{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T16:25:49Z","timestamp":1793982349982,"version":"4.8.0"},"reference-count":7,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Administration for Strategic Preparedness and Response","award":["Award Number 6 HITEP200043-01-03"],"award-info":[{"award-number":["Award Number 6 HITEP200043-01-03"]}],"id":[{"id":"https:\/\/ror.org\/05tjhqa05","id-type":"ROR","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Security"],"published-print":{"date-parts":[[2026,10,1]]},"abstract":"<jats:p>The Regional Disaster Health Response System (RDHRS) first began in 2018 as a demonstration project designed to address persistent healthcare emergency preparedness and response challenges in the United States. Four RDHRS programs currently exist, aligning and improving healthcare disaster response plans and clinical capabilities across 24 of the 50 US states. They connect public and private partners across the healthcare continuum, ensuring healthcare systems are better prepared for the next catastrophic disaster impacting health systems and the communities they serve. As a convener and a center of specialty expertise, the RDHRS crosses healthcare system and jurisdictional boundaries to address the most significant regional healthcare preparedness and response needs, helping the nation be better prepared to care for the ill and injured in the next large-scale event or disaster. The program has demonstrated its value and success in response to the COVID-19 pandemic, the 2022 pediatric tripledemic, intravenous supply disruption and shortage issues in 2024, and other regional healthcare emergencies, such as chemical incidents, while also improving plans and readiness for other potential threats such as mass burn events. Because the need for, and benefit of, an RDHRS program has been demonstrated through these recent events, there is a need to expand the network to cover the entire nation, further increasing healthcare readiness and our collective abilities to mitigate health system surge and respond to the next catastrophic emergency.<\/jats:p>","DOI":"10.1177\/23265094261488801","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:16:41Z","timestamp":1791433001000},"page":"457-461","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Regional Disaster Health Response System: A Successful Model to Improve Healthcare Preparedness"],"prefix":"10.1177","volume":"24","author":[{"given":"Caroline C.","family":"Persson","sequence":"first","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eileen F.","family":"Searle","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Senem D.","family":"Hinson","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Ling","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Isakov","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ziad","family":"Kazzi","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-3870-4395","authenticated-orcid":false,"given":"Jessica","family":"Ryder","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles","family":"Little","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. 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Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. 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Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul D.","family":"Biddinger","sequence":"additional","affiliation":[{"name":"Caroline C. Persson, MPH, MPA, is Program Director, Region 8 Regional Disaster Health Response System (RDHRS), and Program Director, Disaster Health, Denver Health &amp; Hospital Authority, Denver, CO. Eileen F. Searle, PhD, RN, CCRN, is Director, Pre- &amp; Post- Crash Care, National Institute for Defense Health Cooperation, Uniformed Services University, and the Henry M. Jackson Foundation for the Advancement of Military Medicine, Bethesda, MD. Senem D. Hinson, MPH, is Program Director, Region 4 RDHRS, and Director of Emergency Medicine Sections and Strategic Initiatives, Emory University, Atlanta, GA. Angela Ling, MSN, FNP-C, is Regional Director, Global Center for Health Security, R7DHRS, NDMS Pilot, University of Nebraska Medical Center, Omaha, NE. Alexander Isakov, MD, MPH, FACEP, FAEMS, is Director, Section of Prehospital and Disaster Medicine; Executive Director, Health Security; Principal Investigator, Region 4 RDHRS; and Professor, Emory University, Atlanta, GA. Ziad Kazzi, MD, FAAEM, FACEP, FACM..."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"1.Region 1 Partnership for Regional Disaster Health Response. About us. Accessed August 30 2025. https:\/\/www.rdhrs.org\/about-us\/"},{"key":"e_1_3_2_3_1","unstructured":"2.Region VII Disaster Health Response Ecosystem. About us. Accessed August 30 2025. https:\/\/www.regionviidhre.com\/about"},{"key":"e_1_3_2_4_1","unstructured":"3.Barbera JA Macintyre MG. Medical Surge Capacity and Capability: A Management System for Integrating Medical and Health Resources During Large-Scale Emergencies. 2nd ed. Washington DC: Administration for Strategic Preparedness and Response; 2007. Accessed August 30 2025. https:\/\/aspr.hhs.gov\/HealthCareReadiness\/guidance\/MSCC\/Pages\/default.aspx"},{"key":"e_1_3_2_5_1","unstructured":"4.Mountain Plains Regional Disaster Health Response System. About us. Accessed August 30 2025. https:\/\/mountainplainsrdhrs.org\/about-us\/"},{"key":"e_1_3_2_6_1","unstructured":"5.Southern Regional Disaster Response System (SRDRS) HHS Region 4. About SRDRS. Accessed August 30 2025. https:\/\/srdrs4.org\/about\/index.html"},{"key":"e_1_3_2_7_1","unstructured":"6.Administration for Strategic Preparedness and Response. Regional Disaster Health Response System: an overview. Accessed August 30 2025. https:\/\/aspr.hhs.gov\/RDHRS\/Pages\/rdhrs-overview.aspx"},{"key":"e_1_3_2_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.60645"}],"container-title":["Health Security"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23265094261488801","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/23265094261488801","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/23265094261488801","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T15:46:52Z","timestamp":1793980012000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/23265094261488801"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,1]]},"references-count":7,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10,1]]}},"alternative-id":["10.1177\/23265094261488801"],"URL":"https:\/\/doi.org\/10.1177\/23265094261488801","relation":{},"ISSN":["2326-5094","2326-5108"],"issn-type":[{"value":"2326-5094","type":"print"},{"value":"2326-5108","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,1]]}}}