This book concerns itself with the key question: how to improve health in a cost effective and politically acceptable way. What makes people healthy? Why are the poor less healthy than the rich? Why do some countries have a better health record than others? An Introduction to Health is divided into four parts comprising the determinants of health, health service planning, health service financing, and controlling costs and securing user-friendly services.

The interconnectedness of communities, organisations, governing bodies, policy and individuals in the field of disaster studies has never been accurately examined or comprehensively modelled. This kind of study is vital for planning policy and emergency responses and assessing individual and community vulnerability, resilience and sustainability as well as mitigation and adaptation to climate change impacts; it therefore deserves attention. Disasters and Social Resilience fills this gap by introducing to the field of disaster studies a fresh methodology and a model for examining and measuring impacts and responses to disasters. Urie Bronfenbrenner's bioecological systems theory, which is used to look at communities holistically, is outlined and illustrated through a series of chapters, guiding the reader from the theory's underpinnings through research illustrations and applications focused on each level of Bronfenbrenner's ecosystems, culminating in an integration chapter. The final chapter provides policy recommendations for local and national government bodies and emergency providers to help individuals and communities prepare and withstand the effects of a range of disasters. This book will be of great interest to scholars and students of disaster and emergency management, disaster readiness and risk reduction (DRR), and to scholars and students of more general climate change and sustainability studies.

In June 2011, the city of Minot, North Dakota sustained the greatest flood in its history. Rather than buckling under the immense weight of the flood on a personal and community level, government, civic groups, and citizens began to immediately assess and address the event's impacts. Why did the disaster in Minot lead to government and community resilience, whereas during Hurricane Katrina, the non-resilience of the government and community of New Orleans resulted in widespread devastation? This book seeks to answer that question by examining how local government institutions affect pre- and post-disaster community and business resilience. Utilizing both survey methods and interviews, Atkinson analyzes the disasters that occurred in New Orleans, Louisiana, Palm Beach County, Florida, and Minot, North Dakota. He argues that institutional culture within local government impacts not only the immediate outcomes experienced during response, but the long-term prognosis of recovery for a community outside the walls of city hall. Understanding tendencies within a community that lead to increased vulnerability of both individuals and businesses can lead to shifts in governmental/community priorities, and potentially to improved resilience in the face of hazard events. Relevant to scholars of public administration, disaster researchers, and government officials, this book contributes to a growing literature on community and business resilience. It explores not just the devastation of natural disasters, but profiles governmental impacts that led to responsive and able processes in the face of disaster.

This book examines the role of the private sector in emergency management and how that role is changing through private sector intersections with government, government agencies, and the public sectors in all phases of emergency management. It particularly focuses on the areas in which government regulations and guidelines promote or encourage private sector involvement, and looks at best practices for public-private partnerships as well as some of the common pitfalls of the contracting model. The private sector now plays a tremendous role in the creation of policies related to emergency management and their implementation at the federal, state, and local levels. The Private Sector's Role in Disasters: Leveraging the Private Sector in Emergency Management explores some of the challenges of implementing policies in the current contracting model. It also compares emergency management to other government services that have been privatized. Case studies of recent disasters and examples of the privatization of some emergency management functions are presented to illustrate how to better plan for private sector involvement in future disasters. Given the sometimes dysfunctional relationships that have emerged from public-private partnerships in disaster situations, it is important to analyze and improve principles and practices to work toward more effective partnership. This book provides thoughtful guidelines, recommendations, and best-practice approaches to public-private development, implementation, and collaboration throughout the disaster cycle. It gives focused directions for cultivating public-private working relationships to make emergency responses quicker and assistance more effective.

Less than half of the public in the U.S. have taken the three steps to prepare for emergencies that are recommended by FEMA and the Red Cross: having a 3-day emergency kit, a family communication plan, and knowing where to get information during an emergency. Although emergency managers attempt to train the public, often they are only able to distribute brochures and make public notifications. For a variety of reasons, the public frequently ignores this guidance, leaving people more vulnerable during emergencies. This book applies the process of social marketing, which has been used widely in public health and other disciplines, to the lack of public preparedness. Written for emergency managers in government and non-profit agencies, students, and volunteers, the book provides enough background and resources to enable the user to carry out an effective emergency preparedness campaign in their community and maintain it over time. Unlike preparing one message for everyone, social marketing involves working with smaller communities to identify what and how people want to learn, training them, and then maintaining that relationship to insure their preparedness. Because most emergency management agencies lack resources to take on such an initiative, the book provides readers with low cost methods to begin a social marketing program.

