Chattanooga Times Free Press

Shooting shows vulnerabil­ity of hospitals

- BY MICHAEL TARM AND DON BABWIN

Hospitals, like schools, are not typically designed to guard against the threat of a determined gunman entering the building to take lives.

The vulnerabil­ity of health care facilities was highlighte­d by a shooter who killed four people and then himself Wednesday at a hospital in Tulsa, Oklahoma. The assailant got inside a building on the Saint Francis Hospital campus with little trouble, just hours after buying an AR-style rifle, authoritie­s said.

Here’s a look at what’s known about security at the Tulsa facility and other American hospitals:

DID THE GUNMAN HAVE TO PASS THROUGH SECURITY?

No, the 45-year-old man identified as the shooter, Michael Louis, of Muskogee, Oklahoma, parked his car in an adjoining garage, then went through unlocked doors into the medical building, authoritie­s said.

“It is an entry that is open to the public,” Tulsa Police Chief Wendell Franklin told reporters Thursday. “He was able to walk in without any type of challenge.”

It was a short walk from that entrance to the office area where Louis fatally shot his primary target, Dr. Preston Phillips. Police said Phillips

recently performed surgery on Louis and that Louis blamed the doctor for chronic pain he still suffered.

Once Louis got in, “he began firing at anyone who was in his way,” Franklin said. At least one person holding a door open for others to escape was killed.

COULD BETTER SECURITY HAVE STOPPED THE SHOOTER?

The president and CEO of Saint Francis Health System said nothing can stop somebody with guns “hellbent on causing harm.”

Dr. Cliff Robertson did not provide details about hospital security. He said the facility has procedures to deal with “difficult, unhappy patients,” though he did not elaborate.

Hospital officials planned to review their security procedures in the days ahead. There “will be a thousand questions” to answer regarding the shooting, Robertson said.

From official accounts, the reaction time of officers could not have been much better. Wendell said officers responded to the shooting within minutes and that the shooter apparently killed himself as police approached.

DO HOSPITALS LEAVE SOME ENTRYWAYS OPEN?

Yes, because some urgent medical situations require patients to be moved quickly. But some hospitals, especially ones that have dealt with violence on their grounds, have upgraded security in recent years.

Mercy Hospital in Chicago beefed up security after a 2019 attack in which a man fatally shot an attending physician who was his ex-fiance in the parking lot. He then entered the hospital, where he shot and killed a pharmacy resident and a police officer before he was fatally shot himself.

Now security officers are stationed at every entrance, and the hospital has a system that electronic­ally notifies employees of any armed intruders.

HOW COMMON ARE SHOOTINGS AT HOSPITALS?

From 2000 to 2011, there were 154 hospital-related shootings, according to a 2017 guide from the Internatio­nal Associatio­n of Emergency Medical Services Chiefs that cited the Annals of Emergency Medicine.

Nearly 60 percent of those shootings were inside hospitals, and around 40 were outside on hospital grounds, the guide said.

The attacks resulted in 235 people wounded or killed, according to the guide, which also cited data from the Bureau of Labor Statistics that indicated violence is four times more likely in health care than in other industries.

 ?? IAN MAULE/TULSA WORLD VIA AP ?? Two people hug outside at Memorial High School where people were evacuated from the scene of a shooting Wednesday at the Natalie Medical Building in Tulsa, Okla.
IAN MAULE/TULSA WORLD VIA AP Two people hug outside at Memorial High School where people were evacuated from the scene of a shooting Wednesday at the Natalie Medical Building in Tulsa, Okla.

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