The Metropolitan Medical Response System (MMRS) program of the U. S. Department of Health and Human Services (DHHS) provides funds to major U. S. cities to help them develop plans for coping with the health and medical consequences of a terrorist attack with chemical, biological, or radiological (CBR) agents. DHHS asked the Institute of Medicine (IOM) to assist in assessing the effectiveness of the MMRS program by developing appropriate evaluation methods, tools, and processes to assess both its own management of the program and local preparedness in the cities that have participated in the program. This book provides the managers of the MMRS program and others concerned about local capabilities to cope with CBR terrorism with three evaluation tools and a three-part assessment method. The tools are a questionnaire survey eliciting feedback about the management of the MMRS program, a table of preparedness indicators for 23 essential response capabilities, and a set of three scenarios and related questions for group discussion. The assessment method described integrates document inspection, a site visit by a team of expert peer reviewers, and observations at community exercises and drills.
Table of Contents
|2 Community Emergency Management and Available Federal Assistance||31-51|
|3 Federal Efforts to Increase State and Local Preparedness for Terrorism||52-65|
|4 Metropolitan Medical Response System Program Contracts||66-74|
|5 Measurement and Data Collection in Evaluation||75-90|
|6 Preparedness Indicators||91-99|
|7 Feedback to Office of Emergency Preparedness on Program Management||100-112|
|8 Feedback to Office of Emergency Preparedness on Program Success||113-163|
|9 Closing Remarks||164-170|
|Appendix A Committee and Staff Biographies||177-186|
|Appendix B Selected Information about Federal Chemical, Biological, Radiological, Nuclear Consequence Management Response Teams||187-197|
|Appendix C Metropolitan Medical Response System Program Cities||198-199|
|Appendix D 2000 MMRS Contract Deliverable Evaluation Instrument||200-218|
|Appendix E Preparedness Indicators for Metropolitan Medical Response System Program Contract Deliverables||219-251|
|Appendix F Scenarios and Discussion Materials for Use on Site Visits||252-310|
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