hospital emergency preparedness developing a hazard vulnerability analysis for your hospital
TRANSCRIPT
JCAHO Changes in 2001
Term changed to “Emergency Management”
Changes in alignment with NFPA 99, Chapter. 11 Community Response
Intent 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:
1 Known risk
2 Historical data
3 Manufacturer/vendor statistics
Score:
0 = N/A, 1 = Low, 2 = Moderate, 3 = High
Severity(Magnitude - Mitigation)
Issues to consider for human impact include, but are not limited to:
1 Potential for staff death or injury
2 Potential 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:
1 Cost to replace
2 Cost to set up temporary replacement
3 Cost to repair
4 Time 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:
1 Business interruption
2 Employees unable to report to work
3 Customers unable to reach facility
4 Company in violation of contractual agreements
5 Imposition of fines and penalties or legal costs
6 Interruption of critical supplies
7 Interruption of product distribution
8 Reputation and public image
9 Financial impact/burden
Score:
0 = N/A, 1 = Low, 2 = Moderate, 3 = High
Severity(Magnitude - Mitigation)
Issues to consider for preparedness include, but are not limited to:
1 Status of current plans
2 Frequency of drills
3 Training status
4 Insurance
5 Availability 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:
1 Types of supplies on hand/will they meet need?
2 Volume of supplies on hand/will they meet need?
3 Staff availability
4 Coordination with Clinics's
5 Availability of back-up systems
6 Internal 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:
1 Types of agreements with community agencies/drills?
2 Coordination with local and state agencies
3 Coordination with proximal health care facilities
4 Coordination with treatment specific facilities
5 Community resources
Score:
0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none
What To Review?Hospital Areas of Concern:
Natural Hazards
Technological Hazards
Human Hazards
Hazardous Materials
How to Start?Hospital Collaboration:FacilitiesEngineeringDesign and ConstructionSafetySecurityEmergency DepartmentLeadershipOthers
How to Start?External Collaboration:LEMSADHSHealth/HazMatFire DepartmentLaw EnforcementEnvironmental HealthOther HospitalsOthers
How to Start?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
Interuption of services
PreplanningTime,
effectivness, resouces
Community/ Mutual Aid staff
and suppliesRelative threat*
SCORE
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = Low 2 = Moderate 3 = High
0 = N/A 1 = High
2 = Moderate 3 = Low or none
0 = N/A 1 = High
2 = Moderate 3 = Low or none
0 = N/A 1 = High
2 = Moderate 3 = Low or none
0 - 100%
Hurricane 0 2 3 2 1 2 1 0%
Tornado 2 2 3 2 2 2 2 48%
Severe Thunderstorm
3 2 3 2 1 2 1 61%
Snow Fall 1 2 2 1 3 3 3 26%
Blizzard 1 2 2 1 3 3 3 26%
Ice Storm 1 2 2 1 3 3 3 26%
Earthquake 2 3 3 3 2 2 2 56%
Tidal Wave 0 3 3 3 3 0 3 0%
Temperature Extremes
3 2 1 1 1 1 1 39%
Drought 2 1 1 1 1 1 1 22%
Flood, External 2 3 3 3 1 2 1 48%
Wild Fire 1 2 3 2 1 3 1 22%
Landslide 0 2 3 2 2 0 2 0%
Dam Inundation 1 3 3 3 2 3 2
Volcano 1 3 3 2 2 3 2 28%
Epidemic 2 3 1 3 2 1 2 44%
AVERAGE SCORE 1.38 2.31 2.44 2.00 1.88 1.94 1.88 32%
*Threat increases with percentage.
22 RISK = PROBABILITY * SEVERITY
199 0.32 0.46 0.69
How to Summarize?
Hazard Specific Relative Risk to Medical Center
0.00
0.10
0.20
0.30
0.40
0.50
0.60
0.70
0.80
0.90
1.00
Natural Technological Human Hazmat
Rel
ativ
e T
hre
at t
o F
acil
ity
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