Healthcare facilities face extraordinary challenges threatening their ability to provide continuous, life-saving care. From severe weather to cybersecurity attacks and grid instability, the threats to healthcare infrastructure have never been more diverse or frequent. The COVID-19 pandemic further underscored the critical importance of resilient healthcare systems that can adapt, withstand, and recover from any adversity.
Understanding True Resiliency
Resiliency in healthcare goes far beyond simply having backup generators and contingency plans, though these remain essential foundations. True resiliency embodies six key qualities that healthcare facilities must cultivate:
- Adaptability enables facilities to adjust quickly to new conditions and disruptions. This might mean rapidly reconfiguring spaces during a pandemic or adjusting operations during extreme weather events.
- Strength provides the inherent robustness to withstand significant stress without system collapse. This includes both physical infrastructure durability and operational stability under pressure.
- Redundancy ensures critical systems have backup components ready to maintain functionality when primary systems fail. Modern healthcare cannot afford single points of failure for life-critical systems.
- Self-Sufficiency reduces dangerous dependencies on external support during emergencies. Facilities operating independently for extended periods protect patients and staff when outside resources become unavailable.
- Proactivity involves anticipating challenges before they occur and implementing preventive measures. Rather than simply reacting to problems, resilient facilities identify vulnerabilities, such as aging equipment or outdated systems, and address them systematically.
- Consistency maintains reliable performance over time, regardless of external pressures. Patients and staff must be able to count on essential systems functioning properly, day after day.
A Comprehensive Approach to Risk
Building true resiliency requires moving beyond basic risk mitigation to embrace a comprehensive approach. This process begins with identifying all critical systems supporting patient care and facility operations, because healthcare fails when the underlying infrastructure fails.
The next step involves conducting detailed system evaluations using established guidelines like NFPA 99, inspecting performance levels and identifying deficiencies before they become failures. This evaluation feeds into thorough risk analysis, assessing both the likelihood and potential impact of each identified risk using techniques like failure mode and effects analysis.
Prioritization follows, assessing risk analyses that categorize threats based on their potential impact on patient safety and operations. High-priority risks demand immediate attention, while medium—and low-priority items can be addressed systematically over time. Effective mitigation strategies address priority risks through regular maintenance, installation of redundant systems, and comprehensive emergency procedures. However, the process doesn't end with implementation—continuous monitoring and improvement ensure that risk management evolves with changing conditions and new threats.
Innovative Solutions and Future Opportunities
Modern resiliency increasingly relies on innovative technologies like smart building controllers that bridge legacy and cutting-edge systems, thermal energy storage that provides backup power, and integrated automation that optimizes performance while reducing vulnerabilities.
While the upfront investment in resilient infrastructure may seem daunting, innovative financing solutions are making comprehensive upgrades more accessible than ever, something we will explore in detail in upcoming articles.
Healthcare facilities that embrace this comprehensive approach to resiliency don't just protect against disasters, they create more sustainable, efficient, and reliable environments that better serve their communities while supporting long-term organizational success.
Author
Christy Fetsch is the Healthcare Vertical Market Strategy Leader at Trane, where she spearheads the development and execution of go-to-market strategies for the healthcare sector across Trane’s controls, services and commercial equipment.
Since joining Trane in 2007, Christy has held progressive key roles within the energy services organization, serving as a trusted advisor to healthcare networks and commercial spaces on building decarbonization and energy management. Passionate about marrying energy with technology and data, Christy works closely with Trane engineers to address healthcare building management needs through product innovation.
An accomplished industry speaker on energy and decarbonization, her contributions to the healthcare engineering field have been recognized with Trane’s Growth Through Innovation award and the Contributor of the Year award by the American Society of Healthcare Engineers, Kentucky Chapter.
Christy graduated from the University of Kentucky, earning a bachelor’s degree in mechanical engineering. She is a LEED Accredited Professional (LEED AP) and a Certified Energy Manager (CEM).
Connect with Christy Fetsch on LinkedIn.
