Updated K-P HVA template?

[Jennifer Lord]

I have heard that there is an updated version of the Kaiser Permanente HVA tool... I have done a google search and all I can find is the same one that has been around for a long time.

Does anyone know if there is an updated tool and if so, where can it be found?

Or, if there are better HVA/Risk Assessment guides for healthcare, would you point me in the right direction?

thanks

Jenn

Jennifer Lord, MS, CEM

Training & Exercise Manager | Northwest Healthcare Response Network

Jennif...@nwhrn.org

7100 Fort Dent Way, Suite 210, Tukwila, WA 98188

c: 206-718-8589 | f: 206-707-9920

www.nwhrn.org

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[Joshua C. Frances]

I would hope it incorporates a scoring section for mitigation activities. E.g. Water loss may be very high impact but with the correct plans/MOU's etc. in place and a way to reflect that on an HVA, you could in theory better narrow your vulnerabilities.

I did a draft of this and sent it to KP about 3 years ago with good feedback but unsure if it moved any further.

Joshua C. Frances, MPH, CHEC, EMT-I
Director of Emergency Management
Maine Medical Center
22 Bramhall St, Portland, ME 04102
P: (207) 662-5143<tel:(207)%20662-5143>
C: (207) 831-8459<tel:(207)%20831-8459>
F: (207) 662-3733<tel:(207)%20662-3733>
Pager: (207) 741-6973<tel:(207)%20741-6973>

On Apr 9, 2014, at 19:26, "Jennifer Lord" <jennl...@gmail.com<mailto:jennl...@gmail.com>> wrote:

I have heard that there is an updated version of the Kaiser Permanente HVA tool... I have done a google search and all I can find is the same one that has been around for a long time.

Does anyone know if there is an updated tool and if so, where can it be found?

Or, if there are better HVA/Risk Assessment guides for healthcare, would you point me in the right direction?

thanks
Jenn

Jennifer Lord, MS, CEM
Training & Exercise Manager | Northwest Healthcare Response Network

Jennif...@nwhrn.org<mailto:Jennif...@nwhrn.org>

7100 Fort Dent Way, Suite 210, Tukwila, WA 98188
c: 206-718-8589 | f: 206-707-9920

www.nwhrn.org<http://www.nwhrn.org/>

Find us on Facebook and Twitter!
If you stay ready, then you don’t have to get ready!

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[Schmitz, Jenny]

Hi All -

See the attached template for a "Community Hazard Vulnerability Analysis" - a new tool based on the KP model but enhanced.  The CHVA incorporates the four phases of emergency management and takes an all hazards approach to address national and local planning scenarios.

 

Some of the new improvements include:

 

1.            Response column added under probability.

2.            Three distinct ways to evaluate the data (occurrence, response, and non-weighted).

3.            Extensive listing of potential events affecting the facility.

4.            Ability to better document input from external partners.

5.            Multiple graphs for identifying gaps in the four phases of emergency management, both internal and external.

6.            Print Tab to shorten the CHVA to one page.

7.            Additional Tabs to document compliance with accrediting/regulatory groups.

 

Take a look! 

 

Thanks,

Jenny

 

**************************************************

Jenny Schmitz, MA, CO-CEM, HEM

Director of Safety and Environment of Care

Denver Health and Hospital Authority

Denver, CO

 

Office: 303.602.2380

Cell: 303.419.8087

Jenny....@dhha.org

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[Jim Tritten]

I have some thoughts to provoke further discussion around the current structure and utility of HVAs...

 

Best practices in planning now consider impacts and disruptions over a specific cause or scenario, yet our HVAs are built to determine risks derived from events and scenarios (with mitigating factors also scored) and only superficial consideration is given to their impacts (e.g. human, property, and business). Outside of more formal continuity planning that addresses these disruptions trough a business impact analysis we lack a clearer picture of how these events listed in an HVA actually affect our operational capabilities and relation to TJC 96 hour assessments.

 

Model tools should place more emphasis on the impact than on the causative factors. I don’t have a solution, just a perspective.

 

My 2 cents and I’m open to correction!

 

Jim

_____________________________

James S Tritten, MBA, CBCP, CHEP, CHSP

Emergency Manager & Workplace Safety Officer

Office: 425.228.3440, ext. 5961 | Mobile: 425.281.3666

 

UW Medicine | Valley Medical Center

400 South 43rd St. | Renton, WA  98055

www.valleymed.org

 

President, WA State Chapter

Association of Contingency Planners

http://washington.acp-international.com/

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[Terry M. Stone]

[Vonderschmidt, Kay (vondermk)]

I agree….however, we have to begin somewhere and move into the forward position of mitigation.  With that being said I host a workshop and have the top several hazards to our area be mapped by personnel into a disaster model.  We then discuss items such as …during an tornado, an earthquake and a terrorist event our outside generators could be a target and/or damaged.  What mitigation measures should be take to prevent this?

my .02

Kay

Kay Vonderschmidt, MPA, MS-EM, NREMT-P

Assistant Director

Division of Emergency Medical Services

Special Operations Institute

University of Cincinnati, Academic Health Center

Department of Emergency Medicine

NETT National EMS Coordinator

513-585-8949

[Terry M. Stone]

Good Morning,

 

This CHAOS HVA was presented at the Annual Joint Commission EM conference last year.  Contains many of the same features of the improved KP model and much more.

 

Terry

 

From: iaem-he...@googlegroups.com [mailto:iaem-he...@googlegroups.com] On Behalf Of Schmitz, Jenny
Sent: Thursday, April 10, 2014 6:48 AM
To: 'iaem-he...@googlegroups.com'
Subject: RE: Updated K-P HVA template?

