Effective Response System Research Articles

Heat Wave Vulnerability in Korea: An Analysis Using D-P-S-I-R Techniques

The increasing frequency of summer heat waves due to global warming has led to a rise in the number of patients with heat-related illnesses. According to the annual report on heat patients by the Korea Centers for Disease Control and Prevention, about 21,000 cases were reported between 2011 and 2023. In 2018, the “Framework Act on Disaster and Safety Management” was revised to classify heat waves as natural disasters, highlighting the need for preventing measures. Therefore, this study employed the driver force–pressure–state–impact–response (D-P-S-I-R) technique to analyze heat wave vulnerability from 2011 to 2020. Using data on temperature, humidity, heat-related patients, and heat shelters, a national heat wave vulnerability index was developed. The results aim to facilitate preemptive preparation for vulnerable areas and establish an effective response system for managing heat waves.

Public Policy Analysis: Root Causes and Solutions of Sexual Violence in Aceh

This paper aims to analyze the problem of sexual violence in Aceh using the Multiple Perspective Analysis theory introduced by William N Dunn. Sexual violence is complex problem with cases like an iceberg phenomenon where few cases are visible or openly reported while the majority of the problem remains hidden or undetected. Sexual violence cases in Indonesia are difficult to handle in many provinces, such as Aceh, where this problem has been a protracted problem that must be resolved with effective solutions. The method used in this paper is a qualitative method with secondary data sources and literature studies. The results found by the researcher show that the problem of sexual violence in Aceh caused by multiple factors ranging lack of availability for safe house facilities and the unoptimal service system from the PPA unit at Aceh police, TPKS Law that cannot be implemented optimally due to overlapping regulations with Qanun Jinayat, and the taboo discussion of “sex” in the community that impacts survivors who often get negative stigma from the community. This research provides useful implications for a sustainable sexual violence response system in Aceh that requires effective leadership from the government, efficient infrastructure, and an effective response system.

National emergency medical teleconsultation: A novel system applied during the COVID-19 pandemic in Taiwan.

Telemedicine can facilitate social distancing during an infectious disease pandemic and reduce the burden on health-care resources. Moreover, telemedicine can be utilized for medical care in remote island regions, in home health care, and during isolated major disasters such as regional earthquakes. However, the effectiveness of telemedicine for emergency consultation remains unclear. This study introduced and analyzed the national emergency medical teleconsultation (NEMTC) established in Taiwan in 2022 during the COVID-19 pandemic. In response to the COVID-19 pandemic, Taiwan's Centers for Disease Control established a temporary 24-h NEMTC contingency system. Patient information was collected from consultations through the NEMTC from April 28 to June 28, 2022. After successful consultation, physicians made recommendations for home observation, emergency department (ED) visit, or outpatient follow-up. ED visits were divided into two categories, namely self-transport and transport, by the emergency medical service system (EMSS). During the aforementioned period, 20,902 consultation requests were made through the NEMTC, and 11,804 consultations (56.5% of 20,902) were successful. Consultation success rates were significantly higher for those who had a consultation between 08:00 and 16:00, had a waiting time of less than 10 min, and were not aged between 18 and 45 years. Moreover, 8.2% of the analyzed patients were advised to visit the ED, and only 0.4% required ambulance transportation. Children and older individuals and patients with cardiovascular symptoms, shortness of breath, or neurological or abdominal symptoms had a significantly higher chance of being referred to the ED than did other individuals. The NEMTC response system can enhance the efficiency of the EMSS and can reduce the burden of patients with mild conditions overloading the EMSS and EDs. The NEMTC could serve as an effective rapid response system during future pandemics.

보험범죄 대응체계에 관한 연구

“Insurance” is a mean of enabling modern people to lead a safe life that can experience unpredictable threats. However, sophisticated criminal methods using insurance are developing as they become corporate, internationalized, and organized. To prevent this, the Special Act on the Prevention of Insurance Frauds was enacted and implemented in 2016, but insurance crimes are on the rise in the number of people caught and the amount of damage. As reported in previous studies, the damage caused by insurance crimes affects the national economy as well as individuals. Various criminal justice agencies are paying attention to such growing measures to prevent insurance crimes, but general private institutions are also working to prevent insurance crimes by setting up special organizations. Among them, the Special Investigation Unit (SIU) is composed of insurance companies and is an institution that prevents and responds to insurance crimes at the forefront. Despite its importance, there are no studies in Korea that have dealt with the current status and problems of SIU in depth. Therefore, this study aims to analyze the significance of insurance crimes and the insurance crime room through literature review, and to explain the response system to insurance crimes, focusing on the SIU, an investigation team of private insurance companies in Korea, to efficiently investigate the current increase in insurance crimes. Based on these results, suggestions were made to establish an effective response system for insurance crimes.