Less than half of the public in the U.S. have taken the three steps to prepare for emergencies that are recommended by FEMA and the Red Cross: having a 3-day emergency kit, a family communication plan, and knowing where to get information during an emergency. Although emergency managers attempt to train the public, often they are only able to distribute brochures and make public notifications. For a variety of reasons, the public frequently ignores this guidance, leaving people more vulnerable during emergencies. This book applies the process of social marketing, which has been used widely in public health and other disciplines, to the lack of public preparedness. Written for emergency managers in government and non-profit agencies, students, and volunteers, the book provides enough background and resources to enable the user to carry out an effective emergency preparedness campaign in their community and maintain it over time. Unlike preparing one message for everyone, social marketing involves working with smaller communities to identify what and how people want to learn, training them, and then maintaining that relationship to insure their preparedness. Because most emergency management agencies lack resources to take on such an initiative, the book provides readers with low cost methods to begin a social marketing program.

On Sunday 26 December 2004, a tsunami of up to 30 metres high hit the northern tip of Sumatera in Indonesia, causing immediate destruction and the deaths of at least 130,000 in Indonesia alone. The scale of the devastation and ensuing human suffering prompted the biggest response endeavour to any natural disaster in history. Post-Disaster Reconstruction will be the first major book that analyses the different perspectives and experiences of the enormous post-tsunami reconstruction effort. It looks specifically at the reconstruction efforts in Aceh, one of the regions most heavily-hit by the tsunami and a province that has until recently suffered nearly three decades of armed conflict. Positioning the reconstruction efforts within Aceh's multi-layered historical, cultural, socio-political and religious contexts, the authors explore diverse experiences and assessments of the reconstruction. It considers the importance of the political and religious settings of the reconstruction, the roles of communities and local non-government organisations and the challenges faced by Indonesian and international agencies. From the in-depth examination of this important case study of disaster reconstruction - significant not only because of the huge scale of the natural disaster and response but also the post-conflict issues - the editors draw together the lessons learned for the future of Aceh and make general recommendations for post-disaster and post-conflict reconstruction-making.

A Futurist's Guide to Emergency Management provides interdisciplinary analysis on how particular sets of conditions may occur in the future by evaluating global trends, possible scenarios, emerging conditions, and various other elements of risk management. Firmly based in science, the book leverages historical data, current best practices, and scientific and statistical data to make future projections to help emergency management, homeland security, and public safety officials make appropriate planning, preparedness, and resource management decisions in the present to prepare for future conditions and risks. Focuses on trends in citizen behaviors, expectations, and choices related to technology, media, communication, and cross-cultural behavior Reflects the impacts of age, gender, and sexuality roles on emergency response expectations as well as the increasing politicization of disaster response and recovery activities Evaluates how perceptions of risk are changing-particularly in light of low probability, but high consequence events Considers emerging physical, social, environmental, and technological issues such as climate change, sustainability, globalization, and cyber threats Divided into three sections, the book first focuses on trends in citizen behaviors, expectations, and choices related to technology, media, communication and cross-cultural behavior. It then explores the impacts of age, gender, and sexuality roles on emergency response expectations as well as the increasing politicization of disaster response and recovery activities. Additionally, the second section evaluates how perceptions of risk are changing - particularly in light of low probability, but high consequence events. The book concludes with coverage of emerging physical, social, environmental, and technological issues such a climate change, sustainability, globalization, and cyber threats.

