{"id":3832,"date":"2012-11-21T12:39:44","date_gmt":"2012-11-21T17:39:44","guid":{"rendered":"http:\/\/www.healthit.gov\/buzz-blog\/?p=3832"},"modified":"2026-01-06T05:27:53","modified_gmt":"2026-01-06T05:27:53","slug":"hurricane-sandy-health-information-technology","status":"publish","type":"post","link":"https:\/\/healthit.gov\/blog\/insights-updates\/hurricane-sandy-health-information-technology\/","title":{"rendered":"In the wake of Hurricane Sandy: Health IT 1, Paper Records 0"},"content":{"rendered":"\n

\u201cWhen the levee breaks I’ll have no place to stay.\u201d<\/em> Led Zeppelin<\/p>\n\n\n\n

Many people in New York and New Jersey have much to be thankful for this Thanksgiving. Maybe you saw the report about 62-year-old Staten Island grandmother Phyllis Puglia, whose home was leveled by Hurricane Sandy but was able to begin to rebuild her life after the disaster.<\/p>\n\n\n\n

NBC News showed the scene of Puglia<\/a> digging through the rubble of her home. Wearing a borrowed FDNY sweatshirt and weeping, Puglia unearthed cherished family photos and some other documents from the debris. In the wake of Hurricane Sandy, people on the East Coast, especially those in New York and New Jersey, will be busy this Thanksgiving rebuilding their lives, so our thoughts are with them.<\/p>\n\n\n\n

Puglia\u2019s family photos got us thinking at ONC:<\/p>\n\n\n\n

Were patient records lost or destroyed during the storm? Are these documents floating around Southern Manhattan or along the Jersey Shore somewhere? How did health information technology systems fare? The answer is, unfortunately, paper patient records were another casualty of the storm. Health information technology, meanwhile, held up well.<\/p>\n\n\n\n

Administrators at a recently-acquired Federally Qualified Health Center (FQHC) in Queens had begun the lengthy process of transferring from paper records to an electronic health record (EHR) system when Hurricane Sandy interrupted the upload.  According to officials at the Community Health Care Association of New York State (CHCANYS), the Queens FQHC lost 1,500 paper records as the water levels rose.<\/strong><\/p>\n\n\n\n

Lawrence Armenti, a Newark primary care doctor, said the process for rebuilding a lost or destroyed paper record is difficult and time consuming. Doctors are legally required to keep patient records for seven years, so it has to be done. To start, Dr. Armenti suggested notifying the insurance companies involved so they can record that the file is lost. Physicians can try and rebuild the record using data from labs, hospitals or other providers. Information from the past 6 to 18 months should be included, he said.<\/p>\n\n\n\n

The health IT system, however, was not affected because the data was being stored offsite, the official said.<\/p>\n\n\n\n

About three weeks after the storm, CHCANYS officials said they remain unaware of any<\/em> lost patient data from their participating clinics that use health information technology. (By the way, clinics in New York have one of the highest adoption rates of health information technology in the country, near 90 percent, according to CHCANYS.)<\/p>\n\n\n\n

\u201cAs Sandy devastated areas of Staten Island and other boroughs of New York City, it wasn\u2019t able to corrupt electronic data,\u201d said Lee Stevens of the State Health Information Exchange Policy at ONC. \u201cI don\u2019t believe there was even one server lost,\u201d Stevens said, referring to data storage of EHRs in New York\/New Jersey.<\/p>\n\n\n\n

\u201cThey\u2019re still assessing what happened, but we know that it stayed up everywhere, with the potential exception of NYU Langone, where we expect to learn more. Things were not dire by any circumstance, except for those who had to be moved. But patient records were available electronically,\u201d he said. The problem was the power, not the health information technology.<\/p>\n\n\n\n

While Langone\u2019s generators are on higher ground, fuel tanks to run the generators were in the basement, according to published reports.  The storm surge, initially predicted to be about 12 feet, topped out at 14 in southern Manhattan.<\/p>\n\n\n\n

Rebuilding Patient Records after Hurricane Sandy<\/strong><\/h2>\n\n\n\n

Some health care providers had to learn the hard way about the value of having patient information stored electronically in an EHR vs. a paper record.<\/p>\n\n\n\n

Dr. Lawrence Armenti, a Newark primary care doctor, said the process for rebuilding a lost or destroyed paper record is difficult and time consuming. Since physicians are legally required to keep patient records for seven years, it has to be done.<\/p>\n\n\n\n

To start, Dr. Armenti suggested notifying the insurance companies involved so they can record that the file is lost. Physicians can then try and rebuild the paper medical record using data from labs, hospitals, and\/or other providers for the past 6 to 18 months.<\/p>\n\n\n\n

So what are the takeaways from the storm as far as health information technology is concerned?<\/p>\n\n\n\n

Lessons Learned from Hurricane Sandy<\/strong><\/h2>\n\n\n\n

Thomas Ortiz, a family physician and medical director for the NJ-HITEC program in Newark, lost power for eight days. With 38 EMR stations down, Dr. Ortiz and his team were able to see patients during daylight hours, but unable to access their data.<\/p>\n\n\n\n

Dr. Ortiz learned a couple things from the storm and has suggested a few precautions to help keep records secure in the event of a natural\u2013 or unnatural\u2013disaster:<\/p>\n\n\n\n