Forensic admission hva

Medical Center Hazard and Vulnerability Analysis This document is a sample Hazard Vulnerability Analysis tool. It is not a substitute for a comprehensive emergency preparedness program. Individuals or organizations using this tool are solely responsible for any hazard assessment and compliance with applicable laws and regulations. INSTRUCTIONS: Evaluate potential for event and response among the following categories using the hazard specific scale. Assume each event incident occurs at the worst possible time (e.g. during peak patient loads). Please note specific score criteria on each work sheet to ensure accurate recording. Issues to consider for probability include, but are not limited to: 1 Known risk 2 Historical data 3 Manufacturer/vendor statistics Issues to consider for response include, but are not limited to: 1 Time to marshal an on-scene response 2 Scope of response capability 3 Historical evaluation of response success Issues to consider for human impact include, but are not limited to: 1 Potential for staff death or injury 2 Potential for patient death or injury Issues to consider for property impact include, but are not limited to: 1 Cost to replace 2 Cost to set up temporary replacement 3 Cost to repair 4 Time to recover Issues to consider for business impact include, but are not limited to: 1 Business interruption 2 Employees unable to report to work 3 Customers unable to reach facility 4 Company in violation of contractual agreements 5 Imposition of fines and penalties or legal costs 6 Interruption of critical supplies 7 Interruption of product distribution 8 Reputation and public image 9 Financial impact/burden © 2001 Kaiser Foundation Health Plan, Inc. 20190313011158copy_of_kaiser_model_1__2.xls Medical Center Hazard and Vulnerability Analysis Issues to consider for preparedness include, but are not limited to: 1 Status of current plans 2 Frequency of drills 3 Training status 4 Insurance 5 Availability of alternate sources for critical supplies/services Issues to consider for internal resources include, but are not limited to: 1 Types of supplies on hand/will they meet need? 2 Volume of supplies on hand/will they meet need? 3 Staff availability 4 Coordination with MOB's 5 Availability of back-up systems 6 Internal resources ability to withstand disasters/survivability Issues to consider for external resources include, but are not limited to: 1 Types of agreements with community agencies/drills? 2 Coordination with local and state agencies 3 Coordination with proximal health care facilities 4 Coordination with treatment specific facilities 5 Community resources Complete all worksheets including Natural, Technological, Human and Hazmat. The summary section will automatically provide your specific and overall relative threat. © 2001 Kaiser Foundation Health Plan, Inc. 20190313011158copy_of_kaiser_model_1__2.xls HAZARD AND VULNERABILITY ASSESSMENT TOOL NATURALLY OCCURRING EVENTS SEVERITY = (MAGNITUDE - MITIGATION) PROBABILITY HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT PREPAREDNESS INTERNAL RESPONSE EXTERNAL RESPONSE Likelihood this will occur Possibility of death or injury Physical losses and damages Interuption of services Preplanning Time, effectivness, resouces Community/ Mutual Aid staff and supplies Relative threat* 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 - 100% EVENT SCORE 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High RISK Hurricane 0% Tornado 0% Severe Thunderstorm 0% Snow Fall 0% Blizzard 0% Ice Storm 0% Earthquake 0% Tidal Wave 0% Temperature Extremes 0% Drought 0% Flood, External 0% Wild Fire 0% Landslide 0% Dam Inundation 0% Volcano 0% Epidemic 0% AVERAGE SCORE 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0% *Threat increases with percentage. 0 RISK = PROBABILITY * SEVERITY 0 0.00 0.00 0.00 © 2001 Kaiser Foundation Health Plan, Inc. Natural Hazards : 20190313011158copy_of_kaiser_model_1__2.xls HAZARD AND VULNERABILITY ASSESSMENT TOOL TECHNOLOGIC EVENTS SEVERITY = (MAGNITUDE - MITIGATION) PROBABILITY HUMAN IMPACT PROPERTY IMPACT BUSINESS IMPACT PREPAREDNESS INTERNAL RESPONSE EXTERNAL RESPONSE Likelihood this will occur Possibility of death or injury Physical losses and damages Interuption of services Preplanning Time, effectivness, resouces Community/ Mutual Aid staff and supplies Relative threat* 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 = N/A 1 = High 2 = Moderate 3 = Low or none 0 - 100% EVENT SCORE 0 = N/A 1 = Low 2 = Moderate 3 = High 0 = N/A 1 = Low 2 = Moderate 3 = High RISK Electrical Failure Generator Failure 0% 0% Transportation Failure 0% Fuel Shortage Natural Gas Failure Water Failure Sewer Failure 0% 0% 0% 0% Steam Failure 0% Fire Alarm Failure