This book provides an overview of state-of-the-art research that has been conducted within Australia, funded by the Bushfire Cooperative Research Centre. The chapters source and contextualize their own research practice within the context of the international research literature. Therefore, while the research has occurred within Australia it will be of particular interest to scholars, students and practitioners in a number of other countries, particularly within the United States of America and in Europe. The fire and emergency services is a particularly large industry - in Australia alone it employs 250,000 personnel - yet there is very little by way of published human factors books addressing this sector directly. Emergency events frequently involve problems for which there may be unanticipated consequences and highly interdependent consequential effects. In short, emergency events are not necessarily as containable as may be work in other domains. As Karl Weick once commented, emergency events do not 'play by the rules'. This means that these research chapters tell us something about a potential future world of work that is highly dynamic, interdependent and for which improvisation and critical thinking and problem-solving are necessary pre-requisites. The discussions about individual and team performance will also be pertinent to others working in similar high-reliability, high-consequence domains. The chapters connect into an integrated body of work about individual and group performance and their limitations.

Japan has been one of the most important international sponsors of human security, yet the concept has hitherto not been considered relevant to the Japanese domestic context. This book applies the human security approach to the specific case of the earthquake, tsunami and nuclear accident that struck Japan on 11 March 2011, which has come to be known as Japan's 'triple disaster'. This left more than 15,000 people dead and was the most expensive natural disaster in recorded history. The book identifies the many different forms of human insecurity that were produced or exacerbated within Japan by the triple disaster. Each chapter adds to the contemporary literature by identifying the vulnerability of Japanese social groups and communities, and examining how they collectively seek to prevent, respond to and recover from disaster. Emphasis is given to analysis of the more encouraging signs of human empowerment that have occurred. Contributors draw on a wide range of perspectives, from disciplines such as: disaster studies, environmental studies, gender studies, international relations, Japanese studies, philosophy and sociology. In considering this Japanese case study in detail, the book demonstrates to researchers, postgraduate students, policy makers and practitioners how the concept of human security can be practically applied at a policy level to the domestic affairs of developed countries, countering the tendency to regard human security as exclusively for developing states.

'That's what happened, I think, struggling to stay afloat as the ocean pummels me from all sides. I must have blacked out -- exhausted, dehydrated, even a little delirious -- and hit the water. And no one saw it happen.' 'When I heard Brett had fallen overboard, after twelve hours I said, "There's no way anyone can survive longer than that in the ocean - I certainly couldn't do it." This is an incredible, incredible story.' Oscar Chalupsky, Twelve times Molokai Paddleboard World Champion In April 2013, fifty-year-old Brett Archibald was on board a surf-charter boat, making a night-time crossing of the Mentawai Strait off Sumatra, Indonesia. In the middle of a storm, ill with severe food poisoning, Brett was being sick overboard when, for a moment, he blacked out. When he came to, he found himself alone in the raging sea, being spun as if in a washing machine. Sixty miles from shore, Brett saw the lights of his boat disappearing into the darkness. It was very quickly clear that no one had seen him fall, and that no one would hear his shouts for help. He was alone in the ocean. It would be eight hours before his friends realised he was missing. At that point a frantic search began, for a single man hopefully still alive somewhere in thousands of square miles of heaving waves. The Mentawai Strait is remote and the rough weather meant that no planes or helicopters could assist in the search. This is the remarkable story of Brett's ordeal, and his miraculous rescue after twenty-eight hours alone in the ocean; also of his family and friends back home and around the world and the Australian skipper whose sheer doggedness and instinct played such a key role in saving Brett.

In June 2011, the city of Minot, North Dakota sustained the greatest flood in its history. Rather than buckling under the immense weight of the flood on a personal and community level, government, civic groups, and citizens began to immediately assess and address the event's impacts. Why did the disaster in Minot lead to government and community resilience, whereas during Hurricane Katrina, the non-resilience of the government and community of New Orleans resulted in widespread devastation? This book seeks to answer that question by examining how local government institutions affect pre- and post-disaster community and business resilience. Utilizing both survey methods and interviews, Atkinson analyzes the disasters that occurred in New Orleans, Louisiana, Palm Beach County, Florida, and Minot, North Dakota. He argues that institutional culture within local government impacts not only the immediate outcomes experienced during response, but the long-term prognosis of recovery for a community outside the walls of city hall. Understanding tendencies within a community that lead to increased vulnerability of both individuals and businesses can lead to shifts in governmental/community priorities, and potentially to improved resilience in the face of hazard events. Relevant to scholars of public administration, disaster researchers, and government officials, this book contributes to a growing literature on community and business resilience. It explores not just the devastation of natural disasters, but profiles governmental impacts that led to responsive and able processes in the face of disaster.

