A first order evaluation of the capacity of a healthcare network under emergency.

Immediately after an earthquake a healthcare system within a city, comprising several hospitals, endures an extraordinary demand. This paper proposes a new methodology to estimate whether the hospital network has enough capacity to withstand the emergency caused by an earthquake. The ability of healthcare facilities and to provide a broad spectrum of emergency services immediately after a seismic event is assessed through a metamodel that assumes waiting time as main response parameter to assess the hospital network performance. The First Aid network of San Francisco subjected to a 7.2 Mw magnitude earthquake has been used as case study. The total number of injuries and their distributions among the six major San Francisco's Emergency Departments have been assessed and compared with their capacity that has been determined using a survey conducted by the medical staff of the hospitals. The numerical results have shown that three of the six considered San Francisco's hospitals cannot provide emergency services to the estimated injured. Two alternatives have been proposed to improve the performance of the network. The first one redistributes existing resources while the second one considers additional resources by designing a new Emergency Department. [ABSTRACT FROM AUTHOR]