Term of Award

Summer 2016

Degree Name

Doctor of Public Health in Public Health Leadership (Dr.P.H.)

Document Type and Release Option

Dissertation (restricted to Georgia Southern)

Copyright Statement / License for Reuse

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


Jiann-Ping Hsu College of Public Health

Committee Chair

Gerald Ledlow, Ph.D., M.S., FACHE

Committee Member 1

Hani Samawi, Ph.D., M.S.

Committee Member 2

James Stephens, D.H.A., M.H.A., FACHE


There exist varying performance measurement systems to evaluate and assess emergency preparedness performance of both public health and healthcare; however, no studies were identified that demonstrated the application of these performance measurement systems to synthesize data across public health and healthcare disciplines taking into account both the public health and healthcare capability-based frameworks as established by the Centers for Disease Control and Prevention, Office of Public Health Preparedness and Response and the Office of the Assistant Secretary for Preparedness and Response, respectively.

The purpose of this study was to determine a relationship between Public Health Emergency Preparedness (PHEP) program performance and Healthcare Preparedness Program (HPP) performance in Georgia across Department of Public Health Districts and Healthcare Coalitions as well as to demonstrate performance measurement of both PHEP and HPP capabilities using existing performance measurement systems [i.e. G.R.E.a.T. © assessment tool for public health and the BP3 Performance Management Tool (PMT) for Healthcare Coalitions (as identified at the Regional Coordinating Hospital level)].

Data were presented as descriptive statistics of capability scores for public health districts and healthcare coalitions for fiscal year 2015 (July 1, 2014-June 30, 2015) as well as comparative analyses considering hospital bed size of Regional Coordinating Hospitals (RCH) and the geographic descriptive location of the RCH as well as composition of RCH regions with respect to the number of public health districts located within each region.

Findings from this study indicated that Public Health Emergency Preparedness performance exceeds that of the Healthcare. However, Healthcare Preparedness Program performance was exceptional to public health when those capabilities traditionally oriented to healthcare were factored. Also, variables other than bed size, geographic location of the Regional Coordinating Hospital (RCH) and composition of the RCH region with respect to the number of public health districts located within each region impacted healthcare capability scores/ performance.

Regardless of capability score results of this study, Georgia’s commitment to emergency preparedness performance measurement for public health and healthcare programs was evident in practice and recommendations are that these efforts continue to ensure a strong and resilient public health and healthcare system.

Research Data and Supplementary Material