Health Care Facility Include Hazard Vulnerability

Hi, I have 2 of my classmate posts. I need you to respond to each one separately. , one source at least for each one of them. about how good their posts or how bad. need to do is to choose one point of the post and explore it a little bit with one source support for each response. The paper should be APA style

the question was:

Based on your readings and experience, comment on the effectiveness of HVAs. Are they too subjective? How would you approach developing an HVA?

Develop an HVA for a hospital in your community. Provide details on the hospital (bed numbers, location, ect.). List the top 5 hazards. Defend your answers.

this is the first post from my calssmate MOHAMMED BOH NEED TO RESSPONSE:

Hazard vulnerability analysis

Disasters can occur at any time, and they have grave consequences. Therefore, healthcare institutions such as hospitals should ensure they have are well prepared to handle them. Hazard vulnerability analysis (HVA) refers to the process for identifying a healthcare facility’s most significant vulnerabilities to hazards and the potential effects of the hazards on the operations of the facility and the surrounding community. It is a mode of focusing attention on the hazards that most likely to affect the hospital and community. These hazards may hamper hospital activities and strain their effectiveness in providing these services. HVA is useful in enhancing the disaster preparedness of healthcare institutions. Nevertheless, HVA is subjective for it is based on the opinions and preferences of those tasked with developing it. Most HVAs are not adherent to the to any recognized standards or measures which limits their effectiveness.HVA should be uniform and encompass all the aspects of the facility. (Fares et al., 2011)

HVA is effective in strengthening the hospitals’ preparedness for tackling disasters when they are developed based on a uniform and comprehensive approach. The effectiveness of HVA is dependent on the accuracy of data collection and assessment. Conducting detailed hazard evaluation ensures the HVA is useful and can be efficiently used to improve disaster preparedness.

How I would Carry out HVA

The first step would be to assess all the potential risks and vulnerabilities the facility may encounter. I would after that analyze the probability of occurrence of these disasters. These may be natural, technological or human-made hazards. After that, I would evaluate the expected impacts of these hazards on patients, medical personnel and facility. This is followed by a detailed assessment of the available measures for tackling the hazards. Finally, I would assess the available internal and external resources or expertise in mitigating the impacts of the risks. (Campbell et al., 2011)

Hazard vulnerability Analysis for Knox Community Hospital

Below is a hazard vulnerability analysis for the Knox community hospital in Ohio.The facility faces hazards such as hurricanes, tornadoes, fires, and floods. The facility is accredited by The Joint Commission and is a non-profit medical institution. The following hazard analysis shows the various hazards and their probability of occurrence. It also shows the level of impacts of disasters.

		SEVERITY
EVENT &		Impact on people (staff/ patients) Estimated employee number is 441	Impact on property e.g. Number of Beds-65	Impact on Business Flow	Level of preparedness	Internal response	External response	RISK- Percentage of Relative threat
Location-Ohio institution– Knox community hospital	Possibility of occurrence	Death/ injury	losses and damages	Interruption of operations	Pre-planning	Time, availability of resources	Community support and agencies
SCORE	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -High 2 -Medium 3 -Low	0 -N/A 1 -High 2 -Medium 3 -Low	0 -N/A 1 -High 2 -Medium 3 -Low	0 – 100%
Fires	3	3	3	3	2	2	1	80.9
Tornadoes	3	3	3	3	2	3	2	90.4
Hurricanes	3	3	3	3	2	2	1	80.9
Floods	3	2	1	2	2	2	2	66.6
Terrorism	2	3	3	3	3	2	2	85.7
Average	2.8	2.8	2.6	2.8	2.4	2.2	1.8	80.9

The hazards that the facility is more prone to are natural hazards such as hurricanes and human-triggered risks such as fires. The hospital’s emergency department is fairly prepared to tackle these disasters. Moreover, the external community is not adequately equipped or strengthened for effective disaster response. Nevertheless, the institution is well-prepared to mitigate fire-related accidents. The hospital administrators can use the above analysis to improve its existing emergency plan and strengthen the external community resources for effective disaster response. The facility may procure more equipment and hire more personnel to its emergency department.

