to main content Emergency Managment - Hazard Vulnerability Analysis | Nursing Care Center | Emergency Management EM | The Joint Commission
Emergency Managment - Hazard Vulnerability Analysis

What are the requirements related to the hazard vulnerability analysis (HVA) for organizations and off-site facilities?

Any examples are for illustrative purposes only.

Organizations are expected to have a hazard vulnerability analysis (HVA) which identify potential emergencies, for locations within the organization/facility and the community.  The potential emergencies could affect demand for services and/or the ability to provide services.  The HVA should take into account the likelihood of those events occurring and the consequences of those events.  The HVA is documented and reviewed annually.   
 
Ideally, the HVA should be adjusted each year based on real events and exercises conducted.  For instance, an organization with frequent severe winter weather (snowstorms or blizzards) on their HVA, due to activation of the Emergency Operations Plan (EOP) most winters, should improve their EM plans as they learn lessons and improve their response/recovery for severe winter weather.  Therefore, as their plans and response improves, the risk rating of severe winter weather should decrease, allowing other risks and vulnerabilities to become a focus. 
 
The need for site-unique hazard vulnerability analysis (HVA) depends upon whether the off-site facility has different internal or external circumstances that would affect its ability to manage emergencies. If a site is in close proximity to the main facility, and participates in the main facility's emergency operations plan, then the organization may combine the off-site HVA with the main facility's HVA; the off-site facility must be identified. If the off-site facility has its own unique vulnerabilities in the context of its ability to provide services, then those vulnerabilities are to be assessed and are required to perform an HVA for that site. 
 
Although it is not uncommon for a unique hazard vulnerability to be identified for a remote facility, often the emergency operation plan is simply a documented process for temporarily stopping services since the off-site facility does not provide emergency services or any other care that cannot be deferred. 

 
Manual: Nursing Care Center
Chapter: Emergency Management EM
Last reviewed by Standards Interpretation: May 05, 2022 Represents the most recent date that the FAQ was reviewed (e.g. annual review).
First published date: April 11, 2016 This Standards FAQ was first published on this date.
This page was last updated on May 05, 2022 with update notes of: Review only, FAQ is current Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.
Was this response helpful?

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form

Get Extra Help with Books and E-books

Browse our gallery of books and e-books to find trusted prep and readiness resources, practical checklists and toolkits, and resources on specialized health care topics.

Stay Informed with Online Education

Online education is the most convenient and cost-effective way to educate your staff and minimize expenses without the need to leave your organization.

Reach Your Safety Goals with eProducts

Assessing and sustaining compliance with accreditation standards or CMS CoPs can be a challenge, but it doesn’t have to be. Rely on our proven software solutions developed by our team of industry experts.

Can't Find What You're Looking For?

If you do not find an answer to your question, please contact the Standards Interpretation Group (SIG).

Note: To provide adequate support to those organizations that are either accredited/certified or seeking accreditation/certification, we will only answer those questions submitted by those organizations seeking accreditation/certification or currently accredited/certified by the Joint Commission. The Joint Commission no longer answers questions submitted by students or vendors. Thank you for your understanding.