If you or your family were injured during a disaster like a hurricane, earthquake or forest fire, wouldn’t you want your health data to be available to first responders and others who are there to provide care? We thought you might, and we are partnering with the State of California to pilot just such a project. Working at the Office of the National Coordinator for Health Information Technology (ONC), we have had the opportunity to leverage investments in health information technology to spur innovation in public health and preparedness...
Hurricane Katrina
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How Disaster Relief Efforts Could Be Improved with Game Theory
The number of disasters has doubled globally since the 1980s, with the damage and losses estimated at an average US$100 billion a year since the new millennium, and the number of people affected also growing. Hurricane Katrina in 2005 was the costliest natural disaster in the U.S., with estimates between $100 billion and $125 billion. The death toll of Katrina is still being debated, but we know that at least 2,000 were killed, and thousands were left homeless. Worldwide, the toll is staggering. The triple disaster of an earthquake, tsunami and nuclear meltdown that started March 11, 2011 in Fukushima, Japan killed thousands, as did the 2010 Haiti earthquake...
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How Do Hospitals Know What To Do When Hurricanes Approach?
We all expect hospitals to be open and operating when we need them, but extreme weather events like hurricanes are a strain on resources and pose significant challenges for hospitals. Closing a hospital is an extreme action, but several hospitals in Florida, Georgia and South Carolina did just that before the arrival of Hurricane Irma in 2017.With more than 300 hospitals and a higher share of older adults than any other state, emergency plans for Florida’s hospitals were a critical issue facing emergency planners during those storms. This is true now as well as Hurricane Dorian approaches the state.
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How Health IT Benefits From Obama's Re-election
The day after President Obama was re-elected and Democrats held onto control of the U.S. Senate, the future looked bright to folks in the health IT field. Read More »
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How Technology Can Help Mitigate Hurricane Harvey-Like Disasters
Unfortunately, we don’t yet have technology that can prevent a storm of the magnitude of Hurricane Harvey from devastating our cities and towns. But it can help in the response, and even provide valuable information for citizens trying to survive a catastrophic event. One key is properly locating backup and recovery systems for government agencies. Typically, most cities and towns with a backup plan for their data rely on nearby data centers. That’s fine if there is a fire at the local office building or something that forces the temporary closure of government buildings...
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Hurricane Irene Highlights Life-Saving Potential of Mobile EMRs
Watching the East Coast prepare for Hurricane Irene last weekend had me flashing back to the aftermath of the tornadoes that hit Joplin, Missouri, earlier this year. Would hospitals suffer the same levels of destruction that St. John’s Regional Medical Center did? Would they be as successful in evacuating patients and treating them off-site with limited supplies and infrastructure?...
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In Disasters Such as Hurricanes, HIE Is 'As Critical as Having Roads, as Having Fire Hydrants'
The Statewide Health Information Network of New York (SHIN-NY) sees itself as a "public utility" as much as an HIE. In the wake of Hurricane Sandy, as patients bounce between hospitals (and as other public utilities, such as electricity and transportation, are compromised), it has enabled critical continuity of care. The images of dozens of red-flashing ambulances, evacuating as many as 200 patients – some of them in critical condition, some of them infants – from NYU Langone Medical Center, whose backup generator had failed, to hospitals such as Sloan-Kettering and NewYork-Presbyterian, will be some of the most enduring images from the super storm. The harrowing process was made much smoother by the fact that those patients' electronic health records were secure and readily accessible at the hospitals to which they were thanks to New York's statewide HIE... Read More »
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In Hurricane’s Wake, Decisions Not To Evacuate Hospitals Raise Questions
Now, in the late evening hours, the worst-case scenario was unfolding at the main campus of NYU's Langone Medical Center in Manhattan, which had lost much of its backup power at the height of the storm. Could North Shore-LIJ dispatch ambulances from its Lenox Hill Hospital in New York City to pick up four critically ill babies from the neo-natal intensive care unit? New York City hospital and nursing home patients and their loved ones might reasonably have believed they were safe as Hurricane Sandy approached. Mayor Michael Bloomberg had exempted hospitals and nursing homes in low-lying "Zone A" areas of the city from his pre-storm evacuation order. Much thought and planning had gone into the decision to "shelter in place."
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Industry Welcomes DeSalvo To ONC
Karen DeSalvo, MD, current health commissioner of New Orleans, will be taking the ONC reins Jan. 13, replacing acting national coordinator Jacob Reider. She is the first woman to serve in this role. Read More »
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Making Personal Health Data Available During an Emergency
Moving Counter-Clockwise: Lessons from Hurricanes, Floods and Earthquakes
The plethora of natural disasters raises all sorts of complicated but expected issues – from discussions of the legitimacy of global warming to the adequacy (or lack thereof) of on the ground relief efforts. One would have thought that post-Katrina, we would be ready, willing and able to provide immediate relief to those in need of disaster relief...despite capacities, we have been stunningly slow in moving these new services into disaster areas. Instead of technology advancing the ball, it is as if we are moving our clocks backwards. Sure, in the absence of cell towers, creative workarounds have been enabled like ATT&T facilitating communications to/from the mainland for its customers.
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ONC Chief's Early Years Inform Her Work
Karen DeSalvo, MD, has stepped into the role of national coordinator for healthcare information technology at a time when American healthcare is in a state of unprecedented change. Read More »
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Open Data Highlights Post-Harvey Mosquito Health and Safety Threat
Cities in southeastern Texas finally saw dry weather on Wednesday, after days of unprecedented rainfall from Hurricane Harvey. But while floodwaters started receding from many Houston neighborhoods, explosions at a Crosby chemical plant and Beaumont’s lost water supply showed how vulnerable the area remains to health and safety threats. Among these post-Harvey issues, storm-related flooding could increase risk for diseases spread by mosquitoes, which breed in standing water...
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Public Health Threats Emerging in Houston in the Aftermath of Hurricane Harvey
Although Hurricane Harvey's floodwaters have largely receded, public health threats are emerging over polluted floodwater and contaminated drinking water. Chemical pollution from damaged industrial sites, flooded toxic waste site, and contamination by infection-causing bacteria have been the main causes of concern. The U.S. Environmental Protection Agency (EPA) warned residents and cleanup workers who might be exposed to floodwaters to take precautions due to hazards such as dangerous debris, bacteria, and other contaminants. This article will review some of those public health threats.
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Rural America Is the New ‘Inner City’
At the corner where East North Street meets North Cherry Street in the small Ohio town of Kenton, the Immaculate Conception Church keeps a handwritten record of major ceremonies. Over the last decade, according to these sacramental registries, the church has held twice as many funerals as baptisms. In tiny communities like Kenton, an unprecedented shift is under way. Federal and other data show that in 2013, in the majority of sparsely populated U.S. counties, more people died than were born—the first time that’s happened since the dawn of universal birth registration in the 1930s...
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Sewage, Debris, Mosquitoes: Flood Waters Increase Health Risk for Harvey Victims
Tropical storm Harvey continues to threaten lives in Houston, where officials are focused on evacuating hospitals and securing life-saving emergency transportation, knowing they face long-term health threats. “Our number one priority now,” said Chris Van Deusen, a clearly frayed spokesperson for the Texas Department of State Health Services, is “to make sure hospital patients and those with medical needs are taken care of.”...
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