National Training on Safe Hospitals - Sri Lanka - Module 2 Session 1 - 14Sept22-24

Module 2: Safe Hospital Assessment

Module 2 Objectives

Module 2 Objectives

At the end of this module, participants will be able to:

3. Prioritize gaps in the following “Safe Hospital” components:

• Structural • Non-structural • Functional

Module 2 Expected Outcomes


At the end of this module,

Identification of commonly experienced or predicted hazards of participating hospitals.Risk analysis focused on participating hospitals.Descriptive assessment of participating hospitals using the WPRO’s Safe Hospitals’ Vulnerability Assessment Tool.



Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool in preparation for a Sri Lanka’s Tool. Identification and prioritization of the “Safe Hospitals” gaps of hospital for action planning (3 critical gaps per component).



Presentation of executive summary of assessment.Presentation of list of prioritized gaps for action planning.

Module 2 Sessions Session Number and Title Topics Time

AllotmentSession 1: Identifying Hazards

– Hospital Hazards– Hospital Risk Management

Framework

~1 hour

Session 2: Assessing Structural, Non-structural, and Functional Components and Prioritizing Gaps

– Components of Safe Hospital

– WPRO’s “Safe Hospitals’ Vulnerability Assessment Tool

– Feedback on Tool– Prioritization Matrix

~3 hours

Session 3: Presentation of Assessment Results and Prioritized Gaps

The Executive Report ~2 hours

Module 2Links to Module 1

Module 1: Safe Hospital Concepts

Module 1 Sessions Session Number and Title Topics Time

AllotmentSession 1: Risk ManagementFramework

- 7 Fundamental Terms- Framework for Community Risk

Management- Risk Management Framework

~2 hours

Session 2: Role of Hospitals inEmergencies and Disasters

Roles of Hospitals in Different Contexts

~1 hour

Session 3: Concepts of Safe Hospitals

- Safe Hospital Campaign - Concepts of a Safe Hospital- Elements of a Safe Hospital

~2 hours

Session 4: Ensuring Safe Hospitals:Roles of Stakeholders

- Stakeholders’ Roles- Advocacy for Safe Hospitals

~1 hour

Safe Hospital

Definition:

A health facility whose services remain accessible and functioning at maximum capacity and in the same infrastructure, during and immediately following the impact of a disaster.

Safe Hospital

Components / Indicators for Safe Hospital?

Safe Hospital

Components / Indicators for Safe Hospital?

Structural Non-structural

Functional

Components / Indicators for Safe Hospital

Structural

Non-structural

Functional

Elements that make up the strength and Elements that make up the strength and the safety of the building such as the the safety of the building such as the foundation, columns, beams, and slabs.foundation, columns, beams, and slabs.

Elements that enable the hospital to Elements that enable the hospital to operate, even without forming part of the operate, even without forming part of the resistance system, such as architectural resistance system, such as architectural elements, equipment, services, and elements, equipment, services, and lifelines.lifelines.

Elements closely related to functions and Elements closely related to functions and operations of hospital such as operations of hospital such as accessibility, circulation and corridor accessibility, circulation and corridor systems, hospital emergency systems, hospital emergency management systems, human resources, management systems, human resources, monitoring and evaluation.monitoring and evaluation.

Match!

After Module 1 (Safe Hospital Concepts),

appreciated more than ever

importance of safe hospitals in disasters?



each hospital team members must have agreed on

the roles they have to play

and

the strategies they can do together

to ensure that their hospital is safe.

EMERG / DISASTER TIMES

• Health Promotion and Restoration

• Emergency Med Mgt

• Public Health Mgt

NORMAL TIMES

• Emerg / Disaster Mgt

• Emerg Med Mgt

• Health Restoration and Promotion

• Public Health MgtPreparedness

SAFE HOSPITAL

Stakeholders’ Interests and Concerns:

TO BE PROTECTED and TO PROTECT!TO BE PROTECTED and TO PROTECT!


ready to advocate / contribute / collaborate / partner

Sri Lanka Ministry of Health & WHO Campaign on “Hospitals Safe from Disasters”?

GOALS of Campaign:REDUCE RISK

PROTECT HEALTH FACILITIES SAVE LIVES

Safe Hospital Campaign

Global

National

Regional

SAFE

Your


ready to make your hospital safe or safer will NOT collapse in disasters, killing

patients and staff?




ready to make your hospital safe or safer can continue to function and provide services as a critical community facility when it is most needed?




ready to make your hospital safe or safer is organizedwith contingency plans in place and

health workforce trained to keep the network operational?




ready to make your hospital safe or safer or SAFEST?

YES – Let’s start!



To make your hospital safe or safer/safest

First thing to do - make self-assessment of your hospital in terms of three parameters of safe hospital.

3 parameters of SAFE HOSPITALStructural safety

Non-structural safetyFunctional safety

Before self-assessment,Identify hazards

your hospital commonly experienced or might experience in the future!



NO such thing as a “hazard” free hospitals!



Identifying hazards facilitates self-assessment in terms of where to focus.

But, do NOT forget to consider all other possible hazards including those which you have NOT yet experienced.



