Declining trends in local health department preparedness capacities

• Published in: American journal of public health (1971) 2014-11, Vol.104 (11), p.2233-2238
• Main Authors: Davis, Mary V, Bevc, Christine A, Schenck, Anna P
• Format: Article
• Language: English
• Subjects: Accreditation; American Recovery & Reinvestment Act 2009-US; Civil Defense - organization & administration; Civil Defense - statistics & numerical data; Civil Defense - trends; Data Collection; Disaster Planning - organization & administration; Disaster Planning - statistics & numerical data; Disaster Planning - trends; Disease control; Disease prevention; Emergency preparedness; Expenditures; Funding; Government; Health Administration; Humans; Local Government; Other Statistics/Evaluation/Research; Participation; Per capita; Performance management; Public health; Public Health Administration - statistics & numerical data; Public Health Administration - trends; Public Health Practice; Research and Practice; Studies; Surge Capacity - organization & administration; Surge Capacity - statistics & numerical data; Surge Capacity - trends; Trends; United States
• ISSN: 0090-0036; 1541-0048
• DOI: 10.2105/AJPH.2014.302159

We examined local health department (LHD) preparedness capacities in the context of participation in accreditation and other performance improvement efforts. MetHODS: We analyzed preparedness in 8 domains among LHDs responding to a preparedness capacity instrument from 2010 through 2012. Study groups included LHDs that (1) were exposed to a North Carolina state-based accreditation program, (2) participated in 1 or more performance improvement programs, and (3) had not participated in any performance improvement programs. We analyzed mean domain preparedness scores and applied a series of nonparametric Mann-Whitney Wilcoxon tests to determine whether preparedness domain scores differed significantly between study groups from 2010 to 2012. Preparedness capacity scores fluctuated and decreased significantly for all study groups for 2 domains: surveillance and investigation and legal preparedness. Significant decreases also occurred among participants for plans and protocols, communication, and incident command. Declines in capacity scores were not as great and less likely to be significant among North Carolina LHDs. Decreases in preparedness capacities over the 3 survey years may reflect multiple years of funding cuts and job losses, specifically for preparedness. An accreditation program may have a protective effect against such contextual factors.