Author Archive

Article Out Loud – Hospitals Must Prepare Now for Future Contingencies

Whether responding to mass casualties from a nuclear blast or an attack by a single “Lone Wolf” shooter, hospital preparedness requires careful planning, effective coordination, and collaboration in the sharing of critical resources. Inter-hospital cooperation and training will almost always result in a better outcome than would be possible through

Hospitals Must Prepare Now for Future Contingencies

Considering the financial constraints already in place, and the likelihood that there will be continuing reductions in federal grant funds for preparedness, the challenge facing U.S. hospitals and other healthcare facilities to do more with less has perhaps never been greater. More specifically, in preparedness planning and operations, very few

Healthcare Reform: Major Effects on Hospital Preparedness

No matter what the Supreme Court decides on the constitutionality of the healthcare reform act, U.S. hospitals must prepare now for major changes in their planning, everyday operations, and both budgetary and personnel resources. Many of those changes may be costly. Most will be time-consuming and/or difficult to implement. But

Joplin & Irene Force Changes in Hospital Evac Plans

Article Out Loud Significant changes in hospital emergency planning have taken place since and largely because of Hurricane Katrina in 2005. Hospitals, along with nursing homes, have had their safety and security requirements strengthened by regulatory and/or accreditation agencies to ensure that their emergency plans take into account how they

Hospitals & Fire Departments: Three-Alarm Fires, MSH & Best-Practice Results

A major fire in one of the nation’s finest hospitals led quickly to: (a) the massive evacuation of almost 450 patients; and (b) numerous follow-up meetings to find out what had gone wrong and how to handle such incidents more quickly, and more effectively, in the future. The end result

Hospital Emergency Departments – Infectious Diseases: The First Line of Defense

Very few Emergency Departments in U.S. hospitals can cope with a major outbreak of infectious diseases. But there is much that could & should be done before an outbreak occurs. Improved communications between and among all major medical facilities in the same geographic area should be the first priority, along

Hospital Emergency Planning: Hospitals Qualify as Critical Infrastructure

How does one define “critical”? Far too often in today’s interconnected world, that important designation is awarded retrospectively – i.e., after a terroristic attack or major weather disaster. A credible case can be made, though, that major hospitals and other healthcare facilities deserve that description because of their intrinsic value

Hospital Surge Capacity – A Moving Target

The emergency rooms of most U.S. hospitals are often overcrowded even on a supposedly “slow” day. A mass-casualty incident makes the situation exponentially worse, creating a simultaneous demand for additional space, a larger staff, and more medical supplies. The last resort is usually the use of an alternate-care site –

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Article Out Loud – A Holistic Approach to Cybersecurity Risk

  Full article by Ernesto Ballesteros, an Article Out Loud from Domestic Preparedness, February 28, 2024. In this featured article, a cybersecurity state coordinator for CISA explains how cybersecurity is a core business process that involves the entire organization or agency. The continuity of government and operations depends on a

Article Out Loud – Protecting Infrastructure – Cyber, Physical, and EMP Attacks

  Full article by David Winks, an Article Out Loud from Domestic Preparedness, February 21, 2024. In this featured article, a cyber defense expert describes the complexities of protecting the power grid from cyber, physical, and electromagnetic pulse attacks. Like a giant spider web, the grid connects power companies and

Article Out Loud – Repeated Intelligence Failures – Not Connecting the Dots

  Full article by Robert Leverone and Darren E. Price, an Article Out Loud from Domestic Preparedness, February 14, 2024. In this featured article, two homeland security experts discuss how combating potential threats and avoiding intelligence failures involves identifying the signals and warnings in available information and connecting the dots.

Article Out Loud – Needed: More Imagination for Countering Domestic Risks

Full article by Jeanne Benincasa Thorpe, an Article Out Loud from the Domestic Preparedness Journal, February 7, 2023.From “Lord of the Flies” to the terrorist attacks of 9/11, significant consequences have been blamed on failures of imagination. In this featured article, a national security and resiliency expert encourages leaders to

Article Out Loud – Unleashing Community Resilience Through Collaborative Leadership

Full Article By Michael R. Valiente, an Article Out Loud from Domestic Preparedness, January 31, 2024. Elected officials and emergency response personnel form the nucleus of community leadership, a driving force for collaborative relationships with local stakeholders. Find out how community leaders who adopt the tenets of transformational leaders can

Article Out Loud – Commercial Facilities Sector Perspectives

Full Article By Kole (KC) Campbell, an Article Out Loud from Domestic Preparedness, January 31, 2024. Commercial facilities dominate the U.S. economy, contributing trillions of dollars to the U.S. gross domestic product while employing and supporting millions of jobs. Learn more about this critical infrastructure sector and its interdependencies. Listen

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