Developing a measure of local agency adaptation to emergencies: A metric

Schuh, Russell G.; Eichelberger, R. Tony; Stebbins, Samuel; Pomer, Bruce; Duran, Luis; Mahoney, John F.; Keane, Christopher; Lin, Chyongchiou J.; Potter, Margaret A.

doi:10.1016/j.evalprogplan.2012.02.003

Cited by 11 publications

(13 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous publications have described ISAAC's theoretical and quantitative foundations 1 and its grounding in a research-practice collaboration. 2 Its approach uses social science principles of intervention effectiveness and strength.…”

Section: Isaac Overviewmentioning

confidence: 99%

“…7,9 The ISAAC protocol uses these data to produce metrics. 1,2 The stress score is the composite measure of stage-state scores per observation (i.e., day or week) throughout the response period. The weight is a value attributed to each function that is equivalent to the percentage of its allocated organizational resources; for example, if the administration function uses 9.9% of the agency budget, its weight in the ISAAC protocol is 9.9.…”

Section: Isaac Overviewmentioning

confidence: 99%

“…Previous publications have described its development as an adaptive response metric that calibrates and scores the level of stress (or deviation from normal activities) in public health system agencies responding to emergencies or disasters. 1,2 ISAAC has been applied to analyze adaptation to various emergencies, including wildfires and infectious disease outbreaks.…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Effects of Funding Change and Reorganization on Patterns of Emergency Response in a Local Health Agency

2014

Self Cite

View full text Add to dashboard Cite

Indicators for Stress Adaptation Analytics (ISAAC) is a protocol to measure the emergency response behavior of organizations within local public health systems. We used ISAAC measurements to analyze how funding and structural changes may have affected the emergency response capacity of a local health agency. We developed ISAAC profiles for an agency's consecutive fiscal years 2013 and 2014, during which funding cuts and organizational restructuring had occurred. ISAAC uses descriptive and categorical response data to obtain a function stress score and a weighted contribution score to the agency's total response. In the absence of an emergency, we simulated one by assuming that each function was stressed at an equal rate for each of the two years and then we compared the differences between the two years. The simulations revealed that seemingly minor personnel or budget changes in health departments can mask considerable variation in change at the internal function level.

show abstract

Section: Isaac Overviewmentioning

confidence: 99%

Section: Isaac Overviewmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

The Effects of Funding Change and Reorganization on Patterns of Emergency Response in a Local Health Agency

2014

Self Cite

View full text Add to dashboard Cite

show abstract

“…Addressing these gaps and reducing unwarranted variation are critical to assuring an appropriate public health response to a variety of public health threats, such as pandemic influenza. 8 To date, one critical road block to developing valid, reliable instruments to measure preparedness capacities has been the lack of consensus on a definition of LHD preparedness. 2 Further, using a structure-process-outcome framework, measurement has been limited to structure and process, with little measurement of outcomes.…”

mentioning

confidence: 99%

Improving Public Health Preparedness Capacity Measurement: Development of the Local Health Department Preparedness Capacities Assessment Survey

Davis

Mays

Bellamy

et al. 2013

Disaster med. public health prep.

View full text Add to dashboard Cite

show abstract

“…3 Originally intended to be a tool for managing emergency response and recovery, the ARM's pilot testing with a group of LHDs in California suggest its utility also for preevent planning and after-action reporting. Through repeated iterations of data gathering, analysis, and reliability testing, patterns of change in these attributes emerge during the course of emergency response.…”

mentioning

confidence: 99%

The Adaptive Response Metric

Potter

Schuh²,

Pomer³

et al. 2013

Journal of Public Health Management and Practice

Self Cite

View full text Add to dashboard Cite

Local health departments are organized, resourced, and operated primarily for routine public health services. For them, responding to emergencies and disasters requires adaptation to meet the demands of an emergency, and they must reallocate or augment resources, adjust work schedules, and, depending on severity and duration of the event, even compromise routine service outputs. These adaptations occur to varying degrees regardless of the type of emergency or disaster. The Adaptive Response Metric was developed through collaboration between a number of California health departments and university-based preparedness researchers. It measures the degree of "stress" from an emergency response as experienced by local health departments at the level of functional units (eg, nursing, administration, environmental services). Pilot testing of the Adaptive Response Metric indicates its utility for emergency planning, real-time decision making, and after-action analytics.

show abstract

Developing a measure of local agency adaptation to emergencies: A metric

Cited by 11 publications

References 23 publications

The Effects of Funding Change and Reorganization on Patterns of Emergency Response in a Local Health Agency

The Effects of Funding Change and Reorganization on Patterns of Emergency Response in a Local Health Agency

Improving Public Health Preparedness Capacity Measurement: Development of the Local Health Department Preparedness Capacities Assessment Survey

The Adaptive Response Metric

Contact Info

Product

Resources

About