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• W1553447786 abstract "ABSTRACTIntroduction: Prospective surveys of 84 organizations from public safety, public health, medical, and government support were conducted from 2003 through 2011 to evaluate organizational culture's effect on hospitalized influenza cases during the season following the 2009-2010 campaign.Methods: The study design was a prospective survey and linked health outcomes study of organizations and their service areas. The sampling method was a two stage methodology with the first stage comprised of a judgment sampling of emergency exercises and the second stage comprised of a voluntary simple random sample of all participating organizations.Results: Regression modeling of organizational culture explained 16.7% (p=.006) of the variance of the 2010-2011 influenza rates. When communications were unstructured rather than inside the chain of command, hospitalizations increased significantly by 2.5 hospitalizations per 100,000 persons (p=.001). Medical organizations with less reward-punishment cultures were more successful; while successful public health organizations provided direct supervision and clear objectives for subordinates.Discussion: Extrapolation of the etiologic fraction of U.S. influenza hospitalizations due to the organizational cultural aspect of unstructured communication was 7,500 hospitalizations costing 45 million dollars. Modifications should be made of hospital based reward and punishment systems to lessen the association to disease incidence. Public health leaders should strengthen systems to provide oversight, control, and managerial capacity to create clear objectives while continuing informatics modernization. Processes to enhance structured communication within the chain of command should be developed. Optimization of public health organizational culture by modifying agency structures and leadership capacities has the benefit of affecting multiple programs.INTRODUCTIONPublic health preparedness and response has been nominated as one of the ten great public health achievements of the first decade of the 21st century (CDC, 201 lb). The 2009-2010 U.S. public health vaccination campaign has been presented in support of the nomination due to the 10,400 hospitalizations and 520 deaths that were averted by the campaign (CDC, 2011b; CDC, 2011c; Ohio Department of Health; 2011).Four years after September 11, 2001, bioterrorism preparedness remained a high priority (Katz, Staiti, & McKenzie, 2006). From 2001 through 2005 the focus was on improving public health capacity and the second half of the decade focused on laboratory, epidemiology, surveillance, mass vaccination, prophylaxis, treatment distribution and administrative capabilities of the public health system (CDC, 2011b; Brannen & Stanley, 2004). Through flexible federal funding of bioterrorism preparedness, communities strengthened their ability to respond to public health emergencies (Cohen, Gould, & Sidel, 2004; Katz et al, 2006). Collaborative relationships developed for bioterrorism preparedness proved useful in addressing other threats, such as natural disasters and infectious disease outbreaks. However, ongoing challenges including funding constraints, inadequate surge capacity, and public health workforce shortages still persist.Bioterrorism preparedness funding, crisis experience, and leadership have been noted as the most important determinants of local public health agencies' preparedness activities.7 The Centers for Disease Control and Prevention (CDC) has played a mediating role by building capacity through funding key organizational leadership positions (Avery & ZabriskieTimmerman, 2009; Katz et al, 2006). Public health has a defined leadership role at the local level in health and medical emergency support functions (CDC, 201 la; U.S. Department of Homeland Security, 201 1). The key to effective public health leadership goes beyond managing within the organization. It must also invite shaping the organization's culture towards a health service of sustainability and change (Gray, 2009). …" @default.
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• W1553447786 date "2013-01-01" @default.
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• W1553447786 title "Organizational Culture on Community Health Outcomes after the 2009 H1N1 Pandemic" @default.
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