FACILITY HAZARDVULNERABILITY ASSESSMENTTOOL VERSION 1.4 USER’SGUIDE

This User’s Guideis intended forusewith theHospital HVA Tool V 1.4 forindividual hospital hazard vulnerabilityassessments. This tool is to beused byan individual hospital to identifyand rank various riskand mitigatingfactors related tohospital emergencypreparedness. Thepurpose oftheHVA matrixis to evaluatethe abilityofthemedical facilityto providemedical careforthe communityand/or current patients and staffin theevent of anemergencyordisaster. The

ratingsaresubjective andaredesigned to reflect thegeneral preparedness ofa facilityto respond to an incident. Facilities should utilizethe results ofthis HVA to perform agapanalysis ofthe hospital’s preparedness program. Thisgap analysis maythen beused forprioritizingprojects related to hospital emergencypreparedness. It isstronglyrecommended that this tool beused by ahospital in coordination with local emergencymanagementand otherpreparednessand responsepartners.

TheHospital HVA ToolV 1.4 is an Excel spreadsheet with oneworksheetthat contains the entireHVA tool. Theleft column lists specificincidents forthe facilityto considerin preparedness. Across thetop ofthepagearevarious criteriato which to scoretheincident. Score rankingsarealso identified with the criteria. The appropriatescoreshould be entered into the correspondingboxforwhich theincident andcriteriaaxis intersect. Thepagehas one samplescoreentered. TheRisk for each event isautomaticallycalculatedand displayed at the right sideofthesheet foreachevent. An averagescore for each criterion is also automatically calculatedand displayedat thebottom oftheworksheet.

TheHVA tool is intended to assist facilities in identifyingpreparednessgaps to address in the hospital’s emergencymanagement program. Somegaps identified maybeeligible forKansas Hospital Preparedness Program fundingavailablethrough theKansas Department ofHealth and Environment’s Bureau ofPublicHealth Preparedness (BPHP). Thegap analysis mayinclude activities such as writing,revising, or exercisingofaplan, purchasingadditional equipment, identifyinganeed fortraining, etc. When performingthegapanalysis, facilities should also considerthemulti-useorall-hazards useofanyactivityproposed to minimize an identified gap.

BPHPmaybe contactedfor assistancecompleting theHVA,gapanalysis, planningefforts, and equipment, training,andexercisingrecommendations. BPHPstaffmaybecontactedat 785-296-

8605.

Incidentdefinitions

1. Bomb Threat – Reportedthreat of anexplosivedevicewithin the facilityoron the

facility’scampus.

2. WorkplaceViolence– Violenceagainst oneormore employees byanother employeeor person ofthepublicwithin the facilityoron facility’s campus including activeshooter scenarios.

3. Tornado – A violentlyrotatingcolumn of airwith circulation reachingtheground. This mayincludethedirect impact ofthetornado uponthe facility.

4. SevereThunderstorm –A thunderstorm that produces atornado, winds ofat least 58 mph (50 knots), and/orhail atleast ¾"in diameter. Structural wind damagemayimplythe occurrenceofaseverethunderstorm. A thunderstorm wind equal to orgreaterthan 40 mph (35 knots) and/orhail of at least ½"is defined as approachingsevere. Consider severestorm damagein total, additional specificitems maybe addressed inlater events.

5. WinterStorm

a. Snow Fall – A snow thatis an intense, but limitedduration, period ofmoderateto heavysnowfall, accompanied bystrong,gustysurfacewinds andpossibly lightning(generallymoderateto heavysnow showers). Snow accumulation may besignificant.

b. Blizzard – A storm with dry, drivingsnow, strong winds, and intense cold.

c. IceStorm – Occasions when damagingaccumulations ofice are expected during freezingrain situations. Significant iceaccumulations areusuallyaccumulations of¼"orgreater.

d. Low temperatures – unusuallycold wintertemperatures which maybe associated with aWind Chill Warning.

