what does the us department of health and human services consider to be the most hazardous

Topic Collection Cover Page

Adventure Vulnerability/Risk Assessment
Topic Drove
March 29, 2022

Topic Collection: Adventure Vulnerability/Risk Assessment

Run a risk vulnerability analysis (HVA) and risk assessment are systematic approaches to identifying hazards or risks that are most probable to accept an impact on a healthcare facility and the surrounding community. Conducting a take chances assessment / HVA is too a requirement in the CMS Emergency Preparedness Dominion.  The Joint Commission Emergency Management and NFPA (Healthcare 99-101, Chapter 12, Emergency Management) as well crave an HVA. Multiple tools and resource are available to help healthcare organizations and public health departments prioritize their planning efforts based on these identified hazards.

Ideally, an HVA should be conducted with input from experts from outside the establishment/agency to ensure the incorporation of additional context for the gamble assessment. For example, jurisdictional emergency management, NOAA, and state agencies may have quantitative and qualitative probability and impact data based on risk assessments and actual events that can contribute to the facility/coalition HVA. This data may prompt additional discussions and provide valuable input and resources for consideration in improver to contributing to the HVA.

Each resource in this Topic Collection is placed into one or more of the following categories (click on the category name to be taken directly to that gear up of resources). Resources marked with an asterisk (*) appear in more than one category.

Must Reads


The authors talk over results from interviews with staff members at eight hospitals in Maine to document HVA processes and develop recommendations for improvement. Researchers conducting the interviews were from the Harvard School of Public Health and the Southern Maine Regional Resource Center for Public Wellness Emergency Preparedness.

This tool guides public health planners through an assay of the health-related impacts of diverse hazards that tin can occur in their jurisdictions, and helps them prioritize planning efforts for those emergencies.

This guide provides communities with a three-pace process for conducting a Threat and Gamble Identification and Run a risk Cess (THIRA). While information technology incorporates healthcare, this guide is customs-based. It builds upon previous versions of the CPG and describes a standard process for identifying community-specific threats and hazards; setting capability targets for each core capability identified in the National Preparedness Goal; and estimating resources needed to meet the capability targets. This edition also includes the three-step process for a Stakeholder Preparedness Review (SPR) (formerly State Preparedness Report), every bit this process is interconnected with the THIRA process. Healthcare should exist aware of the THIRA procedure and clinch that their input is considered and that accurate numerics are used.

This tool provides a systematic approach to analyzing hazards that may affect demand for hospital services, or a facility'due south ability to provide those services, helping to prioritize planning, mitigation, response, and recovery activities. This revised version of the commonly used tool incorporates data on actual activations experienced by the user, to more fully inform chance analysis.

This tool was developed past the Los Angeles Section of Public Health—in collaboration with the Orangish County Health Care Bureau, the Long Beach Section of Health and Human Services, and the Pasadena Section of Public Health—and provides a half dozen-footstep hazard vulnerability cess procedure. It offers a health-focused mechanism to engage the community, place organizational priorities, and meliorate an agency's or community's capability to successfully prepare for, reply to, and recover from potential emergency threats. Both the hHAP Instrument and Manual are provided as downloads.

This program, updated in 2016, is designed to guide the Health and Public Health (HPH) Sector's internal, collaborative, and cross-sector efforts "to raise the security and resilience of HPH critical infrastructure to all-hazards beyond its concrete, cyber, and man dimensions." Updates include refreshed goals and objectives and more accent on select priorities (e.g., information sharing and emergency response).

This workbook is intended for public health agencies and provides guidance in determining the likelihood of a hazard occurring, assessing their community's vulnerabilities and electric current resources, and prioritizing resources in planning for disasters.

Pedagogy and Training


This free course is designed to introduce learners to the basic process of conducting a adventure and vulnerability cess for their community, and the key concepts of risk identification and vulnerability assessment in determining public health take a chance for emergency planning purposes.

This slide set from a presentation describes how to conduct a Hazard Vulnerability Analysis (HVA) in the healthcare setting; highlights specific tools that can be used to mitigate risks once hazards have been identified and prioritized; shares the use of HVA in almanac emergency direction planning activities and demonstrates a new mode to prioritize risks using actual incident information.

This free form tin assistance local or Tribal government officials, showtime responders, and other stakeholders: learn more than virtually the Stafford Act; identify and bring together experts and stakeholders (e.1000., hospital and other healthcare facility planners) to assist with the procedure; and utilise local or tribal mitigation planning guidance to develop a hazard mitigation plan.

This presentation briefly discusses the hazard vulnerability assessment (HVA) process and its value to healthcare facilities. Lessons learned for two facilities are included.

