Will Just as Willie Sutton robbed the banks because “money is there”, we must redirect future health care efforts to bring healthcare systems to the forefront because patients will be there. The nation’s fight against COVID-19 has been marked by extreme patient outbreaks. Demand for MHI beds has recently exceeded demand in several southern states, and some Western states have officially declared “crisis care standards.” When health care needs to be rational, patients leave care, the system fails.
Twenty years after the September 11 attacks – which hastened the creation of new structures focused on homeland security and health preparedness – we must report and ensure that any shortcomings are addressed promptly. Our core health care deserves more support, attention, and funding, as the latest New York Times reports clearly show. Public health cannot be guided alone.
Healthcare systems, including large academic medical centers, need to be recognized for their outstanding role in public health preparedness and to provide stronger support for their potential emergency response function. The “readiness” of the hospital համակարգի healthcare system, the ability to respond to natural and man-made disasters while meeting the day-to-day health care needs of the community, requires focus և investment.
Investing in opportunities for better response should be in the minds of Biden administration: Build a better bill for lawmakers. Funding health care efforts requires investment in public health agencies, emergency medical services, hospitals, emergency management agencies, and health systems that depend on their rescue responsibilities. It also requires investment in hospital and healthcare infrastructure. The future capacity to manage catastrophic public health emergencies will require solutions focused beyond the “high consequences of an epidemic or biological threat.”
We offer two main improvements.
First, forthcoming federal programs must be built on a platform that accommodates “all hazards.” Biological threats, nuclear threats, climate change threats և cyberattacks must all be addressed. Such programs should recognize, prioritize the role and investment of hospitals and health systems. They have the resources, the staff, the data, the experience. Most importantly, they will have patients, regardless of the cause of the disaster. Therefore, they will be the basis for a possible response to future challenges through public health data.
Second, like other national security priorities, funding must support the role of health care in ensuring our country’s health beyond current investments. Whether the Congress funded the Health Preparedness Program (HPP) և pilot projects to support the Regional Disaster Response System (CRRC), the HPP was never funded for its full allocation. HPP 2021 The amount of funding is the program of 2003. Less than halfway through the start of the project, the NCTR currently deals with only four leading health systems.
Hospitals are community anchors with the broad expectation that they will always be ready. This willingness is costly, federal financial support has been insufficient and volatile. Additional benefits became available during the panic cycle after past emergencies, including Ebola և COVID-19.
However, for specific activities, this funding often forces recipients to plan for recent emergencies rather than investing in capacity-building activities. As hospitals grow, they build costly living units during the Ebola crisis, turning their hospitals into huge intensive care units to care for the staggering numbers of COVID-19 patients, and compensation requires congressional action.
Annual fully authorized HPP funding զգալի Significant expansion of RDHRS will be a good start. The Congress should also revive and generously fund the Public Health Emergency Fund, which in 1999. is without funds. In addition, new funding programs need to be developed to support and expand the powerful emergency management functions that now exist in many large health systems.
Hospitals and health systems are the main operational partner for preparedness and response. Larger, more flexible funding, combined with comprehensive, capacity-based planning, will facilitate strong integration of the health care delivery system into “response agencies”. Such integration can lead to improved regional coordination and better management of limited health resources. It can drive clinical innovation that leads to better clinical outcomes, such as consolidating unrecognized patient care data, and using the latest advanced analysis tools to help physicians make better bedside choices.
Most importantly, we need to recognize the role of health care systems and invest in them accordingly. Because the patients will be there.
Enna Mandel-Ritchie Leads emergency preparedness and response initiatives at the Greater New York Hospital Association, a regional association that supports health care systems in 160 hospitals in New York, New York, Connecticut, and Rhode Island.
Dr. Dan Hanfling is an emergency physician ազգային national health և public health preparedness և response expert. He is co-chair of the National Academy of Medicine’s Large-Scale Conference on Medical-Public Health Preparedness Disasters.