 

Hi All -

[Daniel J Holden, MBA, CPP, CEM]

Hello Jenn,

I am waiting for a response from Mitchell Saruwatari, Kaiser Permanente, who I understand was the individuals from KP who developed the HVA spreadsheet.  I have requested the most updated version and if there were any substantial or minor changes.  I will forward to the group as soon as I hear from him. 

~Daniel   

Daniel J Holden, MBA, CPP, CEM

 

"The pessimist complains about the wind;

 the optimist expects it to change;

 the realist adjusts the sails.”
                               ~William Arthur Ward

 

http://www.nwhrn.org/

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[Daniel J Holden, MBA, CPP, CEM]

Jenn,

Mitchell stated that KP has not updated the HVA spreadsheet but others may have made changes to fit their individual needs. I hope this helps.

~Daniel  

Daniel J Holden, MBA, CPP, CEM

 

"The pessimist complains about the wind;

 the optimist expects it to change;

 the realist adjusts the sails.”
                               ~William Arthur Ward

 

[Scot Phelps]

I'm with Jim!

I find that I continuously have to explain that the term "All Hazard" planning means that you look at your core functions and what it would take for the function to fail REGARDLESS of the type of event (hence, you're prepared for whatever the hazard might be.)  This is exactly the same as the way business continuity is done, and requires business process analysis where you map inputs, processes, and outputs.  It is hard work, which is why we would rather get people together for coffee and make up, without data, what we think is the risk of a hurricane hitting and the consequences.

The second problem with the Kaiser model is that high probability/high impact events are not our greatest risk, anyhow.  If they are high probability, we know how to deal with them (see, e.g., snow/ice storms across much of the USA.)  What we SHOULD be worrying about is the low probability/high impact events because our systems and staff are not prepared and experienced in dealing with these events.  Gordon Graham, who has spoken at the IAEM conference, makes a convincing argument about this.  

The third problem with the Kaiser model is doesn't differentiate between events which damage stuff and events which damage people, which is a critical error.

Scot

[Rubin, Jeffrey N.]

Hear! Hear!

JNR

Sent from my NIMS-compliant device

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[ej...@aol.com]

This dialogue is frustrating. Those of us in the field of long term care and senior housing recognized that acute care and hospital based HVA were too academic and complex for our work. We developed an HVA based on disruption regardless of the event that caused the disruption. In turn we incorporated All Hazard approach to recovery-response-preparedness. This template was distributed to almost 1000 LTC facilities in 2005.

 

The health and hospital industry seldom looked at the concept. The proof of its validity was apparent in Hurricane Irene and Sandy. Even thought the hospital industry, FEMA and Emergency Management pay little attention to seniors welbeing we continue to slowly progress. Now, several of us are part of the growing Alliance for Community Solutions, a national organization.

 

Ed Peloquin

Former Director

Emergency Management

LeadingAge, NJ.

ej...@aol.com

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Sent: Sun, Apr 13, 2014 10:13 am
Subject: Re: Updated K-P HVA template?

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[Byron Callies]

Conducting assessments of vulnerability was one of two metrics most often rated by business executives as “extremely” or “very helpful” in setting budget levels.[1]

 

Little evidence is available to support a given rating for the likelihood or consequence of a given hazard.  As such there are limitations of basing priorities on a single process, like a Hazard Vulnerability Assessment.  Bayer (2011) identifies companies that rate themselves as “extremely” or “very resilient” used multiple methods for assessing vulnerability.  Types of methods used are listed in Figure 1.  Using multiple vulnerability assessment methods will help to better understand a vulnerability to a given hazard.

The methodology for conducting an HVA can be simple or complex.  Complex methodology may help to quantify the likelihood of the hazard occurring or its impact.  However, since the process is ultimately subjective, a complex methodology is not likely to significantly change the result of the HVA. 

 

While more complex mathematical equations are used in various Hazard Vulnerability Assessments (e.g., Kaiser Permanente), there is no evidence they are more useful than a simple model using Likelihood (L) x Consequences (C) = Vulnerability (V); no current HVA equation has been validated.  According to Dr. Mark Keim, Associate Director for Science at Centers for Disease Control and Prevention, “It's been my experience in assisting over 100 hospitals, cities, states and nations around the world, to write disaster plans that merely a simple approach to the risk equation is all that they require in order to rank hazard and vulnerability for detailed operational preparedness and response activities.” (personal communication, August 27, 2012)

Current healthcare HVA research indicates the following:

• The scope of risk varied a great deal; some HVA participants considered the scope to be limited to the institution’s campus.  Others considered risks to the organization’s entire service area.
• The planning time frame was rarely clarified.
• The individuals facilitating the process had a large impact on the results.  Changes in HVA results tended to be related to substantial changes in the staff responsible for the HVA.
• The level of resources committed to the HVA varied greatly.
• The process of arriving at decisions was rarely made explicit.
• Changes in results were highly associated with whether the process was framed and managed as incremental or not.
• The results of the HVA process were not widely shared.
• HVA results affected preparedness activities very differently among institutions.
• The commitment of senior leaders had a substantial impact on the HVA process.[2]

[1] Bayer, D.  Preparedness in the Private Sector – 2011; Research Report R-1484-11-RR.  The Conference Board. 

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[2] Campbell, P., Trockman, S., Walker, A.  Strengthening Hazard Vulnerability Analysis: Results of Recent Research in Maine.  Public Health Reports.  2001:126;290-293

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[Byron Callies]

Related to Ed's comment, I find some of the principles on http://continuity20.org interesting.  Specifically for this discussion thread a principle espoused by the authors is to "Prepare for Effects, Not Causes."  The other one related to this discussion is "Omit Risk Assessments and Business Impact Analysis." 

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