Development of rapid and effective oil-spill response system integrated with oil collection, recovery and storage devices for small oil spills at initial stage: From lab-scale study to field-scale test

In the present study, through the laboratory-to-field scale experiments and trials, we report the development and evaluation of an integrated oil-spill response system capable of oil collection, recovery (separation), and storage, for a timely and effective response to the initial stage of oil-spill accidents. With the laboratory-scale experiments, first, we evaluate that the water-surface waves tend to abate the oil recovery rate below 80% (it is above 95% for the optimized configuration without the waves), which is overcome by installing the hydrophilic (and oleophobic) porous structures at the inlet and/or near the water outlet of the separator. In the follow-up meso-scale towing tank tests with a scaled-up prototype, (i) we optimize the maneuverability of the assembled system depending on the speed and existence of waves, and (ii) evaluate the oil recovery performance (more than 80% recovery for the olive oil and Bunker A fuel oil). Although more thorough investigations and improvements are needed, a recovery rate of over 50% can be achieved for the newly enforced marine fuel oil (low sulfur fuel oil, LSFO) that was not targeted at the time of development. Finally, we perform a series of field tests with a full-scale system, to evaluate the rapid deployment and operational stability in the real marine environment. The overall floating balance and coordination of each functional part are sustained to be stable during the straight and rotary maneuvers up to the speed of 5 knots. Also, the collection of the floating debris (mimicking the spilled oil) is demonstrated in the field test. The present system is now being tested by the Korea Coast Guard and we believe that it will be very powerful to prevent the environmental damage due to the oil spills.

최근 드론위협 양상에 따른 대응체계 발전방안

Drones are the best threat with maximum cost-effectiveness. It can be purchased at a reasonable and economical cost, and can be remotely separated and attacked through manipulation. Recently, it has been used as a major means in terms of hybrid and psychological warfare such as crime, terrorism, and war. However, the response system to the ever-increasing drone threat is weak. There is no effective countermeasure at the pan-government level.
 The purpose of this study is to respond to the increasing drone threats at home and abroad. It analyzes the response status related to drone threats and presents an effective response system within the golden time. In particular, it was analyzed in the governance response system of major related agencies. We would like to present policy development plans focusing on R&D technology development and the national terrorism response system.
 As a result of the analysis, it was proposed to develop core technologies linked to pan-government, research institutes, and companies based on the control tower. Second, a joint standard response manual based on the permanent planning of related agencies was presented. Third, the effective operation of joint training was presented. Finally, the establishment of drone disablement measures by related agencies.

Expanding Medical Surge Capacity to Counteract COVID-19: South Korea's Medical Fee Adjustment Through the National Health Insurance System.

South Korea has utilized its National Health Insurance (NHI) system to adjust the medical fees payable for healthcare services, to financially support the frontline healthcare providers combating COVID-19. This study evaluated the composition of such adjustments to the medical fees-made to secure resource surge capacity against the pandemic-in South Korea. Descriptive statistics and schematization were employed to analyze 3,612,640 COVID-19-related NHI claims from January 1, 2020, to June 30, 2021. COVID-19 suspected and confirmed cases were evaluated based on the proportion of fees adjustment, classified into space, staff, or stuff (3S) using diagnosis codes. The proportion of fees adjustment was investigated in terms of the healthcare expenditure, number of patients, and number of healthcare services covered. First, in terms of cost, medical fee adjustments covered over 96% of the total costs arising from the increased demand for testing (stuff) and isolated spaces among patients suspected of having COVID-19. Second, medical fees were adjusted to cover over 80% of the cost attributable to COVID-19 confirmed cases, in relation to isolated spaces and medical staff support. Third, the adjustment of less than 10% of the various types of medical fees, if selected strategically, can effectively induce a surge in resource capacity. South Korea has improved its existing surge capacity by adjusting the medical fees payable through NHI to healthcare providers. Particularly, through the provider payment system of fee-for-service, the Korean government could prevent the spread of infection and protect the medical staff assigned to respond to COVID-19. However, additional studies on alternative payment systems are needed to control costs while maintaining an effective pandemic response system in the face of the prolonged COVID-19 outbreak.

