User-managed inventory: An approachto forward-deployment of urgently needed medical countermeasures for mass-casualty and terrorism incidents

C. Norman Coleman, Chad Hrdina, Rocco Casagrande, Kenneth D. Cliffer, Monique K. Mansoura, Scott Nystrom, Richard Hatchett, J. Jaime Caro, Ann R. Knebel, Katherine S. Wallace, Steven A. Adams

Research output: Contribution to journalReview article

Abstract

The user-managed inventory (UMI) is an emerging idea for enhancing the current distribution and maintenance system for emergency medical countermeasures (MCMs). It increases current capabilities for the dispensing and distribution ofMCMsand enhances local/regional preparedness and resilience. In the UMI, critical MCMs, especially those in routine medical use ("dual utility") and those that must be administered soon after an incident before outside supplies can arrive, are stored at multiple medical facilities (including medical supply or distribution networks) across the United States. The medical facilities store a sufficient cache to meet part of the surge needs but not so much that the resources expire before they would be used in the normal course of business. In an emergency, these extra supplies can be used locally to treat casualties, including evacuees from incidents in other localities. This system, which is at the interface of local/regional and federal response, provides response capacity before the arrival of supplies from the Strategic National Stockpile (SNS) and thus enhances the local/regional medical responders' ability to provide life-saving MCMsthat otherwise would be delayed. The UMI can be more cost-effective than stockpiling by avoiding costs due to drug expiration, disposal of expired stockpiled supplies, and repurchase for replacement.

Original languageEnglish (US)
Pages (from-to)408-414
Number of pages7
JournalDisaster medicine and public health preparedness
Volume6
Issue number4
DOIs
StatePublished - Dec 1 2012

Keywords

  • Medical countermeasures
  • Nuclear
  • User-managed inventory

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

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    Coleman, C. N., Hrdina, C., Casagrande, R., Cliffer, K. D., Mansoura, M. K., Nystrom, S., Hatchett, R., Caro, J. J., Knebel, A. R., Wallace, K. S., & Adams, S. A. (2012). User-managed inventory: An approachto forward-deployment of urgently needed medical countermeasures for mass-casualty and terrorism incidents. Disaster medicine and public health preparedness, 6(4), 408-414. https://doi.org/10.1001/dmp.2012.46a