Preparing for Emergency Triage
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Approximately 7.6 million individuals receive care in their home from 17,000 home care providers because of acute illness, long-term care conditions, permanent disability, or terminal illness. During a mass casualty event, these community-dwelling patients could experience disruption of needed support services. Depending on the level of their needs, a disruption of care/services could lead to patient decompensation and increased reliance on acute care services, including emergency medical systems and hospital emergency departments already stretched thin by the disaster situation.
The model Community-Living Patient Assessment Tool for Disaster Planning included in this report rates the risk status of community-based patients in the event of a disaster. The goal for the tool is for home health agencies and others to be able to identify and estimate the number of individuals/patients who would be most at risk for hospitalization if their home supports and services were disrupted during an emergency. With this information, emergency planners could begin to anticipate and prepare for this additional surge demand.
Select to download print version (PDF File, 115 KB; PDF Help).
http://www.ahrq.gov/prep/homehealth/homehealth.pdf
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Prepared by:
Abt Associates
Lead Investigators:
Richard Zane, MD
Paul Biddinger, MD
Contents
Background and Introduction
Methods
Findings
Discussion
Recommendations
Standardize Risk Levels
Standardize Risk Categories Using Commonly Available Data
Incorporate Caregiver Availability
Electronic Data
References
Community-Living Patient Assessment Tool for Disaster Planning
Funding to support Home Health Patient Assessment Tools: Preparing for Emergency Triage was provided by an Agency for Healthcare Research and Quality contract to Abt Associates (contract no. 290-02-0600-011).
The authors of this report are responsible for its content. No statement in the report should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted, for which further reproduction is prohibited without specific permission of copyright holders.
AHRQ Publication No. 11-M020-EF
Current as March 2011
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Internet Citation:
Zane R, Biddinger P. Home Health Patient Assessment Tools: Preparing for Emergency Triage. Prepared by Abt Associates under Contract No. 290-02-0600-011. AHRQ Publication No. 11-M020-EF, March 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/prep/homehealth/
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Home Health Patient Assessment Tools: Preparing for Emergency Triage
2. Data Sources for the At-Risk Community-Dwelling Patient Population [2/2]
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Many patients who live in the community and need some degree of medical assistance may be unable to manage if their resources or services are depleted during a mass casualty event (MCE). Patients who are not directly affected by an MCE but who have daily medical needs, those who cannot manage their medical needs in a shelter, and those who do not have family caregivers are likely to seek care at hospitals that will already be burdened by caring for people directly affected by the MCE. This study investigates data sources to enumerate and estimate the number of people who, though not directly affected by an MCE, might seek hospital care during an MCE. The report summarizes findings about the availability of data to quantify the at-risk community population.
Select to download print version (PDF File, 190 KB; PDF Help).
http://www.ahrq.gov/prep/atrisk/atrisk.pdf
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Prepared by:
Abt Associates
Lead Investigators:
Richard Zane, MD
Paul Biddinger, MD
Contents
1. Introduction
2. Summary of Data Availability
2.1. Functional Needs
2.2. Medical Needs
2.2.1. Medical Needs Subgroups and Data Sources
2.3. Psychosocial Needs
2.4. Children
2.5. Summary
3. An Alternative Method for Estimating the At-Risk Population
4. Recommendations
Bibliography
Funding to support Data Sources for the At-Risk Community-Dwelling Patient Population was provided by an Agency for Healthcare Research and Quality contract to Abt Associates (contract no. 290-02-0600-011).
The authors of this report are responsible for its content. No statement in the report should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services.
This document is in the public domain and may be used and reprinted without permission except those copyrighted materials noted, for which further reproduction is prohibited without specific permission of copyright holders.
AHRQ Publication No. 11-MO21-EF
Current as March 2011
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Internet Citation:
Zane R, Biddinger P. Data Sources for the At-Risk Community-Dwelling Patient Population. Prepared by Abt Associates under Contract No. 290-02-0600-011. AHRQ Publication No. 11-M021-EF, March 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/prep/atrisk/
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Data Sources for the At-Risk Community-Dwelling Patient Population
Home Health Patient Assessment Tools: Preparing for Emergency Triage
Home Health Patient Assessment Tools: Preparing for Emergency Triage
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