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Published on: February 13, 2020
Utilization of Functional Exercises to Build Regional Emergency Preparedness among Rural Health Organizations in the
Jannah M Obaid1, Ginger Bailey2, Heidi Wheeler3
11Department of Environmental,Agricultural & Occupational Health,University of Nebraska Medical Center College of Public Health,Omaha,Nebraska.
Functional exercises effectively tested rural disaster response decision-making, improving regional collaboration and readiness. These exercises identified key areas for enhancing emergency management in rural communities.
Area of Science:
- Emergency Medicine
- Disaster Management
- Public Health Preparedness
Background:
- Rural communities face significant disaster risks and preparedness challenges.
- Federal programs and the National Incident Management System have improved rural emergency preparedness.
- Effective regional planning and collaboration are crucial for rural disaster response.
Purpose of the Study:
- To design and implement functional disaster exercises for rural response partners.
- To test command-level decision-making and improve regional planning, collaboration, and readiness.
- To evaluate the effectiveness of functional exercises in enhancing rural emergency preparedness.
Main Methods:
- Six functional exercises were conducted in three rural Nebraska regions.
- 83 command centers participated in the exercises.
- Participant feedback, debriefings, and After Action Reports were analyzed.
Main Results:
- Functional exercises successfully tested command-level decision-making and multi-agency operations with limited funding.
- Identified barriers included jurisdictional issues with unified command and joint information centers.
- Highlighted needs for improved documentation for reimbursement and coordinated public messaging.
Conclusions:
- Functional exercises are valuable for assessing command staff and identifying improvements in disaster response.
- These exercises enhance regional collaboration among diverse emergency response partners.
- Functional exercises advance rural emergency preparedness beyond tabletop or short, full-scale drills.
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