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Long-term care and disaster preparedness: A study of organizational types and levels of preparedness for a disaster or emergency

Saher Selod, MA, Janice Heineman, PhD, Catherine O’Brien, MPH, MA, Scott P. King, PhD

Abstract


Objectives: Although the consequences of Hurricane Katrina motivated considerable research into long-term care (LTC) facility preparedness, many questions still remain. This study examines the characteristics of LTC facility in relation to the level of preparedness to discern whether there are patterns that can inform future planning efforts. The data from PREPARE, a federally funded disaster preparedness program for LTC staff, are used in the analysis.
Methods: More than 400 PREPARE participants completed both baseline and impact surveys as well as a demographic survey, allowing for an analysis of the characteristics and levels of disaster preparedness among participating LTC facilities. Crosstabs were run for the baseline and impact surveys against the demographic survey that the participants completed. Cluster analysis was performed to fit organizations into distinct groups based on their baseline responses to key preparedness domains.
Results: The results of the crosstabs reveal the specific areas where LTC facilities have a more comprehensive disaster plan. For example, skilled nursing facilities appear to be more prepared than continuing care retirement communities (CCRCs); rural facilities seem to be more prepared than urban facilities; and facilities that are part of a chain did not emerge as being better equipped than independent facilities. Cluster analysis found three groups of organizations: “Resourceful but Hesitant,” “Unprepared,” and “Model Preparedness.”
Conclusions: These findings have important implications for public health efforts surrounding disaster preparedness in LTC. The findings suggest that CCRCs deserve special attention in preparedness planning and that consideration in disaster planning is required in both rural and urban areas.


Keywords


long-term care, disaster preparedness, emergency preparedness, older adults, disaster plan

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References


O’Brien C, Selod S, Escamilla V: PREPARE: A study of disaster planning in senior living. Seniors Housing Care J. 2007; 15(1): 57-66.

O’Brien C, Selod S, Lamb K: PREPARE: Continuing education for long term care providers. J Public Health Manag Pract. 2008; 15(2): S20-S24.

Hsu CE, Soto Mas F, Jacobson HE, et al.: Public health preparedness of health providers: Meeting the needs of diverse, rural communities. J Natl Med Assoc. 2006; 98(11): 1784-1791.

U.S. Department of Health and Human Services, Health Resources and Service Administration, Office of Rural Health Policy: Rural Communities and Emergency Preparedness, 2002. Available at ftp://ftp.hrsa.gov/ruralhealth/ruralpreparedness.pdf. Accessed August 14, 2010.

Treat KN, Williams JM, Furbee PM, et al.: Hospital preparedness for weapons of mass destruction incidents: An initial assessment. Ann Emerg Med. 2001; 38(5): 562-565.

US General Accounting Office: Bioterrorism: Preparedness varied across state and local jurisdictions, GAO-03-373. Washington, DC: US General Accounting Office, 2003.

AARP:We can do better: Lessons learned in protecting older persons in disasters report and conference summary; 2006. Available at http://assets.aarp.org/rgcenter/il/better.pdf. Accessed May 23, 2007.

Shenk D, Ramos B, Kalaw K, et al.: History, memory, and disaster among older adults: A life course perspective. Traumatology. 2009; 15(2): 20-30.

Hendricks L, Bassi S: Emergency preparedness from the ground floor up: A local agency perspective. Home Health Care Manage Pract. 2009; 21(5): 346-352.

Smith P, Bennett G, Bradley S, et al.: SHEA/APIC guideline: Infection prevention and control in the long-term care facility. Infect Control Hosp Epidemiol. 2008; 29(9): 785-814.

Hyer K, Polivka-West L, Brown L: Nursing homes and assisted living facilities: Planning and decision making for sheltering in place or evacuation. Generations. 2007; 31(4): 29-33.

Patterson S: Planning for disaster. Nurs Homes Long-Term Care Manage. 1993; 42(4): 18-22.

Aldendorfer MS, Blashfield RK: Cluster Analysis. Beverly Hills, CA: Sage, 1984.

Ward J: Hierarchical grouping to optimize an objective function. J Am Stat Assoc. 1963; 58: 236-244.

McClanahan G, Holmbeck GN: Separation-individuation, family functioning, and psychological adjustment in college students: A construct validity study of the separation-individuation test of adolescence. J Pers Assess. 1992; 59: 468-485.

Harrington C, Carillo H: The regulation and enforcement of federal nursing home standards, 1991-1997. Med Care Res Rev. 1999; 56(4): 471-494.

Kamimura A, Banaszak-Holl J, Berta W, et al.: Do corporate chains effect quality of care in nursing homes? The role of corporate standardization. Health Care Manage Rev. 2007; 32(2): 168-178.

Lin M: Nursing home chains: Structure and strategy. Paper presentation at the AcademyHealth Meeting, Boston, MA, 2005.




DOI: http://dx.doi.org/10.5055/jem.2011.0052

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