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Healthcare Emergency Preparedness and Response

   

Added on  2020-03-02

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Healthcare Policy and Law1
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Essential public health services:Inform, educate and empower people about health issues is the third essential service forhealth. In this service initiatives should be taken for health education and communication.There should be knowledge building and shaping positive attitude in patients and healthcarestaff during emergency. It would be helpful for patients to manage their health condition ontheir own. For healthcare professional, training should be provided for handling masscasualty event. Healthcare professionals should be trained for the emergency medicineresidency programs. There should be incorporation of topics on the disaster management inthe nursing journals. There should be proper decision making on distributing responsibility ofeach department during emergency. Skills and behaviours should be developed in thehealthcare staff to handle emergency with ease. Collaboration with the community centresshould be there to provide health education and health promotion during emergency becauseexisting hospital staff might not be sufficient for handling emergency. Technologicaladvancements like media advocacy and social marketing should be incorporated to providehealth information to public and community members (Riegelman and Kirkwood, 2014). Mobilize community partnerships to identify and solve health problems is the fourth essentialservice for health. This service is mainly based on the community and public incorporation inhandling the emergency. Stakeholders from the community should be identified to improvehealth related activities. There should be coalition development and formal and informalpartnerships should be developed for the promotion of the health services. It would be helpfulin drawing resources form the whole community to implement health improvement projectsand efforts. Develop policies and plans that support individual and community health effortsis the fifth essential service for health. It is a guiding force for the public health practice.Specific and achievable objectives should be developed and monitored. Objectives beyondthe capability of the organisation would put extra burden on the staff members andmanagement. There should be segmentation of leadership at each level. It would be helpful indiversifying responsibility to different people and handling the situation more effectively.Organisational health policies and guidelines should be developed to implement healthservices in effective manner. Community and state level improvement in the healthcareservices should be designed and implemented. Emergency response planning should bedesigned with the help of experts. Resources should be allocated to each department so thatthere would not be any deficiency during emergency (Mullner, 2009). 2
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Link people to needed personal health services and assure the provision of healthcare whenotherwise unavailable is the seventh essential service for health. Population with barrier toaccess healthcare services during emergency situations should be identified and assuranceshould be given to them about the provision and supply of systematic clinical care. Entry forthis population should be made easy in accessing healthcare services. It would be helpful inassessing the effectiveness of the programme. Specific efforts should be taken tocommunicate with the population in culturally appropriate manner. There should be outreachto culturally specific population and provide educational material. Ongoing care should becontinued and transportation and other facilities should be provided to the people to improveaccessibility to the healthcare services (Teitelbaum and Wilensky). Emergency Medical Treatment and Active Labor Act: Emergency Medical Treatment and Active Labor Act (EMTALA) prohibits any hospital fromdelaying treatment due to payment method, insurance status and initial screening tests.Emergency medical services should not be delayed due to the initial authorization likescreening tests. This law conflicts with many care plans as this law gives preauthorization forthe medical treatment. This may lead to the significant burden and challenge for theemergency department. According to this law, patients can be evaluated and treated at anyplace in the hospital during the emergency condition. Hence, there should be provision ofservices like labor and delivery, hospital-owned clinics, urgent care facilities, outpatientsurgery centres, and psychiatric facilities during the emergency (Boumil and Hattis, 2011).According to EMTALA, patient should be stabilized to medical condition wheneverpresented to the emergency department. This medical stabilization of the patient should bedone within the availability of staff and facilities with the hospital. Otherwise, patient shouldbe transferred to the other hospital. For availing this medical stabilization, patient should bequalified for the emergency medical condition (EMC). Patient should be evaluated to fix thisEMC. Recipient hospital should not refuse to accept patient with EMC, if this hospitalpossesses all the facilities to treat that patient. Recipient hospital should not ask questions tothe patient about the insurance and financial status (Moffat, 2014). Electronic medical record: Electronic medical record has pivotal role in the maintaining patient safety by providing highquality care and smooth workflow and transfer of data. Electronic medical records provedvaluable in reducing medical errors, however it is associated with few challenges which3
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