title: Modeling hospitals' adaptive capacity during a loss of infrastructure services.
abstract: Resilience in hospitals - their ability to withstand, adapt to, and rapidly recover from disruptive events - is vital to their role as part of national critical infrastructure. This paper presents a model to provide planning guidance to decision makers about how to make hospitals more resilient against possible disruption scenarios. This model represents a hospital's adaptive capacities that are leveraged to care for patients during loss of infrastructure services (power, water, etc.). The model is an optimization that reallocates and substitutes resources to keep patients in a high care state or allocates resources to allow evacuation if necessary. An illustrative example demonstrates how the model might be used in practice.
authors.affiliation: Energy, Nonproliferation, and High Consequence Security Division, Sandia National Laboratories, Albuquerque, NM, USA.
authors.forename: Eric D
authors.initials: ED
authors.lastname: Vugrin
authors.affiliation: Energy, Nonproliferation, and High Consequence Security Division, Sandia National Laboratories, Albuquerque, NM, USA.
authors.forename: Stephen J
authors.initials: SJ
authors.lastname: Verzi
authors.affiliation: Energy, Nonproliferation, and High Consequence Security Division, Sandia National Laboratories, Albuquerque, NM, USA.
authors.forename: Patrick D
authors.initials: PD
authors.lastname: Finley
authors.affiliation: School of Civil and Environmental Engineering, Cornell University, Ithaca, NY, USA.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Turnquist
authors.affiliation: Veterans Emergency Management Evaluation Center, U. S. Veterans Administration, North Hills, CA, USA.
authors.forename: Anne R
authors.initials: AR
authors.lastname: Griffin
authors.affiliation: Veterans Emergency Management Evaluation Center, U. S. Veterans Administration, North Hills, CA, USA.
authors.forename: Karen A
authors.initials: KA
authors.lastname: Ricci
authors.affiliation: Veterans Emergency Management Evaluation Center, U. S. Veterans Administration, North Hills, CA, USA.
authors.forename: Tamar
authors.initials: T
authors.lastname: Wyte-Lake
mesh_terms: D002959:Civil Defense; D004630:Emergencies; D006739:Hospital Administration; D006761:Hospitals; D006801:Humans; D017146:Models, Organizational
keywords: evacuation; hospital; infrastructure disruption; modeling; resilience