Community Hazard Vulnerability Assessment

Statewide Community Hazard Vulnerability Assessment and Resource Gap Analysis

The Arizona Coalition for Healthcare Emergency Response (AzCHER) conducted a Statewide Community Hazard Vulnerability Assessment (CHVA) and Resource Gap Analysis (RGA) from October 2021 to January 2022 to identify the healthcare coalition’s most significant risks. The CHVA/RGA process is an analysis of capacities and capabilities to address a medical surge and is intended to determine resource needs and gaps. Subsequently, the 2021-2022 CHVA/RGA results inform AzCHER’s preparedness priorities in training, exercising, and planning. Our members can benefit by incorporating these results into their plans and exercises.

AzCHER Community Hazard Vulnerability List 2021-2022

Statewide Top 10 Hazards Most Likely to Occur:

  1. Pandemic Coronavirus
  2. Dust Storm
  3. Wildfire
  4. High Winds
  5. Staffing Shortage
  6. Cyber Attack
  7. Supply Chain Failure
  8. Temperature Extreme (Heat)
  9. Tornado
  10. Pandemic Influenza


Statewide Top 10 Hazards Most Likely to Require Response:

  1. Pandemic Coronavirus
  2. Nuclear Incident
  3. Biological Incident
  4. Mass Casualty (Trauma)
  5. Highly/Acute Infectious Disease Outbreak
  6. Radiological Incident
  7. Flood/ Flash Flood
  8. Mass Electrical Failure
  9. Pandemic Influenza
  10. Staffing Shortage
AzCHER Top Gaps in Planning and Resources

Statewide Planning Gaps:

  • AzCHER Response Plan and Annexes
  • Hospital Crisis Care/ Crisis Standards of Care Plan
  • Healthcare Emergency Operations Plan
  • Healthcare Training and Exercise Plan


Statewide Resource Gaps:

  • Statewide Notification Platform
  • Pediatric Evacuation Equipment
  • HAZMAT Supplies (Patient redress kits, radiation assets)
  • Documentation of Transportation Resources Across All Member Types

Member-Driven Process at the Regional Level

The objective of the CHVA/RGA is to represent the whole community and the collective needs through a member-driven process. Members were asked to report on their facility HVA results, recent emergency activations, current organizational plans, and resource inventory, through a survey (Appendix 1). Aggregated HVA survey data was then entered into the AzCHER CHVA tool for a comprehensive community analysis that included an in-depth analysis of relative risk scores. Similarly, the summarized RGA plan data was entered into the ASPR TRACIE Resource and Gap Analysis tool to include composite risk scores. Results from both tools and aggregated resource data were presented to regional workgroups, who led the process of identifying and prioritizing the likely hazards the region could face and discussed any gaps in plans and resources. Across the state, the CHVA/RGA process engaged 198 members of the general body and consulted a CHVA/RGA workgroup from each region and is representative of the main healthcare sectors.