Chapter 2 CRITICAL RESOURCE VULNERABILITY ANALYSIS [ENTER FACILITATOR’S NAME AND CONTACT INFORMATION] Developed by Troutman Sanders LLP Developed for the Virginia Department of Health Funded by Centers for Disease Control and Prevention

2Critical Resource Vulnerability Analysis

3 Toolkit Presentations Instructions for Use  Toolkit Presentations are intended to be a companion to the Hospital Implementation Guide and should not be used in isolation.  The Presentations are intended to serve as a starting point for the facilitator. The facilitator should thoroughly review the Presentation prior to use in Implementation Team, CRAG or Subcommittee meetings and customize the Presentation to meet the unique needs of the meeting participants.  Pay particular to attention to the information provided in brackets ([ ]), which must be completed by the facilitator prior to use.  Included in the “Notes” section of each slide are the following types of information: Slide Type, which indicates whether the slide is for information or discussion, serves as a placeholder, or is some combination thereof Planning Guide Section(s), which will direct the facilitator to the corresponding sections of the Planning Guide and Hospital Implementation Guide for further information Special Instructions, which provides directions for the facilitator to customize the slide for the intended audience Speaker’s Notes, which provides more detailed information to supplement the material on the slide  Refer to the Hospital Implementation Guide for further guidance and helpful hints on effectively completing the process described in the Planning Guide.

4Critical Resource Vulnerability Analysis CRAG Members  [Enter names and departments of each CRAG member]

5Critical Resource Vulnerability Analysis  Add slides from Altered Standards Overview and/or Chapter 1 presentation, as needed, to re-introduce the CRAG to the concept of altered standards and critical resource shortage response planning, especially if new members are involved.

6Critical Resource Vulnerability Analysis Introduction

7Critical Resource Vulnerability Analysis Chapter Overview  Develop a list of critical resources  Prioritize the list of critical resources  Identify mechanisms for mitigating depletion of the resources  Determine which critical resources should be immediately considered for Protocol development  Revisit the CRVA at appropriate intervals

8Critical Resource Vulnerability Analysis Step 1: Develop list of critical resources

9Critical Resource Vulnerability Analysis WHAT IS CRITICAL? SUSTAIN HUMAN LIFE STABILIZE A PATIENT IN AN EMERGENCY PREVENT PERMANENT DISABILITY/INJURY SPECIALIZED STAFF SKILL SETS

10Critical Resource Vulnerability Analysis List of Critical Resources

11Critical Resource Vulnerability Analysis Step 2: Prioritize list of critical resources

12Critical Resource Vulnerability Analysis Prioritization HIGH MEDIUM LOW

13Critical Resource Vulnerability Analysis Categorizing Resources Critical Resource StaffStuffSpace

14Critical Resource Vulnerability Analysis Hazard Vulnerability Analysis  [INSERT INFORMATION REGARDING RECENT HAZARD VULNERABILITY ANALYSES, AS APPROPRIATE TO GUIDE PRIORITIZATION OF CRITICAL RESOURCES.]

15Critical Resource Vulnerability Analysis Prioritization Considerations  Which critical resources are most likely to be depleted based on events identified in the hazard vulnerability analysis of the hospital(s) in the Planning Unit?  Which critical resources, when depleted, will have the most significant negative impact on patient morbidity and mortality?  Which critical resources constrain a hospital’s ability to provide care effectively? In other words, what is the rate limiting factor?

16Critical Resource Vulnerability Analysis Prioritization High PriorityMedium PriorityLow Priority

17Critical Resource Vulnerability Analysis BREAK

18Critical Resource Vulnerability Analysis High Priority Critical Resources  [INSERT LIST OF HIGH PRIORITY CRITICAL RESOURCES AS DETERMINED BY THE CRAG.]

19Critical Resource Vulnerability Analysis Step 3: Identify mitigation mechanisms

20Critical Resource Vulnerability Analysis Mitigation/Surge

21Critical Resource Vulnerability Analysis Surge/Mitigation Plan for [critical resource]  [INSERT DETAILS REGARDING THE EXISTING SURGE AND/OR MITIGATION PLAN FOR ONE OF THE HIGH PRIORITY CRITICAL RESOURCES.]

22Critical Resource Vulnerability Analysis Evaluating Surge/Mitigation Plan  Does the plan realistically address the scope of the disasters and emergencies identified in the hazard vulnerability analysis?  Does the plan create enough extra supply to continue to meet increased patient demand over a prolonged period of time?  Has the surge/mitigation plan been adequately tested and proven effective?

23Critical Resource Vulnerability Analysis Step 4: Develop list of critical resources for Protocol development

24Critical Resource Vulnerability Analysis Protocol Development

25Critical Resource Vulnerability Analysis Discussion Questions  Which resources will be extensively used by the hospital(s) in the Planning Unit?  Which resources will impact the most patients?  Which resources lend themselves to effective Protocol development?  If a Protocol is developed for a particular resource, will the hospital(s) in the Planning Unit accept and use it?

26Critical Resource Vulnerability Analysis Step 5: Regular re-assessment of CRVA

27Critical Resource Vulnerability Analysis Routine Re-assessment

28Critical Resource Vulnerability Analysis Questions?