national training on safe hospitals - sri lanka - module 2 session 2-3 - 14sept22-24
DESCRIPTION
National Training on Safe Hospitals - Sri Lanka - Module 2 Session 2-3 - 14Sept22-24TRANSCRIPT
Module 2: Safe Hospital Assessment
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
Mod 2 Session 2:Assessing Structural, Non-structural, and Functional
Components and Prioritizing Gaps
Module 2 Session 2 Objectives
At the end of this module, participants will be able to:
1.Discuss the following components for “Safe Hospital”:
a. Structuralb. Non-structuralc. Functional
Module 2 Session 2 Objectives
At the end of this module, participants will be able to:
2.Make a descriptive assessment of their hospital using the WPRO’s Safe Hospitals’ Vulnerability Assessment Tool.
Module 2 Session 2 Objectives
At the end of this module, participants will be able to:
3.Identify and prioritize the 3 critical “Safe Hospitals” gaps of their hospital for action planning in the following components:
a. Structuralb. Non-structuralc. Functional
4 Topics in Session 2: •Components of a Safe Hospital•Vulnerability Assessment using WPRO’s Tool•Feedback on Tool •Prioritization Matrix
Topic 1: Components of a Safe Hospital
Safe hospitals need to remain structurally sound, well organized, and fully operational at times of emergency and disaster.
To ensure this, there must be proper monitoring of its structural, non-structural and functional components.
Topic 1: Components of a Safe Hospital
Structural Components
Load-bearing components of a building
Topic 1: Components of a Safe Hospital
Structural Components
Primary load-bearing components that make a building stand Foundation Column (posts and pillars) Beams (girders, joists) Floors Walls Roofs
product of
structural engineers, masons, labor contractors
Topic 1: Components of a Safe Hospital
Structural components:• building location• design specifications• materials used
crucial for the building to withstand adverse natural events
Non-load-bearing parts of building or attached to the structure
Non-structural Components
Topic 1: Components of a Safe Hospital
Non-structural Components
All non-load-bearing parts including contents of the building or attached to the structure • Ceilings, windows, partitions• Pipes, mechanical and electrical systems• HVAC (heating, ventilating, air con)• Equipment, supplies• Furnishings• etc.
done by: architects, interior designers
mechanical and electrical engineers purchased by owners after construction
Topic 1: Components of a Safe Hospital
Non-structural components:• architectural elements (such as ceilings,
windows, and doors)• medical and laboratory equipment• lifelines (mechanical, electrical, and plumbing
installations)• safety and security issues
Topic 1: Components of a Safe Hospital
Non-structural components:
essential to the daily operations if damaged, would not be able to function, and may even cause physical injury to patients and personnel
Topic 1: Components of a Safe Hospital
Functional Components
Topic 1: Components of a Safe Hospital Functional components:
• site and accessibility• internal circulation and interoperability• equipment and supplies• emergency standard operations procedures and
guidelines • ………
important in the continuous operations of hospitals and health facilities
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
All the components must not be vulnerable to hazards = overall indicators
for a safe hospital!
Mod 2 Session 2 Topic 1
Any questions?
Topic 2: Safe Hospitals’ Vulnerability Assessment using WPRO’s Tool
2010
Safe Hospital’s Vulnerability Assessment
Various assessment methods and tools
Usually using a checklist with structural, non-structural, and functional indicators for a safe hospital
Some with numerical scoring PAHO – Safe Hospital Index
Others with descriptive assessment (yes or no answers) WPRO, Philippines
Regional assessment tool (PAHO; WPRO); country-specific assessment tool (Philippines)
Safe Hospital’s Vulnerability Assessment
Safe Hospital’s Vulnerability Assessment
Category A is for facilities deemed able to protect the life of their occupants and likely to continue functioning in disaster situations.
Category B is assigned to facilities that can resist a disaster but in which equipment and critical services are at risk.
Category C designates a health facility where the lives and safety of occupants are deemed at risk during disasters.
Safe Hospital Index - PAHO
Safe Hospital’s Vulnerability Assessment
Safe Hospital Index - PAHOSafety index
Category Type
What should be done?
0 – 0.35Category
C
Urgent measures are required immediately, as the health facility’s current safety levels are not sufficient to protect patients and staff during and after a disaster event.
