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Disaster Preparedness Workgroup

Disaster Preparedness Workgroup . November 12, 2012 Meeting Objectives Ensure Everyone is Warm and Fuzzy on Statewide Exercise Processes and Activities Answer Any Outstanding Questions. 2012. Statewide Health & Medical Exercise. 2011 Exercise Lessons Learned. Putting It All Together.

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Disaster Preparedness Workgroup

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  1. Disaster Preparedness Workgroup • November 12, 2012 • Meeting Objectives • Ensure Everyone is Warm and Fuzzy on Statewide Exercise Processes and Activities • Answer Any Outstanding Questions

  2. 2012 Statewide Health & Medical Exercise

  3. 2011 Exercise Lessons Learned

  4. Putting It All Together • 2011 Lessons Learned • MOA Contracts with “Site Summary” forms • Site-Specific Incident Management Team Designations • Incident Command System / Incident Action Planning Training • Quarterly Communications Drills • 2012 Statewide Medical and Health Exercise Participation

  5. Our Clinic will be… ..here to help!

  6. Exercise Overview OBJECTIVE:  To discuss the planning and response to a loss of power to the healthcare delivery system and the community.  SCENARIO:  Earthquake results in power loss. Earthquakes can cause a variety of problems and disruptions to infrastructure.  Due to the limited time, this exercise will focus on power loss. Participants can customize the exercise and  objectives to address other issues.

  7. Historical Impact of Power Loss 2008 Sayre Wild Land Fire • Olive View-UCLA Medical Center lost power and emergency generators failed • 27 patients evacuated: 15 infants from Neonatal ICU, 4 critical care patients and 5 adult patients on ventilators • Patients evacuated down stairs with assistance of local fire department Source: ABC news: http://ABC.local.archives/SayreFire

  8. Historical Impact of Power Loss 2010 Palo Alto Plane Crash • Power outage caused by the crash of a twin-engine Cessna in East Palo Alto, which toppled several major power transmission lines • Stanford Hospital & Clinics and Lucile Packard Children’s Hospital in Palo Alto, CA were without power; the hospitals functioned on emergency power, and all non-emergency cases were postponed for the day Source: www.mercurynews.com/peninsula/ci_14422658

  9. Historical Impact of Power Loss September 2012: San Diego Power Failure • 5 million people without power in California, Arizona and Mexico • Roads gridlocked due to outage of traffic lights • Gas stations without power and unable to dispense fuel • Eisenhower Medical Center in Palm Springs served as a respite for the community Source: www.nbcsandiego.com

  10. 2012 Statewide Medical and Health Exercise Target Capabilities • Communications • Intelligence/Information Sharing and Dissemination • Medical Surge • Emergency Operations Center Management

  11. Target Capability: Communications • Determine/Evaluate clinic’s ability to communicate with response partners • Discuss/Test ability to communicate needs with outside sources for essential supplies, services, and equipment • Focus on resource supply chains 11

  12. Communication with the MAC …from the 2012 LAC EMS Agency Communications Directory

  13. Target Capability: Intelligence/Information Sharing and Dissemination • Review/test adequacy of information management plans and technology • internal and external • Review/test risk communication and public information message dissemination • Discuss/exercise ability to provide situational status and projected impact updates to: CCALAC/EMSA/DRC/Local EMD 13

  14. COMMUNICATIONS DIRECTORY

  15. Target Capability: Medical Surge • Determine/evaluate ability to expand patient capacity using non-traditional care areas for triage and treatment • Determine/evaluate ability to prioritize, manage, and allocate resources • Discuss/test capacity to provide care with out the use of power 15

  16. Target Capability: Emergency Operations Center Management • Test EOP and hazard specific plans • Discuss/exercise activation of Incident Management Team • Exercise ability to initiate incident action plan • Work through Incident Action Planning Process using HICS Forms 16

  17. MASTER SCENARIO EVENTS LIST (MSEL)

  18. Key Injects

  19. Key Actions • Communicate, Communicate, Communicate!!!! • Respond to Everbridge Messages • Complete and send in Situation Report Assessments • Send in Resource Requests to EMS Agency • Take Action • Activate your Incident Management Team • Work through the Incident Action Planning Process and MSEL Injects • Complete HICS Forms 201, 202, 203, 204, 214 http://dp.ccalac.org/Policies/Incident%20Action%20Planning/Pages/default.aspx • Complete Hotwash Debrief • Create After Action Report

  20. Addressing Past Concerns • Logistical issues • Technological issues • People issues • Time issues 20

  21. http://dp.ccalac.org/PREPAREDNESS/drills/SMHEhttp://ems.dhs.lacounty.gov/Disaster/Announcement.htmhttp://www.californiamedicalhealthexercise.com/exercises/phase3.phphttp://dp.ccalac.org/PREPAREDNESS/drills/SMHEhttp://ems.dhs.lacounty.gov/Disaster/Announcement.htmhttp://www.californiamedicalhealthexercise.com/exercises/phase3.php

  22. EXERCISE DESIGN/PLANNING • Identify overarching goals • Establish purpose • Define extent of play • Choose objectives • Define exercise assumptions, artificialities • Develop security plan (exercise safety) • Define resource requirements and logistics plan • Develop briefing materials (exercise handbooks and forms): • Controller/facilitator • Evaluator/data collector • Note taker/scribe • Player • Create Exercise roster

  23. Tabletop Exercise - Basic • Convene IMT • Announce Narrative • Provide Position Specific IRGs • Work through Injects • IMT Staff practice Emergency Management Mentality, not day-to-day decision-making. • Conclude Exercise • Conduct Hotwash • Draft After Action Report

  24. Tabletop Exercise - Advanced • Convene IMT • Announce Narrative • Provide Position Specific IRGs • Work through Injects • Work through “Planning P” ; • Incident Action Plan Establishment • Ensure Staff Create Plan A and Plan B for key response strategies and tactics; • Consider Having a “What-if” officer • Conclude Exercise • Conduct Hotwash • Draft After Action Report

  25. Functional Exercise • All that other stuff + actually “doing” something.

  26. Immediate Operational Period

  27. Immediate Operational Period

  28. Immediate Operational Period

  29. Immediate Operational Period

  30. Immediate Operational Period

  31. Immediate Operational Period

  32. Recovery

  33. EVALUATE THE EXERCISE • Conduct participant hot wash • Conduct controller, data collector/evaluator critique • Collect observation/data collection forms (notes) • Develop initial after action report (AAR) • Coordinate and evaluate findings • Conduct senior management post-exercise briefing • Prepare final AAR • POST EXERCISE • Develop improvement plan • Track corrective actions • Share lessons learned

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