10:
  • Arizona
  • Connecticut
  • Florida
  • Maryland
  • Montana, and
  • Nebraska

The report identifies several reasons for the lack of preparedness. Budget cuts, lack of modernization in key areas, gaps in disease detection, poor vaccine and medication distribution, and lacking surge capacity contribute to poor performance in many states.

Key Recommendations

The authors offered several recommendations to close the gaps:

  • Restore funding to fiscal year 2005 levels
  • Improve leadership and accountability at the federal level
  • Enhance surge capacity
  • Modernize equipment and technology
  • Encourage community engagement
  • Incorporate preparedness into healthcare reform

The report authors argue that “prevention, preparedness, and public health are vital to the well-being of families, communities, workplace productivity, U.S. competitiveness, and national security. The incoming Obama administration and the 111th Congress should make protecting the health of all Americans a priority.”

What's Your Experience

Although my state, Louisiana, earned a 10 out of 10 score, I would beg to differ on the state’s healtcare preparedness. Hurricane Gustav knocked out several of the major hospitals in Baton Rouge for at least a few days. One such institution remained closed for more than a month due to a destroyed power grid. Fortunately, it was not a mass casualty event that required a large surge capacity. But what if it had?

How did your state rank? Read the report and comment here.

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