Effectiveness of Hazard Vulnerability Analysis

Hazard Vulnerability Analysis (HVA) is a strategic risk assessment test that is conducted in a health facility to identify the hazards that might have an impact to both the facility and the community around the facility (Fares et al., 2014). After the assessment is done, the facility can develop an emergency preparedness plan to ensure its safety from the hazards. This involves the process of mobilization of the necessary resources and equipment that may be of help to counter the vulnerability in case they arise.

Effectiveness and Approach to Developing of HVA

According to Campbell, Trockman, & Walker, (2011), the HVA development can demonstrate its effectiveness especially if it can identify the different vulnerabilities and hazards that are in a particular facility. Its effectiveness can be therefore be identified through how it can identify hazards, how they can impact the health facility and provide a sneak of the different ways the risks can be evaluated. Ones it identifies the different risk factors, the factors are taken into consideration during the formulation of the response strategy. With those considerations, one can conclude that the HVA is effective in its intended purpose. On the other hand, its operations can be termed to be very subjective basing on the fact that the ratings of the hazards are done according to the people’s preference and intuition. Variations of the tools that conduct the risk assessments vary from one hospital to another since there are no specific guidelines on how they are used.

In developing a HVA the most suitable approach that I would use is the factoring method. This method involves the evaluation and identification of the most probable vulnerabilities that are likely to occur. After their identification, this would be followed by the assessment of the impact that they may cause in case they happen. Lastly, I would incorporate the different preparedness measures to take on each in the incident they happen.

HVA for Temple University Hospital

One of the hospitals that are found in the community I live is that of Temple University Hospital which can benefit very much from HVA. The hospital is found in Philadelphia which is a semi-urban area. The hospital is owned by the Temple University whereby most of the nursing students are taught there. The numbers of staff in the hospital excluding the students are approximately 350 employees. The numbers of hospital beds are 722, and the hospital has adequate access to water.

List the top 5 hazards

  1. Electrical failure,
  2. Cyber-attacks,
  • Supply shortage,
  1. Labor actions
  2. Floods.

Supply shortages and electrical failures are the highest risks that are likely to affect the hospital. The hospital is funded by the university, and sometimes funds disbursement might be delayed hence leading to the low supply of medicine and health equipment. Due to the delay in the disbursement of funds labor actions are also likely to occur from the employees for their unpaid dues. The lowest risks are floods and cyber-attacks. This is because the facility has installed encryptions in their systems as a way of keeping away the hackers. Lastly, the area is hilly; hence the occurrence of floods is less likely to happen.






Impact on people

(staff/ patients)

 Approximately 350 employees

Impact on property


Number of Beds-722

Impact on Business Flow Level of preparedness Internal response External response RISK-


Percentage of Relative threat





Facility- Temple University Hospital

Possibility of occurrence Death/ injury  losses and damages Interruption of operation Preplanning Time, availability of resources Community support and agencies
SCORE                              0 -N/A                  1 -Low                  2 -Medium            3 -High     0 -N/A                  1 -Low                  2 -Medium            3 -High     0 -N/A                  1 -Low                  2 -Medium            3 -High     0 -N/A                  1 -Low                  2 -Medium            3 -High     0 -N/A                       1 -High                     2 -Medium           3 -Low 0 -N/A                       1 -High                     2 -Medium           3 -Low 0 -N/A                       1 -High                     2 -Medium           3 -Low 0 – 100%
Electrical Failure   3 3 3 3 2 1 2 85
Cyber-attacks 2 3 3 3 3 3 2 80
Supply Shortage 3 3 3 3 2 2 2 90
Labor Actions 2 2 1 2 2 2 2 82
Floods 3 3 3 3 3 3 3 81
Average 2.6 2.8 2.6 2.8 2.4 2.2 2.2     85.6



According to the analysis by the KP tool regarding the hospital, it is notable that the percentage at which the facility is exposed to risks and hazards is high. This is because of the preparedness strategies that the hospital has been very low. With this information, the management of the hospital should pass this to the university management to add more resources to the hospital to become more prepared to face these hazards. In conclusion, the KP tool is a good tool that can be used to assess the likely hazards that can hit a hospital facility.




Campbell, P., Trockman, S. J., & Walker, A. R. (2011). Strengthening Hazard Vulnerability         Analysis: Results Of Recent Research In Maine. Public Health Reports126(2), 290–293.

Fares, S., Femino, M., Sayah, A., Weiner, D. L., Yim, E. S., Douthwright, S., & … Ciottone, G.   (2014). Health care system hazard vulnerability analysis: an assessment of all public          hospitals in Abu Dhabi. Disasters38(2), 420-433. doi:10.1111/disa.12047