Effective Responses to Public Emergencies at the Urban Community Level: A Perspective of COVID-19 Prevention and Control

Community is directly responsible for implementing the policy measures against public emergencies such as extreme weather, earthquake, flash flood and pandemic diseases. Summarizing the experience at the urban community level can help promote the global emergency management. This paper, from the perspective of COVID-19 prevention and control, selects three communities with different features to explore an effective response system for public emergency management at the urban community level. It demonstrates that based on a centralized leadership, the multi-level governance (MLG) network combined with information technology has mobilized their participation in combating COVID-19 and ensured the effective and timely response to the public emergencies, which blocked the spread of epidemic to the greatest extent, proving worthy of being promoted as one of the Chinese approaches and Chinese wisdom.

Emergency Medical Response for Non-Hospitalized Person Events in a Children's Hospital.

Hospital-based code blue (CB) teams are designed for hospitalized patients (HP) with unanticipated medical emergencies outside of an ICU. At our freestanding pediatric institution, the same team responds to CB calls involving nonhospitalized persons (NHP) throughout the hospital campus. We hypothesized there are significant differences between the characteristics of NHP and HP requiring emergency medical response, and most responses for NHP do not require advanced critical care. We analyzed a retrospective cohort of CB responses at our large, urban, academic children's medical center from January to December 2017. We evaluated the demographic and clinical characteristics of these HP compared with NHP events. There were 168 CB activations during the study, of which 135 (80.4%) were for NHP. Ninety-one (67.4%) of the NHP responses involved adults (age >18 years) compared with 6 (18.2%) of the HP. Triggers for CB team activation for NHP were most frequently syncope (42.2%), seizure (10.3%), or fall (9.6%) compared with seizure (30.3%), hypoxia (27.3%), or anaphylaxis (12.1%) for HP. Critical interventions such as bag-mask ventilation and cardiopulmonary resuscitation were infrequently performed for either cohort. CB activations in our pediatric institution more often involve NHP than HP. NHP responses are more likely to involve adults and infrequently require advanced interventions. Use of a pediatric CB team for NHP events may be an unnecessary use of pediatric critical care resources. Future studies are warranted to evaluate the most effective team composition, training, and response system for NHP in a freestanding children's hospital.

Drug Response Prediction of Liver Cancer Cell Line Using Deep Learning

Cancer is the second deadliest human disease worldwide with high mortality rate. Rehabilitation and treatment of this disease requires precise and automatic assessment of effective drug response and control system. Prediction of treated and untreated cancerous cell line is one of the most challenging problems for precise and targeted drug delivery and response. A novel approach is proposed for prediction of drug treated and untreated cancer cell line automatically by employing modified Deep neural networks. Human hepatocellular carcinoma (HepG2) cells are exposed to anticancer drug functionalized CFO@BTO nanoparticles developed by our lab. Prediction models are developed by modifying ResNet101 and exploiting the transfer learning concept. Last three layers of ResNet101 are re-trained for the identification of drug treated cancer cells. Transfer learning approach in an appropriate choice especially when there is limited amount of annotated data. The proposed technique is validated on acquired 203 fluorescent microscopy images of human HepG2 cells treated with drug functionalized cobalt ferrite@barium titanate (CFO@BTO) magnetoelectric nanoparticles in vitro. The developed approach achieved high prediction with accuracy of 97.5% and sensitivity of 100% and outperformed other approaches. The high performance reveals the effectiveness of the approach. It is scalable and fully automatic prediction approach which can be extended for other similar cell diseases such as lung, brain tumor and breast cancer.

Actual areas of improvement of Ukrainian legislation in the field of prevention of gender-based violence

