Facilitating hospital emergency preparedness: Introduction of a model memorandum of understanding

James G. Hodge, Evan D. Anderson, Thomas D. Kirsch, Gabor D. Kelen

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


Effective emergency response among hospitals and other health care providers stems from multiple factors depending on the nature of the emergency. While local emergencies can test hospital acute care facilities, prolonged national emergencies, such as the 2009 H1N1 outbreak, raise significant challenges. These events involve sustained surges of patients over longer periods and spanning entire regions. They require significant and sustained coordination of personnel, services, and supplies among hospitals and other providers to ensure adequate patient care across regions. Some hospitals, however, may lack structural principles to help coordinate care and guide critical allocation decisions. This article discusses a model Memorandum of Understanding (MOU) that sets forth essential principles on how to allocate scarce resources among providers across regions. The model seeks to align regional hospitals through advance agreements on procedures of mutual aid that reflect modern principles of emergency preparedness and changing legal norms in declared emergencies.

Original languageEnglish (US)
Pages (from-to)54-61
Number of pages8
JournalDisaster medicine and public health preparedness
Issue number1
StatePublished - Mar 2011


  • Emergencies
  • Health personnel
  • Hospitals
  • Public health

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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