Nation's First Comprehensive Guide for Hospital Emergency Preparedness Exercises


With the publication of the nation's first comprehensive, federally funded guide to hospital emergency preparedness exercise development, Dr. Nathaniel Hupert at Weill Cornell Medical College and his collaborators have provided a new toolset for strengthening hospitals' ability to protect communities nationwide against public health disasters, such as creating care centers during an influenza pandemic or treating casualties in the wake of a bioterrorism attack.

The guidebook and accompanying atlas of resources were prepared through Cornell University's Institute for Disease and Disaster Preparedness for the U.S. Department of Health and Human Services' (DHHS) Agency for Healthcare Research and Quality (AHRQ), with funding from the DHHS Office of the Assistant Secretary for Preparedness and Response (ASPR). Electronic versions are now available on the AHRQ website at

"This project provides much-needed material assistance for the often unheralded but critical job of making sure our nation's hospitals are prepared for the unexpected," says Hupert, associate professor of public health and medicine at Weill Cornell Medical College and co-director of the Cornell Institute for Disease and Disaster Preparedness. "This guide is a single point of reference to help hospital preparedness exercise coordinators meet the many requirements, rules and regulations, both federal and accreditation-related, pertaining to the planning, conduct and evaluation of hospital emergency preparedness exercises."

"The work of Dr. Hupert and his colleagues in planning for scenarios that no one wants to imagine continues to be an essential way of assuring the public's health," says Dr. Alvin I. Mushlin, professor and chairman of the Department of Public Health at Weill Cornell Medical College. "Hospitals are important components of our public health system. Their guide provides resources to help hospitals design, conduct and evaluate their own emergency preparedness exercises in order to improve their response capabilities."

In 2008, AHRQ and the Office of the Assistant Secretary for Preparedness and Response contracted with Weill Cornell Medical College to conduct a one-year, comprehensive assessment of resources available to promote the development, conduct and evaluation of hospital preparedness exercises in the United States. The Weill Cornell research team -- including research associate Melissa Cheung, assistant professor of public health Dr. Wei Xiong, Weill Cornell medical student Anh-Thu Vu, and legal expert Doris Varlese -- evaluated more than 400 preparedness exercise documents and synthesized the multiple national requirements for hospital emergency exercises into a full-length guidebook and quick-reference pocket guide, along with a structured, searchable atlas of resources and tools. Ten Weill Cornell medical students helped perform the structured critical analysis of the exercise materials, and the resulting documents were reviewed in five states (Nebraska, Georgia, New York, California, and Washington) with input from more than 50 hospital emergency preparedness professionals, including representatives from NewYork-Presbyterian Hospital/Weill Cornell Medical Center. Weill Cornell medical student research assistants included Elizabeth Foley, Benjamin Frank, Elizabeth Franzek, Marta Galecki, Sarah Haseltine, Vishal Hegde, Eric Heintz, Jad Husseini, Marilyn Michelow and David Nissan.

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