1. Hazard and Vulnerability Assessment
Timothy Tull
Emergency Management Coordinator
WVU Medicine

2. Hazard and Vulnerability Assessment
Primary Focus
Overview of the HVA Process
Foundational Concept for EM Process
HVA Format Options
Discuss Identifying/Defining Specific Events
Research and Fact Based HVA Evaluations
HVA Review Process Participation
Consistencies in HVA Process

3. Hazard and Vulnerability Assessment
HVA –
Hospitals are required to conduct and annually review their Hazard Vulnerability Analysis (HVA).
The HVA provides a systematic approach to recognizing hazards that may affect demand for the hospitals 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.

4. HVA; Foundation for EM Planning
Analysis Conducted
Prioritize
Likelihood
Preparedness
Impact
Policy Review
High Priorities
Training
Identified Priorities
Drill Exercise
Track Proficiency

5. HVA Format Kaiser Permanente Live Process Other Natural Technological
Human
Live Process
Other

6. HVA; Event Definitions
Well Defined Events
Consistency in Event Identification
When considering particular events ensure the definition of that event remains consistent.
Identification Based on Impact
Ensure consideration for particular events is based on the impact to the organization and not what the event looks like in the field.

7. HVA; Research and Evaluations
Ensure Specific Threat Levels are Based on Clear Concise Research and Corresponding Evaluations of Particular Threats
Actual History
Documented Recent Events
Substantiated new Risks and Threats
Avoid
Personal Opinion
Speculation

8. HVA Participation Who Should Participate in The HVA Process
Participants with Direct Topic Knowledge
Some Anticipation of Hazards / Threats
Previous Events
Previous HVA
Organizational Changes
Current Trends; (Local / Regional / National)
Combination of Internal / External Participation

9. HVA; Consistency Consistency Among Regional Facilities
Some will be site specific threats
Based on infrastructure
Based on organizational changes
Several should be similar to neighboring facilities
Large external events
Regional weather events
HVA / Actual Events
How often has IC been activated
Percentage of times for items on HVA

10. HVA Results / Actual Events
HVA Top 5
1 - Severe Weather
2 - Tornado
3 - Flood, External
4 - Cyber Attack
5 - Power Failure
6 - Hazmat
7 - Hazardous Material Spill

11. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

12. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

13. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

14. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

15. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

16. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

17. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

18. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

19. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

20. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

21. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

22. HVA Results / Actual Events
HVA Top 5
Actual Events for 2018
1 - Severe Weather
Patient Surge - July
2 - Tornado
Power Failure - July
3 - Flood, External
IT Failure - March
4 - Cyber Attack
Security Threat (Active Shooter) - March
5 - Power Failure
Communications Failure - March
6 - Hazmat
Security Threat (Active Shooter) - Feb
7 - Hazardous Material Spill
Patient Surge - Jan

23. HVA / Discussion Review
HVA is foundational to the entire disaster planning process
Properly identify specific threats and ensure consistency in threat definitions
Conduct proper research regarding the threats and events covered
Ensure proper participation in the HVA process
Consistency in process and results is important
The HVA process should be a constantly evolving and endless process of response refinement and improvement.

24. Emergency Management Coordinator
Questions ?
Timothy Tull
Emergency Management Coordinator
WVU Medicine