Literature Review

Health care system adaptation and resilience during the wildfire crisisJAMA Network; by Attila J. Hertelendy, PhD, Jeremy Maggin, MD, MS, and Gregory Ciottone, MD; 3/19/25 ... Within a span of hours, the Palisades and Eaton fires, propelled by record-breaking Santa Ana winds reaching 150 miles per hour, consumed more than 37,000 acres, destroyed more than 16,000 structures, and claimed 29 lives. All told, greater than 186,000 residents were placed under evacuation orders. ... The experience in Los Angeles County demonstrates the value of maintaining dual-purpose resources: facilities and personnel who can transition between routine operations and emergency response functions. This approach is exemplified by Kaiser Permanente’s successful deployment of mobile health vehicles and the use of clinically trained administrative leaders in direct patient care roles during crisis events. Key elements of successful resource mobilization include:

East End Hospice building Saved in LI fires: 'Angels watching over us' Patch, Westhampton-Hampton Bays, NY; by Lisa Finn; 3/10/25 From the ashes of the raging brush fires in the Westhampton area this weekend, a miracle emerged: Despite just being located feet from the spot where charred trees bear testament to the blaze, a structure still stands — the East End Hospice building survived the fire. "Here is our headquarters," East End Hospice President and CEO Mary Crosby wrote on social media. "... inside this building we coordinate the care of hundreds of patients each day. We answer more than 1,000 phone calls a week from families, hospitals, physicians and field staff. Without the dedicated people who work here, there would be no East End Hospice." On Sunday [3/9], she wrote: "Just 24 hours ago, flames roared around this building, damaging our storage structure and spilling into the parking lot. People have said it’s a miracle the building didn’t burn. We know the truth. It was the dedication and skill of our local fire departments that kept our headquarters standing. In the early hours of the fire. We received very little information until a text came through from a firefighter on the ground: 'We saved Hospice.'"

After Eaton fire response, a search and rescue team gears up for a future of wildfire DirectRelief; by Talya Meyers; 2/10/25 Like many California volunteer rescuers, Sierra Madre Search and Rescue Team members got their start doing wilderness missions. Now, they’re preparing for a bigger role in an era of more frequent, severe wildfires. When the volunteers on the Sierra Madre Search and Rescue Team look back on the first night’s response to the Eaton Fire, what they remember most is problem-solving, and quickly. ...  “We were building an airplane while we were flying it,” is how operations leader Carolyn Grumm described it. ... For [Rob Klusman, senior paramedic team member], the vast and urgent need came into focus early that evening, when his team went to check on a medically complex patient receiving end-of-life care. ... [Immediately after countless evacuations,] he and his teammates moved into their second, grimmer assignment: Moving through devastated, burned-out neighborhoods, ... to find human remains. ... [Now, on] a larger scale, Klusamn explained, California search and rescue teams are thinking about the escalating severity and frequency of wildfires — and how they can be there to respond.

Red Cross urging blood donations amid severe weather, wildfires ABC News 27 WKOW, Madison, WI; by Chad Thompson; 1/22/25 The American Red Cross is encouraging donors to give blood or platelets as winter storms and California wildfires have impacted blood supply. Donors of all blood types – particularly type O negative blood donors and those giving platelets – are needed to help save lives this month, according to a press release. "As dangerous snow and ice continue to sweep across the country, and wildfires in Southern California continue to burn and impact air quality, Red Cross blood drive cancellations have grown into the hundreds," the release stated. Red Cross said those events have resulted in more than 12,000 uncollected blood and platelet donations in January. More winter storms are forecast for this week could further strain the blood supply.Editor's note: Does your agency partner with your local Red Cross? The hospice I served regularly used our Community Room for Red Cross blood donations, a couple of times each year. These interactive experiences fostered great morale and humanity across all roles--side-by-side--giving "life" in a practical, affordable, meaningful way.

Grant helps launch paramedicine program for patients in need Westfair Business Journal, Sleepy Hollow, NY; by Westfair Online; 11/15/24 Northwell Phelps Hospital received a $125,000 grant from the Phelps Community Foundation to help launch the Westchester Community Paramedicine Program. ... They will utilize remote physiological monitoring to track blood pressure, oxygen saturation and cardiac rhythms, providing convenient and cost-effective care compared to emergency room visits. “This program is designed to address the gap in access to primary and nonemergency medical care for vulnerable populations,” said Barry Geller, M.D., chair of the emergency department and associate medical director at Phelps Hospital. ...  The initiative will first focus on patients served by Phelps’ palliative care, geriatric and emergency medicine programs with plans to expand service to cancer patients. It is expected to reach approximately 200 individuals during the first year, ...

Comprehensive Care in South Valparaiso: Clinicl bridges urgent and palliative needs ABNewsWire; 5/14/24 ... South Valparaiso – Immediate & Urgent Care Clinic’s expansion into palliative care signifies a positive step towards a more comprehensive healthcare landscape in South Valparaiso. Here’s a look at some potential implications of this development:

Tenet adds 45 ASCs, sells 9 hospitals in Q1Becker's Hospital CFO Report; by Alan Condon; 5/1/24 In the first quarter, Dallas-based Tenet Healthcare sold nine hospitals while its outpatient business United Surgical International Partners acquired 45 ambulatory surgery centers and added 32 service lines. Tenet has increased the number of ASCs in its portfolio to 512 and decreased the number of hospitals it operates to 49, highlighting the company's expectation that its ASC business will drive long-term growth as care continues to shift from inpatient to outpatient settings. Tenet posted a net income of $2.2 billion in the first quarter — up from $143 million in the same period last year — and aims to spend about $250 million a year on ASC mergers and acquisitions.