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Home Care Association of New York State, Inc (HCA)

Home Care Association of New York State, Inc (HCA). Emergency Preparedness Conference 2007 “TRIPLE CROWN FLU” PANDEMIC TABLETOP EXERCISE. WELCOME. INTRODUCTIONS SAFETY ISSUES ROLES & RESPONSIBILITIES REPORT-BACK DOCUMENTATION “SITMAN” = Situation Manual, or Player’s Handbook. Tabletop.

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Home Care Association of New York State, Inc (HCA)

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  1. Home Care Association of New York State, Inc (HCA) Emergency Preparedness Conference 2007 “TRIPLE CROWN FLU” PANDEMIC TABLETOP EXERCISE

  2. WELCOME • INTRODUCTIONS • SAFETY ISSUES • ROLES & RESPONSIBILITIES • REPORT-BACK DOCUMENTATION • “SITMAN” = Situation Manual, or Player’s Handbook. Home Care Association of NYS

  3. Tabletop • Early step in an organized, progressive exercise program • Purpose: • facilitated analysis of plan; • identification of gaps, weaknesses and strengths in plan leading to improvement • staff training Home Care Association of NYS

  4. Other types of Exercises • Orientation – low stress, informal, used to introduce policies and procedures • Drills – test a specific function, can involve deployment of people/equipment • Functional –“simulated” real thing; takes place in EOC, involves multiple functions; groups • Full Scale – as close to reality as possible; involves all response functions Home Care Association of NYS

  5. Tabletop Outcome (what happens next?) Theory: one step at a time • Discussion; planning; plan • Problem identification during tabletop • Corrective action planning • Drills to test improvement in specific, identified problems • Tabletop (revisited) or functional exercise Home Care Association of NYS

  6. Assumptions / Artificialities • Time is the only limiting factor – in order to stay “on-track”, the following apply: • The scenario is plausible, and events occur as presented. • No “hidden agendas” or trick questions. • All players receive information at the same time. Home Care Association of NYS

  7. EXERCISE RULES • There is no one “right answer.” • Respond based on your knowledge, experience & training. • Focus on problem solving efforts - suggestions and recommended actions that could improve response and preparedness efforts. • Assume cooperation & support from other responders & agencies. Home Care Association of NYS

  8. EXERCISE RULES and most importantly… • Varying viewpoints, even disagreements, are expected. This is intended to be a safe, open, stress-free environment. • Processes & decision making are more important than minute details. • The only limiting factors are time and open vs. closed minds… Home Care Association of NYS

  9. EXERCISE OBJECTIVES • Discuss activation of your Emergency Response Plan • Discuss and outline for implementation the management of personnel in support of surge needs • Discuss implementation of occupational health response plan • Discuss and list procedures to coordinate with regulatory bodies for relief relating to various requirements • Work with Finance to implement billing & cost tracking • Discuss and outline combined knowledge of community partners’ plans, assets, resources, and needs • Discuss and outline a plan identifying responsible parties & reporting requirements for monitoring general health trends and illness in patients, staff, animals & pets Home Care Association of NYS

  10. EXERCISE OBJECTIVES • Discuss the development of protocols for increasing surge capacity. • Discuss and identify surge assistance needs. • Discuss & outline plans & collaborations for any necessary Alternate Care Site / Sheltering planning, Evacuation and Patient Locator (tracking) procedures. • Discuss working with Public Health to coordinate care for individuals who have been isolated or quarantined. • Discuss and outline plans & procedures for Demobilization (de-activation). Home Care Association of NYS

  11. Tabletop Coordinates with Pandemic Phases as established by WHO Home Care Association of NYS

  12. MODULE 1: (March – May 2007) Off to the Races • The CDC has confirmed, along with the WHO, that the H3N8 sub-type that was transferred from horses to dogs, has again jumped species and has infected human beings through canines. The number of human cases in northeastern NY is increasing. (What’s the difference here between Avian Flu/Asia and this situation?) • The WHO has issued a Phase 3 Pandemic Alert: human infections with a new sub-type, but no human-to-human spread, or at most rare instances of spread to a close contact. • Go to Page 9 of your SITMAN and follow the facilitator’s instructions. Phase 3 Home Care Association of NYS