0.36 – 0.65Category
B
Necessary measures are required at some point, as the health facility’s current safety levels can potentially put at risk patients and staff during and after a disaster event.
0.66 – 1Category
A
Preventative measures are suggested at some point, as the health facility’s current safety levels can cause acceptable damages, which nevertheless reduce the overall safety level of the installation.
Safe Hospital’s Vulnerability Assessment
Safe Hospital Indicators
Topic 2: Safe Hospitals’ Vulnerability Assessment using WPRO’s Tool
2010
Feedback on WPRO’s Assessment Tool
World Health Organization Western Pacific Regional Office (WPRO)
Safe Hospitals’ Vulnerability Assessment Tool
Get FEEDBACK from participants onADAPTATION
(clarity and understandability; validity; applicability; usefulness; etc.)
In preparation for a Sri Lanka’s and SEARO’s Tool!
Topic 2: Vulnerability Assessment using WPRO’s Tool
How to use the WPRO Checklist adapted for the Training Course
Hospital Teams -
Go through each and all indicators; one component at a time; starting with structural, then non-structural, and then functional.
Topic 2: Vulnerability Assessment using WPRO’s Tool
How to use the WPRO Checklist adopted for the Training Course
Assess each indicator item accordingly: • YES• NO – need slight to moderate improvement• NO – need marked improvement• UNSURE of Status• NOT APPLICABLE
*“NO” and “UNSURE” answers = WEAKNESSES or GAPS.
Topic 2: Vulnerability Assessment using WPRO’s Tool
How to use the WPRO Checklist adopted for the Training Course
Feedback on WPRO’s Checklist –
As you go through the checklist, note and jot down areas / items which are not clear, not easy to understand; not valid; not applicable, and not useful in Sri Lanka setting; etc.Accomplish the feedback form provided and submit to the facilitators.
Topic 2: Vulnerability Assessment using WPRO’s Tool
How to use the WPRO Checklist adopted for the Training Course
After answering all indicator items and accomplishing the feedback form, go the identification and prioritization of gaps using a prioritization matrix. (Topic 4 of Module 2)
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability
Assessment Tool
See also questionnaire in hand-outs!
Topic 4: Prioritization Matrix and
Prioritization of Gaps
Prioritization Matrix – What is It?
A tool (a table) used to narrow down options through a systematic comparison of choices using a set of agreed upon criteria.
Usually done by a team.
Prioritization Matrix – How to Do It?1. Agree on goal to be achieved.
Example: To select from a list of gaps in each “Safe Hospital” component 3 critical ones that will be prioritized for action planning.
2. Create the list of criteria and a scoring system for prioritization.
Examples of criteria for gaps: magnitude of problem, urgency, impact, etc.
Examples of scoring system: 1 – lowest; 3 – highest.
Prioritization Matrix – How to Do It?
3. Create the table showing the choices and the criteria.
Gaps Magnitude of problem
Urgency Impact Total scores
Rank
1.2.3.4. 5. 6.
Prioritization Matrix – How to Do It?
4. Each member of a team is asked to rank each gap in each of the agreed criteria using the agreed scoring system.
5. Add the scores for each gap area and place them in the appropriate boxes in the table.
6. The gaps with the top 3 high scores will be the team’s choices for the 3 critical gaps for action planning.
Prioritization Matrix – How to Do It?
Gaps Magnitude of problem
Urgency Impact Total scores
Rank
1.2.3.4. 5. 6.
Prioritization Matrix – How to Do It?
Gaps Magnitude of problem
Urgency Impact Total scores
Rank
1. 3+2+1 1+2+2 2+2+1 16 32. 1+3+3 2+2+3 3+2+1 20 23. 3+2+2 2+1+2 1+2+1 16 34. 3+2+3 2+2+1 2+2+3 20 25. 2+2+1 3+2+3 3+2+3 21 16. 1+1+1 1+1+1 3+2+1 12 4
Key: 1 – lowest; 3 – highest
3 Members
Prioritization Matrix – How to Do It?
NOTE:
As a group, you can develop your own criteria.• Your group can identify factors that may be
more appropriate in your own setting.
You can develop your own scoring rubric or matrix (e.g. 1 = least urgent to 10 = most urgent).
