Call & Times

Health officials’ playbook deals with power outages, disasters

Hospital managers prepare facilities for emergencie­s

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PROVIDENCE — Emergency management officials, public health leaders, and healthcare facility administra­tors gathered at Women & Infants Hospital on Thursday for the presentati­on of “Protecting Patients When Disaster Strikes,” a new playbook that will be used to advance Rhode Island’s work to safeguard the emergency power needs of critical healthcare facilities before disasters strike.

The clear, centralize­d guidance in the playbook derives from years of emergency preparedne­ss planning and training by the Rhode Island Emergency Management Agency (RIEMA), the Rhode Island Department of Health (RIDOH), the Healthcare Coalition of Rhode Island, healthcare facilities, and other partners. Although the event was held at Women & Infants Hospital, all healthcare facilities can use the playbook, including nursing homes, health centers, and assisted living communitie­s, as well as other community organizati­ons.

“Rhode Island is susceptibl­e to power outages stemming from natural disasters such as hurricanes, winter storms, floods, as well as human-caused and technologi­cal incidents. Protecting our citizenry and critical infrastruc­ture is the top priority of our agency. Therefore, it is crucial that we work together as a state to assist critical facilities that are dependent on power to provide support to Rhode Island’s most vulnerable population­s,” said RIEMA Director Peter Gaynor.

“Climate change and cyber threats are just two of the emerging issues we must be mindful of as we look forward and work to secure Rhode Island’s power infrastruc­ture,” said Director of Health Nicole AlexanderS­cott, MD, MPH. “RIDOH’s Center for Emergency Preparedne­ss and Response has done tremendous work with hospitals and emergency preparedne­ss partners throughout the state on planning for and training for emergencie­s, as well as learning from actual incidents. Protecting Patients When Disaster Strikes will help smaller facilities such as nursing homes, health centers, and assisted living communitie­s, follow their lead and ensure that all Rhode Islanders, including the state’s most vulnerable population­s, will continue to get the health services and care they need during emergencie­s.”

“At Women & Infants Hospital, the safety of our patients, visitors, and staff is of utmost importance, and ensuring our readiness to respond in the case of an emergency or a disaster is critical,” said Diane Rafferty, interim president and chief operating officer, Women & Infants Hospital.

The playbook includes inventory material, emergency power supply contacts, facility manager checklists, and reporting informatio­n and is comprised of a fourphase planning process to help facilities safeguard their emergency power systems and expedite power restoratio­n. The four phases are: • An assessment of potential power vulnerabil­ities and guidance on how to address vulnerabil­ities before a disaster occurs.

• Guidance on how facilities can ensure reliable emergency power, should the grid go down.

• Guidance on how to operate while under emergency conditions and how to sustain efforts during emergency power operations for four days or longer.

• Informatio­n on the post-disaster recovery process, and how to best learn as an organizati­on and most effectivel­y prepare for subsequent emergencie­s.

Rhode Island is the first state to implement the initiative and will be a model for a nationwide push of the Powered for Patients program. Having officially entered hurricane season in June, the playbook could not have been completed at a better time. A copy will be distribute­d to healthcare facilities and community partners through the state.

Protecting Patients When Disaster Strikes was developed using funding from the U.S. Department of Homeland Security. The playbook references partnershi­ps with the U.S. Army Corps of Engineers, the Federal Emergency Management Agency, National Grid, the Hospital Associatio­n of Rhode Island, the American Society of Healthcare Engineerin­g, and the U.S. Department of Health and Human Services, among other organizati­ons. RIEMA and RIDOH’s Center for Emergency Preparedne­ss and Response worked with the nonprofit firm Powered for Patients on its developmen­t.

“One of the key lessons learned after Hurricane Sandy was that federal officials lacked sufficient situationa­l awareness of failing hospital generators. The Rhode Island initiative will help address this problem by developing a protocol for how to best share informatio­n about threats to backup power systems with government officials and utilities,” said Eric Cote, project director for Powered for Patients.

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