  13. MODULE 1 Objectives • Discuss activation of an Emergency Response Plan • Discuss & outline for implementation, the management of personnel in support of surge needs • Discuss implementation of an occupational health response plan Home Care Association of NYS

  14. MODULE 2: (June 2007)Man’s Best Friend • Limited human-to-human transmission has begun in the northeastern and southern portions of New York State. • The WHO has issued a Phase 4 Pandemic Alert: small clusters with limited human-to-human transmission, but spread is highly localized suggesting that the virus is not well adapted to humans. • Go to Page 11 of your SITMAN and follow the facilitator’s instructions. Phase 4 Home Care Association of NYS

  15. MODULE 2Objectives • Discuss & list procedures to:- coordinate with regulatory bodies for relief relating to (listed items).- Work with Finance to implement billing / cost-tracking • Discuss & outline combined knowledge of community partners’ plans, assets, resources & needs • Discuss & list a plan identifying responsible parties & reporting requirements for monitoring general health trends & illness in patients, staff, animals & pets Home Care Association of NYS

  16. BREAK Home Care Association of NYS

  17. MODULE 3: (mid - July 2007)Dog Day Afternoon • Increasing numbers of human-to-human transmission is being reported throughout NYS. Animal control experts are attempting to enforce complete isolation & quarantine of all dogs, statewide, and the destruction of any animal exhibiting flu-like symptoms, or whose owners have acquired the disease. • The WHO has issued a Phase 5 Pandemic Alert: larger clusters of human-to-human spread, however still localized. This suggests that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk). • Page 12 Phase 5 Home Care Association of NYS

  18. MODULE 3Objectives • Discuss the development of protocols for increasing surge capacity • Discuss & identify surge assistance needs Home Care Association of NYS

  19. MODULE 4: (August 2007)The Dog Days of August • The numbers of human-to-human transmission throughout the State has increased dramatically. Hospitals and other healthcare facilities are overwhelmed. • We are in a Phase 6 Pandemic: there is increased and sustained human-to-human transmission in the general population. • Go to Page 15 of your SITMAN and follow the facilitator’s instructions. Phase 6 Home Care Association of NYS

  20. MODULE 4Objectives • Discuss / outline plans and collaborations for any necessary alternate care site / sheltering planning, evacuation & patient locator (tracking) procedures. • Discuss working with Public Health to coordinate care for individuals who have been isolated or quarantined - What about the dogs? Home Care Association of NYS

  21. MODULE 5: (October 2007 - ?)Snoopy Come Home • The pandemic phases and several cycles have been completed. No new human-to-human infections have been reported in over a month. The overall mortality rate for this pandemic has been slightly under 30% (28.5). Hundreds of thousands of dogs have been euthanized and disposed of in accordance with Federal, CDC & Animal Control guidelines. • The quarantines and public gathering enforcement laws have been lifted. • Go to Page 17 of your SITMAN and follow the facilitator’s instructions. Home Care Association of NYS

  22. MODULE 5Objectives • Discuss & outline plans & procedures for the following de-activation (demobilization) activities: - transition from surge to normal ops- discharge of surge patients- reconcile billing issues with Finance- After Action Reviews Home Care Association of NYS

  23. ENDEX & “HOTWASH”

  24. Contact Information Alexis Silver Home Care Association of NYS, Inc. (HCA) (518) 810 – 0658 asilver@hcanys.org Eugene Lucchese, MEP/CIC NYSDOH Health Emergency Preparedness Program (518) 474-2893 efl03@health.state.ny.us Home Care Association of NYS

  25. Resources for Training • FEMA Independent Study Program http://training.fema.gov/IS/crslist.asp • State Emergency Management Training http://www.semo.state.ny.us/programs/training/catalog.cfm Home Care Association of NYS

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