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: Harnessing Improvement to Reduce Diagnostic Errors and Delays
WIHI: Medicare Reimbursement and Meaningful Conversations about End-of-Life Care
WIHI: Accelerating Improvement: The Enduring Value of Collaboratives
WIHI: How Health Care Organizations Can Create Equity in the Community
WIHI: Relationships Count: Community Health Workers and Team-Based Care
WIHI: Getting Right Care, Right!
WIHI: What Students in the Health Professions Can Do for You... and Improvement
WIHI: Saving Lives by Design: Lessons for All from Ghana's Project Fives Alive!
WIHI: The Echo Effect of Project ECHO's Access to Specialty Care
WIHI: The IHI Triple Aim: Lessons from the First Seven Years
WIHI: Disability Competent Care
WIHI: Now What? Best Practices for Newly Diagnosed Cancer Patients
WIHI: Leaning In: Oregon's Coordinated Care Organizations
WIHI: Reducing Risks and Defects with Help from the Front Lines
WIHI: All Hands on Deck to Reduce C. Difficile
WIHI: The Managers and Management We Need to Improve Care
WIHI: Bundles and Buy-In for Value-Based Care
WIHI: Topping the Charts in Pediatrics and Adverse Events Reporting
WIHI: The Ups and Downs of Health Care Costs and Reform
WIHI: When Everyone Knows Your Name: Identifying Patients with Complex Needs
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