This hour-long community-based planning form includes discussion of how to apply adventure cess to the development of emergency operations plans; considerations for conducting risk assessments; and how to determine resource and information necessary to analyze threats, hazards, operational priorities, and courses of activity. The intended audience is local public wellness administrators and local canton emergency managers.

This brief lesson provides an overview of risk mitigation planning (including examples) for healthcare facilities.

This free two-day grade is offered in several locations beyond the U.S. and helps participants understand risks to their facilities and mitigation strategies. Students will be able to practice conducting vulnerability assessments on-site (at local facilities) and identify potential mitigating strategies.

This two-day grade is offered in several locations across the U.S. and can assist a variety of healthcare industry staff (e.chiliad., planners, directors, regulatory personnel) understand the natural, technological, and human-caused hazards that may make their facilities vulnerable. Participants volition learn about response and recovery issues specific to medical facilities, including which resource may be necessary for response and recovery.

Environmental Hazards


The authors examine the spatial patterns of natural hazard mortality at the canton-level for the U.S. from 1970–2004 using a combination of geographical and epidemiological methods. This information can assistance to better inform local emergency practitioners who plan for and reply to disasters in their communities.

Borden, Yard.A., Schmidtlein, M.C., Emrich, C.T., et al. (2007). Vulnerability of U.S. Cities to Environmental Hazards. (Abstruse only.) Periodical of Homeland Security and Emergency Management. Volume 4, Issue 2, ISSN (Online) 1547-7355.

The authors of this newspaper explore the variability in vulnerability to natural hazards among 132 urban areas using three indices of vulnerability: social; built environment; and hazard impact. They too examine the relative levels of vulnerability compared to federal Urban Areas Security Initiative (UASI) funding.

The authors provide a 3-tiered approach to develop local climate change environmental public wellness indicators. These indicators tin assist local wellness departments with incorporating climate-related trends into the larger health section planning process and can be used to perform vulnerability assessments.

The authors provide a review of the health impacts of U.South. coastal storms, with a focus on outcomes relevant to New York City (NYC) and urban coastal areas, and contain lessons learned from Superstorm Sandy. Based on the literature reviewed, indicators of health vulnerability were selected and mapped inside NYC neighborhoods.

Users tin select their canton to get more than information on exposure and resilience to coastal hazards that can be used to inform their hazard vulnerability analysis (HVA) and associated response and recovery plans. The snapshots incorporate information from the Federal Emergency Direction Agency (FEMA) floodplain maps, U.S. Geological Survey critical facilities database, and NOAA land embrace and demographics databases.

Guidance


This slide set from a presentation describes how to conduct a Risk Vulnerability Analysis (HVA) in the healthcare setting; highlights specific tools that can be used to mitigate risks one time hazards accept been identified and prioritized; shares the use of HVA in annual emergency management planning activities and demonstrates a new way to prioritize risks using actual incident data.

This guide provides strategies for risk mitigation nether four principal activity categories: (i) Local Planning and Regulations, (two) Construction and Infrastructure Projects, (3) Natural Systems Protection, and (4) Teaching and Awareness Programs. It includes strategies for healthcare facilities, buildings in general, and links to related resources.

This guide provides communities with a three-step procedure for conducting a Threat and Hazard Identification and Risk Assessment (THIRA). While it incorporates healthcare, this guide is community-based. It builds upon previous versions of the CPG and describes a standard process for identifying community-specific threats and hazards; setting capability targets for each core capability identified in the National Preparedness Goal; and estimating resources needed to meet the adequacy targets. This edition also includes the three-step process for a Stakeholder Preparedness Review (SPR) (formerly State Preparedness Written report), equally this procedure is interconnected with the THIRA process. Healthcare should be aware of the THIRA process and assure that their input is considered and that authentic numerics are used.

The authors used open up source data and a standardized set of attributes to examine 10 homeland security risks (eastward.g., natural disasters and terrorist incidents). The annualized chance to the U.S. is supported by diverse tables and graphics throughout the article.

The authors discuss the pros and cons of using qualitative versus quantitative data to assess homeland security threats. They advise combining quantitative chance models with "managerial review and judgment."

Lessons Learned


The authors discuss results from interviews with staff members at eight hospitals in Maine to document HVA processes and develop recommendations for improvement. Researchers conducting the interviews were from the Harvard School of Public Wellness and the Southern Maine Regional Resource Center for Public Health Emergency Preparedness.

Plans, Tools, and Templates


This 3-folio outline tin assist planners who work in assisted living and more than traditional healthcare settings behave risk vulnerability assessments. Information technology includes a link to related references at the finish.