6. Flood – Highwaterincident caused byrupture(s)of facilitywaterline(s), heavyrainfall, orsnow melt incidents that directlyimpact thefacilityor campus.

7. Fire–Internal to thefacilityor campus that requires the responseofthelocal fire department andevacuation of at least oneareaofthehospital.

8. PowerOutage–Failureofprimaryand/orsecondaryelectrical supply.

9. Information SystemsFailure– Failureofthefacility’s primaryinformationsystem includingbut not limited to thepatient information system, billingsystem, and laboratory information system.

10. HVACFailure– Failureofthe facility’s primaryHVACsystem, including related facility heating and coolingsystem.

11. WaterServiceFailure–Failureoftheprimarywater and/orsewersystem that services the facility.

12. PhoneServiceFailure–Failureofthe facility’s primarytelephonesystem.

13. Medical GasFailure–Failureofthe facility’s primarymedicalgas system.

14. Medical Vacuum Failure– Failureofthe facility’sprimarymedical vacuum system.

15. DiseaseOutbreak – Acondition characterized byspreadingrapidlyandextensivelyby infection and affectingmanyindividuals in an areaorapopulation at thesametime. This mayincludeareduction in availablestaff, strain on medical supplies, and increased patient load.

16. Mass CasualtyIncident –An incident that produces morepatients than available resources can manageusingroutineprocedures.

17. Hazmat Exposure– An incident that producescasualties that havebeen exposed to hazardous materials thatmayrequiredecontamination and treatment. Evaluatethe effectiveness ofamedical facilityto providecareforpatients and staffin the event a hazmat related emergency. Thefacility’s hazmatprocedures, includingpatient decontamination, maybereviewed inassociationwith these criteria. An evaluation of the facility’s personal protective equipment’s breakthrough time forvarious chemicals present in the communityshould also be considered.

18. SupplyShortage– Normal supplychain(s)havebeen disrupted duetoan incident. Many event types maydisrupt supplychain(s)including winterstorms orwork stoppages.

19. VIP Situation – Event that includes avisit, orpossiblevisit, to the facilityofaVIP. This visit mayrequire additional securityortreatingtheVIPforinjuries.

20. Infant Abduction – Theillegal removal ofa child from the facilityordepartment.

Probability

TheProbabilitycolumn rates theincident’s likelihood ofoccurringoveradefined timespan with

thehighest scores being given to thoseincidents likelywithin thenextyearto threeyears.

HumanImpact

TheHumanImpact column rates theincident’s possibilityofinjuryordeath to staffor

communitymembers.

Property Impact

ThePropertyImpact column rates theincident’spossibilityofseverelydamagingthefacility.

Severedamagecan beconsidered that damagethat limits or eliminates aportion ofthe facility foroperation, impactingthe facility’s abilityto provide care.

Facility Impact

The FacilityImpact column rates theincident’s impact on interruption ortermination ofa

facility’s services. Interruption ofservices in afacilitymaydrasticallyimpairthe facility’s abilityto providecaretopatients and the communityand mayincludetheloss of equipment or personnel.

Warning Time

TheWarningTimecolumn rates the anticipationtime fortheidentified incident. This criteria

provides an opportunityto scorehow longstaff and the communityhaveto implement plans and procedures fortheincident.

Duration

TheDuration column rates the anticipated timethat theincident mayoccurimpactingthefacility

or community.

Planning

ThePlanningcolumn rates thepriorincident planningthat afacilityhas doneto prepare forthe identified incident. This criterion is based on thecompleteness andevaluation ofa facility’s emergencymanagement/emergencyoperations plan(s)in addressingtheincident.

Training andEquipment

TheTrainingand Equipment column rates the completeness ofstafftrainingandavailabilityof

necessaryequipment forstaffto successfullycompletetasks outlined in the facility’semergency operations/emergencymanagement plan.