Regional planning efforts encourage coordination between senior care facilities and emergency managers in New Jersey

Jennifer L. Whytlaw, PhD

doi:10.5055/jem.2020.0486

Authors

Jennifer L. Whytlaw, PhD

DOI:

https://doi.org/10.5055/jem.2020.0486

Keywords:

seniors, preparedness, natural hazards, emergency planning, New Jersey

Abstract

Senior care facilities house populations that are highly vulnerable to impacts from natural hazard events. Recent events in Florida and Texas highlight the need for senior care facilities to prepare to shelter-in-place during and immediately after a natural hazard event occurs and be self-sufficient for extended periods afterward. Interviews with emergency managers and senior facility administrators in New Jersey emphasize how regional planning efforts can be used successfully to improve preparedness at senior facilities and coordination with the emergency response community. While preparedness efforts vary across New Jersey, the southern region has shown success through focused connections between facilities and emergency managers that have led to successful coordination of emergency evacuation of facilities.

Author Biography

Jennifer L. Whytlaw, PhD

Department of Political Science and Geography, Old Dominion University, Norfolk, Virginia

References

Federal Emergency Management Agency (FEMA): Disaster Declarations, Available at https://www.fema.gov/disasters/. Accessed August 23, 2019.

Greenberg, M: Protecting Seniors Against Environmental Disasters: From Hazards and Vulnerability to Prevention and Resilience. Abingdon, UK: Routledge (2014).

Hyer K, Thomas KS, Dosa D, et al.: Improving relations between emergency management offices and nursing homes during hurricane-related disasters. J Emerg Manage. 2010; 8(1): 57-66.

Howard D, Blake S: Improving disaster planning in nursing homes and home health agencies [Powerpoint slides], 2012. Available at https://stacks.cdc.gov/view/cdc/48387/cdc_DS1_48387.pdf. Accessed August 23, 2019.

Hyer K: For long-term care, readiness gaps abound. Health Prog. 2012; 94(6): 42-49.

Root ED, Amoozegar JB, Bernard SL: Nursing Homes in Public Health Emergencies: Special Needs and Potential Roles. Washington, DC: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services; 2007.

State Regulations Pertaining to Disaster/Emergency Preparedness. Minneapolis, MN: University of Minnesota, School of Public Health; 2011. Available at http://www.hpm.umn.edu/nhregsplus/NH%20Regs%20by%20Topic/NH%20Regs%20Topic%20Pdfs/Disaster%20Preparedness/category_administration_disaster_emergency_preparedness.pdf. Accessed April 2, 2018.

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.

Florida House of Representatives: Select Committee on Hurricane Response & Preparedness. 2018; Available at https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=1&ved=0ahUKEwjRo-PK1uTZAhWEpFkKHb1GByMQFggnMAA&url=http%3A%2F%2Flisamillerassociates.com%2Fwp-content%2Fuploads%2F2018%2F02%2FFinal-Report-of-the-House-Select-Committee-on-Hurricane-Response-and-Preparedness-1-16-18.pdf&usg=AOvVaw3z8iQHGpW67aYVQ_6cjwK0. Accessed April 2, 2018.

Milstein K, Rosenbaum S: Need Help ASAP. The Story Behind the Photo of Nursing Home Residents Trapped in Hurricane Flood Water, Time. 2017; Available at time.com/4917743/la-vita-bellanursing-home-dickinson-texas-photo/. Accessed April 30, 2017.

Associated Press: Nursing homes struggled with choice to evacuate in hurricane. 2017. Available at https://apnews.com/88cc288b7bc6451798a31f5bf58486b7. Accessed March 1, 2018.

Florida Health Care Association: Hurricane Summit Proceedings, February 27 and 28, 2006. American Health Care Association, 2015. Available at http://www.ahcancal.org/facility_operations/disaster_planning/Documents/HurricaneSummitHartfordReport.pdf.

Santos JR, Herrera LC, Yu KDS, et al.: State of the art in risk analysis of workforce criticality influencing disaster preparedness for interdependent systems. Risk Anal. 2014; 34(6): 1056-1068.

Berry D: Who will show up? Estimating ability and willingness of essential hospital personnel to report to work in response to a disaster. Online J Issues Nurs. 2012; 17(2): J1.

Qureshi K, Gershon RR, Sherman MF, et al.: Health care workers’ ability and willingness to report to duty during catastrophic disasters. J Urban Health. 2005; 82(3): 378-388.

Jennifer L. Whytlaw: Great expectations: Environmental hazard incident prevention at New Jersey Facilities that serve seniors (Doctoral Dissertation); New Brunswick, NJ: Rutgers University; 2018.

Robert Wood Johnson (RWJ) University Hospital: Medical Coordination Center. Available at http://www.rwjuh.edu/rwjuh/medical-coordination-center.aspx. Accessed January 4, 2018.

Blanchard G, Dosa D: A comparison of the nursing home evacuation experience between Hurricanes Katrina (2005) and Gustav (2008). J Am Med Directors Assoc. 2009; 10(9): 639-643.

Pierce JR, Morley SK, West TA, et al.: Improving long-term care facility disaster preparedness and response: a literature review. Disaster Med Publ Health Preparedness. 2017; 11(1): 140-149.

Groves RM, Fowler Jr, FJ, Couper MP, et al.: Survey Methodology (Vol. 561). Boca Raton, FL: John Wiley & Sons; 2011.

Atkinson R, Flint J: Accessing hidden and hard-to-reach populations: Snowball research strategies. Soc Res Update, 2001; 33(1): 1-4.

Cutter SL: GI science, disasters, and emergency management. Trans GIS, 2003; 7(4): 439-446.

Schwab AK, Sandler D, Brower DJ: Hazard Mitigation and Preparedness: An Introductory Text for Emergency Management and Planning Professionals. Boca Raton, FL: CRC Press;2016.

Peek L: “Age”. Social Vulnerability to Disasters. Deborah SK Thomas, Brenda Phillips, William Lovekamp, and Alice Fothergill, eds. Boca Raton, FL: CRC Press, 2013; 155-185.

Laditka SB, Laditka JN, Xirasagar S, et al.: Providing shelter to nursing home evacuees in disasters: lessons from Hurricane Katrina. Am J Publ Health, 2008; 98(7): 1288-1293.

Levinson DR: General I: Gaps continue to exist in nursing home emergency preparedness and response during disasters: 2007–2010. Washington, DC: U.S. Department of Health and Human Services; 2012.

Sadiq AA, Graham JD: Exploring the predictors of organizational preparedness for natural disasters. Risk Anal. 2015; 36(5): 1040-1053.

Chess C, Saville A, Tamuz M, et al.: The Organizational Links Between Risk Communication and Risk Management: The Case of Sybron Chemicals Inc. Risk Anal. 1992; 12(3): 431-438.