Date post: | 19-Jan-2018 |
Category: |
Documents |
Upload: | gloria-taylor |
View: | 220 times |
Download: | 0 times |
Understanding the Health System Impact of the Spillover Effect After Hurricane Sandy
Thomas Chandler, PhD, Benita Panigrahi, MD, David Abramson, PhD, Jeffrey Schlegelmilch, MBA, MPH,
Noelle Gallant, MA
Sandy: The 700 Year Storm?• Knocked power out for 8 million people• 32 ft wave recorded in New York Harbor• 3 feet of snow in West Virginia
http://ncdp.columbia.edu/microsite-page/hurricane-sandy-october-2012/sandy-recovery-1-year-later/
Capacity
Competency
Capability
Interviews and Focus Groups
Capacity
Competency
• EOC Communication systems not compatible
• Lack of usage of EOC systems
• Lack of familiarity with procedures
• An aging workforce with no sign of backfill
• Losing institutional memory
• Concurrent budget cuts
Capability: Effective communication among different departments and organizations
Emerging Theme
“The Spillover Effect”
• The unintended shift in baseline health system (PH + HCD) dynamics months after recovery from a disaster.
Vulnerable Populations
Disaster 12 months 18 months
Routine needs of vulnerable populations
Routine capacity of HSO’s
Post-disaster capacity of HSO’sDisaster CM capacity
Post-disaster needs of vulnerable populations
New York Academy of Medicine, North Shore LIJ, An Opportunity to Innovate: The Aging of Eastern Queens and Nassau County
Training Program
• Continuity of Operations Planning
• Case Interviewing for Outbreak Investigations
• Decision-Making & Problem-Solving Under Emergency Conditions
• Usage of Social Media during Disasters
Continuity of Operations Planning
“Mission Critical”
Protected
Redundant – Back up
Systems
Staff Roles + Organization (ICS)
Communication Plan
Coordination with Emergency Mgmt + PH
Organization & Leadership
Communicate Plan
Resources Available & Needed
Services + Client /
Stakeholder Support
Online Training
• ncdp.crlctraining.org
Implications
• 1/3 of all Americans live in counties immediately bordering the oceans
• The sea level will continue to rise this century and impact storms like Hurricane Sandy
The Aging of America