understanding the health system impact of the spillover effect after hurricane sandy thomas...
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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 VirginiaTRANSCRIPT
![Page 1: Understanding the Health System Impact of the Spillover Effect After Hurricane Sandy Thomas Chandler, PhD, Benita Panigrahi, MD, David Abramson, PhD, Jeffrey](https://reader033.vdocuments.net/reader033/viewer/2022052918/5a4d1bb47f8b9ab0599cdd26/html5/thumbnails/1.jpg)
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
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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
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http://ncdp.columbia.edu/microsite-page/hurricane-sandy-october-2012/sandy-recovery-1-year-later/
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Capacity
Competency
Capability
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Interviews and Focus Groups
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Capacity
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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
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Capability: Effective communication among different departments and organizations
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Emerging Theme
“The Spillover Effect”
• The unintended shift in baseline health system (PH + HCD) dynamics months after recovery from a disaster.
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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
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New York Academy of Medicine, North Shore LIJ, An Opportunity to Innovate: The Aging of Eastern Queens and Nassau County
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Training Program
• Continuity of Operations Planning
• Case Interviewing for Outbreak Investigations
• Decision-Making & Problem-Solving Under Emergency Conditions
• Usage of Social Media during Disasters
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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
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Online Training
• ncdp.crlctraining.org
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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
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The Aging of America