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Financing hospital disaster preparedness.

Robert A De Lorenzo1

  • 1Department of Emergency Medicine, Brooke Army Medical Center, San Antonio, Texas, USA. Robert.DeLorenzo@amedd.army.mil

Prehospital and Disaster Medicine
|December 20, 2007
PubMed
Summary
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Hospital disaster preparedness funding, particularly for surge capacity, remains insufficient despite increased threats. Achieving better preparedness requires a collaborative effort and will ultimately be funded by the public.

Area of Science:

  • Public Health
  • Health Policy
  • Emergency Management

Background:

  • Increased terrorism and disaster threats have heightened the need for disaster preparedness and response in the U.S.
  • Hospital preparedness funding, especially for surge capacity, has not kept pace with other national preparedness priorities.
  • A minimal amount of national preparedness funds are allocated to healthcare, with hospitals receiving a very small fraction.

Purpose of the Study:

  • To analyze the current state of hospital disaster preparedness funding in the United States.
  • To explore potential funding mechanisms to enhance hospital surge capacity and overall preparedness.
  • To discuss the implications of various funding strategies on healthcare costs and public risk.

Main Methods:

  • Analysis of current U.S. healthcare funding policies related to disaster preparedness.

Related Experiment Videos

  • Review of existing funding streams, primarily general tax revenues.
  • Identification and evaluation of alternative funding options, including federal grants, payer fees, taxes, and innovative solutions like mobile hospitals.

    • Main Results:

    • Current hospital preparedness funding relies almost exclusively on general tax revenues.
    • Medical payers (Medicare, Medicaid, private insurance) contribute minimally to preparedness funding.
    • Significant funding gaps exist for essential hospital surge capacity.

    Conclusions:

    • Improving hospital disaster preparedness requires a multi-faceted approach involving hospitals, public and private payers, and all levels of government.
    • Potential funding solutions include increased federal grants, payer fees, dedicated taxes, or financing for alternative capabilities like mobile hospitals.
    • The public will ultimately bear the costs of preparedness through taxes, increased healthcare expenses, or by accepting elevated risks.