This study was conducted to provide lessons learned from the experience of a small, rural hospice care organization to an actual crisis that required evacuation of the facility. A process improvement framework using the emergency response certification guidelines was used to first provide details of the incident, second analyze the effectiveness of disaster planning and response in response to an actual crisis, and third discuss the postevent review, lessons learned, and process improvement. This case study revealed 5 emerging themes—disaster can happen at the most inopportune times, facilities should focus on the most likely hazards, written agreements are needed even in small tight-knit communities, redundancy of resources is needed, and disaster planning and response is a process that should be continually improved.
HyerKPolivka-WestLBrownL.Nursing homes and assisted living facilities: planning and decision making for sheltering in place or evacuation. Generations. 2007-2008;31(4):29–33.
4.
CastleNG. Nursing home evacuation plans. Am J Pub Health. 2008;98(7):1235–1240.
5.
LaditkaSBLaditkaJNCornmanCBDavisCBRichterJV. Resilience and challenges among staff of gulf coast nursing homes sheltering frail evacuees following Hurricane Katrina, 2005: implications for planning and training. Prehosp Disaster Med. 2009;24(1):54–62.
6.
SealeGS. Emergency preparedness as a continuous improvement cycle: perspectives from a postacute rehabilitation facility. Rehabil Psychol. 2010;55(3):247–254.
7.
Nursing Home Preparedness and Response During Recent Hurricanes. Department of Health and Human Services Offices of the Inspector General August 2006 OEI-06-06-00020. http://www.amda.com/advocacy/oig_nursing_home.pdf. Accessed January 7, 2013.
8.
MayerBMossJDaleK. Disaster and preparedness: lessons from Hurricane Rita. J Contingencies Crisis Manag. 2008;16(1):14–23.
9.
CarpenterRP.Emergency preparedness and disaster recovery. Paper presented at: Not-for-Profit Continuity Planning in Preparation for Organizational Disruption conference in Irving; May 2007; Texas, TX.
10.
GayLRArasianP. Educational Research Competencies for Analysis and Application. 7th ed. Upper Saddle River, NJ: Pearson Education Inc; 2003.
11.
McGlownKJRobinsonPD. Anticipate, Respond, Recover: Healthcare Leadership and Catastrophic Events. Chicago, IL: Health Administration Press; 2011.
12.
BovenderJCareyB. A week we don’t want to forget: lessons learned from Tulane. Front Health Serv Manag. 2006;23(1):3–12.
13.
BaumNMcDanielJW. Disaster Planning for the Clinical Practice. Sudbury, MA: Jones and Bartlett; 2008.
14.
LaditkaSBLaditkaJNXirasagarSCornmanCBDavisCBRichterJV. Protecting nursing home residents during emergencies or disasters: an exploratory study from South Carolina. Prehosp Disaster Med. 2007;22(1):42–48.
15.
Medical Response to Joplin Tornado May 22, 2011. Mercy St. Johns Hospital presentation. After action report. 2011.
Institute of Medicine. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press; 2011.
BlankeS JMcGradyE. From hot ashes to a cool recovery - reducing risk by acting on business continuity and disaster recovery lessons learned. Home Health Care Manag Prac. 2012;24(2):73–80.
20.
HFMA. Disaster planning checklist for CFO’s of healthcare organizations. Healthc Financ Manag. 2008;62(3):87–90.
21.
GawandeA. The Checklist Manifesto – How to Get Things Right. New York, NY: Metropolitan Books; 2009.
22.
ByrnesMCSchuererDJSchallomME. Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices. Crit Care Med. 2009;37(10):2775–2781.
23.
KoHTurnerTFinniganM. Systematic review of safety checklists for use by medical care teams in acute hospital settings - limited evidence of effectiveness. BMC Health Serv Res. 2011;11:211.
24.
JonesS. Your life in WHO’s hands. J Perioper Prac. 2011;21(8):271–274.
25.
BlankeSMcGradyE. A Performance-based approach to continuity planning. In: JamesLangabeer, ed. Performance Improvement in Hospitals and Health Systems. Chicago, IL: Health Information and Management Systems Society; 2009.
