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Disasters and Health Care Management Research.

Raging fire, drenching hurricanes, flooding flood planes, oozing lava, jolting and jiggling of terra firma, debilitating outbreaks, and leveling winds. These natural disasters, as well as man-made events, have wide ranging effects with implications for health care organizations and the health care system, not the least of which is ethical issues (Leider et al., 2017). The science of managing health care organizations for and during disasters remains underdeveloped, in contrast to the substantial research on managing the disaster itself. Health care management researchers can fill that knowledge gap; here a few examples. Both health policy regulations and federal funding influence levels of preparedness and administrative issues faced by health care managers. The Centers’ for Medicare andMedicaid regulation now requires all 17 types of providers, whether renal centers, home health agencies, or hospitals and community mental health centers, have emergency preparedness assessments, planning, polices, and training. Furthermore, as of late October 2018, reauthorization of the Hospital Preparedness Program has not yet been acted upon by the U. S. Senate. This delays funding of programs intended to improve and increase capacity and capability to respond to both natural and man-made disasters. Research on the implementation of health policy rarely receives attention from the perspective of how the policy affects organizational structure, human resource management or procedural redundancies needed to have safe and mindful organizations at times of distress. Most immediately, emergency services and first responders are stressed and stretched, requiring that preplanned coordination, communication, and actions be effectively implemented. The infrastructure through which that occurs might have been damaged, resulting in less