A Framework for Healthcare Resilience During Widespread Electrical Power Loss

Abstract

Healthcare delivery systems are vulnerable to a prolonged loss of electric power, particularly an extended regional or multi‐region breakdown in the electric grid. This is attributable to the reliance of acute care and ambulatory facilities on continuous electric supply for both life‐saving and vital facility support functions. We describe how a framework for disaster resilience can be applied to improve healthcare system adaptability to such scenarios. Our recommendations emphasize important preparedness efforts necessary to maintain—as best as possible—healthcare services during a period of extended regional of multi‐region electrical power loss.Specifically, we call for the development and activation of energy resilient disaster resource hospitals, the need for enhanced healthcare coalition (HCC), Medical Reserve Corps, and national disaster medical system involvement during high‐impact electric outage conditions, the necessity for a centralized federal coordination function, and public engagement to facilitate a culture of resilience to health disasters, including the extended loss of power. In order to increase preparedness, we advocate the development and implementation of pilot projects intended to enhance health sector resilience to power grid failure.