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City of Houston Hazard Mitigation Plan 2012

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City of Houston

Hazard Mitigation Plan

Section VII

Appendix I

A. Texas Medical Center, Inc. Mitigation Initiatives The following proposed mitigation initiatives are provided by the participating jurisdictions of the Texas Medical Center, Inc., Texas Children’s Hospital and St. Dominic Village. Please note that the Texas Children’s Hospital and St. Dominic Village fall under the jurisdiction of the Texas Medical Center, Inc. In addition, the Ronald McDonald House and John P. McGovern Campus also fall under the jurisdiction of the Texas Medical Center, Inc. Although the Ronald McDonald House and the John P. McGovern Campus are not participants in this mitigation plan, there are mitigation initiatives for each proposed by the Texas Medical Center, Incorporated. In this case, the Texas Medical Center, Inc. would be the applicant for the mitigation grant.


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Community/Jurisdiction: Texas Medical Center Proposed Mitigation Action (describe):

Design and construct a series of interconnected Patient Evacuation Relocation System (PERS) to facilitate patient transfers, including movement during emergency conditions, such as natural disasters, and enhance employee and visitor transit flow between the critical patient care facilities of the Texas Medical Center. These PERS segments also have the potential to connect to temporary evacuation shelters which could be built on the TMC campus within buildings or garages. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado

Department Responsible: TMC Facilities Engineering will coordinate with the affected member institution management.

Pre-Existing Project? (please indicate Yes or No) No

If yes, Project Status? (i.e. Completed, Not Started, In Process, etc) If completed or in process, please state any major milestones you face with this project in the comments section below.

Priority: High

Estimated Project Cost: $104 million

Funding Method: Federal appropriations Texas Engineering Extension Service (TEEX) Federal Emergency Management Agency (FEMA) Department of Homeland Security (DHS) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures:

Installing a series of interconnected Patient Evacuation Relocation System (PERS) between the TMC critical patient care facilities will enable patient transfers during natural disasters. Additionally, PERS could connect to future temporary evacuation shelters within TMC buildings or garages. Project Affects on Future Structures:

Installing a series of interconnected Patient Evacuation Relocation System (PERS) between the TMC critical patient care facilities will enable patient transfers during natural disasters. Additionally, PERS could connect to future temporary evacuation shelters within TMC buildings or garages. Comments/Milestones: This project has been presented to various members of Congress. However, due to current temporary restrictions on line item appropriations, other funding sources are needed.


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Community/Jurisdiction: Texas Medical Center

Proposed Mitigation Action (describe): Establish a redundant City of Houston water supply to mitigate the loss of patient care services at Texas Medical Center critical care facilities by designing and constructing a stand-alone emergency water treatment facility, distribution system and groundwater well and/or storage tanks at Texas Medical Center. The facility will be operated by the City of Houston to provide an emergency potable water supply (required due to floods, hurricanes, loss of water supply due to electrical grid failure, water pressure drops, water contamination, etc.). The facilities most critical to the community that will be affected by this lack of water or low water pressure include the following inpatient facilities: The Methodist Hospital Dunn Tower, the Fondren/Brown/Alkek Building; Memorial Hermann-Texas Medical Center including the Level 1 Trauma Center, Children’s Memorial Hermann Hospital including the Level 1 Trauma Center, Cullen Pavilion, Hermann Pavilion, Heart and Vascular Institute, TIRR Memorial Hermann; Harris County Hospital District -Ben Taub General Hospital including the Level 1 Trauma Center; St. Luke's Episcopal Hospital - the Main Hospital and Texas Heart Institute; Texas Children's Hospital including the Level 1 Trauma Center, Main Hospital Abercrombie, West Tower and Pavilion for Women; and M. D. Anderson Cancer Center - the Main Campus Hospital Complex including the Alkek Tower. Hazard(s) to be Mitigated: Drought, Flood, hurricane, tropical storm

Department Responsible: Texas Medical Center Facilities Engineering to coordinate with City of Houston Managed by City of Houston Pre-Existing Project? (please indicate Yes or No) No


Priority: Medium

Estimated Project Cost: $500,000 for design and construction; $500,000 for distribution lines from treatment facility to member institutions. Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Affected operations budgets Project Schedule/Completion Timeframe: Dependent on funding.

Project Affects on Existing Structures: Provide continued operations of critical care facilities through dedicated water treatment facility separate from residential water treatment facilities.

Project Affects on Future Structures: Provide improved capabilities to potential future critical care facilities through dedicated water treatment facility separate from residential water treatment facilities.

Comments/Milestones:


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Texas Medical Center has met with City of Houston Public Works to discuss options available. Funding is needed to implement project. A survey has been conducted of the Texas Medical Center hospitals to determine backup water supply plans.


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Proposed Mitigation Action (describe): Establish a reliable City of Houston wastewater system to mitigate the loss of patient care at Texas Medical Center critical care facilities by installing backup power generation to the City of Houston’s North MacGregor Lift Station to power four wet weather pumps. The minimum backup power needs are 5 MW at 4160 volts to run two pumps, with an onsite load bank for testing and auto transfer switch. This lift station supports the Texas Medical Center’s Main Campus critical patient care facilities providing medical care for the entire Harris County and Houston region to prevent sanitary backups and loss of sanitary sewer services during periods of electric power outages caused by floods, hurricanes or other natural hazards. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm



Priority: High


Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Affected operations budgets Project Schedule/Completion Timeframe: Dependent on funding.

Project Affects on Existing Structures: Provide continued operations of critical care facilities.

Project Affects on Future Structures: Provide improved capabilities to potential future critical care facilities.

Comments/Milestones: Texas Medical Center has met with City of Houston Public Works to discuss options available. Funding is needed to implement project.


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Proposed Mitigation Action (describe): Establish a reliable City of Houston wastewater system to mitigate the loss of patient care at Texas Medical Center critical care facilities by installing backup power generation to the City of Houston’s Clinton Drive Lift Station to power 14 pumps. The minimum backup power needs are 8 MW with an auto transfer switch and onsite load bank to be located on property adjacent to the current lift station. This lift station supports the Texas Medical Center’s Main Campus critical patient care facilities providing medical care for the entire Harris County and Houston region to prevent sanitary backups and loss of sanitary sewer services during periods of electric power outages caused by floods, hurricanes or other natural hazards. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm



Priority: High







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Proposed Mitigation Action (describe): Establish a reliable City of Houston wastewater system to mitigate the loss of patient care at Texas Medical Center critical care facilities by building a second City of Houston Clinton Drive lift station for increased capacity. This lift station would support the Texas Medical Center’s Main Campus critical patient care facilities providing medical care for the entire Harris County and Houston region to prevent sanitary backups and loss of sanitary sewer services during periods of electric power outages caused by floods, hurricanes or other natural hazards. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm



