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

1. Module 2:
Safe Hospital
Assessment

2. Module 2 Objectives

3. Module 2 Objectives

4. 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

5. Module 2 Expected
Outcomes

6. 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.

7. Module 2 Expected Outcomes
At the end of this module,
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).

8. Module 2 Expected Outcomes
At the end of this module,
Presentation of executive summary of assessment.
Presentation of list of prioritized gaps for action
planning.

9. Module 2 Sessions
Session Number and Title Topics Time
Allotment
Session 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

10. Module 2
Links to Module 1

11. Module 1:
Safe Hospital Concepts

12. Module 1 Sessions
Session Number and Title Topics Time
Allotment
Session 1:
Risk Management
Framework
- 7 Fundamental Terms
- Framework for Community Risk
Management
- Risk Management Framework
~2 hours
Session 2:
Role of Hospitals in
Emergencies 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

13. 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.

14. 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.

15. Safe Hospital
Components / Indicators for
Safe Hospital?

16. Safe Hospital
Components / Indicators for Safe
Hospital?
Structural
Non-structural
Functional

17. Components /
Indicators for
Safe Hospital
Structural
Non-structural
Functional
EElleemmeennttss tthhaatt eennaabbllee tthhee hhoossppiittaall ttoo
ooppeerraattee,, eevveenn wwiitthhoouutt ffoorrmmiinngg ppaarrtt ooff tthhee
rreessiissttaannccee ssyysstteemm,, ssuucchh aass aarrcchhiitteeccttuurraall
eelleemmeennttss,, eeqquuiippmmeenntt,, sseerrvviicceess,, aanndd
lliiffeelliinneess..
EElleemmeennttss cclloosseellyy rreellaatteedd ttoo ffuunnccttiioonnss aanndd
ooppeerraattiioonnss ooff hhoossppiittaall ssuucchh aass
aacccceessssiibbiilliittyy,, cciirrccuullaattiioonn aanndd ccoorrrriiddoorr
ssyysstteemmss,, hhoossppiittaall eemmeerrggeennccyy
mmaannaaggeemmeenntt ssyysstteemmss,, hhuummaann rreessoouurrcceess,,
mmoonniittoorriinngg aanndd eevvaalluuaattiioonn..
Elements that make uupp tthhee ssttrreennggtthh aanndd
tthhee ssaaffeettyy ooff tthhee bbuuiillddiinngg ssuucchh aass tthhee
ffoouunnddaattiioonn,, ccoolluummnnss,, bbeeaammss,, aanndd ssllaabbss..
Match!

18. After Module 1 (Safe Hospital Concepts),
appreciated more than ever
importance of
safe hospitals in disasters?

19. Module 1 Expected Outcomes
At the end of this module,
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.

20. Stakeholders’ Interests and Concerns:
TO BBEE PPRROOTTEECCTTEEDD aanndd TTOO PPRROOTTEECCTT!!
EMERG / DISASTER
TIMES
NORMAL TIMES
• Health
Promotion
and
Restoration
• Emergency
Med Mgt
• Public
Health Mgt
• Emerg /
Disaster Mgt
• Emerg Med
Mgt
• Health
Restoration
and
Promotion
• Public Health
Mgt Preparedness
SAFE HOSPITAL

21. After Module 1 (Safe Hospital Concepts),
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

22. Safe Hospital Campaign
Global
Regional
National
SAFE
Your

23. After Module 1 (Safe Hospital Concepts),
ready to make your hospital safe or safer
will NOT collapse in disasters, killing
patients and staff?
GOALS of Campaign:
REDUCE RISK
PROTECT HEALTH FACILITIES
SAVE LIVES

24. After Module 1 (Safe Hospital Concepts),
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?
GOALS of Campaign:
REDUCE RISK
PROTECT HEALTH FACILITIES
SAVE LIVES

25. After Module 1 (Safe Hospital Concepts),
ready to make your hospital safe or safer
is organized
with contingency plans in place and
health workforce trained to keep the
network operational?
GOALS of Campaign:
REDUCE RISK
PROTECT HEALTH FACILITIES
SAVE LIVES

26. After Module 1 (Safe Hospital Concepts),
ready to make your hospital safe or
safer or SAFEST?
YES – Let’s start!
GOALS of Campaign:
REDUCE RISK
PROTECT HEALTH FACILITIES
SAVE LIVES

27. 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 HOSPITAL
Structural safety
Non-structural safety
Functional safety

28. Before self-assessment,
Identify hazards
your hospital commonly
experienced or might experience in the
future!
3 parameters of SAFE HOSPITAL
Structural safety
Non-structural safety
Functional safety

29. NO such thing as a “hazard”
free hospitals!
3 parameters of SAFE HOSPITAL
Structural safety
Non-structural safety
Functional safety

30. 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.
3 parameters of SAFE HOSPITAL
Structural safety
Non-structural safety
Functional safety

31. Mod 2 Session 1:
Identifying Hazards

32. Module 2 Session 1 Objectives
At the end of this module, participants will be able
to:
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.

