Hospital Emergency Preparedness Developing a Hazard Vulnerability Analysis for Your Hospital

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Transcript of Hospital Emergency Preparedness Developing a Hazard Vulnerability Analysis for Your Hospital

  • Hospital Emergency Preparedness Developing a Hazard Vulnerability Analysis for Your Hospital

  • JCAHO Changes in 2001Term changed to Emergency Management Changes in alignment with NFPA 99, Chapter. 11 Community ResponseIntent is to ensure more effective response to disasters (global).

  • Environment of CareEC 1.4 (a)HVA Definition: The identification of hazards and the direct and indirect effect these hazards may have on the hospital.

    ASHE Definition of RiskRisk = Probability * Severity

  • Probability Issues to consider for probability include, but are not limited to:1Known risk2Historical data3Manufacturer/vendor statisticsScore: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

  • Severity(Magnitude - Mitigation)Magnitude (Impact) Human Property Business

  • Severity(Magnitude - Mitigation)Issues to consider for human impact include, but are not limited to:1Potential for staff death or injury2Potential for patient death or injury

    Score: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

  • Severity(Magnitude - Mitigation)Issues to consider for property impact include, but are not limited to:1Cost to replace2Cost to set up temporary replacement3Cost to repair4Time to recover Score: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

  • Severity(Magnitude - Mitigation)Issues to consider for business impact include, but are not limited to:1Business interruption2Employees unable to report to work3Customers unable to reach facility4Company in violation of contractual agreements5Imposition of fines and penalties or legal costs6Interruption of critical supplies7Interruption of product distribution8Reputation and public image9Financial impact/burdenScore: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

  • Severity(Magnitude - Mitigation)Mitigation Preparedness Internal Response External Response

  • Severity(Magnitude - Mitigation)Issues to consider for preparedness include, but are not limited to:1Status of current plans2Frequency of drills3Training status4Insurance5Availability of alternate sources for critical supplies/services

    Score: 0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none

  • Severity(Magnitude - Mitigation)Issues to consider for internal resources include, but are not limited to:1Types of supplies on hand/will they meet need?2Volume of supplies on hand/will they meet need?3Staff availability4Coordination with Clinics's5Availability of back-up systems6Internal resources ability to withstand disasters/survivability

    Score: 0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none

  • Severity(Magnitude - Mitigation)Issues to consider for external resources include, but are not limited to:1Types of agreements with community agencies/drills?2 Coordination with local and state agencies3Coordination with proximal health care facilities4Coordination with treatment specific facilities5Community resourcesScore: 0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none

  • What To Review?Hospital Areas of Concern:

    Natural HazardsTechnological HazardsHuman HazardsHazardous Materials

  • How to Start?Hospital Collaboration:FacilitiesEngineeringDesign and ConstructionSafetySecurityEmergency DepartmentLeadershipOthers

  • How to Start?External Collaboration:LEMSADHSHealth/HazMatFire DepartmentLaw EnforcementEnvironmental HealthOther HospitalsOthers

  • How to Start?

  • How to Summarize?

  • How to Summarize?Operationalized Subjective Data:Areas of StrengthAreas WeaknessJustification for FundingJustification for TrainingJCAHO CompliantHospital AwarenessCommunity AwarenessOrganizational Awareness

  • Questions?Mitch SaruwatariKaiser PermanenteWestern EH&S100 South Los Robles, Suite 410Pasadena, CA 91188(626) [email protected]

    Worksheet available at:www.emsa.ca.gov