Every time a major event occurs, in the after action report, communication problems are identified as a top issue to fix the next time.   Then, the next event occurs and it is like the movie Ground Hog Day.  It happens all again.    

 In a post-Ike meeting hosted by HealthQuilt on December 10, representatives from City of Houston, Harris County, the State, health care groups, and housing recovery groups committed to a pilot to test interoperability of information to support evacuation, medical management at community locations in the immediate post event time, and housing recovery.   The timeline is a pilot test in February 2009 for a small group of organizations with the hope that there will be a system in place that could be utilized starting this summer and tested as part of the Fourth Annual Summer Research Program.