An updated hazard vulnerability analysis: A value-based model

Scot Phelps, JD, MPH, CEM, CBCP

doi:10.5055/jem.2005.0051

Authors

Scot Phelps, JD, MPH, CEM, CBCP

DOI:

https://doi.org/10.5055/jem.2005.0051

Keywords:

-

Abstract

Traditional hazard vulnerability analysis (HVA) looks at probability and impact to determine risk. The results are often graphically displayed in an XY chart, and mitigation priorities are determined by risk ranking alone. This model is not sufficient, because it does not consider the cost of mitigation. The updated HVA looks at value, in which the traditional XY chart is expanded to a cube model in which the Z axis reflects cost. In a typical hospital HVA, where there may be over 50 different potential events, determining proximity to the perfect value point (high probability, high impact, low cost) allows a better ranking system when allocating scarce mitigation dollars.

Author Biography

Scot Phelps, JD, MPH, CEM, CBCP

Paramedic, Emergency & Disaster Management Program, Graduate School of Public Affairs & Administration, Metropolitan College of New York, New York City, New York.

References

Joint Commission on the Accreditation of Healthcare Organi zations (JCAHO): Emergency Management Standards—EC.1.4 and EC.2.9.1, 2002. Available at www.jcrinc.com/subscribers/perspectives.asp?durki=2914&site=10&return=2897. Accessed September 14, 2005.

Federal Emergency Management Agency (FEMA): Introduction to Mitigation Independent Study Course (IS-393), April 1998. Available at www.training.fema.gov/EMIWeb/downloads/393comp.pdf. Accessed September 14, 2005.

Dodd C: Opening statement: Preparing for Y2K triage in healthcare. Senate Special Committee on the Year 2000 Technology Hearing, June 10, 1999. Available at www.senate.gov/~y2k/hearings/990610/st990610dodd.htm. Accessed September 14, 2005.

Factofile: Top Disasters: Fires 1835-1975. Available at www. swishweb.com/Disasters/Fires/disaster01f.htm. Accessed September 14, 2005.

Resource Assistance for Rural Environments/Oregon Natural Hazards Workgroup: Economic analysis of natural hazard mitigation projects. In Clackamas County Natural Hazards Mitigation Plan (vol. 3). Clackamas County Department of Emergency Management, 2005. Available at www.co.clackamas.or.us/emergency/nhmp/appC.pdf. Accessed September 14, 2005.

ESRI/FEMA: “Make online hazard map.” Available at www.esri.com/hazards/makemap.html. Accessed September 14, 2005.

Coburn AW, Spence RJS, Pomonis A: Disaster Mitigation (2nd ed.). University of Wisconsin: United Nations Disaster Manage ment Training Program, 1994. Available at www.proventionconsortium.org/files/undp/DisasterMitigation.pdf. Accessed September 14, 2005.

American Society for Healthcare Engineering of the American Hospital Association: Hazard Vulnerability Analysis. Chicago: American Society for Healthcare Engineering, 2001. Available at www.gnyha.org/eprc/general/guidelines/200102_HVA_TechDoc.pdf. Accessed September 14, 2005.

Shedlock KM, Pakiser LC: Predicting Earthquakes, US Geological Survey. Available at pubs.usgs.gov/gip/earthq1/predict.html. Accessed September 14, 2005.

“Medical Center Hazard and Vulnerability Analysis.” New York: Kaiser Foundation Health Plan, Inc., 2001. Available at www.gnyha.org/eprc/general/templates/Hazard_Assessment_KP.pdf. Accessed September 14, 2005.

British Columbia Provincial Emergency Program: Hazard, Risk and Vulnerability Analysis Tool Kit. British Columbia: Ministry of Public Safety and Solicitor General, 2004. Available at www.llbc.leg.bc.ca/Public/PubDocs/bcdocs/363502/toolkit.pdf. Accessed September 14, 2005.

American Hospital Association(AHA), Health Forum: AHA Hospital Statistics 2005. AHA Health Forum Web site. Available at www.healthforum.com/healthforum/index.jsp.

“State Budget Cuts to Hospitals Would Cause ‘Unsustainable Damage,’ Reductions in Services, Staff, and Access to Care.” Greater New York Hospital Association 2003 Press Release. Available at www.gnyha.org/press/2003/pr20030210.html. Accessed September 14, 2005.