Administrative Considerations When Preparing for Bioemergencies

  • John J. Maher
  • Syra Sikandar Madad
  • Nicholas V. CagliusoSr.Email author


Adequate preparation for responding to bioemergencies requires a unified administrative response with a level of internal and external coordination that typically exceeds day-to-day healthcare system norms. The administrative considerations to successfully prepare for, respond to, or recover from bioemergencies should center around an emergency management approach to coordinate, collaborate, and communicate on clinical, operational, and financial imperatives with a keen focus on screening patients, training healthcare workers, and exercising those processes. The chronically unclear regulatory and accreditation environment in which bioemergencies occur may complicate a healthcare system’s response, but through meticulous planning and mutually beneficial partnerships, facilities can manage bioemergencies by continuing to provide the same safe, effective, and efficient care they do each day.


HICS Identify Isolate Legal Protocol Regulatory Risk assessment Screening Standard of care Training Emergency management Communication Coordination Collaboration 


  1. 1.
    Alves LF, Cagliuso N Sr, Dunne W. Building the bridge between healthcare emergency management and daily operations. J Bus Contin Emer Plan. 2015–2016;9(2):137–48.PubMedGoogle Scholar
  2. 2.
    New York State Homeland Security and Emergency Services. Emergency management – exercises – HSEEP (Homeland Security Exercise Evaluation Program) [Internet]. 2017 [cited 14 February 2017]. Available from:
  3. 3.
    Fox M. Cost to treat Ebola: $1 million for two patients [Internet]. NBC News. 2017 [cited 14 February 2017]. Available from:
  4. 4.
    Madad S, Masci J, Cagliuso N, Allen M. Preparedness for Zika virus disease – New York City; 2006. Available from:
  5. 5.
    PHMSA Pipeline and Hazardous Materials Safety Administration. Procedural guidance on the proper packaging of Ebola suspected waste [Internet]. 2017 [cited 14 February 2017]. Available from:
  6. 6.
    PHMSA Pipeline and Hazardous Materials Safety Administration. Transporting infectious substances safely [Internet]. 2017 [cited 14 February 2017]. Available from:
  7. 7.
    Federal Register / Vol. 81, No. 180 / Friday, September 16, 2016 / Rules and Regulations. Department of Health and Human Services. [Internet] [cited 14 February 2017]. Available from:

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • John J. Maher
    • 1
    • 2
  • Syra Sikandar Madad
    • 3
  • Nicholas V. CagliusoSr.
    • 4
    Email author
  1. 1.J. Knipper and Company, Inc.LakewoodUSA
  2. 2.Special Pathogens Program, New York City Health + Hospitals / BellevueNew YorkUSA
  3. 3.Special Pathogens Program, Emergency Management, New York City Health + HospitalsNew YorkUSA
  4. 4.Emergency Management, New York City Health + HospitalsNew YorkUSA

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