2. Hospital Emergency Preparedness Developing a Hazard Vulnerability Analysis for Your Hospital

3. 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).

4. Environment of Care EC 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 Risk Risk = Probability * Severity

5. Probability Issues to consider for probability include, but are not limited to: 1Known risk 2Historical data 3Manufacturer/vendor statistics Score: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

6. Severity (Magnitude - Mitigation) Magnitude (Impact) ò Human ò Property  Business

7. Severity (Magnitude - Mitigation) Issues to consider for human impact include, but are not limited to: 1Potential for staff death or injury 2Potential for patient death or injury Score: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

8. Severity (Magnitude - Mitigation) Issues to consider for property impact include, but are not limited to: 1Cost to replace 2Cost to set up temporary replacement 3Cost to repair 4Time to recover Score: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

9. Severity (Magnitude - Mitigation) Issues to consider for business impact include, but are not limited to: 1Business interruption 2Employees unable to report to work 3Customers unable to reach facility 4Company in violation of contractual agreements 5Imposition of fines and penalties or legal costs 6Interruption of critical supplies 7Interruption of product distribution 8Reputation and public image 9Financial impact/burden Score: 0 = N/A, 1 = Low, 2 = Moderate, 3 = High

10. Severity (Magnitude - Mitigation) Mitigation ò Preparedness ò Internal Response ò External Response

11. Severity (Magnitude - Mitigation) Issues to consider for preparedness include, but are not limited to: 1Status of current plans 2Frequency of drills 3Training status 4Insurance 5Availability of alternate sources for critical supplies/services Score: 0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none

12. 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 availability 4Coordination with Clinics's 5Availability of back-up systems 6Internal resources ability to withstand disasters/survivability Score: 0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none

13. 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 agencies 3Coordination with proximal health care facilities 4Coordination with treatment specific facilities 5Community resources Score: 0 = N/A, 1 = High, 2 = Moderate, 3 = Low or none

14. What To Review? Hospital Areas of Concern: Natural Hazards Technological Hazards Human Hazards Hazardous Materials

15. How to Start? Hospital Collaboration: çFacilities çEngineering çDesign and Construction çSafety çSecurity çEmergency Department çLeadership çOthers

16. How to Start? External Collaboration: çLEMSA çDHS çHealth/HazMat çFire Department çLaw Enforcement çEnvironmental Health çOther Hospitals çOthers

17. How to Start?

18. How to Summarize?

19. How to Summarize? Operationalized Subjective Data: çAreas of Strength çAreas Weakness çJustification for Funding çJustification for Training çJCAHO Compliant çHospital Awareness çCommunity Awareness çOrganizational Awareness

20. Questions? Mitch Saruwatari Kaiser Permanente Western EH&S 100 South Los Robles, Suite 410 Pasadena, CA 91188 (626) 564-3817 mitch.saruwatari@kp.org Worksheet available at: www.emsa.ca.gov