1. business and industrial
2. business operations
3. management
4. supply chain management

Strategic)Management)Track:)
Emergencies)and)Other)Untoward)
Events’)Impact)on)Supply)Chain)
and)the)IDN’s)BoCom)Line)
Frank&Cirillo&|&Vice&President,&Business&
Strategy&
GNYHA)Ventures&
IDN&Summit&&&Expo&2015&
FACULTY&DISCLOSURE&
The&faculty&reported&the&following&financial&relaPonships&or&
relaPonships&to&products&or&devices&they&or&their&spouse/life&
partner&have&with&commercial&interests&related&to&the&content&of&
this&CE&acPvity:&&
&
Frank&Cirillo&|&Vice&President,&Business&Strategy&
GNYHA&Ventures&
–&No&financial&interest/relaPonship&relaPng&to&the&topic&of&this&
acPvity&
Who)We)Are)
&
&
HEALTHCARE&
MANAGEMENT&&&GENERAL&
BUSINESS&SOLUTIONS.&&
IT’S)IN)OUR)DNA.)
3&
Origins)
•  Founded&by&the&Greater&New&
York&Hospital&AssociaPon&
(GNYHA)&
•  Currently&the&largest&business&
enterprise&of&any&U.S.&trade&
associaPon,&serving&nearly&
40,000&members&throughout&
the&U.S.&and&Puerto&Rico&
4&
The)GNYHA)Ventures)Businesses)
Group)Purchasing)and)Supply)Chain)
Strategy)
•  GNYHA&Services,&InnovaPx,&Essensa&
Supply)Chain)and)OperaNons)SoluNons)
•  Nexera&
5&
The)GNYHA)Ventures)Advantage)
Our&enPre&enterprise,&beginning&with&
the&AssociaPon,&operates&first&and&
foremost&as&an&advocate&for&our&
members.&
&
•  Extensive&ExperPse&
•  Dedicated&24/7&Service&
•  Flexibility&
•  Member_Focused&Mission&
&&
&
6&
&&&&&&&&&Emergency)Preparedness)
•  Commiaed&to&ensuring&that&members&
are&prepared&(drills,&exercises)&
•  Offer&services&for&all&hazards,&including&
weather_related,&fires,&explosions,&
terror&
•  Ensure&a&coordinated,&comprehensive&
response&(desk&at&NYC&OEM)&
7&
Untoward)Event)Response))
Before&
&
&&&&&&&&&During&
&
Aeer&
9&
Hurricane)Sandy)
October&29,&2012&
10&
Hurricane)Sandy:)Event)Timeline)
!  October&26,&2012:&Strategize&and&
pre_planning&
!  October&29,&2012:&Hurricane&Sandy&
hits&the&East&Coast&of&the&United&
States&
&
12&
12
The)Ebola)Virus)
20&
21&
Ebola)Response)
•  CommunicaPons&
•  Resources&
•  Training&and&educaPon&
•  Supply&chain&support,&including&
supply&tracking&and&sourcing&
22&
Strategic Management Track
Emergencies and Other Untoward
Events’ Impact on the Supply Chain
and the IDN’s Bottom Line
Presenter:
Julie Whelan,
Director, Coastal Cooperative
FACULTY&DISCLOSURE&
The&faculty&reported&the&following&financial&relaPonships&or&
relaPonships&to&products&or&devices&they&or&their&spouse/life&
partner&have&with&commercial&interests&related&to&the&content&of&
this&CE&acPvity:&&
&
Julie&Whelan,&Director,&Coastal&CooperaPve&
&
–&No&financial&interest/relaPonship&relaPng&to&the&topic&of&this&
acPvity&
MERIDIAN)HEALTH)
)
!
