Date of Conferral

3-25-2026

Degree

Doctor of Healthcare Administration (D.H.A.)

School

Management

Advisor

Matt Frederiksen-England

Abstract

Effective data sharing during disasters remains an unresolved administrative challenge for acute care hospitals, as fragmented communication directly affects patient safety and impacts vulnerable populations. This study identified gaps in hospitals' alignment with the Emergency Management Conditions of Participation standards. This integrative review applied a Complex Adaptive Systems conceptual framework to analyze the interdependent technological, governance, and human factors that cause systemic failures. The purpose of the review was to determine actionable administrative strategies that enhance data-sharing resilience. The guiding question examined barriers to standardized data sharing and communication in disaster preparedness and the approaches to address them. The methodology involved a systematic search of peer-reviewed and grey literature within the last 5 years and, after appraising potential literature with the Johns Hopkins Quality Appraisal tool, yielded 24 articles for thematic analysis. Key results identified four main themes: establishing foundational governance and standards, implementing interoperable technology, developing cross-sector partnerships, and embedding continuous preparedness training. This analysis identified 12 subthemes, including interoperability policies, real-time dashboards, multi-agency drills, after-action reviews, and shared situational awareness. Recommendations include establishing a formal governance structure, proactively invest in and deploy integrated technology, build trust-based partnerships, and continuous preparedness. The implications for positive social change include strengthened community health resilience, fairer emergency care for vulnerable groups, and enhanced system-wide coordination that saves lives and reduces suffering during disasters.

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