A Community Checklist for Health Sector Resilience Informed by Hurricane Sandy

Eric S. Toner, Meghan McGinty, Monica Schoch-Spana, Dale A. Rose, Matthew Watson, Erin Echols, Eric G. Carbone

Research output: Contribution to journalArticlepeer-review

Abstract

This is a checklist of actions for healthcare, public health, nongovernmental organizations, and private entities to use to strengthen the resilience of their community's health sector to disasters. It is informed by the experience of Hurricane Sandy in New York and New Jersey and analyzed in the context of findings from other recent natural disasters in the United States. The health sector is defined very broadly, including-in addition to hospitals, emergency medical services (EMS), and public health agencies-healthcare providers, outpatient clinics, long-Term care facilities, home health providers, behavioral health providers, and correctional health services. It also includes community-based organizations that support these entities and represent patients. We define health sector resilience very broadly, including all factors that preserve public health and healthcare delivery under extreme stress and contribute to the rapid restoration of normal or improved health sector functioning after a disaster. We present the key findings organized into 8 themes. We then describe a conceptual map of health sector resilience that ties these themes together. Lastly, we provide a series of recommended actions for improving health sector resilience at the local level. The recommended actions emphasize those items that individuals who experienced Hurricane Sandy deemed to be most important. The recommendations are presented as a checklist that can be used by a variety of interested parties who have some role to play in disaster preparedness, response, and recovery in their own communities. Following a general checklist are supplemental checklists that apply to specific parts of the larger health sector.

Original languageEnglish (US)
Pages (from-to)53-69
Number of pages17
JournalHealth Security
Volume15
Issue number1
DOIs
StatePublished - Jan 1 2017

Keywords

  • Checklist
  • Health sector
  • Hospital preparedness/response
  • Hurricane Sandy
  • Medical management/ response
  • Public health preparedness/response
  • Resilience

ASJC Scopus subject areas

  • Health(social science)
  • Emergency Medicine
  • Safety Research
  • Public Health, Environmental and Occupational Health
  • Management, Monitoring, Policy and Law
  • Health, Toxicology and Mutagenesis

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