Priority: High







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Proposed Mitigation Action (describe): Establish a reliable City of Houston wastewater system to mitigate the loss of patient care at Texas Medical Center critical care facilities by installing backup power generation to the City of Houston headworks at 69th Street Wastewater Treatment Plant and the influent lift station. This would allow the City of Houston to evacuate the Clinton Drive Lift Station and provide minimal treatment at the 69th Street plant in the event of a power outage. The minimum backup power needs are 7 MW with onsite load bank and auto transfer switch. This wastewater treatment plant supports the Texas Medical Center’s Main Campus critical patient care facilities providing medical care for the entire Harris County and Houston region to prevent sanitary backups and loss of sanitary sewer services during periods of electric power outages caused by floods, hurricanes or other natural hazards. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm



Priority: High







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Proposed Mitigation Action (describe):

Improve storm drainage and provide flood proofing, such as berms or floodwalls, for the North MacGregor Lift Station. Due to the low elevation of the station site, it is at risk of being submerged in floodwaters during heavy rain events and thus disabling the station’s ability to serve the Texas Medical Center’s hospitals and critical patient care facilities. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: TMC Facilities Engineering will coordinate with the City of Houston Public Works



Priority: High

Estimated Project Cost: Unknown

Funding Method: Texas Water Development Board (TWDB) City of Houston Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Installing berms and floodwalls around the North MacGregor Lift Station will reduce the risk of lift station failure and the resulting loss of essential functions necessary to sustain critical patient care at TMC’s healthcare facilities. Project Affects on Future Structures: Installing berms and floodwalls around the North MacGregor Lift Station will reduce the risk of lift station failure and the resulting loss of essential functions necessary to sustain critical patient care at TMC’s healthcare facilities. Comments/Milestones: TMC is working with the City of Houston to identify a solution.


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Improve storm drainage in the vicinity of Holcombe Boulevard and Grand Street by installing a parallel storm sewer on Holcombe Boulevard. This intersection is near the intersection of Holcombe Boulevard and Highway 288, a major route into the four Level 1 trauma centers at Ben Taub General Hospital, Memorial Hermann-Texas Medical Center, Children’s Memorial Hermann Hospital and Texas Children’s Hospital. This intersection floods during heavy rain events and thus delays ambulance traffic into the trauma centers. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: TMC Facilities Engineering will coordinate with the City of Houston Public Works



Priority: High

Estimated Project Cost: $350,000

Funding Method: Pending City of Houston Capital Improvement Drainage Project Federal Emergency Management Agency (FEMA) Department of Homeland Security (DHS) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Improving storm drainage in the vicinity of Holcombe Boulevard and Grand Street will enable stormwater to properly drain during heavy rain events, thus clearing this critical ambulance route into TMC’s trauma centers. Project Affects on Future Structures: Improving storm drainage in the vicinity of Holcombe Boulevard and Grand Street will enable stormwater to properly drain during heavy rain events, thus clearing this critical ambulance route into TMC’s trauma centers. Comments/Milestones: TMC and City of Houston met in February 2012. The City of Houston has prepared a preliminary analysis and design. Implementation is subject to funding.


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Develop strategies to manage mass casualty events including communication plans, medical supply inventories, medical staff surge plans, traffic control plans, etc. to be implemented during wide scale natural disasters. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado

Department Responsible: TMC Planning and Development Department will coordinate with the TMC Member Institutions



Priority: High

Estimated Project Cost: $100,000 - $5 million

Funding Method: Department of Homeland Security Regional Catastrophic Preparedness Grant Program Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: The development and implementation of mass casualty strategies will minimize the catastrophic effects expected to the campus traffic, security and general patient care operations of TMC’s critical care facilities during catastrophic natural disasters. Project Affects on Future Structures: The development and implementation of mass casualty strategies will minimize the catastrophic effects expected to the campus traffic, security and general patient care operations of TMC’s critical care facilities during catastrophic natural disasters. Comments/Milestones:


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Conduct a planning study to update the Texas Medical Center and City of Houston Traffic and Security Disaster Plan. The study will address the most efficient plan to manage mobility, security, access, staging areas, resources, etc. during mass casualty or other catastrophic medical events. Hazard(s) to be Mitigated:

Flood, hurricane, tropical storm

Department Responsible: TMC Security Services will coordinate with City of Houston



Priority: High

Estimated Project Cost: $200,000-$500,000

Funding Method: Regional Catastrophic Preparedness Initiative (RCPI) Urban Area Security Initiative (UASI) Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation (PDM) Hazardous Materials Emergency Preparedness Grant Program (HMEP) Department of Justice (DOJ) Project Schedule/Completion Timeframe: Dependent on funding

Project Affects on Existing Structures: Improves mobility and security of critical care facilities within the Main Campus of Texas Medical Center.

Project Affects on Future Structures: Improves mobility and security of future critical care facilities within the Main Campus of Texas Medical Center. Comments/Milestones:


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Upgrade the Texas Medical Center mobility and emergency surveillance system by expanding the existing CCTV camera system to monitor the entire Main Campus including ingress and egress routes. These cameras will enhance situational awareness during natural disaster incidents and allow for efficient deployment of resources. Integrate the Texas Medical Center monitoring system with local jurisdictions. Work has begun on the Main Campus and Main Street Corridor areas. Future campuses are dependent on funding. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: Texas Medical Center Facilities Engineering to coordinate with Harris County and City of Houston emergency management agencies. Pre-Existing Project? (please indicate Yes or No) Yes


Partially completed. Additional cameras are needed.

Priority: High

Estimated Project Cost: $400,000 - $500,000

Funding Method: Urban Area Security Initiative (UASI) Department of Justice (DOJ) Regional Catastrophic Planning Initiative (RCPI) Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Hazardous Materials Emergency Preparedness Grant Program (HMEP) Project Schedule/Completion Timeframe: Dependent upon funding.

Project Affects on Existing Structures: Improves mobility in Texas Medical Center Campus and access to its critical care facilities. Improves common operational picture to emergency management organizations within TMC region. Project Affects on Future Structures: Improves mobility in Texas Medical Center Campus and access to its future potential critical care facilities. Improves common operational picture of potential future structures to emergency management organizations within TMC region. Comments/Milestones: Through a Department of Justice grant awarded in 2009 and completed in December 2010, 13 closed circuit television cameras were installed in strategic locations around the Texas Medical Center campus. Two additional cameras were purchased and installed with Texas Medical Center funds. TMC is currently working with the City of Houston Mayor’s Office of Homeland Security on video sharing. Software has been installed which captures TranStar traffic, Reliant Stadium and Downtown Houston (US59 and SH288). In 4Q12, Hermann Park and the north


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edge of TMC’s Main Campus (Cambridge St. and Lamar Fleming Ave., will be added). Expansion of additional cameras into the Mid and South Campuses is needed.


