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

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

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

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

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Overview

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.

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Product Details

ISBN-13:
9780309084284
Publisher:
National Academies Press
Publication date:
05/02/2003
Pages:
332
Product dimensions:
5.80(w) x 9.00(h) x 0.70(d)

Table of Contents

Executive Summary1
1Introduction17
Chemical, Biological, and Radiological Terrorism18
The MMRS Program23
Charge to the Committee26
Methods of the Present IOM Study28
Organization of This Report30
2Community Emergency Management and Available Federal Assistance31
Emergency Management Terminology32
Emergency Management in the United States34
Local Emergency Management36
State Assistance40
The Federal Emergency Response Plan42
The National Contingency Plan47
The Federal Radiological Emergency Response Plan48
Terrorism-Specific Federal Support Teams48
Conclusion50
3Federal Efforts to Increase State and Local Preparedness for Terrorism52
ODP Programs53
FBI Programs57
CDC Programs58
FEMA Programs60
4Metropolitan Medical Response System Program Contracts66
Functional Areas Covered67
Products Demanded68
Contract Deliverable Evaluation Instrument74
5Measurement and Data Collection in Evaluation75
Evaluations of Various Types76
Management Functions of Evaluations in the MMRS Program Context78
Summative and Formative Uses of Various Evaluation Types81
Why an Adequate Written Plan Is Not Sufficient Assurance of Preparedness82
Evaluation Measurement for Low-Frequency, High-Stakes Events85
Evaluation Measurements: Performance Measures and Proxies86
Criteria for Selection of Evaluation Methods87
6Preparedness Indicators91
Existing Standards92
Existing Assessment Tools94
Performance Measures Versus Preparedness Indicators97
7Feedback to Office of Emergency Preparedness on Program Management100
OEP Help to MMRS Program Contractors102
Survey for MMRS Program Contractors105
8Feedback to Office of Emergency Preparedness on Program Success113
Essential Response Capabilities115
Preparedness Indicators for Evaluation of Written Submissions, On-Site Inspection, and Observed Exercises118
Preparedness Criteria118
Exercises and Drills159
Site Visits and Peer Evaluators160
Scenario-Driven Group Interactions161
Summary162
9Closing Remarks164
Strategic Uses of Evaluation Data: Implementing the "Layering Strategy"166
Committee Critique and Suggestions for Program Amendments169
References171
A: Committee and Staff Biographies177
BSelected Information About Federal Chemical, Biological, Radiological, Nuclear Consequence Management Response Teams187
CMetropolitan Medical Response System Program Cities198
D2000 MMRS Contract Deliverable Evaluation Instrument200
EPreparedness Indicators for Metropolitan Medical Response System Program Contract Deliverables219
FScenarios and Discussion Materials for Use on Site Visits252

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