Health Risk Assessment (HRA): Workshop Guide

What is an HRA? An HRA identifies and ranks the hazards in your community according to the following equation:

What questions does an HRA answer? How likely is it that this hazard will turn into an event? What impact would this event have on the public’s health? What measures do we have in place to mitigate this risk?

Why are we doing an HRA? Grant Funding Planning 2011-2012 Statement of Work for local health departments Requirement for partnership and collaboration Funding Documents risk for funding requests and justifications Future grant alignment and partnership requirements Identifies gaps in funding needs for preparedness initiatives Planning Health Risk Assessment (HRA) linked to public health preparedness capabilities Coordinates and improves county planning

How does the HRA relate to an HVA? Planning Exercises Mitigation

How does this benefit my county? Strategic planning Prioritization of resources Inventory of strengths Documentation for funding requests and justifications Rethinking preparedness How do we define mitigation? How do we define preparedness? Partnership building Engaging partners outside of preparedness and public health Aligning with other assessments to enhance efficiency

What will I get from this process? A county health preparedness profile GIS resources Fulfill a grant requirement for community participation/partnership Identify areas for improvement in agency plans Identify strengths in agency plans Document baseline preparedness to assess progress Learn about the preparedness perspectives of different agencies

What is your role in this process? Represent Contribute Commit

Questions?

Housekeeping

Paperwork Sign-in Non-disclosure agreement Please complete now Evaluation will be sent out via SurveyMonkey Please include your e-mail address on the sign-in sheet

Part I: Hazard Prioritization Tool

Step 1: Identify additional hazards Review list of hazards and definitions (10 minutes) Hazard = initial source of danger (hurricane vs. flood – separate hazards)

Step 2: Discussion and Consensus What additional hazards did you identify (if any)? How would you define these hazards? Voting/consensus Does this hazard fit the definition of a hazard? (Y/N) A new hazard must have a majority vote to be included in list

Step 3: Rank hazards (30 minutes) Add any additional hazards to Worksheet 1 Rank hazards using the instructions and definitions provided Complete this form individually Turn in completed worksheet to facilitator

PARTICIPANT BREAK

Part II: Impact Planning Tool

Step 1: Fill-out impact worksheet Using the top hazard identified by the group in Part I, each agency should fill-out a separate, sector-specific worksheet If more than one representative from your agency is present, please return a single worksheet for your agency to the facilitator Public health and “other” agencies will fill-out a single impact worksheet as a group

General indicator scale The 0-4 rating scale is specific to each indicator; however, 0-4 generally means the following: 0 = None: Added impact of disaster is negligible 1 = Minimal: Adequately handled by agency using existing resources 2 = Moderate: Stretches capacity of existing resources; draws upon mutual aid/Memorandums of Understanding (MOUs) within the county 3 = Severe: Needs far exceed capacity of local authority and must call on surrounding counties for aid 4 = Catastrophic: Available resources are overwhelmed, requiring state or federal assistance

Part III: Mitigation Planning Tool

Step 1: Community mitigation As a group (all workshop participants), fill-out the community mitigation worksheet

Step 2: Agency mitigation For your agency, fill-out the mitigation worksheet If there is more than one representative from your agency, please return a single completed worksheet to the form checker/facilitator

Part V: Next Steps

HRA Project Timeline Key Dates: Toolkit Development and Testing Toolkit Training and Implementation State-level Analysis and Report Toolkit revision Key Dates: LHD Workshops/Assessments Late May-June 2012 Results due via SurveyMonkey June 29th State analysis July 2012 Analysis due to CDC 8/8/2012 Final report to partners September/October 2012 Regional report back Fall 2012 Strategic planning Fall 2012/Spring 2013

Please return the following: Blank forms Non-disclosure agreements Worksheet 1: Hazard Prioritization Worksheet 2: Impact Worksheet 3: Mitigation

Thank you!