The article analyzes current directions of improvement of the legislative institute in the field of prevention of gender-based violence in Ukraine. Information about a positive trend in regulatory changes to the Criminal Code of Ukraine and the Code of Ukraine on Administrative Offenses was studied. t was found that the term «gender-based violence» includes not only women and girls, but also other population groups, as well as different situations in which such a manifestation of violence is possible. The opinion is proved that the legislation itself or the appropriate changes made to it will not be able to fully provide a mechanism for combating gender-based violence. The importance of the interaction of regulatory provisions and practical actions of relevant state authorities, local self-government bodies, public organizations, and medical services in the mechanism of combating gender-based violence is highlighted. At the same time, it was found that the National Police of Ukraine plays a significant role in ensuring an effective response system to violence. The problem of repeated perpetration of such violence, impunity for the offender, and generally «healthy» social relations directly depends on the effectiveness of the response of the authorized units of the National Police of Ukraine to the facts of violence and counteraction to it. Attention is paid to the issue of a particular aggravation of gender-based violence during the period of Russia's armed aggression. The «weakness» of the norms of international law regarding the prosecution of perpetrators of violent acts was determined. Conclusions were made that the adoption of a number of legal acts on the regulation of gender relations led to the formation of a mechanism for realizing gender equality, reducing cases of discrimination, ensuring equal rights of women and men in all spheres of society's life.

The incidence of postoperative cardiac arrest and pre-resuscitation factors associated with post- cardiopulmonary resuscitation mortality: a single-center study in Thailand

Background: The author aimed to determine the incidence of in-hospital postoperative cardiac arrest requiring cardiopulmonary resuscitation (CPR), postoperative CPR mortality and pre-resuscitation factors associated with post CPR mortality. Method: A retrospective cohort study was conducted at King Chulalongkorn Memorial Hospital in Thailand from September 2018 through August 2020. A total of 34,590 adult patients underwent surgical procedures under anesthesia were recruited by electronic data recorded review. A subset of patients with postoperative CPR was collected for demographic data, comorbidities, ASA classification, operative time, functional class, types of surgery, postoperative complications, the number of deaths and survival, and SOS score at 4 hours preceding cardiac arrest. Results: A total of 34,590 adult surgical patients were recruited. In-hospital postoperative cardiac arrest incidence was 12 patients per 10,000 surgeries and predominated in emergency operation (28 per 10,000 surgeries; P< 0.0001). Risk ratio of emergency operation resulted in postoperative CPR was 3.15 (95% CI 1.72-5.77; P<0.001). Postoperative cardiac arrest patients aged 64.07 ± 16.58. The BMI was 23.46 ± 5.83. Mostly they were in ASA category 3 (44.2%). Everyone had general anesthetic procedures. The most common comorbidity was hypertension. In-hospital postoperative CPR mortality was 62.8%. Factors possibly predisposed to it were functional class < 4 METS, colorectal surgery and SOS score at 4 hours prior to cardiac arrest of at least 8. Conclusion: Incidence of in-hospital postoperative cardiac arrest and mortality after CPR in the study tended to be lower than that of previous studies. Emergency operations predisposed to cardiac arrest. SOS score was possibly valuable as a prognostication tool, ICU triage, as well as, a part of the early warning score to prevent the overwhelming crisis. Surveillance for patient’s deterioration, effective rapid response system, and comprehensive preoperative rehabilitation should be emphasized.

Cholera and Society: Anti-epidemic Practices in Western Europe, the Russian and Ottoman Empires in the 19th - early 20th centuries.

The article is devoted to a comparative analysis of the composition and dynamics of the development of the anti-epidemic response of state, scientific, medical and public institutions of the leading countries of Western Europe, the Russian and Ottoman empires during the five cholera pandemic waves in the 19th - early 20th centuries. The difference in the unique features of social, cultural, political life and, at the same time, a general orientation towards one vector of development (western trend) make the analysis possible and relevant. The actuality layed not only in the general scientific sense, but also applicable to the current anti-epidemic practice of the emerging covid-19 pandemic. The comparative study is based on a comprehensive analysis of Russian, American, English and Turkish historiography. The work proves that the development of an anti-epidemic strategy is always the product of the already established tendencies of perception and response to emergencies and extraordinary situations in society, formats or patterns of “responses” to a global “challenge”, which in the course of events are only subject to certain adjustments, additions, updates. Confidence in the chosen strategy or the search for a strategy, the harmony of the chosen path or its search for social trends, plays a huge role. So, the general situation in Western European countries with a set of social characteristics inherent in them by the beginning of the 19th century (secularism, the leading role science and its self-developing potential, the development of public life and civil society institutions) only reinforced the chosen direction of the search for anti-epidemic policy algorithms, despite the delayed result, led to positive shifts both in the fight against cholera and the development of medicine in society as a whole (health care system, social hygiene, sanitation, preventive vaccination, etc.). Irregularities in the development of these social signs, with a general orientation towards a search path similar to Western Europe, the inconsistency of the relationship between power, medicine and society in the Russian Empire, did not lead, despite noticeable successes in certain clusters, to the organization of a common national health system till the beginning of the XX century subject to the vast territorial extent of the country, the key to effective implementation of choleratic measures. The transition to the European principles of anti-epidemic response in the harsh conditions of constant foreign policy pressure, the almost complete absence of a social foundation for the accumulation of innovations, or its deliberately secondary nature for social dispositions, the unpreparedness of the social system to massively rigid introduction of new principles, institutions, methods, practices and rules in society, as happened with the Ottoman Empire in the 19th century, did not contribute, despite the creation of almost all links and the maintenance of their performance, the addition of a national health system capable of developing an effective anti-epidemic response system in the conditions of the Ottoman society.

