| Literature DB >> 28228987 |
Abstract
This paper describes the innovative use information technology for assisting disaster planners with an easily-accessible method for writing and improving evidence-based emergency operations plans. This process is used to identify all key objectives of the emergency response according to capabilities of the institution, community or society. The approach then uses a standardized, objective-based format, along with a consensus-based method for drafting capability-based operational-level plans. This information is then integrated within a relational database to allow for ease of access and enhanced functionality to search, sort and filter and emergency operations plan according to user need and technological capacity. This integrated approach is offered as an effective option for integrating best practices of planning with the efficiency, scalability and flexibility of modern information and communication technology.Entities:
Keywords: Homeland Security Presidential Directives; O2C3 planning; capability-based planning; disasters; emergency operations plan; information technology; objective-based planning; public health preparedness
Year: 2013 PMID: 28228987 PMCID: PMC5314941 DOI: 10.4161/dish.23480
Source DB: PubMed Journal: Disaster Health ISSN: 2166-5044
Table 1. Challenges of effective emergency operations planning
| Challenges of the planning process |
|---|
| Emergency operations planning is often time-consuming and difficult to sustain |
| Many planners throughout the world have limited knowledge and experience for developing, evaluating or improving the quality of emergency operations plans |
| Plans must address a broad range of hazards and contingencies, (tending toward a voluminous document), yet must also be user-friendly and easily-accessible during the disaster response phase |
| Response activities must be well-integrated with other governmental and non-governmental agencies and institutions and based upon scientific evidence |
| Populations at risk may face many vastly different hazards and threats with a nearly infinite set of scenarios |
Adapted from Keim 2010.
Table 2. Examples of enhanced EOP functionality when formatted within a relational database
| Functionality | Examples |
|---|---|
| Quick searches for specific plan elements | Planners quickly search and skip to different EOP elements during their workshop deliberations. |
| Responders quickly access the specific parts of the plan without thumbing through pages of information not relevant to their own tasks. | |
| Filtering and sorting of plan elements according to any parameter: | EOP may be filtered to view at either a strategic level (objectives only) or at an operational level (activities only). |
| Each response entity may sort the EOP to gather, (in one view), all of their own agency-specific activities that would otherwise be scattered in multiple locations throughout a traditional EOP | |
| Assign and link additional indicators of performance or outcome with each plan element | Planners may correlate quality control parameters, (such as timing, cost, accuracy, % completion, etc.) to various plan elements for purposes of monitoring and evaluation. |
| Recombine or update discrete plan elements in order to address previously unforeseen circumstances | If procedures change during the response due to new information, (e.g., new drug availability or new response partners), the EOP may be easily updated to integrate these changes in multiple locations throughout the entire plan. |
| Integration of EOPs with interactive Web 2.0 posting and online applications | The planning process may be crowd-sourced for remote participation in plan preparation, EOP writing and maintenance. |
| EOPs may be made available online as not only relational databases, but also as applications that interact with the responder for communication in both directions. |
Table 3. Working definitions for plan elements
| Planning element | Working definition | Simple Description |
|---|---|---|
| Capability | Ability to achieve a desired operational effect under specified standards and conditions through combinations of means and ways to perform a set of tasks | Ability |
| Objectives | A projected state of affairs which a person or a system plans or intends to achieve | Goal |
| Strategic objective | A general statement of the end goal | Why |
| Operational objective | Specific goals that constitute the means for attaining the strategic goal | What |
| Activity | A set of actions which accomplish specific goals | How |
| Responsible parties | Individuals or groups assigned responsibility for accomplishing an activity | Who |
| Standard operating procedure (SOP) | A set of instructions covering those features of operations that lend themselves to a definite or standardized procedure without loss of effectiveness. | When |

Figure 1. Cascade for S-O-A-R-S formatting of EOP relational plan elements.
Table 4. Example of S-O-A-R-S plan format the capability of “Water, Sanitation and Hygiene”
| Capability | Strategic Objective | Operational Objective | Activity | Responsible Party | SOP |
|---|---|---|---|---|---|
| Water, Sanitation and Hygiene | An adequate supply of clean water is accessible to all people. | A sufficient quantity of water is available to all people. | Ensure that the maximum distance from any household to the nearest water point is 500 m. | Public works | Etc. |
| Ensure that the average water use for drinking, cooking, and personal hygiene in any household is at least 15 L per person per day. | |||||
| Water is of sufficient quality to be potable and used for hygiene. | Ensure there is low risk of fecal contamination. | Sanitarian | Etc. | ||
| Use a sanitary survey to indicate the risk of fecal contamination. | |||||
| Ensure there are no fecal coliforms per 1000ml at the point of delivery. | |||||
| People are able to safely collect, store, and use sufficient quantities of water. | Ensure each household has at least two clean water collecting containers of 10–20 L | Central supply | Etc. | ||
| Ensure water collection and storage containers have narrow necks and/or covers (or other safe means of storage, drawing, and handling). |

Figure 2. Six main steps necessary to prepare for plan-writing.
Table 5. Public health consequences and capabilities associated with all disasters
| Public health consequences | Capabilities that promote health |
|---|---|
| Common to all consequences | Emergency Operations Coordination § |
| Deaths | Fatality management § / Mortuary care |
| Illness and injuries | Health services |
| Loss of shelter | Mass Care § / Shelter and settlement |
| Loss of personal and household goods | Replacement of personal and household goods |
| Loss of sanitation and routine hygiene | Sanitation, excreta disposal and hygiene promotion |
| Disruption of solid waste management | Solid waste management |
| Public concern for safety | Risk communication |
| Increased pests and vectors | Pest and vector control |
| Loss or damage of health care system/services | Health system and infrastructure support |
| Worsening of chronic illnesses | Health services |
| Loss of water | Water, sanitation and hygiene (WASH) |
| Loss of power | Food safety |
| Food scarcity | Food safety, security and nutrition |
| Toxic exposures | Risk assessment |
(Table adapted from Keim, 2006 Entries marked as § are adapted from CDC 2011)