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Provide redundant storage of video and access control equipment for the campus-wide video surveillance cameras. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: TMC Security Services



Priority: High

Estimated Project Cost:

Subject to findings of Texas Medical Center and City of Houston Traffic and Security Disaster Plan

Funding Method: Urban Area Security Initiative (UASI) Department of Justice (DOJ) Project Schedule/Completion Timeframe: Dependent on funding

Project Affects on Existing Structures: Current access control and video storage equipment is in a single location. This project would provide redundant storage at an offsite location. Project Affects on Future Structures: Current access control and video storage equipment is in a single location. This project would provide redundant storage at a future offsite location. Comments/Milestones:


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Provide replacements for high-mileage emergency patrol vehicles that will allow for a quicker response to emergency situations during natural disasters and to assist with traffic and mobility issues. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High

Estimated Project Cost: $140,000 (4 outfitted emergency response patrol vehicles @$35,000 each)

Funding Method: Department of Justice (DOJ)

Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Acquisition of new vehicles will allow for a quicker response to emergency situations and to assist with traffic and mobility issues affecting the TMC campus. Project Affects on Future Structures: Acquisition of new vehicles will allow for a quicker response to emergency situations and to assist with traffic and mobility issues affecting the TMC campus. Comments/Milestones:


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Establish an emergency response staging area near the Texas Medical Center Campus to be utilized during region-wide natural disasters. Acquire approximately 40-100 acres for a FEMA, state and local emergency response staging site and multiple large helicopter landing site that will serve the community and Texas Medical Center. Texas Medical Center will maintain the site and utilize it as a remote parking site to benefit the community during non-emergencies. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado

Department Responsible: Texas Medical Center Facilities Engineering to coordinate with FEMA, State of Texas, Harris County and City of Houston emergency management agencies. Pre-Existing Project? (please indicate Yes or No) No


Priority: High


Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Urban Area Security Initiative (UASI) Project Schedule/Completion Timeframe: Dependent on funding.

Project Affects on Existing Structures: Some parking capacity may be lost due to staging area equipment and personnel space requirements.

Project Affects on Future Structures: Some parking capacity may be lost due to staging area equipment and personnel space requirements.



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Transition from overhead electric distribution lines to underground electric service to mitigate the loss of critical patient care at the Michael E. DeBakey VA Medical Center at 2002 Holcombe Boulevard and the loss of Texas Medical Center’s Emergency and Mobility Command capabilities at the John P. McGovern Campus due to natural diasters. Provide the hospital with underground electric service from the CenterPoint Plaza Substation, and then extend this underground service to activate the entire John P. McGovern Campus and its Emergency and Mobility Command Center at 2450 Holcombe Boulevard. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado, hailstorm, severe winter storm

Department Responsible: TMC Facilities Engineering



Priority: High

Estimated Project Cost: $2 million for VA project $8 million for John P. McGovern Campus extension Funding Method: CenterPoint Energy Hazard Mitigation Grant Program (HMGP) Project Schedule/Completion Timeframe: YE2012 - VA Project TBD - TMC John P. McGovern Campus Project Affects on Existing Structures: This project will result in more reliable electrical power for TMC’s Emergency and Mobility Command Center and the Michael E. DeBakey VA Medical Center, thus increasing patient care services and safety. Project Affects on Future Structures: This project will result in more reliable electrical power for TMC’s Emergency and Mobility Command Center and the Michael E. DeBakey VA Medical Center, thus increasing patient care services and safety. Comments/Milestones:


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The VA project has been approved and funded. Underground duct work has been started on VA site. Expected completion and cutover to dedicated underground service by YE 2012. The TMC John P. McGovern Campus project is in planning stage only. No approvals, design or construction underway beyond VA phase. VA has granted perimeter easements for future extension path to Almeda Rd. for crossing to TMC property. Requires easements and transition equipment on TMC property. No time limit has been identified.


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Relocate two of three separate electric feeds at the John P. McGovern Campus. Two separate electric feeds currently come together at a single point of failure. Relocation of these electric feeds to a different area of the campus will increase reliability of electrical power during natural catastrophic events. Hazard(s) to be Mitigated: Flood, hurricane, tornado, severe winter storms

Department Responsible: TMC Facilities Engineering will coordinate with CenterPoint Energy



Priority: High

Estimated Project Cost: $5.5 million

Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grants (PDM) Department of Homeland Security (DHS) Project Schedule/Completion Timeframe: Subject to funding


Relocation of two of three electric feeds to a different area of the campus would also require relocating internal feeds and would still be a single point of failure for each of the areas served. Project Affects on Future Structures:

Relocation of two of three electric feeds to a different area of the campus will increase reliability of electrical power during a disaster and increase the business continuity capability of the TMC headquarters and Communications, Operations and Mobility Center. Comments/Milestones: This project was recommended following the Department of Homeland Security site assistance visit.


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Retrofit all windows and glass areas (clerestory, entrances and other glass areas), of the John P. McGovern Campus Building at 2450 Holcombe Boulevard by adding hurricane glass or shutters and roof tie-downs to protect the building from flying debris during a hurricane or tornado. The John P. McGovern Campus Building is used to provide lease space to seven Texas Medical Center institutions as well as the corporate offices for Texas Medical Center and the Texas Medical Center’s Emergency and Mobility Command Center. Hazard(s) to be Mitigated: Hurricane, tropical storm, hailstorm, tornado

Department Responsible: TMC Engineering

Pre-Existing Project? (please indicate Yes or No) Yes


In process

Priority: High

Estimated Project Cost: Approximately $2.4 million

Funding Method: FEMA grant Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Project Schedule/Completion Timeframe: 2013

Project Affects on Existing Structures: Protects building contents and occupants from flying debris and water damages.

Project Affects on Future Structures: Protects building contents and occupants from flying debris and water damages.

Comments/Milestones: A FEMA grant was awarded in October 2010. An engineering and architectural study has been completed and installation of a combination of hurricane glass and hurricane shutters was approved in July 2011. The project is transitioning from design phase to hurricane glass replacement phase.


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Retrofit windows, entrances and glass areas on Texas Medical Center and TMC member institution buildings to protect the buildings from flying debris during a hurricane or tornado to ensure continued critical patient care and/or business operations. Hazard(s) to be Mitigated: Hurricane, tropical storm, hailstorm, tornado

Department Responsible: Facilities Engineering



Priority: High


Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grant (PDM) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Protects building contents and occupants from flying debris and water damages.

Project Affects on Future Structures: Protects building contents and occupants from flying debris and water damages.



