142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

316004
Healthcare in a Disaster Recovery – Opportunity Lost

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 11:30 AM - 11:50 AM

Sandra Stokes , Foundation for Historical Louisiana and Louisiana Landmarks Society, New Orleans, LA
Charged by the LA Legislature (with no funding allotted), the Foundation for Historical LA (FHL) commissioned a study on the possibility of reusing Charity Hospital after Katrina.  FHL raised the needed $600,000 and hired the 7th largest architectural firm in the world,  with specialties in healthcare design and preservation.   The study showed that Charity Hospital was structurally sound and could be easily and efficiently gutted with a new state of the art hospital built inside the iconic shell.  Reuse of Charity would have saved hundreds of millions of dollars, returned healthcare and jobs back to the city faster, and prevented a historic neighborhood that was in recovery mode from ultimate demolition.  

There has been much controversy surrounding the closure of Charity – particularly since only the basement had flooded.  Political agendas were set in motion using disaster opportunities that doomed the sound alternatives that could have opened a new 21st century hospital in 3 years.    Instead, a new plan to build a $1.2 billion complex was executed to replace the state public hospital – along with a $1.6  billion (and rising) VAMC . 

In order to build the new complexes, the Medical Historic District – which included Charity, the VA, and surrounding buildings – was abandoned.  67 acres of homes and businesses, many restored after Katrina using federal funds, were demolished.  Both medical complexes are still in construction 9 years after Katrina.  And to top it off, the state decided to privatize the public healthcare system; so ultimately, the new state complex is using public money to now build a private facility.

Learning Areas:

Ethics, professional and legal requirements
Other professions or practice related to public health
Protection of the public in relation to communicable diseases including prevention or control
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy

Learning Objectives:
Explain impacts of post disaster decisions Identify factors that led to the closing of Charity Hospital and the abandonment of the Medical Historic District Describe alternatives that were presented but dismissed Demonstrate the lack of protections in place for public process, for individual rights, for the value of communities, for historic properties, for private property from imminent domain, etc.

Keyword(s): Human Rights, Disasters

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Board Member of Foundation for Historical Louisiana (FHL) and Louisiana Landmarks Society
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.