Emerging social media and so-called Web 2.0 technologies will continue to have a great impact on the practice and application of the emergency management function in every public safety sector. Disasters 2.0: The Application of Social Media Systems for Modern Emergency Management prepares emergency managers and first responders to successfully apply social media principles in the operations, logistics, planning, finance, and administrative aspects of any given disaster.

Using real-life examples of domestic and international disasters, the book reveals how social media has quickly become a powerful tool for both providing emergency instruction to the public in real time and allowing responding agencies to communicate among themselves in crisis. A definitive and comprehensive source, the book explores topics such as:

• Social media basics
• Citizen journalism
• Strategic implementation
• Safety and responsibility
• Monitoring and analytics
• Operational implementation
• Geolocation systems
• Crowdsourcing
• Public notification
• Mobile and other emerging technologies

Each chapter begins with a list of objectives and includes a collection of case examples of social media use in past events. Practitioner profiles show real people implementing the technology for real solutions. Demonstrating how to effectively apply social media technology to the next crisis, this is a must-read book for those charged with disaster management and response.

An expansion of Dr. Rudofossi's theory of Police and Public Safety Complex Trauma, this text integrates other models of trauma and loss into a one-of-a-kind intervention model. It offers insider perspectives from police psychologists, police managers, and clinicians describing what police personnel experience on the job, along with expert intervention and advice. The author also introduces the Eco-Ethological Existential Analysis concept and includes case studies to demonstrate ideas and techniques. The examples highlight each of five personality styles. This practical guide to dealing with the cumulative effects of repeated stress, trauma, and exhaustion is a critical resource for police, paramedics, and correctional personnel. Dr. Rudofossi spoke on the Donna Seebo radio show to discuss his book and issues surrounding post traumatic stress disorder. He was a featured guest on American Heroes Radio on April 3, 2012.

The true story--told with heart-pounding action and heart-melting romance--of a heroic firefighter forced to confront an emergency even he can't handle: saving himself. Jason Sautel had it all. Confident in his abilities, trusted by his firefighting brothers, and nationally recognized for his heroism, he was making a name for himself on the mean streets of Oakland, California. There was no emergency he couldn't handle, and his adrenaline-fueled job helped him forget the suicidal thoughts of his dark childhood . . . until the day he looked into the eyes of a jumper on the Bay Bridge and came face to face with an evil he recognized in his own heart. In the following months, a series of traumatic emergency calls--some successful, others haunting failures--drove Jason into a deep depression. Even as he threw himself into his work as the model firefighter, he sank deeper and deeper, realizing he could never rescue everyone . . . or even save himself. Just as he was ready to take his own life, Jason began to see hints of hope: the relentless power of love. Packed with dramatic action and romance, vulnerability and inspiration, The Rescuer is a compelling story of courage, faith, redemption, and the one Person who really can rescue us from the darkness.

In 1984 Congress revamped Medicare to save a financially distraught health care system, thus transforming the hospital as an organization. Diagnosis Related Groups (DRGs) -- the cornerstone of this extensive reorganization -- have triggered repercussions that are still adversely affecting health care professionals. This volume cuts to the heart of this crisis, examining the difficulties and foibles of going from DRG Legislation to DRG practices and giving voice to the professionals who must carve out a new reality under DRGs. It exposes the disputes between the various professional groups -- administrators, physicians, and nurses --over the implementation of DRGS, and how these professionals maneuver to manage the health service problems created by the policy. The book's authors provide an insightful analysis of the way policy innovations can wreak havoc on an organization and how professionals working together eventually negotiate order out of the chaos of change. The volume's narrative style of research is one feature that makes the presentation of the authors' findings unique from other works on Medicare legislation. Additionally, the book offers a case study approach to communication and sociological matters of a significant health care issue.