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Accelerate federal Brays Bayou widening project to mitigate flooding in the Texas Medical Center Campus. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: Texas Medical Center Facilities Engineering to coordinate with Harris County Flood Control District Pre-Existing Project? (please indicate Yes or No) Yes


In process

Priority: High

Estimated Project Cost: $520 million total ($80 million in TMC vicinity)

Funding Method: U. S. Army Corps of Engineers Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Project Schedule/Completion Timeframe: Dependent on funding

Project Affects on Existing Structures: Flood reduction protects Texas Medical Center’s buildings and critical care facilities, while improving mobility access to the campus. Project Affects on Future Structures: Flood reduction protects Texas Medical Center’s potential future buildings and critical care facilities, while improving mobility access to the campus. Comments/Milestones: Project Brays is ongoing in the Texas Medical Center Campus with 80% of channel widening segments and 80% of bridge replacements completed. Five bridge replacements or extensions (S. Braeswood, Holcombe Blvd., Holcombe Blvd. pedestrian, S. MacGregor and SH288) in TMC area are complete. Project Brays’ projects in the Texas Medical Center Campus are anticipated to be completed in 2020.


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Protect the underground electric distribution grid at Texas Medical Center by relocating all remaining below-grade electric vaults and transformers above the 500-year floodplain elevation or install float activated disconnects. Some hospitals and critical patient care facilities have vaults that do not meet federal standards. Additional non-patient care facilities have below grade electric vaults connected to the electric grid which could interrupt normal power to some of Texas Medical Center’s hospitals and other critical patient care facilities. This corrective action will enhance electric service reliability to healthcare services during flooding events. There are currently seven remaining buildings with below-grade electric vaults needing corrective action, including three Texas Medical Center member institution buildings and four non-Texas Medical Center member institution buildings. These specific buildings are redacted due to confidentiality. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High

Estimated Project Cost: $3.5 million ($500,000 per site)

Funding Method: Building owners Pre-Disaster Mitigation Grants (PDM) and Hazard Mitigation Grant Program (HMGP) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Protecting the electrical distribution grid by raising vaults and transformers above the 500-year floodplain or installing float activated disconnects will minimize the possibility of an interruption of normal power to TMC’s critical care facilities. Project Affects on Future Structures: Protecting the electrical distribution grid by raising vaults and transformers above the 500-year floodplain or installing float activated disconnects will minimize the possibility of an interruption of normal power to TMC’s critical care facilities. Comments/Milestones:


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TMC and CenterPoint continue to meet with non-compliant building owners. Two building owners with vaults fed from 35kV grid are nearing approval for installing isolation switch rooms within one year.


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Secure TMC’s computer service and switch room. This critical TMC infrastructure should be hardened to protect TMC’s business operations and communications capabilities. This will include strapping the vent above the server room to the roof. Develop and implement a strategy for relocating this operation to a more secure environment. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, hailstorm

Department Responsible: TMC Information Technology Services



In process

Priority: High Estimated Project Cost: Unknown

Funding Method: Pre-Disaster Mitigation (PDM)


Project Affects on Existing Structures: Hardening TMC’s computer service and switch room will increase TMC’s capability to continue essential business functions and operate TMC’s Emergency and Mobility Command Center during emergencies. Project Affects on Future Structures: Hardening TMC’s computer service and switch room will increase TMC’s capability to continue essential business functions and operate TMC’s Emergency and Mobility Command Center during emergencies. Comments/Milestones: Roof repairs have been made surrounding the vent above the server room and a subsequent leak test was successful. Additional funding would be needed for relocation.


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Harden the TMC Emergency and Mobility Command Center to FEMA wind specifications.

Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado

Department Responsible: TMC Security Services and Facilities Engineering



Priority: High


Funding Method: Federal Emergency Management Agency (FEMA)


Project Affects on Existing Structures: Hardening the TMC Emergency and Mobility Command Center at TMC’s headquarters at 2450 Holcombe Boulevard to FEMA wind specifications will allow the building to be safely used as the primary command center and emergency operations center during hurricanes. At present, the center is not designated as primary for hurricanes rated Category 3-5. Project Affects on Future Structures: Hardening the TMC Emergency and Mobility Command Center at TMC’s headquarters at 2450 Holcombe Boulevard to FEMA wind specifications will allow the building to be safely used as the primary command center and emergency operations center during hurricanes. At present, the center is not designated as primary for hurricanes rated Category 3-5. Comments/Milestones:


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Harden the TMC ride-out shelter to FEMA wind specifications. Seek grant funding from FEMA. Include sufficient space for 100 people in the shelter. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado




Priority: High


Funding Method: Federal Emergency Management Agency (FEMA)


Project Affects on Existing Structures: Hardening the TMC ride-out shelter at TMC’s headquarters at 2450 Holcombe Boulevard to FEMA wind specifications will allow the ride-out team to safely shelter to be ready to quickly respond to hurricane damages. At present, the headquarters is not designated as primary for hurricanes rated Category 3-5. Project Affects on Future Structures: Hardening the TMC ride-out shelter at TMC’s headquarters at 2450 Holcombe Boulevard to FEMA wind specifications will allow the ride-out team to safely shelter to be ready to quickly respond to hurricane damages. At present, the headquarters is not designated as primary for hurricanes rated Category 3-5. Comments/Milestones:


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Install a permanent generator at the Paul Gervais Bell Building, located at 2151 W. Holcombe Boulevard, to power the entire building. This building is the alternate ride-out shelter to TMC’s headquarters at 2450 Holcombe Boulevard, Suite 1. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High

Estimated Project Cost: $300,000-$400,000

Funding Method: Hazard Mitigation Grant Program (HMGP)


Project Affects on Existing Structures: Installing a permanent generator at the Paul Gervais Building, which serves as the backup ride-out shelter and alternate command center, will enhance continual response of the Emergency and Mobility Command Center, incident command and ride-out team staff and functions. Project Affects on Future Structures: Installing a permanent generator at the Paul Gervais Building, which serves as the backup ride-out shelter and alternate command center, will enhance continual response of the Emergency and Mobility Command Center, incident command and ride-out team staff and functions. Comments/Milestones:


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Install new or larger capacity permanent generators at TMC facilities with adjacent or enclosed garages. These buildings and garages have the potential to serve as temporary evacuation shelters for ambulatory inpatients, critical operational staff, etc. during natural disasters. The following TMC buildings and garages are recommended for these generators: Favrot Tower Apartments and Garage 7; the TMC Employee Clinic and Garage 10; the John P. McGovern Texas Medical Center Commons and Garage 15; the John P. McGovern Campus Building; and, the Paul Gervais Bell Building and Garage 8. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado




Priority: Medium

Estimated Project Cost: $300,000-$400,000 for each location



Project Affects on Existing Structures: Installing new or larger capacity permanent generators at TMC facilities with adjacent or enclosed garages will enable these facilities to serve as temporary evacuation shelters for ambulatory inpatients and essential operational staff, thus increasing critical patient care during emergencies. Project Affects on Future Structures: Installing new or larger capacity permanent generators at TMC facilities with adjacent or enclosed garages will enable these facilities to serve as temporary evacuation shelters for ambulatory inpatients and essential operational staff, thus increasing critical patient care during emergencies. Comments/Milestones:


