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Southern California Risk Based Assessment and Prioritization Initiative

Southern California Risk Based Assessment and Prioritization Initiative . Emergency Preparedness and Response Program Los Angeles County Department of Public Health. Project Background.

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Southern California Risk Based Assessment and Prioritization Initiative

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  1. Southern California Risk Based Assessment and Prioritization Initiative Emergency Preparedness and Response Program Los Angeles County Department of Public Health

  2. Project Background • CDC Funding to support “higher risk” CDC PHEP-recipient jurisdictions (Metropolitan Statistical Areas-MSA) • Funding through July 2013

  3. Boston Newark Philadelphia New York City San Francisco Chicago Washington, DC Los Angeles/ Long Beach/ Santa Ana Dallas Houston

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. Health Hazard Assessment and Prioritization (hHAP)

  10. 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

  11. 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

  12. 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

  13. Hazards • Southern California: Lots of potential hazards • Statewide: Even more • hHAP: 60 hazards; Assigned to four hazard types: • Biological • Natural • Chemical/Radiological • Technological

  14. 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)

  15. 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: • Probability • Health Severity • Public Health System Impact • Medical Care System Impact • Behavioral System Impact • Responder Agency Capacity • Community Agency Capacity

  16. 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

  17. 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.

  18. 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)

  19. 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

  20. 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

  21. 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

  22. 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

  23. 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)

  24. 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

  25. 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

  26. hHAP Tool: Ranking

  27. hHAP Tool: Ranking & Prioritization

  28. 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

  29. Thank You Dee Bagwell dbagwell@ph.lacounty.gov 213-637-3630 Brandon Dean bdean@ph.lacounty.gov 323-820-8773

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