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The Regional Disaster Health Response System: A Successful Model to Improve Healthcare Preparedness
Caroline C Persson1, Eileen F Searle1, Senem D Hinson1
1Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health & Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- & Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACMT, FAACT, is Assistant Medical Director, Georgia Poison Center; Associate Medical Director, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Jessica Ryder, MD, FAAEM, is Physician Lead, Emergency Department Disaster Preparedness, University of Colorado Hospital, and Assistant Professor, University of Colorado School of Medicine, Aurora, CO. Charles Little, DO, FACEP, is Medical Director, R8 RDHRS; Medical Director, Emergency Management, University of Colorado Hospital; and Professor, University of Colorado School of Medicine, Aurora, CO. Romana Hasnain-Wynia, PhD, is Professor, University of Colorado School of Medicine, Aurora, CO; and was Principal Investigator, R8 RDHRS, Aurora, CO. and Chief of Academic Affairs and Public Health, Denver Health & Hospital Authority, Denver, CO. Shelly Schwedhelm, MSN, RN-NEA-BC, was Associate Director, Global Center for Health Security, R7DHRS, NDMS Pilot, NSPS, University of Nebraska Medical Center, Omaha, NE. Paul D. Biddinger, MD, FACEP, is Principal Investigator, Region 1 RDHRS; Chief Preparedness and Continuity Officer, Mass General Brigham; Associate Professor, Harvard Medical School; Director, Center for Disaster Medicine; all in Boston, MA.
Abstract:
The Regional Disaster Health Response System (RDHRS) first began in 2018 as a demonstration project designed to address persistent healthcare emergency preparedness and response challenges in the United States. Four RDHRS programs currently exist, aligning and improving healthcare disaster response plans and clinical capabilities across 24 of the 50 US states. They connect public and private partners across the healthcare continuum, ensuring healthcare systems are better prepared for the next catastrophic disaster impacting health systems and the communities they serve. As a convener and a center of specialty expertise, the RDHRS crosses healthcare system and jurisdictional boundaries to address the most significant regional healthcare preparedness and response needs, helping the nation be better prepared to care for the ill and injured in the next large-scale event or disaster. The program has demonstrated its value and success in response to the COVID-19 pandemic, the 2022 pediatric tripledemic, intravenous supply disruption and shortage issues in 2024, and other regional healthcare emergencies, such as chemical incidents, while also improving plans and readiness for other potential threats such as mass burn events. Because the need for, and benefit of, an RDHRS program has been demonstrated through these recent events, there is a need to expand the network to cover the entire nation, further increasing healthcare readiness and our collective abilities to mitigate health system surge and respond to the next catastrophic emergency.
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