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Ports in the Storm:

                                                                                              Hospitals’ Essential Role

                                                                                             During Hurricane Season


                                                                                    A revised hurricane fore-                     winds and flooding from
                                                                                  cast released in July predicts                  heavy rains and coastal
                                                                                  a very active 2021 Atlantic                     surges. Whether con-
                                                                                  hurricane        season.                        structing a new hospital or
                                                                                  Researchers  predict  20                        retrofitting an older one,
                                                                                  named storms, including                         investments in infrastruc-
                                                                                  nine hurricanes and four                        ture hardening, flood mit-
                                                                                  major hurricanes. One of                        igation, and other build-
                                                                                  these,  Hurricane   Elsa,                       ing renovations run in the
                                                                                  already made its presence                       millions, if not billions of
                                                                                  known on Florida’s coast.                       dollars.
                                                                                  This year is forecast to be the                   Despite the heavy costs,
                                                                                  sixth in a row of an above-  BY MARY MAYHEW      hospitals of all sizes from
                                                                                  average number of storms.                        coast to coast are making
                                                                                    For Florida’s hospitals,                       these    infrastructure
                                                                                  planning for these storms is paramount,   investments to protect their facilities
                                                                                  and it occurs year-round, not just during   and, most importantly, their ability to
                                                                                  the five months of hurricane season.   continue serving their communities
                                                                                  Hospitals’ plans are intended to avoid   without interruption.
                                                                                  patient evacuations as much as is safely   In South Florida, for example, an
                                                                                  possible as well as hospital closure so   assessment in 2000 of a hospital’s
                                                                                  that the community has a reliable source   resilience to potential storm damage
                                                                                  for care throughout the storm and its   from a hurricane of Category 2 or higher
                                                                                  aftermath.                           revealed vulnerabilities that could have
                                                                                    Fortunately, hurricanes, unlike other   resulted in the hospital being forced to
                                                                                  types of disasters, are “expected” or   close or evacuate in the event of a major
                                                                                  “known” events. They are forecast and,   hurricane. The hospital retrofitted its
                                                                                  therefore, can be planned for. Every hos-  facilities to enable it to withstand a
                                                                                  pital has an emergency plan that governs   Category 4 hurricane and winds of up to
                                                                                  roles and responsibilities before, during,   200 miles per hour. With the renovation,
                                                                                  and after a storm. These plans provide   today, the hospital is wrapped in a hurri-
                                                                                  detailed guidance on staffing, security,   cane-resistant shell – pre-molded panels
                                                                                  power redundancies, supplies and med-  of glass fiber-reinforced concrete – and
                                                                                  ications, equipment, facility mainte-  has impact-resistant windows and a rein-
                                                                                  nance, evacuation and patient transfer   forced roof.
                                                                                  contingencies, and coordination with   In Marathon, in the Florida Keys, after
                                                                                  local emergency response, community   Hurricane Irma, a new hospital was built
                                                                                  groups, and possible transfer facilities   to be able to withstand a Category 5 hur-
                                                                                  further inland. Needed supplies range   ricane and have emergency power lasting
                                                                                  from the routine, like saline, bandages,   up to four days. Beginning in 2005,
                                                                                  and medical gases, to the unusual, like   another hospital upgraded its facility
                                                                                  antivenom to deal with bites from snakes   over four years to strengthen the roof,
                                                                                  whose habitats are disrupted by the   reduce vulnerability to wind and flood-
                                                                                  storm. Importantly, too, emergency plans   ing, and protect medical equipment and
                                                                                  are practiced and drilled so that when   generators in addition to installing hurri-
                                                                                  disaster strikes, response can happen   cane protective window screening.
                                                                                  quickly and fluidly.                  From securing emergency generators
                                                                                    These emergency response plans are   and security personnel and stockpiling
                                                                                  designed to be flexible and adaptive to   medications and supplies to training
                                                                                  each community’s needs and each locali-  staff, running preparedness drills, and
                                                                                  ty’s circumstances and are also honed   transforming the physical infrastructure,
                                                                                  year after year based on real-world expe-  the costs for hospitals of hurricane pre-
                                                                                  riences managing storms and their    paredness are numerous and significant.
                                                                                  impacts.                             But the costs of failing to prepare are far
                                                                                    Emergency response plans are one   greater and would leave communities
                                                                                  variable in hospitals’ ability to keep their   without a trusted source of care, without
                                                                                  doors open to continue safely caring for   a port in the storm, when it is needed the
                                                                                  patients during a hurricane. Another   most.
                                                                                  variable is physical infrastructure. To
                                                                                  avoid closure, hospitals’ buildings have   Mary Mayhew is President and CEO of
                                                                                  to be able to withstand hurricane-force      the Florida Hospital Association.


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         4                         August 2021                                                             southfloridahospitalnews.com                                                                       South Florida Hospital News
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