Health care emergency plan modeling and simulation in case of major flood

Health care system is one of the most critical units in case of disasters. Floods cause an increase of emergency patient flow that may overwhelm hospital resources. In this paper, we present a simulation model that evaluates health care emergency plan and assesses the resilience of the Ile-de-France region in case of a major flood. We combined in the model the health care process with a Markov chain flood model. The results can be used to elaborate an optimized strategy for evacuation and transfer operations. We provide a case study on three specialties and quantify the impact of several flood scenarios on the health care system.