33. 2 Topics in Session 1:
•Hospital Hazards Identification
•Hospital Risk Management
Framework (Hospital Risk
Analysis)

34. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
EXERCISE

35. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
EXERCISE
Instructions:
•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.

36. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
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

37. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
EXERCISE
Hospital Risk Management Framework
Hazard Vulnerabilities Preparedness /
Capacity /
Readiness
Risks
Experienced
Predicted

38. Hospital Hazard Identification and Risk Analysis
Suggested Format
Name of Hospital:
[ ] Government Private [ ] Bed Capacity:
Hazard Vulnerabilities Preparedness /
Capacity /
Readiness
Risks
Experienced
Predicted
Just do a descriptive risk analysis for 3 more common
identified hospital hazards.

39. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
EXERCISE
Instructions:
•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.

40. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
EXERCISE

41. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
Identification of Hazards – First Step
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

42. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
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

43. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
People affected by different
disasters in Sri Lanka (1974-
2004)
HAZARD-PROFILE
OF
SRI LANKA
Flood
Drought
Tsunami
Landslide
Storm

44. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
Natural disasters occurrence
reported in Sri Lanka (1980-
2010)
http://www.preventionweb.net/english/countries/statistics/?
cid=162
Drought - 6
Earthquake - 1
Epidemic - 6
Flood - 45
Mass mov. - 1
Storm - 3

45. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
Percentage of reported
people killed by disaster
type in Sri Lanka (1980-2010)
Earthquake
http://www.preventionweb.net/english/countries/statistics/?
cid=162

46. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
Percentage of people
affected by disaster type in
Sri Lanka (1980-2010)
Flood
Drought
http://www.preventionweb.net/english/countries/statistics/?
cid=162

47. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
Identification of Hazards – First Step

48. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
EXERCISE
Hospital Risk Management Framework
Hazard Vulnerabilities Preparedness /
Capacity /
Readiness
Risks
Experienced
Predicted

49. Hospital Hazard Identification and Risk Analysis
Name of Hospital:
[ ] Government Private [ ] Bed Capacity:
Hazard Vulnerabilities Preparedness /
Capacity /
Readiness
Risks
Natural
Technological
Biological
Societal
Structural
vulnerabilities
Non-structural
vulnerabilities
Functional
vulnerabilities
Degree of
preparedness on
Structural
vulnerabilities
Non-structural
vulnerabilities
Functional
vulnerabilities
• Collapse of
hospital / health
facility
• Non-functional
hospital / health
facility
• Loss of
properties / lives
• Limited surge
capacity

50. National Training oonn SSaaffee HHoossppiittaallss -- SSrrii LLaannkkaa
Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Emergency Exit System
Lifeline
Facilities
Medical
Facilities
Architectural
Elements
Non-structural
Component
Functional
Component
Fire System
Electricity System
Water Supply System
Medical Gas Supply System
Communication System
Critical Systems

51. Critical Elements of a Safe Hospital
Safe Hospital
Structural
Component
Non-structural
Component
Functional
Component

52. Hospital Hazard Identification and Risk Analysis
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 safety
Non-structural safety
Functional safety
GOALS :
REDUCE RISK
PROTECT HEALTH
FACILITIES
SAVE LIVES

53. Closing:
Mod 2 Session 1

54. Module 2 Session 1 Objectives
At the end of this module, participants will be able
to:
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.

55. Topics: Hospital Hazards Identification and Hospital Risk
Management Framework
Identification of Hazards – First Step
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

56. Hospital Hazard Identification and Risk Analysis
Hazards in the community
that may affect directly or
indirectly affect the
hospital
Vulnerabilities;
Preparedness /
Capacity /
Readiness
Risks
(Safe Hospital Concepts)
Natural
Technological
Biological
Societal
Structural
vulnerabilities
Non-structural
vulnerabilities
Functional
vulnerabilities
Collapse of hospital /
health facility
Non-functional hospital /
health facility
Loss of properties / lives
Limited surge capacity

57. Module 2: Concept Map of Objectives and Expected Outputs
Your HOSPITAL
Identify potential hazards
Do general risk analysis
Hazards Vulnerabilities Risks
Detailed Assessment of Vulnerabilities
(Structural / Non-structural / Functional)
Action Planning
Weaknesses / Gaps
Prioritized Gaps

58. Mod 2 Session 1
Any questions?

59. Mod 2 Session 1:
Identifying Hazards
The End