WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
May 16, 2013
Hurricane Sandy first struck the Caribbean and then the entire East Coast of the United States at the end of October 2012. The storm smacked into New York and New Jersey especially hard, impacting millions. The story of how the largest health care system in the region, North Shore–LIJ, operated throughout to ensure patients and staff were protected and supported, under fierce circumstances, is one that communities and hospitals everywhere can learn from. This WIHI features three leaders from NS-LIJ who were responsible for every kind of decision imaginable before, during, and after the storm.
Some of the decisions included transferring hundreds of nursing home residents out of harm’s way, taking in patients from other hospitals, assisting at area shelters, buying up fuel for ambulances, and opening up a resource center for hospital staff whose homes and neighborhoods had been torn apart and flooded. One of the back stories to NS-LIJ’s response is the degree to which it was built upon critical lessons learned during Hurricane Irene, a year before. In 2009, there was the H1N1 outbreak. In each instance, the health system did things well, and saw where it fell short; now that Hurricane Sandy has come and gone, this same type of assessment continues.
Health care organizations and first responders must prepare for many types of crises and disasters. Reflecting on the recent Boston Marathon bombings, which killed three and seriously injured over 200 (NEJM, April 24, 2013), authors Arthur Kellermann and Kobi Pelag write, “The best way hospitals can prepare is to base their response on a strong foundation of daily health care delivery.” So, routine and reliably safe practices, guided by continuous quality improvement, is lesson one for emergency planning. WIHI host Madge Kaplan invites you to learn more in this timely discussion.
WIHI: Reports from the Frontlines of Effective Crisis Management
WIHI: Primary Care's (New) Pressures and Possibilities
WIHI: Health Care’s Newest Improvers: Patient and Family Advisors
WIHI: The Newest Innovator on the Block: Center for Medicare and Medicaid Innovation
WIHI: A Legible Prescription for Health Care
WIHI: Alert to Change: New Models for Residency Work Hours
WIHI: The Power of Specialty Care – and the Necessity to Use It Wisely
WIHI: The Patient Activist
WIHI: Finding the Will to Bend the Cost Curve
WIHI: Nursing’s New Roadmap: Education, the Workforce, and Health Care Quality
WIHI: The Leaders Needed for the Changes Health Care Needs
WIHI: The Power to Detect and Reduce Harm: IHI’s Global Trigger Tool and Adverse Events in the US
WIHI: Reducing Readmissions, Restoring Revenues: Making Good Care Count
WIHI: The Buzz about Medical Training: It’s (Slowly) Changing
WIHI: Leaders Never Stop Learning
WIHI: Against All Odds: Maternal Survival in Ghana and the US
WIHI: Unprofessional Behavior Not Permitted Here
WIHI: The Image of Better (Radiation) Imaging Practices
WIHI: Learning by Data and by Doing: Low-Cost, High-Quality Health Care in America
WIHI: Coaching’s the Thing for Primary Care Practice
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