1. LESSONS FROM LOURDES FLOOD EXPERIENCE

2. Repeating the Past Major flooding occurred in April 2005 Major flooding occurred in April 2005 Lourdes remained fully operational during that period Lourdes remained fully operational during that period An earthen berm was built around the facility and kept the flood waters away An earthen berm was built around the facility and kept the flood waters away Complete loss of parking lots – 1,250 spots Complete loss of parking lots – 1,250 spots Altered patient flows Altered patient flows

3. Preliminary Planning 2006 June 27 at 11 a.m. / Conference Call with the National Weather Service: Projecting water levels similar to April 2005 of 19 – 21 feet Projecting water levels similar to April 2005 of 19 – 21 feet Heavy rains projected throughout the night into the next day Heavy rains projected throughout the night into the next day

4. Weather Service Projection… Binghamton is in the direct path of a massive tropical system

6. Lessons Learned from the Flood of 2006 Considerations for Disaster Planning: Communication Communication Past Experience Past Experience Resources Resources Record Keeping Record Keeping Finances Finances Flexibility Flexibility Recovery Recovery

7. Resources Patient Care Patient Care Additional Workloads Additional Workloads Community Resources Community Resources Equipment Equipment Transportation Transportation Food Food

9. Flexibility Facility Impact Facility Impact Staff Impact Staff Impact Community Impact Community Impact

10. Recovery Temporary vs. Permanent Recovery Temporary vs. Permanent Recovery Who to involve in Recovery Effort Who to involve in Recovery Effort Health Department Involvement Health Department Involvement Insurer and other Vendor Needs Insurer and other Vendor Needs Emotional Impacts Emotional Impacts

11. Renovations

12. MITIGATION STRATEGIES Identify Critical Department Locations Rebuild or Relocate? Installation of Internal Wall Membrane Internal Flood Pumps, Backflow Preventers Storm and Sanitary Line Gates Submersible Main Electrical and Mechanical Service Lines Construction of Permanent Flood Wall and 10 Floodgates

13. Preliminary Planning 2011 September 8 th / Conference Call with the National Weather Service: Projecting water levels exceeding 2006 by more than 6 feet to 26 feet plus Projecting water levels exceeding 2006 by more than 6 feet to 26 feet plus Heavy rains projected throughout the night into the next day Heavy rains projected throughout the night into the next day Predicting Widespread Community Devastation Predicting Widespread Community Devastation

15. MITIGATION STRATEGIES IN ACTION 2011