A study on the legislative trend of cybersecurity legislation - Focusing on changes in legislation according to the amended 「NATIONAL INTELLIGENCE SERVICE KOREA ACT」 -

Since the late 2000s, as the importance of political, social, and cultural activities in cyberspace has been emphasized, interest in cyberspace safety and security has expanded. Therefore, in order to take systematic and prompt action in case of an accident while preparing measures against the threat, the role of intelligence agency is important. Cyberattacks taking place in cyberspace are technical and information security issues that need to be addressed at the individual or organizational level, and it is a problem that requires an immediate and comprehensive response at the national level, and the need for international cooperation is growing. Korea, a divided country, has a strong dependence on ICT and a high vulnerability to cyber safety, but it is criticized that the legal system in the field of cyber security to prepare for this is still insufficient. In this situation, it was pointed out that it is difficult to respond systematically and efficiently in the event of a cybersecurity crisis, and the legal basis for performing the mission is insufficient. Various types of cyber security related bills have been submitted according to the need to enact the Cyber Security Act, but they have not been enacted due to opposition from the opposition parties and civil society for privacy violations. While sympathizing with the importance of cybersecurity and the need for related laws, the lack of trust in the National Intelligence Service, which will obtain authority through the law, is acting as a stumbling block to the establishment of the legal system. It should be remembered that there cannot be a distinction between the public and private sectors in national security and that protection of all constitutional institutions, including the executive branch as well as the legislative and judicial branches, is important. Currently, there is no cybersecurity-related law that regulates both the public and private sectors and encompasses all other constitutional institutions such as the judiciary and legislative branch. In the meantime, the recent revision of「NATIONAL INTELLIGENCE SERVICE KOREA ACT」as an opportunity to clearly stipulate the cyber security mission of the National Intelligence Service and to enact the first presidential decree-related cyber security-related norms is an encouraging change. Therefore, this paper analyzes the recently reorganized Legislative Trends and Future Tasks for Cybersecurity Legislation- Focusing on changes in legislation according to the amended「National Intelligence Service Act」, 「Cyber Security Work Regulations」 and「Cyber Security Act Bill」 from the perspective of establishing an effective response system for cyber security, and analyzes the problems of current regulations and future cyber security A legal task was proposed to strengthen the legal system.

An aggregator‐based resource allocation in the smart grid using an artificial neural network and sliding time window optimization

The success of an efficient and effective aggregator-based residential demand response system in the smart grid relies on the day-ahead customer incentive pricing (CIP) and the load shifting protocols. An artificial neural network model is designed to generate the day-ahead CIP for the aggregator based on historical data. Load scheduling is proposed as a day-ahead optimization problem that is solved using a blocked sliding window technique using parallel computing. With the assumptions made, the proposed algorithm improved the aggregator performance by reducing the overall simulation time from 275 to 45 min and increasing the aggregator forecast profits and customer savings by 11.85% and 35.99% compared to the previous genetic algorithm-based approach.

State of Post-injury First Response Systems in Nepal-A Nationwide Survey.

Injuries account for 9.2% of all deaths and 9.9% of the total disability-adjusted life years in Nepal. To date, there has not been a systematic assessment of the status of first response systems in Nepal. An online survey was cascaded through government, non-governmental organisations and academic networks to identify first response providers across Nepal. Identified organisations were invited to complete a questionnaire to explore the services, personnel, equipment, and resources in these organisations, their first aid training activities and whether the organisation evaluated their first response services and training. Of 28 organisations identified, 17 (61%) completed the questionnaire. The range of services offered varied considerably; 15 (88.2%) provided first aid training, 9 (52.9%) provided treatment at the scene and 5 (29.4%) provided full emergency medical services with assessment, treatment and transport to a health facility. Only 8 (47.1%) of providers had an ambulance, with 6 (35.3%) offering transportation without an ambulance. Of 13 first aid training providers, 7 (53.8%) evaluated skill retention and 6 (46.2%) assessed health outcomes of patients. The length of a training course varied from 1 to 16 days and costs from US$4.0 to 430.0 per participant. There was a variation among training providers in who they train, how they train, and whether they evaluate that training. No standardisation existed for either first aid training or provision of care at the scene of an injury. This survey suggests that coordination and leadership will be required to develop an effective first response system across the country.

