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Maximizing the Facility Hazard Vulnerability Assessment
A Practical Application Workshop
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Agenda Current Process HVA concepts and components Building the team
Hazards and Events Probability Impact and Preparedness Facilitating the HVA
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Objectives Review HVA components and the relationship to healthcare providers Assist healthcare providers in developing or enhancing an HVA Examine best practices for developing an HVA within a healthcare facility
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Introductions Name Agency Involvement with HVA at your facility
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Desired Outcome Current Needs Existing Questions Known Concerns
Needed Resources
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Current Process Tools Meetings Participants Timing Utilization
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HVA Concepts A Review
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Planning Process Hazard Assessment Plan Development
Education and Review Revision Education Exercise
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Assessment Methods Hazard Vulnerability Assessment (HVA) – Various Agencies Threat Hazard Identification Risk Assessment (THIRA) – Emergency Management Gap Analysis – Various Agencies Local Risk Assessment (LRA) – Public Health
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HVA Components
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General Considerations
Event or Risk Probability Impact Duration Preparedness
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SEVERITY = (MAGNITUDE - MITIGATION)
SEVERITY = (MAGNITUDE - MITIGATION) EVENT PROBABILITY HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT PREPARED-NESS INTERNAL RESPONSE EXTERNAL RESPONSE RISK Likelihood this will occur Possibility of death or injury Physical losses and damages Interruption of services Preplanning Time, effectiveness, resources Community/ Mutual Aid staff and supplies Relative threat* SCORE 0 = N/A = Low = Moderate = High 0 = N/A = Low = Moderate = High 0 = N/A = Low = Moderate = High 0 = N/A = Low = Moderate = High 0 = N/A = High = Moderate = Low or none 0 = N/A = High = Moderate = Low or none 0 = N/A = High = Moderate = Low or none % Tornado 0% Severe Snow Storm Structure Fire Wild Fire Violence in the facility Violence in the community Hurricane Pandemic Influenza Snow Storm/Blizzard AVERAGE 0.00 *Threat increases with percentage Table adapted from Kaiser Permanente. RISK = PROBABILITY * SEVERITY
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Likelihood this will occur Possibility of death or injury
INCIDENT PROBABILITY INCIDENT EFFECT PREPAREDNESS RISK HUMAN PROPERTY FACILITY WARNING DURATION PLANNING TRAINING IMPACT TIME EQUIPMENT Likelihood this will occur Possibility of death or injury Amount of property severely damaged Complete interruption / shutdown of facility or services Incident anticipation time Time incident may continue Emergency Management / Operations Plan Staff trained and equipped Relative Threat 4 = Highly Likely (probable within this year) 4 = Multiple deaths 4 = >50% 4 = >30 days 4 = <6 hours 4 = >1 week 4 = No EMP or EOP 4 = staff not trained on EOP = Very High 3 = Likely (probable within 3 years) 3 = Injuries result in permanent disability 3 = 25-50% 3 = >2 weeks 3 = 6-12 hours 3 = <1 week 3 = EMP/EOP partially complete 3 = some staff trained, no equipment = High 2 = Possible (probable within 5 years) 2 = Injuries do not result in permanent disability 2 = 10-25% 2 = >1 week 2 = hours 2 = <1 day 2 = EMP/EOP complete 2 = most staff trained, some equipment = Moderate 1 - Unlikely (probable within 10 years) 1 = Injuries treatable with first aid 1 = <10% 1 = 24 hours or less 1 = 24+ hours 1 = <6 hours 1 = EMP/EOP exercised and/or evaluated 1 = Anticipated staff trained and properly equipped = Low Bomb Threat 0.00 Workplace Violence Tornado Severe Thunderstorm Winter Storm (Ice, Snow, Low temperatures) Flood Fire Power Outage Info Systems Failure HVAC Failure Water Service Failure Phone Service Failure Medical Gas Failure Medical Vacuum Failure Disease Outbreak Mass Casualty Incident Hazmat Exposure Supply Shortage VIP Situation Infant Abduction Average Score #DIV/0!
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SEVERITY = (MAGNITUDE - MITIGATION) REGIONAL PREPARED-NESS
SEVERITY = (MAGNITUDE - MITIGATION) EVENT PROBABILITY HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT CRITICAL FACILITIES AGENCY PREPARED-NESS REGIONAL PREPARED-NESS RISK Likelihood this will occur Possibility of death or injury Physical losses and damages Interruption of Business Activity Disruption of critical services or businesses Resources and Effectiveness Community aid and support Relative threat* 0-3" Snow 0% 3-12" Snow >12" Snow Ice Storm Flash Flooding Extended Rain Flooding Tornado EF0-EF2 Tornado EF3-EF5
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Building the Team
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Discussion: Team Members
Who do you involve? Why are they involved? When do you involve them? What are the expectations or contributions of the members?
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Hazards and Events
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Discussion: What to Assess
Hazards, Impacts, Events, Capability Identify Define Clarify Prioritize
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Probability
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Discussion: Defining Probability
Factors impacting probability Defining probability Consistency and objectivity
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Impact and Preparedness
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Discussion: Impact Human, Facility, Business Other impacts
Variations Other impacts Perception of impact Providing guidance or definitions
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Discussion: Preparedness
Who is prepared? How are they prepared? Capability vs Capacity Factors impacting perception of preparedness Defining preparedness
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Discussion: Other Factors
Duration Warning Time “Gut feeling”
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Facilitating the HVA
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Facilitating the Discussion
Root Cause Worksheet Group facilitation and consensus
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Practical HVA Facilitation within a Facility
Divide and conquer Small portions Gather information Scenario based discussion Questionnaire
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Next Steps
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Facility Actions Team Approach Instructions Gather Analyze Validate
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All Clear Emergency Management Group, LLC
Contact All Clear Emergency Management Group, LLC Will Moorhead
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