This text presents principles and construction techniques applicable to builders, householders and communities who are building in disaster-prone areas. The principles are clearly and simply presented, with an emphasis on improving hazard-resistance for minimum cost. They seek to encourage builders to improve their current practices rather than setting building standards or providing hazard-resistance performance specifications.;The book includes sections on siting for safety - siting considerations in areas prone to high winds, earthquakes, flooding; and siting to avoid ground instability problems; building safely in masonry: principles of robust construction and building to resist earthquakes for buildings of brick, block, earth and stone masonry; building safely in timber - principles of robust construction and building to resist high winds and earthquake forces in timber framed buildings; and building safely in concrete - principles of robust construction and building to resist earthquake forces in reinforced concrete framed buildings.

This book has been a long time in the making. The computerization activi ties described in these pages began in 1977 at the Department of Veterans Affairs (VA), but we devoted most of our focus and efforts to building and then implementing the extensive hospital information system known as the Decentralized Hospital Computer System (DHCP) throughout VA. Deliv ering the product has been our primary goal. We spent relatively little time documenting or describing our experiences or lessons learned. Except for some presentations at national meetings and a relatively few publications, almost none of which were in the standard trade journals read by Chief Information Officers (CIOs) and equivalent top managers in the private and nonprofit sectors, VA's accomplishments remained a well-kept secret. In 1988, Helly Orthner encouraged VA staff to consider writing a book, but the press of day-to-day activities always seemed to take precedence, and the book languished on the back burner."

Published in 1999. Contemporary organizations are faced with increasingly rapid and dramatic change within their political, cultural and technological environments. Institutions in Turbulent Environments critically examines the way organizations respond to these changes,with a particular focus upon the institutional disability sector. The book examines available theory concerning organizational contingency, adaptation and population ecology. It utilizes a framework developed from this theory to examine the ways in which a major institution for the intellectually disabled responded to the turbulence within its environment. It uses this data to re-examine theory and to propose changes to the way organization/environment relationships are understood.

Undertaken as part of the National Science Foundation's call for research associated with the 9/11 terrorist attacks, this volume contains research that addresses the immediate role and utility of geographical information and technologies in emergency management. It also initiates an on-going process to help develop a focused national research agenda on the geographical dimensions of terrorism. Areas covered include: geospatial data and technologies infrastructure research, root causes of terrorism, and vulnerability science and hazard research.

Undertaken as part of the National Science Foundation's call for research associated with the 9/11 terrorist attacks, this volume contains research that addresses the immediate role and utility of geographical information and technologies in emergency management. It also initiates an on-going process to help develop a focused national research agenda on the geographical dimensions of terrorism. Areas covered include: geospatial data and technologies infrastructure research, root causes of terrorism, and vulnerability science and hazard research.

Decision-Making in Emergency Management examines decisions the authors have made over their careers based on their combined training, experience and instinct. Through a broad range of case studies, readers discover how experience impacts decision-making in conjunction with research and tools available. While the use of science, data and industry standards are always the best option when it comes to handling emergency situations, not all emergency situations fit one known solution. This book comprehensively explores the question "Is 'instinct' a viable factor when faced with a challenging situation and how close does it match up with the best science available?"

Disaster management is generally understood to consist of four phases: mitigation, preparedness, response and recovery. While these phases are all important and interrelated, response and recovery are often considered to be the most critical in terms of saving lives. Response is the acute phase occurring after the event, and includes all arrangements to remove detriments and a long-term inventory of supplies to deal with irreversible damage. The timely provision of geospatial information is crucial in the decision-making process, and can save lives and rescue citizens. The aim of this volume is to share technological advances that allow wider, faster and more effective utilization of geospatial information in emergency response situations. The volume describes current accomplishments and challenges in providing geospatial information with these attributes, and is organized in six parts: - Practice and legislation, with a focus on the utilization of geospatial information in recent disaster events, as well as resulting legislative attempts to share and access data. - Data collection and data products. - Data management and routing in 3D. - Emerging technologies, including positioning, virtual reality and simulation models. - Integration of heterogeneous data. - Applications and solutions. This volume is aimed at researchers, practitioners and students who work in the variety of disciplines related to geospatial information technology for emergency response, and represents the very best of current thinking from a number of pioneering studies over the past four years.

Informing Health Care Purchasers

In today's competitive marketplace, health care providers, corporate purchasers, and health care executives are focusing their attention on quality, value, and accountability.

This valuable resource provides health care practitioners, administrators, and policymakers with the pertinent information they need to create a scientific method of measuring customer satisfaction.