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E-grāmata: Preparing for Terrorism: Tools for Evaluating the Metropolitan Medical Response System Program

  • Formāts: 330 pages
  • Izdošanas datums: 11-Jul-2002
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309502030
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  • Formāts: 330 pages
  • Izdošanas datums: 11-Jul-2002
  • Izdevniecība: National Academies Press
  • Valoda: eng
  • ISBN-13: 9780309502030

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The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.
Executive Summary 1(1)
Charge to the Committee
2(1)
Chemical, Biological, and Radiological Weapons
3(2)
The MMRS Program
5(1)
Existing Emergency Response Systems
6(1)
Other Federal Programs to Strengthen Local Capabilities
7(1)
Feedback to OEP on Program Management
7(1)
Feedback to OEP on Program Success
8(6)
Closing Remarks
14(3)
Introduction
17(14)
Chemical, Biological, and Radiological Terrorism
18(5)
The MMRS Program
23(3)
Charge to the Committee
26(2)
Methods of the Present IOM Study
28(2)
Organization of This Report
30(1)
Community Emergency Management and Available Federal Assistance
31(21)
Emergency Management Terminology
32(2)
Emergency Management in the United States
34(2)
Local Emergency Management
36(4)
State Assistance
40(2)
The Federal Emergency Response Plan
42(5)
The National Contingency Plan
47(1)
The Federal Radiological Emergency Response Plan
48(1)
Terrorism-Specific Federal Support Teams
48(2)
Conclusion
50(2)
Federal Efforts to Increase State and Local Preparedness for Terrorism
52(14)
ODP Programs
53(4)
FBI Programs
57(1)
CDC Programs
58(2)
FEMA Programs
60(6)
Metropolitan Medical Response System Program Contracts
66(9)
Functional Areas Covered
67(1)
Products Demanded
68(6)
Contract Deliverable Evaluation Instrument
74(1)
Measurement and Data Collection in Evaluation
75(16)
Evaluations of Various Types
76(2)
Management Functions of Evaluations in the MMRS Program Context
78(3)
Summative and Formative Uses of Various Evaluation Types
81(1)
Why an Adequate Written Plan Is Not Sufficient Assurance of Preparedness
82(3)
Evaluation Measurement for Low-Frequency, High-Stakes Events
85(1)
Evaluation Measurement: Performance Measures and Proxies
86(1)
Criteria for Selection of Evaluation Methods
87(4)
Preparedness Indicators
91(9)
Existing Standards
92(2)
Existing Assessment Tools
94(3)
Performance Measures Versus Preparedness Indicators
97(3)
Feedback to Office of Emergency Preparedness on Program Management
100(13)
OEP Help to MMRS Program Contractors
102(3)
Survey for MMRS Program Contractors
105(8)
Feedback to Office of Emergency Preparedness on Program Success
113(51)
Essential Response Capabilities
115(3)
Preparedness Indicators for Evaluation of Written Submissions, On-Site Inspection, and Observed Exercises
118(1)
Preparedness Criteria
118(41)
Exercises and Drills
159(1)
Site Visits and Peer Evaluators
160(1)
Scenario-Driven Group Interaction
161(1)
Summary
162(2)
Closing Remarks
164(7)
Strategic Uses of Evaluation Data: Implementing the ``Layering Strategy''
166(3)
Committee Critique and Suggestions for Program Amendments
169(2)
REFERENCES 171(81)
APPENDICES
A Committee and Staff Biographies
177(10)
B Selected Information About Federal Chemical, Biological, Radiogical, Nuclear Consequence Management Response Teams
187(11)
C Metropolitan Medical Response System Program Cities
198(2)
D 2000 MMRS Contract Deliverable Evaluation Instrument
200(19)
E Preparedness Indicators for Metropolitan Medical Response System Program Contract Deliverables
219(33)
F Scenarios and Discussion Materials for Use on Site Visits
252


Frederick J. Manning and Lewis Goldfrank, Editors, Committee on Evaluation of the Metropolitan Medical Response System Program, Board on Health Sciences Policy