1. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice August 10-11 th, 2015 NYU Kimmel Center for University Life www.PHE.gov/Research2Practice Understanding the Health System Impact of the Spillover Effect After Hurricane Sandy Thomas Chandler, PhD

2. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice

3. Sandy: The 700 Year Storm? Knocked power out for 8 million people 32 ft wave recorded in New York Harbor 3 feet of snow in several states

4. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice

7. 50 Interviews and 2 Focus Groups

8. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Capacity Competenc y Capability

9. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Capacity

10. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Competency EOC Communication systems not compatible Lack of usage of EOC systems Lack of familiarity with procedures An aging workforce with no sign of backfill Losing institutional memory Concurrent budget cuts

11. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Capability: Effective communication among different departments and organizations

12. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice

13. Emerging Theme “The Spillover Effect” The unintended shift in baseline health system (PH + HCD) dynamics during response and recovery from a disaster.

14. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Vulnerable Populations Disaster 12 months 18 months Routine needs of vulnerable populations Routine capacity of HSO’s Post-disaster capacity of HSO’s Disaster CM capacity Post-disaster needs of vulnerable populations

15. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice

16. New York Academy of Medicine, North Shore LIJ, An Opportunity to Innovate: The Aging of Eastern Queens and Nassau County

17. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Training Program: Dealing with the Spillover Effect Continuity of Operations Planning Case Interviewing for Outbreak Investigations Decision-Making & Problem Solving Under Emergency Conditions Usage of Social Media during Disasters

18. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Continuity of Operations Planning “Mission Critical” Protected Redundant – Back up Systems Staff Roles + Organization (ICS) Communicatio n Plan Coordination with Emergency Mgmt + PH Organization & Leadership Communicate Plan Resources Available & Needed Services + Client / Stakeholder Support

19. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Online Training: Crisis Decision Making ncdp.crlctraining.org

20. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice Implications 1/3 of all Americans live in counties immediately bordering the oceans The sea level will continue to rise this century and impact storms like Hurricane Sandy

21. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice The Aging of America Unique logistical and clinical challenges in flood prone nursing homes Health needs of older adults need to be taken into better consideration Impact of public health / nursing home coalitions need to be better understood

22. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice - Investigators - Thomas Chandler, PhD, Benita Panigrahi, MD, David Abramson, PhD, Jeffrey Schlegelmilch, MBA, MPH, Noelle Gallant, MA Contact: tec11@columbia.edu

23. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice August 10-11 th, 2015 NYU Kimmel Center for University Life www.PHE.gov/Research2Practice

24. ASPR/CDC/NIEHS 2015 Hurricane Sandy Conference: Translating Research into Practice www.ncdp.columbia.edu