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.
Appendix A
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
©2013 by Walter de Gruyter Berlin Boston
Articles in the same Issue
- Masthead
- Masthead
- Research Articles
- Impact of Providing Real-Time Traffic Information on No-Notice or Short-Notice Evacuation Efficiency – A Case Study
- Compliance of Community Hospitals with the Chemical Facility Anti-Terrorism Standards (CFATS) in the Western United States
- Analysis of Criminal and Terrorist Related Episodes in Railway Infrastructure Scenarios
- GIS in Emergency Management Cultures: An Empirical Approach to Understanding Inter- and Intra-agency Communication During Emergencies
- Catastrophe Characteristics and their Impact on Critical Supply Chains: Problematizing Materiel Convergence and Management Following Hurricane Katrina
- Options and Challenges of a Resilience-Based, Network-Focused Port Security Grant Program
- Incorporating Time Dynamics in the Analysis of Social Networks in Emergency Management
- Death Modes from a Loss of Energy Infrastructure Continuity in a Community Setting
- Businesses and International Security Events: Case Study of the 2012 G8 Summit in Frederick County, Maryland
- First Responder Knowledge and Training Needs for Bioterrorism
- Book Review
- Tsunami: From Fundamentals to Damage Mitigation
Articles in the same Issue
- Masthead
- Masthead
- Research Articles
- Impact of Providing Real-Time Traffic Information on No-Notice or Short-Notice Evacuation Efficiency – A Case Study
- Compliance of Community Hospitals with the Chemical Facility Anti-Terrorism Standards (CFATS) in the Western United States
- Analysis of Criminal and Terrorist Related Episodes in Railway Infrastructure Scenarios
- GIS in Emergency Management Cultures: An Empirical Approach to Understanding Inter- and Intra-agency Communication During Emergencies
- Catastrophe Characteristics and their Impact on Critical Supply Chains: Problematizing Materiel Convergence and Management Following Hurricane Katrina
- Options and Challenges of a Resilience-Based, Network-Focused Port Security Grant Program
- Incorporating Time Dynamics in the Analysis of Social Networks in Emergency Management
- Death Modes from a Loss of Energy Infrastructure Continuity in a Community Setting
- Businesses and International Security Events: Case Study of the 2012 G8 Summit in Frederick County, Maryland
- First Responder Knowledge and Training Needs for Bioterrorism
- Book Review
- Tsunami: From Fundamentals to Damage Mitigation