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Install permanent generators at Main Campus parking facilities to support TMC hospitals by keeping garages operational for critical staff during natural disasters. This will ensure safe lighting and increased security measures during TMC’s 24/7 hospital shift changes. Garages 1, 2, 4 and 7 should be upgraded. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High

Estimated Project Cost: $300,000-$400,000 for each location



Project Affects on Existing Structures: Installing permanent generators at TMC Main Campus parking facilities will ensure safe lighting and increased safety for critical staff during emergencies. Project Affects on Future Structures: Installing permanent generators at TMC Main Campus parking facilities will ensure safe lighting and increased safety for critical staff during emergencies. Comments/Milestones:


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Harden portions of Texas Medical Center buildings and garages which have the potential to serve as temporary evacuation shelters for ambulatory inpatients, critical operational staff, etc. during major hurricanes or tornadoes. The following TMC buildings and garages are recommended for hardening: Favrot Tower Apartments and Garage 7; the TMC Employee Clinic and Garage 10; the John P. McGovern Texas Medical Center Commons and Garage 15; the John P. McGovern Campus Building; and, the Paul Gervais Bell Building and Garage 8. Additional TMC Institution buildings connected to the future PERS may also be included. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado




Priority: Medium


Funding Method: Hazard Mitigation Grant Program (HMGP) Department of Homeland Security (DHS) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Hardening portions of TMC buildings and garages to serve as temporary evacuation shelters for ambulatory inpatients and essential operational staff will increase critical patient care during emergencies. Project Affects on Future Structures: Hardening portions of TMC buildings and garages to serve as temporary evacuation shelters for ambulatory inpatients and essential operational staff will increase critical patient care during emergencies. Comments/Milestones:


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Install a “state-of-the-art” emergency notification system that will notify all member institutions, including the common areas, and local jurisdictions when a natural disaster threatens the TMC Campus. Hazard(s) to be Mitigated: Flood, tornado, hurricane, tropical storm




Priority: High


Funding Method: Federal Emergency Management Agency (FEMA) Urban Area Security Initiative (UASI) Department of Justice (DOJ) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Notifications to employees, visitors, tenants and local jurisdictions through a “state-of-the-art” emergency notification system during natural disasters will allow for a safer, quicker, and more effective response to protect buildings, individuals and infrastructure. Project Affects on Future Structures: Notifications to employees, visitors, tenants and local jurisdictions through a “state-of-the-art” emergency notification system during natural disasters will allow for a safer, quicker, and more effective response to protect buildings, individuals and infrastructure. Comments/Milestones: TMC is evaluating notification system options.


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Install an annunciation or public address system, preferably wireless, at the John P. McGovern Campus at 2450 Holcombe Boulevard. The system would be controlled by the Emergency and Mobility Command Center at the John P. McGovern Campus to be utilized during natural disasters. Hazard(s) to be Mitigated: Tornado, tropical storm, flood, hurricane




Priority: High


Funding Method: Department of Homeland Security (DHS) Hazard Mitigation Grant Program (HMGP) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Installation of an annunciation or public address system at the John P. McGovern Campus will enable rapid dissemination of emergency warnings to staff and tenants, thus increasing their safety while enhancing protection of the building and property. Project Affects on Future Structures: Installation of an annunciation or public address system at the John P. McGovern Campus will enable rapid dissemination of emergency warnings to staff and tenants, thus increasing their safety while enhancing protection of the building and property. Comments/Milestones: TMC is evaluating alternative public address system for future capital project.


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Deploy additional Harris County radios to member institutions, not currently on the system, to enhance immediate notification capability during natural disasters. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado

Department Responsible:

TMC Security Services



Priority: High


Funding Method: Department of Justice (DOJ)


Project Affects on Existing Structures: Deployment of radios to additional member institutions will provide the primary means of alert communications in emergency situations, thereby enhancing protection of life and property. Project Affects on Future Structures: Deployment of radios to additional member institutions will provide the primary means of alert communications in emergency situations, thereby enhancing protection of life and property. Comments/Milestones: Texas Medical Center was awarded a DOJ grant in 2009 and completed a $200,000 radio upgrade in 2010. Approximately two dozen additional radios are needed for distribution to member institutions without radios.


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Re-roof Texas Medical Center and member institution facilities that have built-up roofs. The gravel on these roofs becomes flying debris during hurricanes and high-wind events, which can cause broken windows and other building damages. The John P. McGovern Campus roof at 2450 Holcombe Boulevard, containing 208,000 sq. ft. of gravel, should be replaced or encapsulated with a fluid applied coating with broadcasted granules. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado, hailstorm




Priority: High

Estimated Project Cost: $650,000 for encapsulation process of gravel areas (phase I in 2012 will be $185,000)at John P. McGovern Campus Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation (PDM) TMC Capital Budget Project Schedule/Completion Timeframe: Phase I will begin in 2012. Phase II will begin in 2013. Phase III will begin in 2014

Project Affects on Existing Structures: Replacing or encapsulating the roof at the John P. McGovern Campus will minimize the chance of window breakage/damage and potential harm to contents or occupants due to flying gravel during hurricanes or other high-wind events. Project Affects on Future Structures: Replacing or encapsulating the roof at the John P. McGovern Campus will minimize the chance of window breakage/damage and potential harm to contents or occupants due to flying gravel during hurricanes or other high-wind events. Comments/Milestones:


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Conduct a campus wide all hazard vulnerability assessment on the Main Campus of the Texas Medical Center including all facilities and common areas that are vulnerable to any number of hazards. The analysis will provide specific information for use in developing mitigation strategies, standard operating procedures in the event of an emergency, and security and mobility planning. The hazard vulnerability assessment will identify the hazards and/or vulnerabilities that need attention, the actions that might be taken to reduce the impact of those hazards, and what resources are likely to be needed. The analysis will incorporate an all-hazards approach to include natural disasters, infrastructure disruptions, and other hazards. The vulnerability assessment will recognize facility-specific vulnerabilities for particular hazards based on the unique location(s) and operation(s) of each facility. Hazard(s) to be Mitigated: Tornado, hurricane, tropical storm, flood




In process

Priority: High

Estimated Project Cost: $200,000 - $500,000

Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013+

Project Affects on Existing Structures: The findings of the study will help to identify all-hazard vulnerabilities and solutions to protect the critical care facilities of the Texas Medical Center. Project Affects on Future Structures: The findings of the study will help to identify all-hazard vulnerabilities and solutions to protect the critical care facilities of the Texas Medical Center. Comments/Milestones: The U.S. Department of Homeland Security (DHS) conducted a limited Site Assistance Visit Vulnerability Assessment of seven Texas Medical Center critical facilities in the spring of 2011. As these visits were limited due to DHS funding, a more thorough assessment of all of the remaining TMC critical care facilities is needed for a more accurate assessment and resultant protective mitigation to minimize disruption of patient care services. In November 2011, TMC was approved for a US Department of Homeland Security Regional Resiliency Assessment Program (RRAP) in 2013 to continue TMC institution site assistance visits, identify buffer zone plans,


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analyze systems recovery, assess emergency services capability and assess multi-jurisdiction security plans. The regional assessment is valued at $8-10 million. The RRAP will identify future vulnerabilities for which funding will be needed beyond 2013 to implement recommendations.