Mod 2 Session 1:Identifying Hazards

Module 2 Session 1 Objectives


1.Identify commonly experienced or might be experienced hazards in participating hospitals.2.Using the risk management framework, do a risk analysis of their respective hospitals.

2 Topics in Session 1: •Hospital Hazards Identification •Hospital Risk Management Framework (Hospital Risk Analysis)

Topics: Hospital Hazards Identification and Hospital Risk Management Framework

EXERCISE

EXERCISEInstructions:

•Divide into hospital teams. •Using the suggested format below, do the following as a team:

1. Identify commonly experienced or predicted hazards for their respective hospitals.

2. Complete the risk management framework.•Be ready to report your output.


Identification of Hazards


Know the usual natural / other hazards in the country.

Know the usual natural / other hazards near the location of your hospital.

-By province-By district -By hospital catchment community

EXERCISEHospital Risk Management Framework


Hazard Vulnerabilities Preparedness / Capacity / Readiness

Risks

Experienced

Predicted

Hospital Hazard Identification and Risk AnalysisSuggested Format

Name of Hospital:

[ ] Government Private [ ] Bed Capacity:


Risks

Experienced

Predicted

Just do a descriptive risk analysis for 3 more common identified hospital hazards.

EXERCISEInstructions:

•Identify a facilitator and a spokesperson to present your group outputs.•Process your group’s answers, organize your outputs, and write them on a flip chart.•Post your answers. •Present your outputs.


EXERCISE


Identification of Hazards – First Step





Hazards Mapping – Whole Country (Sri Lanka)


Mostly affected by weather-related hazards

Floods and droughts = most common hazards

Other hazards - landslides, lightning strikes, coastal erosion, epidemics and effects of environmental pollution

NO volcano-related hazards


People affected by different disasters in Sri Lanka (1974-

2004)

HAZARD-PROFILE OF SRI LANKA

Flood

Drought

Tsunami

Landslide

Storm


http://www.preventionweb.net/english/countries/statistics/?cid=162

Natural disasters occurrence reported in Sri Lanka (1980-

2010)

Drought - 6

Earthquake - 1

Epidemic - 6

Flood - 45

Mass mov. - 1

Storm - 3



Percentage of reported people killed by disaster

type in Sri Lanka (1980-2010)

Earthquake



Percentage of people affected by disaster type in

Sri Lanka (1980-2010)

Flood

Drought

EXERCISEHospital Risk Management Framework



Risks

Experienced

Predicted

Hospital Hazard Identification and Risk AnalysisName of Hospital:

[ ] Government Private [ ] Bed Capacity:


Risks

Natural TechnologicalBiologicalSocietal

Structural vulnerabilities

Non-structural vulnerabilities

Functional vulnerabilities

Degree of preparedness onStructural vulnerabilities



• Collapse of hospital / health facility

• Non-functional hospital / health facility

• Loss of properties / lives

• Limited surge capacity

Safe Hospital

StructuralComponent

Emergency Exit System

LifelineFacilities

MedicalFacilities

ArchitecturalElements

Non-structuralComponent

FunctionalComponent

Electricity System

Medical Gas Supply System

Fire System

Communication System

Water Supply SystemCritical Systems

National Training on Safe Hospitals - Sri LankaNational Training on Safe Hospitals - Sri LankaCritical Elements of a Safe Hospital

Critical Elements of a Safe Hospital

Safe Hospital

StructuralComponent

Non-structuralComponent

FunctionalComponent

Session 1 - Key Messages: Identification of hazards is first step. Put attention to identified hazards but do not forget

other possible hazards. Do risk analysis.

3 parameters of SAFE HOSPITAL

Structural safetyNon-structural safety

Functional safety

GOALS :REDUCE RISK


Hospital Hazard Identification and Risk Analysis

Closing:Mod 2 Session 1

Module 2 Session 1 Objectives


1.Identify commonly experienced or might be experienced hazards in participating hospitals.2.Using the risk management framework, do a risk analysis of their respective hospitals.

Hazards in the community that may affect directly or indirectly affect the hospital

Vulnerabilities;Preparedness / Capacity / Readiness

Risks(Safe Hospital Concepts)

Natural TechnologicalBiologicalSocietal

Structural vulnerabilities



Collapse of hospital / health facility

Non-functional hospital / health facility

Loss of properties / lives

Limited surge capacity

Hospital Hazard Identification and Risk Analysis

Module 2: Concept Map of Objectives and Expected Outputs

Your HOSPITAL

Identify potential hazards

Do general risk analysisHazards Vulnerabilities Risks

Detailed Assessment of Vulnerabilities(Structural / Non-structural / Functional)

Action Planning

Weaknesses / Gaps

Prioritized Gaps

Mod 2 Session 1

Any questions?

Mod 2 Session 1:Identifying Hazards

The End

National Training on Safe Hospitals - Sri Lanka - Module 2 Session 1 - 14Sept22-24

Healthcare

Transcript of National Training on Safe Hospitals - Sri Lanka - Module 2 Session 1 - 14Sept22-24