1. Health Risk Assessment (HRA): Workshop Guide

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

3. 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?

4. Why are we doing an HRA? Grant Funding Planning
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

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

6. 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

7. 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

8. What is your role in this process?
Represent
Contribute
Commit

9. Questions?

10. Housekeeping

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

12. Part I: Hazard Prioritization Tool

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

14. 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

15. 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

16. PARTICIPANT BREAK

17. Part II: Impact Planning Tool

18. 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

19. 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

20. Part III: Mitigation Planning Tool

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

22. 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

23. Part V: Next Steps

24. 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

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

26. Thank you!