Conclusion

The use of hazard vulnerability analysis enables institutions to prepare well for response to disasters and emergencies effectively. The risks that are analyzed enhance ample planning, response and mitigation activities. HVA has proved to be useful if implemented accordingly. Moreover, the development HVA should encompass all aspects of the facility and shouldn’t be based on a single person’s opinion or intuition. All hazards should be considered and addressed when carrying out an HVA. An HVA that is carried out properly is effective in improving disaster preparedness of a facility.

References

Campbell, P., Trockman, S. J., & Walker, A. R. (2011). On linkages: Strengthening hazard vulnerability analysis: Results of recent research in Maine. Public Health Reports, 126(2), 290-293.

Fares, S., Femino, M., Sayah, A., Weiner, D. L., Yim, E. S., Douthwright, S., … & Burstein, J. L. (2014). Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters, 38(2), 420-433.

This is the second post from FAHAD need to response:

According to Campbell, Trockman, & Walker, (2011), the HVA development can demonstrate its effectiveness especially if it can identify the different vulnerabilities and hazards that are in a particular facility. Its effectiveness can be therefore be identified through how it can identify hazards, how they can impact the health facility and provide a sneak of the different ways the risks can be evaluated. Ones it identifies the different risk factors, the factors are taken into consideration during the formulation of the response strategy. With those considerations, one can conclude that the HVA is effective in its intended purpose. On the other hand, its operations can be termed to be very subjective basing on the fact that the ratings of the hazards are done according to the people’s preference and intuition. Variations of the tools that conduct the risk assessments vary from one hospital to another since there are no specific guidelines on how they are used.

In developing a HVA the most suitable approach that I would use is the factoring method. This method involves the evaluation and identification of the most probable vulnerabilities that are likely to occur. After their identification, this would be followed by the assessment of the impact that they may cause in case they happen. Lastly, I would incorporate the different preparedness measures to take on each in the incident they happen.

HVA for Temple University Hospital

One of the hospitals that are found in the community I live is that of Temple University Hospital which can benefit very much from HVA. Examples of vulnerabilities that are likely to affect this health care facility include electrical failure, cyber-attacks, supply shortage, labor actions and floods. In the instance these risks attack the hospital the normal operations are likely to be affected. This, therefore, means that the development of a HVA would be appropriate to address the hazards.

		SEVERITY
EVENT &		Impact on people (staff/ patients) Approximately 350 employees	Impact on property e.g. Number of Beds-722	Impact on BusinessFlow	Level of preparedness	Internal response	External response
Location- Philadelphia Facility- Temple University Hospital	Possibility of occurrence	Death/ injury	losses and damages	Interruption of operations	Preplanning	Time, availability of resources	Community support and agencies
SCORE	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -Low 2 -Medium 3 -High	0 -N/A 1 -High 2 -Medium 3 -Low	0 -N/A 1 -High 2 -Medium 3 -Low	0 -N/A 1 -High 2 -Medium 3 -Low
Electrical Failure	3	3	3	3	2	1	2
Cyber-attacks	1	1	1	3	3	3	2
Supply Shortage	2	3	1	3	2	2	2
Floods	3	3	3	3	3	2	3

According to the analysis done by the HVA to the hospital, it is notable that the percentage at which the facility is exposed to risks and hazards is high. This is because of the preparedness strategies that the hospital has been very low. With this information, the management of the hospital should pass this to the university management to add more resources to the hospital to become more prepared to face these hazards.

References

Campbell, P., Trockman, S. J., & Walker, A. R. (2011). Strengthening Hazard Vulnerability Analysis: Results Of Recent Research In Maine. Public Health Reports, 126(2), 290–293.

Fares, S., Femino, M., Sayah, A., Weiner, D. L., Yim, E. S., Douthwright, S., & … Ciottone, G. (2014). Health care system hazard vulnerability analysis: an assessment of all public hospitals in Abu Dhabi. Disasters, 38(2), 420-433. doi:10.1111/disa.12047