Prioritization Matrix – How to Do It?Gaps Magnitude of problem
Urgency Impact Capacity to address
A = Existing programs and policiesB = Availability of budgetC = Availability of people
Total scores
Rank
A B C
Mod 2 Ses 2 Topics 2, 3, & 4
Any questions? On instructions
for the workshop activities?
Module 2 Session 3: Presentation of
Assessment Results and
Prioritized Gaps
Expected outputs:
•Presentation of executive summary of assessment.
•Presentation of list of prioritized gaps for action planning
Session 3: Presentation of Assessment Results and Prioritized Gaps
Instructions:
•In this session, you will simulate a situation wherein you are to report to the hospital executive committee (or hospital leadership).
•The contents of the report should come from the result of your workshop on prioritizing.
Session 3: Presentation of Assessment Results and Prioritized Gaps
Executive Report on Safe Hospital’s Vulnerability
Assessment
Format
Executive Report on Safe Hospital’s Vulnerability Assessment
Format of Report Name of Hospital / Health Facility:
Type: Government or Private:
Bed Capacity: • Confidentiality clause of assessment report:• Assessment Processes and Scope: • Date of Assessment:• Members of Assessment Team:
Executive Report on Safe Hospital’s Vulnerability Assessment
Format of Report
Hospital Hazards Identification and Risk AnalysisList of Gaps per Areas in Each Safe Hospital Component (Structural, Non-structural, Functional)General Descriptive Assessment Statements of Gaps per Area in Each Safe Hospital Component (Structural, Non-structural, Functional)
Executive Report on Safe Hospital’s Vulnerability Assessment
Format of Report
Prioritization Processes Done and Prioritization Matrix of Gaps
Identified 3 Critical Gaps in Each Safe Hospital Component (Structural, Non-structural, Functional) for Action Planning
GO TO WORKSHOPS and WORKSHEETS
For Sessions 2 and 3Module 2 Session 2:
Assessing Structural, Non-structural, and Functional Components and Prioritizing Gaps
Module 2 Session 3:
Presentation of
Assessment Results and Prioritized Gaps
Closing:Module 2
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool
Dear Colleagues:
Thank you for taking the time to go through the document of “Safe Hospitals in Emergencies and Disasters: Structural, Non-structural and Functional Indicators”. Below are several questions kindly asking for your feedback on the document.
Your input will be invaluable in further development of the indicators for use in your country and in the South-East Asia Region.
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool
1. Is the document clear and understandable?
1.1. Which segments or particular items/indicators are difficult to understand?
1.2. If possible, how would you suggest that this/these be improved?
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool
2. Are the indicators valid in your setting?
2.1. Which specific indicator is not valid in your setting?
2.2. What about the indicator/s that makes it invalid in your setting?
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool
3. Are the indicators applicable to your setting?
3.1. Which specific indicator is not applicable to your setting?
3.2. What about the indicator/s that makes it
inapplicable to your setting?
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool
4. Is the document useful in your setting?
4.1 Why is the document not useful in your setting? 4.2 What improvements, if any, would you suggest to make it useful in your setting?
Topic 3: Feedback on WPRO’s Safe Hospitals’ Vulnerability Assessment Tool
5. Overall, can you think of any areas for improvement in the document?
5.1. What specific revisions or additions could you suggest, if any, to improve on the document?
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 Objectives and Expected OutcomesObjectives Expected Outputs
Identify hazards experienced or might be experienced by participants’ hospital.
Hazards commonly experienced and might be experienced
Do a general risk analysis of safety of hospital based on identified hazards.
General risk analysis
Utilize WPRO’s Safe Hospitals’ Vulnerability Assessment Tool.
Detailed descriptive assessment of safety of hospital re:structural, non-structural, and functional indicators
Feedback on WPRO’s toolPrioritize gaps in “Safe Hospital” components for action planning.
Three prioritized gaps in each “Safe Hospital” component for action planning
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
What do we do with the gaps that you have identified and prioritized?
We have to do an action plan to correct the gaps!
REDUCE RISKPROTECT HEALTH FACILITIES
SAVE LIVES
Make your hospital safe and safer and SAFEST!
Module 2
Any questions?
Module 2: Safe Hospital Assessment
The End