Disaster Planning for Home Health Patients and Providers

Abstract

Individuals receiving care in the home are vulnerable during disasters due to high rates of chronic disease, cognitive impairment, functional limitations, and physical disabilities as well as dependence on life-saving treatments and equipment. Increasing disaster preparedness among home health care recipients decreases the likelihood of adverse health outcomes and lessens the burden on community hospitals and emergency responders. A literature review examined existing home health organization policies and procedures, lessons learned in the field, and expert recommendations for improving home-based patient disaster preparedness. This review addressed preparedness on three levels: organization, provider, and patient. The results (1) indicate gaps between established and recommended tools and policies and adopted policies, and (2) demonstrate marked differences in approaches to evaluation, classification, education, and triage between organizations.