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Financing Hospital Emergency Preparedness: A Leadership Framework for Sustained Readiness.

Created on 17 Aug 2026

Authors

Tracy L Buchman, Russell Kashian

Published in

Healthcare management forum. Pages 8404704261478133. Aug 16, 2026. Epub Aug 16, 2026.

Abstract

Hospitals must maintain essential services during disasters, although routine funding rarely covers the staff, supplies, backup systems, and regional coordination required for readiness. This article examines emergency preparedness as a leadership and financing responsibility. A narrative review considered Canadian, United States, and international policy documents and research on hospital resilience, emergency management, coalitions, supply continuity, and preparedness investment. Preparedness requires recurring expenditures that compete with operating priorities, while benefits often extend beyond the hospital that pays for them. Leaders can strengthen readiness through governance, budgeting, lifecycle planning, workforce decisions, regional agreements, risk monitoring, and emergency spending authority. Public support remains necessary for shared capabilities and extreme events. Sustainable readiness combines hospital financing for core capability, regional arrangements for shared resources, public investment where community benefits are broad, and rapid access to funds when demand exceeds normal capacity.

PMID:
42604863
Bibliographic data and abstract were imported from PubMed on 17 Aug 2026.

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