This comparison chart shows the similarities and differences amongst five of the primary run a risk vulnerability assessment (HVA) tools used past public health and health intendance organizations, and the Federal Emergency Management Agency's Threat and Hazard Identification Gamble Assessment (THIRA). Each description includes a summary of its primary use/purpose, likewise as data on who adult the tool and how, the format of the tool, the calculations approach, and the benefits and limitations of the tool.

This tool, adapted from the Kaiser Permanente tool, was created for the Big Bend Healthcare Coalition in Florida. Information technology includes detailed directions and scoring definitions, and can be downloaded in Excel for ease of use.

This page includes links to several general and land-specific hazard vulnerability assessment tools.

This planning tool can help customs planners--in context with community partners--assess disaster readiness from a healthcare system perspective. The tool tin can assist with identifying core agency partners' capabilities and resources and instances where the same vendors are beingness used for resources supplies past the partners, and can help planners address gaps in their community's capabilities or potential shortages in resources.

This Customs Hazard Vulnerability Assessment (CHVA) is based upon the work of many partners including Children's Hospital Colorado and a Wisconsin workgroup consisting of state and local emergency direction and public health departments, tribal health and hospital emergency planners. The CHVA incorporates the iv phases of emergency direction and takes an all-hazards approach to address national and local planning scenarios.

This comprehensive Give-and-take document includes the rationale, process, and findings of the DC Emergency Healthcare Coalition's Enhanced Hazard Vulnerability Analysis (HVA) conducted in July 2015. It may be used every bit a reference for other coalitions in the acquit of their respective HVAs.

This Excel file lists vulnerabilities (east.g., life safety, continuity of operations) by take chances (e.k., terrorist assail, external flood, mass casualty incident) as they chronicle to the District of Columbia Emergency Healthcare Coalition.

This tool guides public health planners through an analysis of the wellness-related impacts of various hazards that can occur in their jurisdictions, and helps them prioritize planning efforts for those emergencies.

This downloadable Excel template can assistance regions determine hazards' impacts on a region and how prepared regions and/or hospitals are for the pediatric consequences of each hazard. The tool categorizes hazard impact along 3 dimensions, each with specific pediatric considerations, allowing users to produce an overall vulnerability and risk score for each hazard. This tool is non meant to be a thorough checklist of preparation, just instead spur the inclusion of full general pediatric considerations into run a risk analysis, disaster planning, and emergency response. It is not intended to supplant a hospital HVA with facility-specific processes.

This guide provides communities with a three-step process for conducting a Threat and Hazard Identification and Risk Cess (THIRA). While it incorporates healthcare, this guide is customs-based. It builds upon previous versions of the CPG and describes a standard process for identifying community-specific threats and hazards; setting capability targets for each core adequacy identified in the National Preparedness Goal; and estimating resource needed to meet the capability targets. This edition also includes the 3-pace process for a Stakeholder Preparedness Review (SPR) (formerly State Preparedness Report), as this process is interconnected with the THIRA procedure. Healthcare should be aware of the THIRA process and assure that their input is considered and that accurate numerics are used.

This spider web page includes links to several hazard mitigation planning resource directed towards state, tribal, and local officials.

This resource provides access to a suite of tools that support emergency preparedness at the customs and national level. The Threat and Hazard Identification and Risk Assessment (THIRA) tool evaluates a stakeholders level of risk and helps them amend empathise how to manage and mitigate those risks; the Stakeholder Preparedness Review (SPR) tool assists jurisdictions with identifying capability gaps related the the THIRA; and the comprehensive preparedness guide provides additional information on mitigation planning and use of the suite of tools.

This tool provides the ability for country and local emergency medical planners to access and visualize population information within the U.South. Data layers include the power to identify at-take chances populations, infrastructure capacity data, and hazard zones including those related to nuclear ability plants.

This county-specific tool helps planners appraise risk in their customs by comparison their capabilities and resources against the fifteen Centers for Affliction Control and Prevention Preparedness Capabilities, producing gap analyses, estimating the impacts of hazards to public wellness, healthcare, and mental health, and measuring the positive effect of mitigation factors such equally customs resilience.

Iowa Department of Public Health and University of Iowa, College of Public Health, Upper Midwest Preparedness and Emergency Response Learning Center (UMPERLC). (2012). General Healthcare Take chances Assessment Tool. (Free registration required.)

