Building health care system capacity to respond to disasters: successes and challenges of disaster preparedness health care coalitions.

The audio recordings were transcribed by an online transcription service, and transcripts were analyzed qualitatively using QSR NVivo 10 qualitative analysis software

Semi-structured interviews were conducted with a sample of nine HCCleaders.

A semi-structured interview guide was used to conduct faceto-face interviews with the coalition leadership in each of the nineHCCs.

Questions regarding hospital- and public-health-preparedness capabilities were derived from HPP and PHEP grant materials, and input on the questionnaire was sought and obtained from the ASPR National Health Care Preparedness Programs. The final survey was also pilot tested with a local HCC leader who was not a respondent in this study.

This research aimed to learn from the experiences of leaders of well developed,disaster preparedness-focused health care coalitions (HCCs), both the challenges and the successes, for the purposes of identifying common areas for improvement and sharing ‘‘promising practices.’’

Due to the small study sample size, these findings may not begeneralizable to all preparedness-focused HCCs.While participants were very forthcoming in their responses to the interview questions, response bias is often inherent in self-report interviews.

The commonly noted benefits of HCCs were: community-wide and regional partnership buildingproviding an impartial forum for capacity buildingsharing of education and training opportunitiesstaff- and resource-sharingincentivizing the participation of clinical partners in preparedness activitiesbetter communication with the publicability to surge.Challenges are:stakeholder engagement, staffing, funding, rural needs, cross-border partnerships, education and training,grant requirements

Institutional Review Board approval was obtained from the Uniformed Services University of the Health Sciences Office of Research (Rockville, Maryland USA), under protocol #381802-5.

Major topical areas covered in the interview guide included:the establishment and history of the coalitionstrengths and weaknesses of the HCC structurespecific challenges encountered in improving health care systems preparedness capabilities‘‘promising practices’’ to be shared with other coalition leaders. Questions