Community Health Centers of Arkansas Hazard Vulnerability Assessment Workshop August 11, 2017 Mark Fuller

Topics For Today Introductions Overview of Hazard Vulnerability and Risk Assessment Best Practices

Your Sector, Expertise and Responsibility? Introductions Your Sector, Expertise and Responsibility?

Four Provisions for All Provider Types Risk Assessment and Planning Polices and Procedures Communication Plan Test. Training and Exercise This rule applies to 17 provider and supplier types as a condition of participation for CMS. The providers/suppliers are required to meet four core elements (with specific requirements adjusted based on the individual characteristics of each provider and supplier):   Emergency plan—Develop an emergency plan based on a risk assessment and using an “all-hazards” approach, which will provide an integrated system for emergency planning that focuses on capacities and capabilities. Policies and procedures—Develop and implement policies and procedures based on the emergency plan and risk assessment that are reviewed and updated at least annually. For hospitals, Critical Access Hospitals (CAHs), and Long-Term Care (LTC) facilities, the policies and procedures must address the provision of subsistence needs, such as food, water and medical supplies, for staff and residents, whether they evacuate or shelter in place. Communication plan—Develop and maintain an emergency preparedness communication plan that complies with federal, state and local laws.  Patient care must be coordinated within the facility, across healthcare providers, and with state and local public health departments and emergency management systems to protect patient health and safety in the event of a disaster. A training and testing program—Develop and maintain training and testing programs, including initial training in policies and procedures. Facility staff will have to demonstrate knowledge of emergency procedures and provide training at least annually. Facilities must conduct drills and exercises to test the emergency plan or participate in an actual incident that tests the plan. Each element of the plan must be reviewed and updated annually

What is a HVA? The HVA provides a systematic approach to recognizing hazards that may affect demand for the FQHCs services or its ability to provide those services. The risks associated with each hazard are analyzed to prioritize planning, mitigation, response and recovery activities. The HVA serves as a needs assessment for the Emergency Management program. This process should involve community partners and be communicated to community emergency response agencies.

Risk Assessment and Planning (HVAs) Know your Hazards and Potential Threats. Develop an emergency plan based on those hazards and threats. Perform risk assessment using an “all-hazards” approach, focusing on capacities and capabilities. Update emergency plan at least annually based on changing threats and hazards. Providers must develop an emergency plan using an all-hazards approach, which would have them plan and identify in advance essential functions and who is responsible in a crisis. Each provider is required to develop an emergency plan based on a risk assessment. The risk assessment must be documented and use an all-hazards approach. An all-hazards approach is an integrated approach that doesn’t specifically address every possible threat, but ensures providers have capacity to address a broad range of related emergencies. We would expect providers to consider business functions that should continue, risks that the provider is likely to confront, contingencies, the location of the provider, and also to determine whether arrangement with other providers is necessary to ensure continuity of care. The regulations require each covered entity to develop an emergency operations plan based on a risk assessment. Risk assessments are conducted at the facility, jurisdictional and health care coalition levels and entities are encouraged to contact their local healthcare coalitions to participate in local risk assessments. Once the risk assessment has been conducted, develop an emergency plan that addresses the entities ability to prepare for, respond to, and recover from emergencies and disasters and incorporates the specific regulations listed in the final rule.

Hazards / Risk Assessment Not always part of a Continuity Plan but a requirement for CMS Helps your organizations understand the potential Hazards and Risks Identifies potential impacts to your organization Specific steps to take for each event to help minimize impacts

Hazards / Risk Assessment Natural Events Tornado, Flood, Ice Storm, Severe Weather Events, Earthquake Man-Made Events Terrorism, Protests, Workforce Strike, Bomb Threat, Train Derailment Technological Events IT Services Outage, Computer Viruses, Electrical Outages Biological Events Pandemic Flu, H1N1, SARS, MERS-CoV

What does an HVA Look Like?

What does an HVA Look Like?

Available On-Line Tools What does an HVA Look Like?

HVA Best Practices Incorporate past historical events in planning Consult local Emergency Management on potential all hazards threats Use existing HVA planning tools Think outside of the box….your threats may have changed Collaborate with all partnerships

Mark Fuller (850) 559-9839 fullerm005@gmail.com Questions / Comments Mark Fuller (850) 559-9839 fullerm005@gmail.com