1. Food & Nutritions Response The Aftermath of Hurricane Sandy Betty Perez July 30, 2013 GNJSHFSA Scotch Plains, New Jersey

2. About NYU Langone Medical Center Located 100 yards from the East River and in Manhattan the most densely populated of the five boroughs Composed of three hospitals: -Tisch Hospital, 705 –Bed acute-care tertiary facility (Zone A) -Rusk Institute of Rehabilitation Medicine (Zone A) -Hospital for Joint Diseases, 190-bed (Zone B) NYU School of Medicine Multiple outpatient facilities ~15,000 employees Zone A: Flood risks from any hurricane that makes landfall close to NYC. Zone B: Flood risks for a category 2 or higher hurricane. 2

3. Super Storm Sandy at Landfall Category I Hurricane: Winds 74-95 mph Massive size: 1,000 miles in diameter Storm surge: ~14 feet high 3

4. October 29, 2012: -Views of North Service Wing Loading Dock -Corner of 34 th Street and FDR Drive (early to late evening) 4

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9. Super Storm Sandy Evacuation (10/29/2012) Water is reported in the basement of several NYUMC buildings as storm hits -Ultimately 15M gallons of water entered into Medical Center HICS Emergency Operations Center loses power during evening report; moves to secondary location and eventually to lobby Systems rapidly begin to fail Scope of damage leads to decision to evacuate patients NYC Office of Emergency Management and other hospitals notified Multidisciplinary teams safely evacuated 325 patients using med sleds for non-ambulatory patients (298 transferred to 14 other facilities/remainder transferred to Hospital for Joint Diseases) 9

10. Department of Emergency Management 10

11. 11 Department of Emergency Management

12. Starting all over…. Kitchen Demolition (New kitchen targeted to debut 8/19/2013) 12

13. Before Kitchen Equipment Removal Started 13

14. Before Kitchen Equipment Removal Started 14

15. After Removal of Production Equipment 15

16. After Removal of Walk-in Refrigerators 16

17. Temporary Kitchen 17

18. Location of Temporary Kitchen: Roof Top of Schwartz Building 18

19. Crane Used to Lift Components of Temporary Kitchen 19

20. Lifting Units 20

21. Landing and Opening First Unit (repeated again for second unit) 21

22. Temporary Kitchen on Roof Top with Two Refrigerator Units 22

23. Inside Temporary Kitchen 23

24. Staging Area (repurposed Main Cafeteria) -For assembly of patient meals -For perishable and dry storage 24

25. Staging Area 25

26. Staging Area 26

27. Retail Innovation 27

28. Roaming Food Carts Presentation Title Goes Here28

29. Repurposed the Gift Shop 29

30. Lessons Learned Reinforcement of the power of networking A true test of leadership soft skills Accounting for each staff member and returning them safely home Food and Nutrition plays an integral role in organizational emergency preparedness (evacuation and shelter in place plans) Contingency plan needs to include provisions if you lose your entire department--how do you plan to feed patients, staff, and visitors? From everything bad comes something good - Creating an opportunity to re-do… -Coming – New hospital kitchen targeted for August 19, 2013 (ground level) -Coming – New state of the art main cafeteria with a support kitchen (1 st floor) planned to debut 1 st half of 2014 (a new secondary location for emergency situations) 30

31. When people are tested they often discover strengths they never knew they had. Robert I. Grossman, MD Dean and CEO NYU Langone Medical Center 31

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33. Thank You! Betty Perez, RD, DHCFA Senior Director of Food & Nutrition Services 212-263-5170 Betty.perez@nyumc.org 33