Seismic resilience of a hospital system

This paper presents a comprehensive model to quantify disaster resilience of systems that is defined as the capability to sustain functionality and recover from losses generated by extreme events. The model combines loss estimation and recovery models and can be applied to critical facilities (e.g. hospitals, military buildings, etc.), as well as utility lifelines (e.g. electric power systems, transportation networks, water systems etc.) that are crucial to the response of recovery processes, decisions and policies. Current research trend leads toward the definition of complex recovery models that are able to describe the process over time and the spatial definition of recovery (e.g. meta-models for the case of health care facilities). The model has been applied to a network of hospitals in Memphis, Tennessee. The resilience framework can be used as a decision support tool to increase the resilience index of systems, such as health care facilities, and reduce disaster vulnerability and consequences.

[1]  R J Maxwell,et al.  Quality assessment in health. , 1984, British medical journal.

[2]  Stephanie E. Chang,et al.  Disasters and transport systems: loss, recovery and competition at the Port of Kobe after the 1995 earthquake , 2000 .

[3]  Stephanie E. Chang,et al.  Modeling Community Recovery from Earthquakes , 2006 .

[4]  Michel Bruneau,et al.  Framework for analytical quantification of disaster resilience , 2010 .

[5]  R. Spence,et al.  Earthquake Protection: Coburn/Earthquake Protection, Second Edition , 2006 .

[6]  Daniel J. Alesch,et al.  Seismic Retrofit of California Hospitals: Implementing Regulatory Policy in a Complex and Dynamic Context , 2004 .

[7]  Michel Bruneau,et al.  Exploring the Concept of Seismic Resilience for Acute Care Facilities , 2007 .

[8]  Gian Paolo Cimellaro,et al.  Retrofit of a hospital through strength reduction and enhanced damping , 2006 .

[9]  James M. Kendra,et al.  Elements of resilience after the World Trade Center disaster: reconstituting New York City's Emergency Operations Centre. , 2003, Disasters.

[10]  Nobuoto Nojima,et al.  Nisqually Earthquake Electric Utility Analysis , 2006 .

[11]  Jomon Aliyas Paul,et al.  Transient Modeling in Simulation of Hospital Operations for Emergency Response , 2006, Prehospital and Disaster Medicine.

[12]  D. Alexander.  The health effects of earthquakes in the mid-1990s. , 1996, Disasters.

[13]  Stephanie E. Chang,et al.  Modeling spatial and economic impacts of disasters , 2004 .

[14]  Gian Paolo Cimellaro,et al.  Multi-Dimensional Fragility of Structures: Formulation and Evaluation , 2006 .

[15]  R. Barrón-Corvera.  Spectral evaluation of seismic fragility of structures , 2001 .

[16]  Karin V Rhodes,et al.  The effect of crowding on access and quality in an academic ED. , 2006, The American journal of emergency medicine.

[17]  Thalia Anagnos,et al.  Development of a National Earthquake Loss Estimation Methodology , 1997 .

[18]  Stephanie E. Chang,et al.  Measuring Improvements in the Disaster Resilience of Communities , 2004 .

[19]  Michel BRUNEAU,et al.  Seismic Resilience of a Health care facility , 2005 .

[20]  David I Blockley.  Risk based structural safety methods in context , 1999 .

[21]  Gian Paolo Cimellaro,et al.  Quantification of Seismic Resilience , 2006 .

[22]  Michel Bruneau,et al.  A Framework to Quantitatively Assess and Enhance the Seismic Resilience of Communities , 2003 .

[23]  S. Taghavi,et al.  Probabilistic Study of Peak Floor Acceleration Demands in Nonlinear Structures , 2012 .

[24]  L B Bourque,et al.  Fatal and hospitalized injuries resulting from the 1994 Northridge earthquake. , 1998, International journal of epidemiology.

[25]  Gian Paolo Cimellaro,et al.  Quantification of Disaster Resilience of Health Care Facilities , 2009 .

[26]  Michel BRUNEAU,et al.  SEISMIC RESILIENCE OF COMMUNITIES – CONCEPTUALIZATION AND OPERATIONALIZATION , 2004 .

[27]  S.W.A. Gunn,et al.  Health effects of earthquakes , 1995 .

[28]  Joonam Park,et al.  PROBABILISTIC DECISION ANALYSIS FOR SEISMIC REHABILITATION OF A REGIONAL BUILDING SYSTEM , 2002 .

[29]  Hannah McGee,et al.  Outpatient clinic waiting times and non-attendance as indicators of quality , 2000 .

[30]  Luh-Maan Chang,et al.  Rehabilitation Decision Analysis and Life-Cycle Costing of the Infrastructure System , 2003 .