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CRITICAL RESOURCE VULNERABILITY ANALYSIS

[ENTER FACILITATOR’S NAME AND CONTACT INFORMATION]

Developed by Troutman Sanders LLPDeveloped for the Virginia Department of Health

Funded by Centers for Disease Control and Prevention

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Toolkit Presentations Instructions for Use

Toolkit Presentations are intended to be a companion to the Hospital Implementation Guide and should not be used in isolation.

The Presentations are intended to serve as a starting point for the facilitator. The facilitator should thoroughly review the Presentation prior to use in Implementation Team, CRAG or Subcommittee meetings and customize the Presentation to meet the unique needs of the meeting participants.

Pay particular to attention to the information provided in brackets ([ ]), which must be completed by the facilitator prior to use.

Included in the “Notes” section of each slide are the following types of information:

• Slide Type, which indicates whether the slide is for information or discussion, serves as a placeholder, or is some combination thereof

• Planning Guide Section(s), which will direct the facilitator to the corresponding sections of the Planning Guide and Hospital Implementation Guide for further information

• Special Instructions, which provides directions for the facilitator to customize the slide for the intended audience

• Speaker’s Notes, which provides more detailed information to supplement the material on the slide

Refer to the Hospital Implementation Guide for further guidance and helpful hints on effectively completing the process described in the Planning Guide.

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CRAG Members

[Enter names and departments of each CRAG member]

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Add slides from Altered Standards Overview and/or Chapter 1 presentation, as needed, to re-introduce the CRAG to the concept of altered standards and critical resource shortage response planning, especially if new members are involved.

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Introduction

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Chapter Overview

Develop a list of critical resourcesPrioritize the list of critical resourcesIdentify mechanisms for mitigating

depletion of the resourcesDetermine which critical resources should

be immediately considered for Protocol development

Revisit the CRVA at appropriate intervals

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Step 1:Develop list of

critical resources

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WHAT IS CRITICAL?

SUSTAIN HUMAN LIFE

STABILIZE A PATIENTIN AN EMERGENCY

PREVENT PERMANENTDISABILITY/INJURY

SPECIALIZED STAFF SKILL SETS

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List of Critical Resources

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Step 2:Prioritize list of

critical resources

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Prioritization

HIGHMEDIUM

LOW

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Categorizing Resources

CriticalResource

Staff Stuff Space

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Hazard Vulnerability Analysis

[INSERT INFORMATION REGARDING RECENT HAZARD VULNERABILITY ANALYSES, AS APPROPRIATE TO GUIDE PRIORITIZATION OF CRITICAL RESOURCES.]

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Prioritization Considerations

Which critical resources are most likely to be depleted based on events identified in the hazard vulnerability analysis of the hospital(s) in the Planning Unit?

Which critical resources, when depleted, will have the most significant negative impact on patient morbidity and mortality?

Which critical resources constrain a hospital’s ability to provide care effectively? In other words, what is the rate limiting factor?

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Prioritization

High Priority Medium Priority Low Priority

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BREAK

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High Priority Critical Resources

[INSERT LIST OF HIGH PRIORITY CRITICAL RESOURCES AS DETERMINED BY THE CRAG.]

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Step 3:Identify mitigation

mechanisms

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Mitigation/Surge

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Surge/Mitigation Plan for [critical resource]

[INSERT DETAILS REGARDING THE EXISTING SURGE AND/OR MITIGATION PLAN FOR ONE OF THE HIGH PRIORITY CRITICAL RESOURCES.]

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Evaluating Surge/Mitigation Plan

Does the plan realistically address the scope of the disasters and emergencies identified in the hazard vulnerability analysis?

Does the plan create enough extra supply to continue to meet increased patient demand over a prolonged period of time?

Has the surge/mitigation plan been adequately tested and proven effective?

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Step 4:Develop list of

critical resources for Protocol

development

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Protocol Development

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Discussion Questions

Which resources will be extensively used by the hospital(s) in the Planning Unit?

Which resources will impact the most patients?

Which resources lend themselves to effective Protocol development?

If a Protocol is developed for a particular resource, will the hospital(s) in the Planning Unit accept and use it?

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Step 5:Regular

re-assessment of CRVA

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Routine Re-assessment

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Questions?Questions?