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This qualitative single-case study analyzes strategic planning and execution for moving ventilator-dependent and other medically complex patients under severe security constraints. In-depth interviews with the emergency coordinator, supported by contemporaneous documentation, show safe transfer of sixty patients, equipment, and staff to Rambam Hospital within three hours over eleven months of challenges. The protocol preserves operational independence and continuous comprehensive rehabilitation services, offering transferable guidance for crisis preparedness in conflict-prone regions.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/beyond-the-underground-emergency-geriatric-hospital-relocation-in-conflict-a-healthcare-innovation-model/421292/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/beyond-the-underground-emergency-geriatric-hospital-relocation-in-conflict-a-healthcare-innovation-model/421292.png","ImageObject",300,407,{"name":92,"@type":93},"River Wang","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What makes the Fliman Medical Center relocation a unique healthcare case?","Question",{"text":112,"@type":113},"It involved moving Israel’s largest rehabilitation facility to an underground location during active conflict, demonstrating how emergency preparedness can be implemented for a specialized setting under extreme security conditions.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the study conducted and what data sources were used?",{"text":117,"@type":113},"The research used a qualitative single-case study, collecting data through in-depth interviews with the emergency coordinator and analysis of contemporaneous documentation.",{"name":119,"@type":110,"acceptedAnswer":120},"What were the key results of the relocation protocol?",{"text":121,"@type":113},"Over eleven months of security challenges, the facility executed an evacuation plan that safely transferred sixty medically complex patients, along with essential equipment and personnel, to an underground facility at Rambam Hospital within three hours.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},421292,1792198117,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":24,"preview_page_count":4},1099514067438,"https://ap-avatar.wpscdn.com/avatar/100002539ee87300030?x-image-process=image/resize,m_fixed,w_180,h_180&k=1780474512215547542","28 Innovation in Aging, 2025, Vol. 9, No. S2  \nAbstract citation ID: igaf122.093  \nBEYOND THE UNDERGROUND: EMERGENCY  \nGERIATRIC HOSPITAL RELOCATION IN CONFLICT  \n-A HEALTHCARE INNOVATION MODEL  \nSharon Ost-Mor1, Elena Titelman2, Eduard Zlyesov2, and Inna Shugaev2, 1. University of Haifa, Haifa, HaZafon, Israel, 2. Fliman Medical Center, Haifa, HaZafon, Israel  \nThe unprecedented emergency relocation of Israel’s largest rehabilitation facility in the north, Fliman Medical Center, to an underground facility during active conflict presents a unique case study in healthcare emergency management. This research addresses a critical gap in the literature on emergency preparedness for specialized healthcare facilities during crisis situations. This qualitative single-case study examines the strategic planning and execution of relocating individuals requiring ventilator support and other complex medical care amid active conflict. Data were collected through in-depth interviews with the emergency coordinator and analysis of contemporaneous documentation. Over eleven months of security challenges, the facility successfully implemented a carefully coordinated evacuation plan, safely transferring sixty medically complex patients—along with essential medical equipment and personnel—to an underground facility at Rambam Hospital within three hours. The relocation maintained operational independence and ensured the continuity of comprehensive rehabilitation services. The successful execution of this emergency relocation protocol demonstrates the feasibility of sustaining complex medical care during crisis situations. This study offers a model for emergency preparedness in specialized healthcare facilities, providing critical insights for institutions worldwide—particularly those serving medically complex  \nInnovation in Aging, 2025, Vol. 9, No. S2 29  \npopulations in conflict-prone regions. The findings present practical guidelines for the safe relocation of vulnerable patients during crises, contributing to improved healthcare resilience in emergency settings.","cbCaialOKLzjpgQf","https://ap.wps.com/l/cbCaialOKLzjpgQf","pdf",152032,"English","# Abstract\n## Background and research gap\n## Study design and data collection\n## Relocation process and outcomes\n## Implications and guidelines","[{\"question\":\"What makes the Fliman Medical Center relocation a unique healthcare case?\",\"answer\":\"It involved moving Israel’s largest rehabilitation facility to an underground location during active conflict, demonstrating how emergency preparedness can be implemented for a specialized setting under extreme security conditions.\"},{\"question\":\"How was the study conducted and what data sources were used?\",\"answer\":\"The research used a qualitative single-case study, collecting data through in-depth interviews with the emergency coordinator and analysis of contemporaneous documentation.\"},{\"question\":\"What were the key results of the relocation protocol?\",\"answer\":\"Over eleven months of security challenges, the facility executed an evacuation plan that safely transferred sixty medically complex patients, along with essential equipment and personnel, to an underground facility at Rambam Hospital within three hours.\"}]","BEYOND THE UNDERGROUND - Emergency Geriatric Hospital Relocation in Conflict - A Healthcare Innovation Model | PDF",1790624549]