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Hurricane Sandy: a complex storm of historic size

Hurricane Sandy: a complex storm of historic size. A number of factors contributed to Sandy’s impact. An unusual set of atmospheric conditions steered Sandy west, where other storms typically head east…

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Hurricane Sandy: a complex storm of historic size

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  1. Hurricane Sandy: a complex storm of historic size

  2. A number of factors contributed to Sandy’s impact • An unusual set of atmospheric conditions steered Sandy west, where other storms typically head east… • Hurricane Sandy was steered between a high pressure system in northern Canada and a low pressure trough over the Southeast US • Coincided with high tides

  3. Rising to the Challenge: Superstorm Sandy and the NYC Public Hospital System Alan Aviles, President & CEO American Hospital Association – April 29, 2013

  4. HHC: The Largest Municipal Healthcare System in the U.S. • 1.4 million patients, including 475,000 uninsured NYC residents • 11 acute care hospitals, 4 long-term care facilities, 6 diagnostic and treatment centers, and more than 70 community health centers • 5 facilities located in flood zones; only one in lowest lying Flood Zone A • Post-storm 2 hospitals fully evacuated, and one skilled nursing facility partially evacuated

  5. Preparing for the Worst • 3 days before: no elective admissions; cancellation of clinics/elective surgery • Extra food and medical supplies • Testing and topping generators • Extra staffing and cots readied • Precautionary patient transfers • Command centers opened • Staffing of OEM and Healthcare Evacuation Center • Twice daily system-wide conference calls established • Mobile emergency generators positioned

  6. Storm Surge Not Forecast

  7. NYC Impact • The River in the Basement • Produced by HHC – March 2013

  8. NYC Impact (10/28-10/29) • Seawalls breached, flooding to large sections of lower Manhattan • Power lost below 33rd Street, including HHC Central Office and administrative facilities • Coastal sections of Brooklyn and Staten Island flood • Severe devastation by both fire and flood to Queens beach communities • Subways and road tunnels flood

  9. NYC Devastation

  10. NYC Devastation

  11. NYC Devastation

  12. NYC Devastation

  13. NYC Devastation

  14. Flood Zones 100 and 500-Year Flood Zone (FEMA 1983)

  15. Actual Flooding

  16. Flooding: HHC Facilities Coler Bellevue Coney Island

  17. Coney Island Hospital

  18. Bellevue Hospital Center

  19. Bellevue Loading Dock

  20. Evacuation Down the Stairs

  21. Coler-Goldwater Specialty Hospital

  22. Coler-Goldwater Specialty Hospital

  23. Special Medical Needs Shelters

  24. Lessons Learned • Preparation • Communication • Central Coordination • New Issues when the emergency lasts longer: • Provision of prescription medications to community • Provision of dialysis services • Provision of “walk-in” primary care • Provision of mental health services • Staff redeployment plans • Electronic record access that follows the patient • Supporting all staff Reinforced importance

  25. Our people were awesome!

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