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Install campus-wide hardening for emergency center entrances, as well as exposed structural columns and oxygen tanks in the TMC Campus. Add the Texas Medical Center to the Department of Homeland Security Buffer Zone Protection Plan. Hazard(s) to be Mitigated: Tornado, hailstorm




Priority: High

Estimated Project Cost: Subject to findings of campus-wide Homeland Security all-hazard vulnerability assessment

Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Installing campus-wide hardening for emergency center entrances, structural columns and oxygen tanks, and adding TMC to the DHS buffer zone protection plan, will minimize the potential to disrupt TMC’s core patient care services. Project Affects on Future Structures: Installing campus-wide hardening for emergency center entrances, structural columns and oxygen tanks, and adding TMC to the DHS buffer zone protection plan, will minimize the potential to disrupt TMC’s core patient care services. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify needed hardening and buffer zone protections. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Install campus-wide glass shielding/strengthening for entrances, windows, and skybridges to protect personal and building contents during hurricanes and high wind events. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado, hailstorm




Priority: High


Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Installing campus-wide glass shielding/strengthening for entrances, windows and skybridges will provide increased protections to minimize the potential to disrupt TMC’s core patient care services. Project Affects on Future Structures: Installing campus-wide glass shielding/strengthening for entrances, windows and skybridges will provide increased protections to minimize the potential to disrupt TMC’s core patient care services. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify needed shielding and buffer zone protections. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Install flood/wind diversion wall on the perimeter of TMC institutional facilities to minimize flooding and wind damage caused by natural disasters Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado, hailstorm




Priority: High


Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Installing flood/wind diversion walls on the perimeter of TMC institutional facilities will provide increased protections to minimize the potential to disrupt TMC’s core patient care services. Project Affects on Future Structures: Installing flood/wind diversion walls on the perimeter of TMC institutional facilities will provide increased protections to minimize the potential to disrupt TMC’s core patient care services. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify needed perimeter flood/wind diversion walls. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Install campus-wide standoff protection for entrances and valet drop-offs at critical facilities to minimize damage during tornados or high wind events. Hazard(s) to be Mitigated: Tornado




Priority: High


Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Installing campus-wide standoff protection for entrances and valet drop-offs at critical facilities will provide increased protections to minimize the potential to disrupt TMC’s core patient care services. Project Affects on Future Structures: Installing campus-wide standoff protection for entrances and valet drop-offs at future critical facilities will provide increased protections to minimize the potential to disrupt TMC’s core patient care services. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify needed standoff protection for entrances and valet drop-offs. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Campus-wide hardening of underside and certain walls of skybridges from wind, rain and hail to ensure continued ability to transport patients and staff immediately following high wind and heavy rain events. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado, hailstorm




Priority: High


Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Installing campus-wide hardening to the underside and certain walls of skybridges from wind, rain and hail will increase the chance that TMC’s skybridges will be available to transport patients and staff from facility to facility during emergencies. Project Affects on Future Structures: Installing campus-wide hardening to the underside and certain walls of skybridges from wind, rain and hail will increase the chance that TMC’s skybridges will be available to transport patients and staff from facility to facility during emergencies. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify needed hardening of skybridge undersides and walls. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Campus-wide installation of barriers around above ground piping/valves to minimize mechanical failure during flooding and natural disasters. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado




Priority: High


Funding Method: Department of Homeland Security Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Installing campus-wide barriers around above ground piping/valves will increase protection of essential utilities to ensure continuation of critical patient care services. Project Affects on Future Structures: Installing campus-wide barriers around above ground piping/valves will increase protection of essential utilities to ensure continuation of critical patient care services. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify needed protection of above ground piping and valves. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Reduce the risk to exposed components of water, natural gas, TECO, and electrical lines, located in and around the TMC campus, during natural disasters. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High


Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Projects to reduce the risk to exposed components of water, natural gas, TECO, and electrical lines in and around the TMC campus will increase protection of essential utilities to ensure continuation of critical patient care services. Project Affects on Future Structures: Projects to reduce the risk to exposed components of water, natural gas, TECO, and electrical lines in and around the TMC campus will increase protection of essential utilities to ensure continuation of critical patient care services. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify additional needed protection of exposed utility components. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Relocate or protect campus air intakes from flooding by constructing perimeter cement wall or other visual screen. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm Department Responsible: TMC Security Services Pre-Existing Project? (please indicate Yes or No) No


Priority: High Estimated Project Cost: Subject to findings of campus-wide Homeland Security all-hazard vulnerability assessment

Funding Method: Department of Homeland Security (DHS) Regional Catastrophic Planning Initiative (RCPI) Project Schedule/Completion Timeframe: 2013 – RRAP TBD – Implementation of Recommendations Project Affects on Existing Structures: Relocating or protecting campus air intakes by constructing perimeter cement walls or other visual screens will minimize the potential to negatively affect air quality and patient care at TMC’s critical care facilities. Project Affects on Future Structures: Relocating or protecting campus air intakes by constructing perimeter cement walls or other visual screens will minimize the potential to negatively affect air quality and patient care at TMC’s critical care facilities. Comments/Milestones: DHS Regional Resiliency Assessment Program (RRAP) has been approved for TMC Campus in 2013. This assessment will identify additional needed protection of air intakes. Additional funding will be needed beyond 2013 to implement RRAP recommendations.


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Expedite construction of additional lanes on SH288 (from Brazoria County/Pearland to Texas Medical Center) to increase capacity and improve mobility access to and from the Texas Medical Center Campus during natural disasters. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: Texas Medical Center Facilities Engineering to coordinate with Harris County Toll Road Authority and TxDOT Pre-Existing Project? (please indicate Yes or No) Yes


In process

Priority: Medium


Funding Method: Federal, state or county funds

Project Schedule/Completion Timeframe: Dependent on funding

Project Affects on Existing Structures: Improves mobility to and from the Texas Medical Center Campus and access to its critical care facilities.

Project Affects on Future Structures: Improves mobility to and from the Texas Medical Center Campus and access to its potential future critical care facilities. Comments/Milestones: TxDOT and the Harris County Toll Road Authority are investigating feasibility and options for toll or high occupancy lanes along the 288 Corridor. An expedited schedule would be helpful to improve mobility ingress and egress in the Texas Medical Center. TxDOT has proposed preliminary design recommendations. Funding is needed to implement.