Study on Heatwave Disaster Prevention and Control Planning System—Enlightenment of Major Countries in the World

Due to global warming, the frequency and intensity of extreme heatwave are increasing. Heatwave disaster will become one of the most serious disasters in the future. In order to reduce the impact of heatwave, comparative analysis, case analysis and induction are used to study the response measures of heat wave disasters in major countries in the world, which are divided into the following two parts: heatwave disaster monitoring and early warning system and heat-health action plan. From the perspectives of early warning standards, response measures and response agencies, the standard and complete framework of heat health action plan is proposed. Some suggestions are put forward to establish a perfect and effective heatwave response system.

Malaria Surveillance of Entry People During the COVID-19 Epidemic - Guangdong Province, China, October 2020-May 2021.

What is already known about this topic?Malaria control was affected by the coronavirus disease 2019 (COVID-19) pandemic. This study conducted active case finding for key flights and key populations to determine malaria transmission.What is added by this report?Surveillance for malaria was conducted for entry personnel coming from areas affected by malaria. It is estimated that at least 100,000 tests were conducted in Guangdong Province; 154 cases were confirmed during the surveillance.What are the implications for public health practice?To maintain the malaria elimination status, comprehensively maintaining a sensitive and effective surveillance response system is especially important.

Multidisciplinary airway response teams: Concept, structure, & implementation

Airway management challenges encompass the anticipated (eg, airway pathology, history of difficult intubation, bleeding) and the unanticipated. Challenging airway situations also occur in patients with existing in situ tracheostomy tubes and laryngectomy stomas or in intubated patients around the time of planned or unplanned extubation. Preparedness to handle difficult airway scenarios requires a structured approach to patient assessment, identification, and planning. Preparedness also necessitates an organized, disseminated, and predefined process to deliver appropriate resources efficiently to the bedside in an emergency at any time of day. Specialized equipment, multidisciplinary expertise, clinical algorithms, effective communication, and teamwork are critical components of an effective response system. A structured multidisciplinary airway rapid response team that includes both an anesthesiologist and a surgeon is one model to effect such as system.

A model for an institutional response to the opioid crisis.

The use of opioid analgesics for pain management has increased dramatically over the past decade, with corresponding increases in negative sequelae including overdose and death. Physicians, policymakers, and researchers are focused on finding ways to decrease opioid use and overdose. This crisis calls for a coordinated response that includes the entire healthcare sector. In this work, the authors lay out a blueprint for such a response at the level of the academic medical center. The proposed model is a comprehensive opioid overdose prevention, response, and education program to evaluate, monitor, and address prescription opioid-related adverse events and addiction among all patients within a healthcare system. The approach includes three inter-related elements: (1) creation of an organizational structure that is subdivided into subcommittees to facilitate cross-functional collaboration and implementation. These subcommittees will focus on Research and Design, Implementation, Advisory, and Compliance with the recommendation. (2) Development of an effective communication plan throughout the institution to enable the organization to function seamlessly and efficiently as a single unit, (3) development of a data tracking and reporting system that intended to have a 360° view of all aspects of opioid prescription and downstream patient outcomes. The most effective response system will require an organizational structure that facilitates the ad hoc constitution of cross-functional teams with members drawn from all levels of the organizational hierarchy (executive leadership to frontline staff). Such a structure provides the teams with immediate solutions as developed by the frontline staff and authority to remove institutional barriers that may delay or limit the successful implementation. The model described was developed in our institution by a cross-functional team that included members from the Johns Hopkins School of Medicine and Johns Hopkins University Carey Business School, Department of Operations Management. The multidisciplinary nature of collaboration allowed us to develop a model for an immediate institution-wide response to the opioid crisis, and one that other healthcare organizations could adopt with local modification as a template for execution. The model also meant to serve as a template for an institutional rapid-response that can be seamlessly implemented during any future drug-related crisis or epidemic.