southern california risk based assessment and prioritization initiative
DESCRIPTION
Southern California Risk Based Assessment and Prioritization Initiative . Emergency Preparedness and Response Program Los Angeles County Department of Public Health. Project Background. - PowerPoint PPT PresentationTRANSCRIPT
Southern California Risk Based Assessment and
Prioritization Initiative
Emergency Preparedness and Response ProgramLos Angeles County Department of Public Health
Project Background CDC Funding to support “higher risk” CDC PHEP-
recipient jurisdictions (Metropolitan Statistical Areas-MSA)
Funding through July 2013
– Boston– Chicago– Dallas/Forth Worth/Arlington– Houston– Jersey City/Newark
– Los Angeles County/Long Beach/Santa Ana– New York City– Philadelphia– San Francisco– National Capital Region (Washington DC)
LegendRisk-based funds awarded to cityRisk-based funds awarded to stateNo risk-based funds awarded
Los Angeles/Long Beach/Santa Ana
Dallas
Houston
Chicago
San Francisco
Boston
New York CityPhiladelphia
Newark
Washington, DC
Project Objectives Accelerate development of strategies to mitigate
public health risks associated with higher population areas
Identify/improve risk identification and risk reduction models
– Public Health– Medical Care – Behavioral Health
Promising Practices that can inform other health jurisdictions: local, state and national
Project Objectives Cross Sector Approach: Coordinated & Synchronized
with:– Public health, healthcare systems, emergency
medical services– Emergency management/homeland security– Law enforcement– Fire services – Critical infrastructure – Other key sectors
Focus on Health Hazard Assessment: Ubiquitous to many
fields, industries and sectors– Impact on infrastructure, economy, business
continuity, etc. Health & Medical Emphasis
– Health assessment of potential impact– Health delivery systems– Health related mitigation and response resources
Public Health, Population Based Perspective
Project Deliverables
Designate a lead partner in charge of submitting all deliverables and reports to CDC (LA County)
Provide high-level project description: – Convene relevant MSA partners – Status report of existing MSA risk/hazard
assessments– Project plan for completion of Risk Based
Project
Existing Hazard Assessments LA and Orange County Emergency
Management: 2005 and 2010 LACDPH commissioned Hazard Assessment
from UCLA in 2007 Range of hazards No health focus
– OCHCA Hazard Mitigation Plan: 7 major hazards; – LA: Earthquake, Fire, Civil Disorder, HazMat, etc
Provide foundation for current assessment
Health Hazard Assessment and Prioritization (hHAP)
SoCal MSA Planning collaborative formed: “SoCal MSA”
– Los Angeles County Department of Public Health– Orange County Health Care Agency– Long Beach Department of Health and Human
Services– Pasadena Department of Public Health
Project development, planning and execution Monthly meetings Engage with Agency and Community
stakeholder groups
hHAP Model Development Health Department focus Composite tool, incorporates elements from
existing hazard tools: Kaiser, UCLA, mining industry
Stand alone MS Excel tool and accompanying manual
Model used by CDPH for statewide hazard assessment– 56 counties: Report back due July 2012
hHAP Model: At-A-Glance Identify potential hazards Define & Score Risk
– Hazard Probability– Health Severity– System Impact– Response/Mitigation Resources
– Response Agencies: Health, Fire, Law Enforcement, etc.– Community Based
Rank and prioritize: Develop appropriate mitigation & response plans– Agency & Community Based
Hazards Southern California: Lots of potential hazards Statewide: Even more hHAP: 60 hazards; Assigned to four hazard
types:– Biological– Natural– Chemical/Radiological– Technological
Define and Score Risk No standardized definition Reflects a complex, dynamic relationship To qualify and quantify: Part science, part art hHAP: Assigns a “Risk Score” to each hazard Risk Score =
Probability x Health Severity x (System Impact – Mitigation)
Risk Score Represents health associated risk or threat of each
hazard to jurisdiction Specific and exclusive to each hazard Score determined by interaction/equation between
seven (7) Risk Components:1. Probability2. Health Severity3. Public Health System Impact4. Medical Care System Impact5. Behavioral System Impact 6. Responder Agency Capacity7. Community Agency Capacity
Mitigation and Preparedness
Prioritized list of hazards: Focused planning and preparedness efforts
– Plan Development– Exercises, Drills and Training
Community Engagement– Expectations of government response to identified
hazards– Improved community participation with
preparedness and resiliency efforts
Whole Community Planning
Improve involvement with community based partnerships
Participate in children’s medical and mental/behavioral health care approaches.
Build and sustain volunteer opportunities for residents to participate with local emergency responders and community preparedness efforts year round.
Project Timeline Sept. 2012: Assess Hazard Probability and Health
Severity Oct. - Nov. 2012: Health Systems Impact Assessment Dec. 2012 - Jan. 2013: Community Agency
Assessment Jan. 2013: Prioritize hazard assessment Jan – May 2013: Develop MSA and OA mitigation
plans June 2013: Finalize mitigation plan(s)
Step 1: Probability and Severity 2 Risk Components Subject Matter Expert Focus Group
– 28 SMEs: 7 per jurisdiction Evaluate all 60 hazards
– Probability and Severity measured independent of each other
Use scores to reduce list to 30 most relevant Complete by October 31, 2012
Step 2: System Impacts 3 Risk Components: Public Health, Healthcare,
Mental/Behavioral Health Impact to existing systems: Infrastructure,
staff, resources, surge, etc. Public Health
– SME Focus Group (28 individuals); – Complete with Step 1, by Oct. 31, 2012
Step 2: System Impacts Healthcare:
– Disaster Resource Center program (LA County hospitals)– Policy/planning advisor: Hospital Association of So.
California– Representation from Clinic association(s)– Representation from long-term clinics, skilled nursing
facilities– Complete by November 30, 2012
Mental Health:– Representation from various County, municipal responsible
agencies– Complete by November 30, 2012
Step 3A: Community Response Agencies
1 Risk Component Evaluate existing resources to respond to 30
identified hazards– Status of agency/department’s current plans– Training & exercise status– Availability of back-up systems– Existence of staff resources and expertise
Complete by December 31, 2012
Step 3B: Community Based Agencies
1 Risk Component Work with communities at SPA level
– Correlate with Emergency Preparedness Public Health Nurses (EPPHNs)
– Each SPA/EPPHN identify key community participants• CBO, NGO, FBO, Community advocates, etc.
Look at scenarios that are most relevant and salient to the particular community (from list of 30)
Step 3B: Community Based Agencies
Types of agreements and partnerships existing within communities
Expectations of government response Level of coordination with local & state agencies Ability to withstand/respond to the particular hazard
– Improved community participation with preparedness and resiliency efforts
– Adaptable to local community metrics Complete by December 2012
Rank & Prioritize
hHAP automatically determines Risk Score for each hazard
Automated ranking and prioritization Customizable:
– General (all) hazards– Hazard Type: Biological, Natural, etc.
Prioritization provides opportunity for evaluation of jurisdictional and community priorities & discussion
hHAP Tool: Ranking
hHAP Tool: Ranking & Prioritization
Way Forward
Results from hHAP to established planning priorities and initiatives for next 5 years
Incorporation of community feedback on existing and future capabilities:– Community Preparedness– Community Recovery
Future engagement with community groups and representatives
