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Compliance of Community Hospitals with the Chemical Facility Anti-Terrorism Standards (CFATS) in the Western United States

  • Morgan M. Bliss , Kiril D. Hristovski EMAIL logo and Jon W. Ulrich
Published/Copyright: August 28, 2013

Abstract

The overarching goal of this study was to understand and quantify the level of implementation of Chemical Facility Anti-Terrorism Standards (CFATS) among community hospitals. Three hypotheses were developed for this study: (1) more than 50% of surveyed accredited hospitals are aware of CFATS; (2) <30% of hospitals are in compliance with CFATS; and (3) the accreditation process is conducive to CFATS compliance. Community hospitals in the western United States were randomly surveyed for CFATS awareness and compliance. Statistical analyses of the survey data were performed to test the hypotheses and examine possible data correlation. The results indicated that at least 50% of accredited large and medium hospitals were aware of CFATS, and more than 50% of small hospitals were aware of CFATS. The survey results also showed that, with the exception of Alaska, most states in the western US had compliance rates significantly <30%. Although the survey results revealed that there was no significant difference between accredited and non-accredited community hospitals when comparing the level of compliance, an opportunity exists for voluntary hospital accreditation agencies to include CFATS as part of the emergency preparedness accreditation process to increase the CFATS compliance level among community hospitals.


Corresponding author: Kiril D. Hristovski, College of Technology and Innovation, Arizona State University, 7171 E. Arroyo Sonoran Mall, Mesa, AZ 85212-2580, USA, Tel.: 480 727 1291, e-mail:

Appendix A

Survey Questions for Community Hospitals in the Western US.

 Survey Questions for Community Hospitals in the Western US.

Shaded areas represent “do not write fields.”

References

Aguirre, B., R. R. Dynes, J. Kendra and R. Connell (2005) “Institutional Resilience and Disaster Planning for New Hazards: Insights from Hospitals,” Journal of Homeland Security and Emergency Management, Online.10.2202/1547-7355.1113Search in Google Scholar

American Hospital Association (2012) Fast Facts on US Hospitals. Retrieved August 10, 2012, from American Hospital Association: http://www.aha.org/research/rc/stat-studies/fast-facts.shtml.Search in Google Scholar

Baretich, M. (2008) “Joint Commission News & Views: The “Other” Environment of Care Management Plans,” Biomedical Instrumentation and Technology, 42(3):222–223.10.2345/0899-8205(2008)42[222:TOEOCM]2.0.CO;2Search in Google Scholar

Bennett, R. L. (2006) “Chemical of Biological Terrorist Attacks: An Analysis of the Preparedness of Hospitals for Managing Victims Affected by Chemical or Biological Weapons of Mass Destruction,” International Journal of Environmental Research and Public Health, 3(1):67–75.10.3390/ijerph2006030008Search in Google Scholar

Canyon, D. V., A. Adhikari, T. Cordery, P. Giguere-Simmonds, J. Huang, H. Nguyen, M. Watson and D. Yang (2010) “Crisis Preparedness Capabilities in Health,” Journal of Homeland Security and Emergency Management, Online.10.2202/1547-7355.1740Search in Google Scholar

Davis, L. M. and J. C. Blanchard (2002) Are Local Health Responders Ready for Biological and Chemical Terrorism? Arlington: RAND.10.7249/IP221Search in Google Scholar

Det Norske Veritas (DNV) Healthcare Inc (2012) DNV Accreditation Program Frequently Asked Questions. Retrieved September 12, 2012, from DNV Accreditation: http://dnvaccreditation.com/pr/dnv/downloads.aspx.Search in Google Scholar

Fannin III, J. C. and M. G. Wygonik (2009) Understanding CFATS: What It Means to Your Business. Retrieved October 10, 2010, from ADT Security Services, Inc.: http://www.adt.com/commercial-security/resource-library/white-papers/library/understanding-cfatsSearch in Google Scholar

Jones, A. B. (2008) “Homeland Security Chemical Facility Report Shouldn′t Affect Hospitals,” Hospital Waste Management, 3–1.Search in Google Scholar

Lavy, S. and M. Dixit (2010) “Literature Review on Design Terror Mitigation for Facility Managers in Public Access Buildings,” Facilities, 28(11/12):542–561.10.1108/02632771011066594Search in Google Scholar

MacIntyre, A. G., G. W. Christopher, E. Eitzen, Jr., R. Gum, S. Weir, C. DeAtley, K. Tonat and J. A. Barbera (2000) “Weapons of Mass Destruction Events With Contaminated Casualties: Effective Planning for Healthcare Facilities,” Journal of the American Medical Association, 283(2):242–249.10.1001/jama.283.2.242Search in Google Scholar

McGlown, K. and D. Campbell (2002) “Preparedness is a Healthcare Executive’s Responsibility/Reply,” Frontiers of Health Services Management, 19(1):35–46.10.1097/01974520-200207000-00007Search in Google Scholar

Murphy, J. A. (2004) “After 9/11: Priority Focus Areas for Bioterrorism Preparedness in Hospitals,” Journal of Healthcare Management, 49(4):227–235.10.1097/00115514-200407000-00005Search in Google Scholar

The Joint Commission (2010) Hospital Accreditation Standards. USA: Joint Commission Resources, Inc.Search in Google Scholar

Then, S. K. and M. Loosemore (2006) “Terrorism Prevention, Preparedness, and Response in Built Facilities,” Facilities, 24(5/6):157–176.10.1108/02632770610665766Search in Google Scholar

Top, M., O. Gider and Y. Tas (2010) “An Investigation of Hospital Disaster Preparedness in Turkey,” Journal of Homeland Security and Emergency Management, Online.10.2202/1547-7355.1781Search in Google Scholar

United States Department of Homeland Security (2012) 6 CFR Part 27: Chemical Facility Anti-Terrorism Standards. Retrieved September 12, 2012, from Electronic Code of Federal Regulations: http://ecfr.gpoaccess.govSearch in Google Scholar

United States Department of Homeland Security (2012) Appendix A to Part 27. Retrieved September 12, 2012, from Electronic Code of Federal Regulations: http://ecfr.gpoaccess.govSearch in Google Scholar

Wetter, D., W. Daniell and C. Treser (2001) “Hospital Preparedness for Victims of Chemical or Biological Terrorism,” American Journal of Public Health, 91(5):710–716.10.2105/AJPH.91.5.710Search in Google Scholar

Published Online: 2013-08-28
Published in Print: 2013-10-01

©2013 by Walter de Gruyter Berlin Boston

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