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An evaluation of storm surge impact on the Texas Medical Center is needed due to TMC’s long catastrophic history of flooding. Consequently, TMC needs to continually analyze the vulnerabilities to flooding and improve its ability to predict, protect and respond to these events. This study will link storm surge data with inland hydrologic/hydraulic flood models for the TMC area. One outcome will be the identification of critical inundation zones within TMC and evacuation routes from TMC based on the delineated floodplains. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




In process

Priority: High


Funding Method: TMC Annual Assessment

Project Schedule/Completion Timeframe: Phase I completed 2012 Phase II TBD Project Affects on Existing Structures: The results of this evaluation of storm surge impact in the Texas Medical Center will validate the effectiveness of post-Tropical Storm Allison flood protection improvements and identify current critical inundation zones. This will enable better understanding of the appropriate actions that member institutions should take to prepare for heavy rainfall events in order to protect life and property. Project Affects on Future Structures: The results of this evaluation of storm surge impact in the Texas Medical Center will validate the effectiveness of post-Tropical Storm Allison flood protection improvements and identify current critical inundation zones. This will enable better understanding of the appropriate actions that member institutions should take to prepare for heavy rainfall events in order to protect life and property. Comments/Milestones:


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The Phase I report is complete. An additional Phase II report will need to be conducted when the Project Brays widening project is completed.


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Develop Geographic Information System (GIS) emergency applications program to identify and electronically document the Texas Medical Center campus utilities, shut-off valves (water and natural gas), floodgates and other critical information to expedite emergency response efforts. Establish a GIS team to provide emergency response support and to assist with emergency traffic management and routing. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado

Department Responsible: Texas Medical Center Facilities Engineering to coordinate with Harris County and City of Houston emergency management agencies Pre-Existing Project? (please indicate Yes or No) Yes


In process

Priority: High

Estimated Project Cost: $147,000 spent to date; $250,000 remaining for valves and shutoffs; other utility documentation to be determined Funding Method: Urban Area Security Initiative (UASI) Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Program (PDM) Affected operations budgets Project Schedule/Completion Timeframe: Dependent on funding.

Project Affects on Existing Structures: Protects further damage to TMC campus buildings and critical care facilities by providing quick location of damaged utilities. Improves mobility in Texas Medical Center Campus and access to its critical care facilities. Project Affects on Future Structures: Protects further damage to TMC potential future campus buildings and critical care facilities by providing quick location of damaged utilities. Improves mobility in Texas Medical Center Campus and access to its potential future critical care facilities. Comments/Milestones: Utility laterals (valves and shutoffs) have been documented on the TMC Main Campus. To continue documenting these laterals on the remaining adjacent campuses will require an additional $250,000 in funding. Additional utilities will be documented on all campuses at a cost to be determined.


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Inspect and secure all entryways (pipes, conduits, etc.) into buildings where floodwaters might penetrate. Notwithstanding the perimeter protection around buildings, there are many access points that need to be examined to prevent water from entering facilities during hurricanes and flooding events. These should be protected by backflow valves. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: Medium


Funding Method: Pre-Disaster Mitigation (PDM) Hazard Mitigation Grant Program (HMGP) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Installing backflow valves on vulnerable pipe and conduit entryways will reduce the chance of flooding inside buildings, thus disrupting critical operations and patient care. Project Affects on Future Structures: Installing backflow valves on vulnerable pipe and conduit entryways will reduce the chance of flooding inside buildings, thus disrupting critical operations and patient care. Comments/Milestones:


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Move any hanging line traffic lights in the Texas Medical Center vicinity onto mast-arm poles with battery backups. This will ensure continued operation after a hurricane or high wind event to enhance traffic flow and access to TMC’s trauma and emergency centers. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado

Department Responsible: TMC Facilities Engineering will coordinate with City of Houston



In process

Priority: Medium


Funding Method: City of Houston Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grant (PDM) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Replacing hanging lights with mast arm poles in the TMC vicinity will reduce the potential for traffic backups, thus blocking ambulance access to TMC’s trauma centers. Project Affects on Future Structures: Replacing hanging lights with mast arm poles in the TMC vicinity will reduce the potential for traffic backups, thus blocking ambulance access to TMC’s trauma centers. Comments/Milestones: The City of Houston replaces hanging lights with mast arm poles when upgrading intersections or when hanging lights are damaged. TMC has submitted known campus hanging lights to the City of Houston for upgrade to mast arm poles. Additional outlying campus inspection is needed.


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Finish design and implement construction of the elevation of SH610 to provide access to Cambridge off SH610 from the west and construction of an off-ramp off SH610 from the east to Cambridge. These projects will extend the emergency access route via Cambridge to the TMC campus, thus enhancing patient transport during natural disasters. Additionally, these improvements will provide direct access to the area for commuters from the rapidly growing 288 Corridor, mitigating major traffic challenges. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: Facilities Engineering will coordinate with City of Houston and TxDOT



Priority:


Funding Method: TxDOT Project Schedule/Completion Timeframe: 2019

Project Affects on Existing Structures: The completion of Cambridge Street access off SH610 will provide an improved high access ambulance route into the TMC campus and trauma centers, while improving traffic flow for 288 Corridor commuters. Project Affects on Future Structures: The completion of Cambridge Street access off SH610 will provide an improved high access ambulance route into the TMC campus and trauma centers, while improving traffic flow for 288 Corridor commuters. Comments/Milestones: TxDOT has proposed preliminary design recommendations. Funding is needed to implement.


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Coordinate with TranStar and media sources to plan a strategy to announce road closures and access to TMC during natural disasters. Notifications could be made via phone, radio, Facebook, Twitter, Web site, E-mail, dedicated AM radio station, Public Information Emergency Response System (PIER), etc. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High


Funding Method: Regional Catastrophic Preparedness Initiative (RCPI) Urban Area Security Initiative (UASI) Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation (PDM) Hazardous Materials Emergency Preparedness Grant Program (HMEP) Department of Justice (DOJ) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Timely notification regarding road closures and access in emergency situations will expedite overall traffic flow and access to TMC’s trauma centers. Project Affects on Future Structures: Timely notification regarding road closures and access in emergency situations will expedite overall traffic flow and access to TMC’s trauma centers. Comments/Milestones: TMC is exploring notification options.