This healthcare-specific chance assessment tool is based on existing adventure and vulnerability assessment (HVA) tools, such as the Kaiser Permanente HVA tool, and the UCLA Center for Public Health and Disaster Hazard Risk Cess Instrument. Admission the public health risk assessment tool hither: https://prepareiowa.training-source.org/training/courses/General%20LPHA%20Community%20Risk%20Assessment/detail.

This tool provides a systematic approach to analyzing hazards that may affect demand for hospital services, or a facility's power to provide those services, helping to prioritize planning, mitigation, response, and recovery activities. This revised version of the commonly used tool incorporates data on bodily activations experienced by the user, to more fully inform chance analysis.

This tool was developed by the Los Angeles Section of Public Wellness—in collaboration with the Orange County Wellness Intendance Agency, the Long Beach Section of Health and Human Services, and the Pasadena Section of Public Health—and provides a 6-step run a risk vulnerability cess process. It offers a health-focused mechanism to engage the community, place organizational priorities, and meliorate an bureau's or community's capability to successfully prepare for, respond to, and recover from potential emergency threats. Both the hHAP Instrument and Transmission are provided as downloads.

This tool can help emergency planners calculate probability, adventure, and preparedness levels for a diversity of risks and hazards.

This certificate provides a detailed overview of the process used by the Northwest Healthcare Response Network (Washington State) to conduct its regional Hazard Vulnerability Analysis (HVA). It includes complementary graphical charts and may be used as a reference for other organizations or coalitions when developing their HVA protocols.

This guidance document facilitates the employ of the "Hospital Resource Vulnerability Cess (RVA)." This guide should be reviewed prior to using the RVA. It includes strategies for completing the tool and lists benefits and recommendations for implementation. A listing of often asked questions that may be helpful in introducing the tool to supervisors and administration/ committee members is also office of the guide.

Note: Earlier using this tool, access the "Resource Vulnerability Assessment (RVA) Implementation Guide." The Hospital Resource Vulnerability Assessment (RVA) is a voluntary tool designed to complement a Hazard Vulnerability Analysis and assist hospitals with identifying and prioritizing preparedness gaps, and creating a yearly analysis and prioritization bike. The RVA examines the specific resources of the hospital including the plans, space, staff, and supply considerations. Persons using assistive technology may not be able to fully access information in this file. For assistance accessing this certificate, please contact an ASPR TRACIE Technical Assist Specialist at one-844-five-TRACIE (587-2243) or askasprtracie@hhs.gov, Monday through Friday, 9am – 5pm Eastern Fourth dimension (excluding federal holidays).

The RISC Toolkit (visit https://www.phe.gov/Preparedness/planning/RISC/Pages/default.aspx) was adult with the input of a squad of healthcare partners and risk management subject field matter experts and designed to help healthcare facility owners and operators place infrastructure risks in an piece of cake-to-follow format using objective, national-level data. In this webinar, speakers provided a brief overview of the RISC Tool and share how they have implemented the toolkit.

This objective, data-driven all hazards adventure assessment can exist used to inform emergency preparedness planning and risk management activities. The toolkit consists of three self-assessment modules allowing healthcare facilities to: identify site-specific threats and hazards; appraise site-specific vulnerabilities; and evaluate criticality and consequences. (A related webinar explains the toolkit in more than detail: https://files.asprtracie.hhs.gov/documents/aspr-risc-toolkit-webinar-slides-final-508.pdf.)

This online toolkit tin can help healthcare facility planners learn more than about implementing best practices in climate resilience. It is based on a framework composed of the post-obit five elements: Climate Risks and Community Vulnerability Cess; Country Use, Building Blueprint, and Regulatory Context; Infrastructure Protection and Resilience Planning; Essential Clinical Intendance Service Delivery Planning; and Environmental Protection and Ecosystem Adaptations.

This plan, updated in 2016, is designed to guide the Health and Public Health (HPH) Sector's internal, collaborative, and cross-sector efforts "to heighten the security and resilience of HPH critical infrastructure to all-hazards across its physical, cyber, and human dimensions." Updates include refreshed goals and objectives and more emphasis on select priorities (e.g., information sharing and emergency response).

This workbook is intended for public wellness agencies and provides guidance in determining the likelihood of a take chances occurring, assessing their community's vulnerabilities and current resources, and prioritizing resources in planning for disasters.

This document describes the process and tool used by the Washington Country Region ix Healthcare Coalition to behave its 2018 Hazard Vulnerability Analysis (HVA). The robust procedure, tool, and study format may exist valuable to other organizations or coalitions in the evolution of their respective HVAs.

Agencies and Organizations


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Source: https://asprtracie.hhs.gov/technical-resources/3/hazard-vulnerability-risk-assessment/1

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