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Learn to rate hazards using the HHRS system, determine likelihood and harm outcomes, calculate hazard scores, and prioritize interventions.
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Module 4:Evaluate Health Impacts • HHRS Module 4 developed by • Erica Forrest, Supervisor, Training and Education • Center for Environmental Health • Division of Allergy/Asthma/Immunology • Children’s Mercy Hospitals and Clinics
Page 4.1 Learning objectives
Page 4.1 The HHRS Process
Page 4.2 Review of Key Principles
Page 4.2 Categories of hazards
Page 4.3 Categories of Hazards
Page 4.3 The HHRS Formula
Page 4.3 Two Judgments by Assessor
Page 4.4 First Judgment: Likelihood
Page 4.4 Judging Likelihood
Page 4.5 Judging Likelihood
Page 4.5 Likelihood Numbers • Hazard Profiles give national UK average likelihoods for vulnerable age group. • Only assess hazards that presently cause, or are likely to cause harm, over next 12 months. • The UK likelihoods are only a reference.
Page 4.5 Likelihood for Mold & Moisture
Page 4.6 Determining Likelihoods
Page 4.7 Second Judgment: Outcomes
Page 4.7 Second Judgment: Outcomes
Page 4.8 Classes of Harm (Harm Outcomes)
Page 4.8 Classes of Harm (Harm Outcomes)
Page 4.8 Assessing the Outcomes • When assessing spread of harm, consider: • Average spread of harm outcomes for the particular type/age of dwelling • Dwelling characteristics and conditions identified may increase or decrease the severity of those outcomes
Page 4.8 Outcomes for Excess Heat
Page 4.9 Outcomes for Excess Heat • When scoring, you are considering how the deficiencies contribute to harm in each Class. • Unless the conditions call for adjusting the outcomes, they should be accepted as-is. • The sum of the classes will total 100%. 31.6 10 36.9 21.5
Page 4.10 The Numerical Score • The hazard score is determined by adding up the individual scores from each class of harm using the standard formula. • The likelihood remains constant but the weight of each class alters the score for that class.
Page 4.10 The Result – Hazard Bands
Page 4.11 Band Hazard Score Range
Page 4.11 Practice: Determining likelihoods, outcomes, hazard scores and bands
Page 4.11 Scoring a Hazard: the Complete Process
Page 4.12 Falling on level surfaces
Page 4.12 Mold and Moisture
Page 4.12 Falling on stairs and falling between levels
Page 4.13 Exercise
Page 4.14 Review • Describe the purpose of using the HHRS rating system to rate hazards • Explain how to determine the likelihood and spread of harm outcomes of a hazard • Use the HHRS formula to determine the hazard score • Evaluate the severity of the hazard score to prioritize appropriate interventions
Train-the-trainer teachback • Take 5 minutes to review the assessment your trainer sent you. • Using slides 13, 20, 21 – 24, put yourself in the role of the teacher and teach this class how to score your assessment. • Each student will have 5 – 7 minutes to do this. • We will give you control of the slides. • Please open up the Excel scoring tool to show students how you do the calculation.