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Complete City of Houston Regional Transportation Study. Implement plan to incorporate emergency access to TMC Campus and trauma centers and avoid potential flood areas during rain events and hurricanes. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: Facilities Engineering is coordinating with City of Houston



Priority: High


Funding Method: Federal Transportation Agency Grant

Project Schedule/Completion Timeframe: 2012-2013

Project Affects on Existing Structures: The comprehensive regional transportation study will identify the best transportation options to enhance traffic flow for patients, visitors and staff, while increasing access to TMC’s trauma centers. Project Affects on Future Structures: The comprehensive regional transportation study will identify the best transportation options to enhance traffic flow for patients, visitors and staff, while increasing access to TMC’s trauma centers. Comments/Milestones: Federal Transportation Agency (FTA) grant fund has been awarded. City of Houston will administer contract. Consultant has been selected. Project kick-off is imminent.


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Community/Jurisdiction: Texas Medical Center (Ronald McDonald House of Houston)


Install flood door for Ronald McDonald House garage to prevent flooding penetration, during rain events or hurricanes, into main building which provides temporary housing to critically ill children while undergoing treatment at Texas Medical Center. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm




Priority: High


Funding Method: Pre-Disaster Mitigation Grant Program (PDM) Hazard Mitigation Grant Program (HMGP) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Installing a flood door on the Ronald McDonald House garage will minimize the potential for flooding into the garage and main building, thus disrupting housing services for critically ill children receiving treatment at Texas Medical Center. Project Affects on Future Structures: Installing a flood door on the Ronald McDonald House garage will minimize the potential for flooding into the garage and main building, thus disrupting housing services for critically ill children receiving treatment at Texas Medical Center. Comments/Milestones:


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Community/Jurisdiction: Texas Medical Center (Texas Children’s Hospital)


Retrofit existing patient care windows in Texas Children’s Hospital West Tower floors 1-21 with hurricane resistant glass protection. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado, hailstorm

Department Responsible: Texas Children’s Hospital Facilities



Priority: High

Estimated Project Cost: To be determined

Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grant Program (PDM) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Protects patients, patient families, staff and building contents from flying debris and water damages.

Project Affects on Future Structures: Protects patients, patient families, staff and building contents from flying debris and water damages.



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Retrofit existing skybridge between Texas Children’s Hospital Abercrombie Building and Feigin Center with hurricane glass protection. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado, hailstorm




Priority: High



Project Affects on Existing Structures: Protects patients, patient families and staff from flying debris and water damages. Improves availability of operable skybridge for patient transfers during emergencies. Project Affects on Future Structures: Protects patients, patient families and staff from flying debris and water damages. Improves availability of operable skybridge for patient transfers during emergencies. Comments/Milestones:


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Retrofit new Texas Children’s Hospital Pavilion for Women with hurricane resistant glass. Hazard(s) to be Mitigated: Hurricane, tropical storm, tornado, hailstorm




Priority: High



Project Affects on Existing Structures: Protects patients, patient families, staff and building contents from flying debris and water damages.

Project Affects on Future Structures: Protects patients, patient families, staff and building contents from flying debris and water damages.



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Retrofit a weight bearing helipad to the rooftop of Texas Children’s Hospital West Tower Building for evacuation/reception. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado




Priority: High


Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grant Program (PDM) Department of Homeland Security (DHS) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Provides a weight bearing helipad to the rooftop of Texas Children’s Hospital West Tower Building to evacuate or receive patients. Project Affects on Future Structures: Provides a weight bearing helipad to the rooftop of Texas Children’s Hospital West Tower Building to evacuate or receive patients. Comments/Milestones:


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Erect a “Safe House” on the grounds of Texas Children’s Hospital West Campus in order to provide a safe and medically supported location for pediatric medical needs populations in the event of evacuation from their homes during a declared disaster. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado




Priority: High


Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grant Program (PDM) Department of Homeland Security (DHS) Project Schedule/Completion Timeframe: Subject to funding

Project Affects on Existing Structures: Provides a safe and medically supported location for pediatric medical needs populations in the event of evacuation from their homes during a declared disaster. Project Affects on Future Structures: Provides a safe and medically supported location for pediatric medical needs populations in the event of evacuation from their homes during a declared disaster. Comments/Milestones:


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Community/Jurisdiction: Texas Medical Center (St. Dominic Village)


Drainage improvements by increasing culvert sizes are needed in the public ditches and gullies surrounding the St. Dominic Village property. When the water is full in the gully, discharge water cannot flow from the small culverts causing water to back up and flood some of the buildings. St. Dominic Village has initiated a system of preventative maintenance to remove debris from the campus ditches, but regular maintenance from the City of Houston is also needed. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm

Department Responsible: City of Houston – Public Works St. Dominic Village – Engineering and Maintenance Pre-Existing Project? (please indicate Yes or No) No


Priority: High


Funding Method: St. Dominic Village City of Houston Project Schedule/Completion Timeframe: TBD subject to funding


Drainage improvements surrounding the St. Dominic Village property will allow discharge water to flow from the property and prevent property flooding. Project Affects on Future Structures:

Drainage improvements surrounding the St. Dominic Village property will allow discharge water to flow from the property and prevent property flooding. Comments/Milestones:


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Install back-up generators to sustain patient care activities at St. Dominic Village. The Dorothy Hall, Charlotte Hall and Nursing Home Buildings need generators to provide electricity for the safety and healthcare of the elderly population during power outages or sheltering in place during tropical events. The Administration Building also needs a generator as the kitchen in this building is used to prepare meals when the nursing home kitchen is not functioning. Hazard(s) to be Mitigated: Flood, hurricane, tropical storm, tornado

Department Responsible: St. Dominic Village – Engineering and Maintenance Pre-Existing Project? (please indicate Yes or No) No


Priority: High


Funding Method: Hazard Mitigation Grant Program (HMGP) Project Schedule/Completion Timeframe: TBD subject to funding

Project Affects on Existing Structures: Installing generators will allow these buildings to operate essential mechanical systems to sustain life and healthcare for the elderly residents. Project Affects on Future Structures: Installing generators will allow these buildings to operate essential mechanical systems to sustain life and healthcare for the elderly residents. Comments/Milestones:


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Install hurricane/storm protection on the windows, glass areas and entrances of eight patient care and support buildings on the St. Dominic Village Campus to prevent personal and property damage from high winds and flooding events to sustain patient care activity. These buildings are approximately 220,000 sq. feet and range from single story to five stories. Hazard(s) to be Mitigated: Hurricane, tropical storm, hailstorm, tornado

Department Responsible: St. Dominic Village – Engineering and Maintenance Pre-Existing Project? (please indicate Yes or No) No


Priority: High

Estimated Project Cost: $1.5 million

Funding Method: Hazard Mitigation Grant Program (HMGP) Pre-Disaster Mitigation Grant (PDM) Project Schedule/Completion Timeframe: TBD based on funding

Project Affects on Existing Structures: Protects building contents and occupants from flying debris and water damages

Project Affects on Future Structures: Protects building contents and occupants from flying debris and water damages


city of houston hazard mitigation plan section vii …houstontx.gov/oem/pages/plans/hmap/hmap - 2012...

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