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: Working Toward Health Equity
WIHI: SBAR: Structured Communication and Psychological Safety in Health Care
WIHI: Violence Prevention and Community Health
WIHI: Patients as Partners in QI Research
WIHI: New Leadership Skills for Better Health and Health Care
WIHI: Improving Safety and Satisfaction in Ambulatory Care
WIHI: Who’s Conversation Ready? How Health Care Can Respect End-of-Life Wishes
WIHI: New Staffing Models for Primary Care
WIHI: Recognizing Person- and Family-Centered Care: Always Events at IHI
WIHI: On the (Virtual) Road with Mobile Clinics and Population Health
WIHI: Integrating Physical and Behavioral Health
WIHI: Slowdown in the Growth of US Health Care Spending
WIHI: The Ground Game of the Partnership for Patients
WIHI: Large-Scale Change Across a Country: Learning from Scotland
WIHI: Measure Up, (Blood) Pressure Down: 80% by 2016
WIHI: Home for Life, Aging, and Aging in Place
WIHI: Engaging Patients in Safety — Live from London and the International Forum on Quality and Safety
WIHI: Community Health Needs Assessments, Part 2: Lessons from North Carolina
WIHI: Community Health Needs Assessments, Part 1
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