Meridian&Health&
•  6&Hospitals:&&1800+&beds&
•  Post&Acute&Care:&&6&faciliPes,&906&beds&
•  Home&Care,&Ambulatory&Care,&Physician&PracPces,&
Ambulance/Medical&Transport,&OccupaPonal&
Health&Centers,&RehabilitaPon&and&Fitness&Centers,&
Behavioral&Health&Centers,&Group&Purchasing&
CooperaPve&
•  12,000&employees&
•  2,000&physicians&
•  FaciliPes&located&from&north&to&south&New&Jersey&
along&the&coastal&area.&
26
Before&the&Storm&
Plenty&of&warning&
All&suppliers&cooperaPve;&received&early&deliveries&
Laundries&delivered&early&and&extra&in&anPcipaPon&of&the&worst&
Extra&food&and&water&
Employees&well&prepared&to&“ride&out”&the&storm&
Each&hospital&and&the&long_term&care&faciliPes&acPvated&a&command&
center&and&also&a&corporate&command&center&was&established&
•  Hospital&command&centers&included&senior&leaders&with&decision_making&
authority&
•  Corporate&command&center&established&at&Data&Center&included&CEO,&
President&Hospitals&CorporaPon,&CIO,&VP&MarkePng&&&CommunicaPon,&VP&
Nursing,&VP&HR,&VP&Materials&Management&
• 
• 
• 
• 
• 
• 
27
During&the&Storm&
•  Corporate&command&center&led&a&conference&call&every&2&_&3&hours&
around&the&clock&with&other&command&centers.&
•  All&hospitals&lost&power&except&one&which&had&co_gen&capacity.&&
Longest&hospital&without&power&nearly&72&hours.&
•  Corporate&command&center&without&power&for&72&hours.&
•  Re_fueling&back_up&generators&at&the&hospitals&and&the&corporate&
command&center&became&an&issue.&
•  Water&breached&one&hospital&(Riverview&Med.&Ctr.)&during&height&of&
the&storm&(paPents&not&affected)&
28
During&the&Storm&
•  Salt&water&destroyed&trash&compactor&
mechanism&at&Riverview&Medical&Center.&
•  Storeroom&supplies&on&pallets&at&this&hospital&also&
had&to&be&moved&because&of&water.&
•  Water&breached&one&nursing&home&(paPents&not&
affected).&
•  Hospitals&and&other&faciliPes&sustained&damage&&
(windows,&leaks,&etc.,&minor&compared&to&
potenPal);&paPent&care&not&interrupted&in&any&
way.&
•  Cell&phone&communicaPon&difficult.&
29
Aeer&the&Storm&
•  Unprecedented&volumes&in&Emergency&Rooms&and&hospitals.&
•  ComplicaPons&from&massive&area&and&duraPon&of&power&outage:&
–  Fuel&for&hospital&vehicles&(no&gas&staPons&open)&
–  Fuel&for&employees&aaempPng&to&commute&to&work&(no&gas&staPons&
open)&
–  PaPents&refusing&to&be&discharged&
–  Surge&of&paPents&with&basic&needs&
–  Availability&of&beds&
–  Oxygen&concentrators&
–  Retail&pharmacies&unable&to&open&for&up&to&a&week&(causing&
overwhelming&demand&for&medicaPons&at&hospitals)&
–  Funeral&parlors&
30
Aeer&the&Storm&
•  Trash&accumulaPon&problemaPc&at&one&hospital&due&to&damage&
sustained&to&trash&compactor&
•  Many&areas&in&each&hospital&discovered&not&to&be&wired&for&
emergency&power&(e.g.&dishwasher&at&one&hospital,&refrigerators/
freezers&at&another)&
•  Established&a&mobile&satellite&emergency&department&at&one&
hospital&
•  Cell&phone&communicaPon&conPnued&to&be&difficult&
•  Inadequate&medical&shelters&in&community&
•  Hospitals&became&a&“gathering”&place&for&the&community&
•  Response&of&naPonal,&State,&and&local&authoriPes&helpful&
31
Meridian&Health&Support&for&
Employees&&
and&Community&
500&employees&lost&homes&
Disaster&Relief&Fund&established&
Food&and&clothing&drive&held&
Immediate&gie&cards&issued&
Housing&assistance/family&photographs&
provided&
•  Liaison&communicaPons&with&FEMA&
•  Provided&significant&aid&across&the&community&
• 
• 
• 
• 
• 
32
Conclusions&Drawn&
•  Well&prepared&
•  Vendors&responded&adequately&
•  Damage&extensive&and&widespread;&
employees&needed&assistance&
•  DuraPon&and&breadth&of&power&outage&along&
with&inadequate&shelters&created&majority&of&
post&storm&challenges&
33
&
&
“Everyone&has&a&plan&unPl&you&get&
punched&in&the&face.”&
&
&
&& & &!"Mike"Tyson"
"
34