NDLI: Complete self-sufficiency planning: designing and building disaster-ready hospitals.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Brands, Chad K. Hernandez, Raquel G. Stenberg, Arnold Carnes, Gary Ellen, Jonathan Epstein, Michael Strouse, Timothy
Spatial Coverage	United States Florida
Description	Country affiliation: United States Author Affiliation: Brands CK ( Office of Medical Education Outpatient Care Center, All Children's Hospital, Johns Hopkins Medicine, 601 Fifth St. S, St Petersburg, FL 33701, USA. Chad.Brands@allkids.org)
Abstract	OBJECTIVES: The need for healthcare systems and academic medical centers to be optimally prepared in the event of a disaster is well documented. Events such as Hurricane Katrina demonstrate a major gap in disaster preparedness for at-risk medical institutions. To address this gap, we outline the components of complete self-sufficiency planning in designing and building hospitals that will function at full operational capacity in the event of a disaster. We review the processes used and outcomes achieved in building a new critical access, freestanding children's hospital in Florida. METHODS: Given that hurricanes are the most frequently occurring natural disaster in Florida, the executive leadership of our hospital determined that we should be prepared for worst-case scenarios in the design and construction of a new hospital. A comprehensive vulnerability assessment was performed. A building planning process that engaged all of the stakeholders was used during the planning and design phases. Subsequent executive-level review and discussions determined that a disaster would require the services of a fully functional hospital. Lessons learned from our own institution's previous experiences and those of medical centers involved in the Hurricane Katrina disaster were informative and incorporated into an innovative set of hospital design elements used for construction of a new hospital with full operational capacity in a disaster. RESULTS: A freestanding children's hospital was constructed using a new framework for disaster planning and preparedness that we have termed complete self-sufficiency planning. CONCLUSIONS: We propose the use of complete self-sufficiency planning as a best practice for disaster preparedness in the design and construction of new hospital facilities.
File Format	HTM / HTML
ISSN	00384348
Issue Number	1
Volume Number	106
e-ISSN	15418243
Journal	Southern Medical Journal
Language	English
Publisher	Lippincott Williams & Wilkins (for the Southern Medical Association)
Publisher Date	2013-01-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Medicine Disaster Planning Hospital Design And Construction Methods Cyclonic Storms Electric Power Supplies Emergency Medical Services Organization & Administration Florida Hospitals, Pediatric Humans United States Journal Article
Content Type	Text
Resource Type	Article
Subject	Medicine

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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