Evaluation & Exercise

1. Evaluation & Exercise Susan Belt, MT(ASCP) Director, Evaluation & Exercise Development Phone: 785-296-1984 E-Mail: sbelt@kdhe.state.ks.us

3. National Preparedness Goal Target Capabilities List Capabilities Based Planning National Planning Scenarios Capabilities-Based Planning Identify the capabilities needed to prevent, protect against, respond to and recover from incidents of national significance Target Capabilities • Tasks organized into 37 capabilities • Led to capabilities-based planning Model 1: Evolution of Capabilities-Based Planning Universal Task List

4. National Homeland Security Strategy and Health and Medical Planning Strategy Presidential Directives National Initiatives State Implementation KDHE – DOH Implementation National Response Plan (NRP) Homeland Security Presidential Directive 5 Emergency Support Function 8 – Health and Medical Kansas Response Plan (KRP) The National Strategy for Homeland Security National Incident Management System (NIMS) Biological Incident Annex National Preparedness Goal Standard Operating Guides (SOGs) are developed that detail “how” the plans will be carried out. SNS and EOC SOG’s have been drafted. Disease specific checklists will be included in existing guides. The following plans will be encompassed in the KRP: Bioterrorism, Smallpox, Strategic National Stockpile, and Pandemic Influenza. Homeland Security Presidential Directive 8 National Planning Scenarios Universal Task List (UTL) NIMS Training (IS-700) for all public health and medical personnel with response roles in their position descriptions (state and local) Target Capabilities List (TCL) Kansas NIMS Implementation Plan PRIORITY Strengthen Medical Surge and Mass Prophylaxis Capabilities National Preparedness Guidance

5. 37 Target Capabilities Common Planning Communications Citizen Preparedness and Participation Risk Management Prevent Mission Area Information Gathering and Recognition of Indicators & Warnings Intelligence Analysis & Production Intelligence/Information Sharing and Dissemination Law Enforcement Investigation and Operations CBRNE Detection Protect Mission Area Critical Infrastructure Protection (CIP) Food and Agriculture Safety and Defense Epidemiological Surveillance and Investigation Public Health Laboratory Testing Respond Mission Area Animal Health Emergency Support Emergency Operations Center Management Critical Resource Logistics and Distribution Volunteer Management and Donations Responder Safety and Health Respond Mission Area (cont) Public Safety and Security Response Firefighting Operations/Support WMD/Hazardous Material Response and Decontamination Explosive Device Response Operations On-Site Incident Management Environmental Health Citizen Protection: Evacuation and/or In-Place Protection Isolation and Quarantine Urban Search and Rescue Emergency Public Information and Warning Triage and Pre-Hospital Treatment Medical Surge Medical Supplies Management and Distribution Mass Prophylaxis Mass Care (Sheltering, Feeding, and Related Services) Fatality Management Recover Mission Area Structural Damage and Mitigation Assessment Restoration of Lifelines Economic and Community Recovery

6. Performance Measurement • Mission – x4 • Target Capability – x 37 • Tasks – x 1600 • Metrics – x 5000 + • All activities should tie to these!

7. Planning Assumptions • 10% decrease in funding • No increase in staff, turnover 28% • Federal grant requirements WILL change • Exercises for LEPC, JCAHO, etc • Some tasks don’t contribute to understanding of preparedness • Currently written plans

8. Performance Measures • CDC Goals and Measures • HRSA Goals and Measures • Pan Flu Goals and Measures • National Preparedness Goals • Kansas DHS Investments • Public Health Essential Services • Core Public Health Competencies • Bioterrorism Competencies • Kansas Response Plan ESF 8 Functions

9. CDC Performance Measures • Currently there are 9 goals and 23 measures. • Prevention, Detection, Reporting, Investigation, Control, Recover, Improve • CDC has a longer list they are working with for more measures. • (A workgroup is debating each one’s merit.) • Don’t monitor the same each period. • No federal schedule for monitoring.

10. Example Performance Measures • Goal 2: Detection and Reporting Time to initiate an epi investigation of an event that may be of urgent public health consequence. • Goal 6: Control Percent of key health partners who are notified when electric power grid, etc are unavailable. • Goal 7: Recover Time to issue guidance to the public after an event.

11. How will these be measured???

12. Strategic Planning • Environmental Analysis – 5 forces • Additional Entities, Consumers, Providers, Threat of Substitutes, Rivalry • Gap Analysis • Statewide Exercises • HSEEP Compliance • NIMS Compliance • Electronic Options • Centralized Calendar

13. CPHP Exercise Plans • Additional template tabletop exercises • Tuberculosis, smallpox, SNS arrival, etc • Template functional exercises • Including plan activation, ICS, epi investigation • Template evaluator forms for each exercise • Including new forms for PODs • Strategic plan with future exercise objectives already plotted for future grant years • AAR / Evaluation classes • Program for direct assistance for exercises

14. CPHP Exercise Priorities • Worker Health and Safety • Volunteer Management • Triage & Pre-hospital Treatment • Fatality Management • Emergency Public Information • Interoperable Communications • Mass Prophylaxis • Medical Surge • Isolation and Quarantine • Epidemiology & Lab • Medical Supplies Management

15. Deliverables Format • By Target Capability /Task • Participation in state designed /conducted • Evaluation forms provided • AAR templates provided • Participation in local designed/conducted • TA provided according to terms • AARs must address original task list by date certain

16. Evaluation and AAR Reporting for Health Care Exercises • Topeka – Aug 28 & Sept 28 • Salina – Aug 30 & Sept 26 • Wichita – Aug 31 & Oct 26 • Pittsburg – Sept 10 • Chanute – Sept 14 • Hays – Oct 22 • Garden City – Oct (date TBD)

17. 2008 Schedule • January 17 – Hot Shot / Packing & Shipping Drill • March 25 – State FBI TTX • March 26 – State JIC FE • April 16 – State DOC Drill + DOC TTX • June 10-12 – Project VP3 (Statewide FSE) • July 29 – RSS Drill • August 6-8 – CHEMPAK Seminar • October 21 – Decon Drill #1 • October 22 – Decon Drill #2 • October 23 – Decon Drill #3

18. 2009 Schedule • January 27 – Triage TTX #1 • January 28 – Triage TTX #2 • January 29 – Triage TTX #3 • March 23-27 – Medical Surge Drill / Epi via WebEOC • May 5 – Mass Fatality TTX #1 • May 6 – Mass Fatality TTX #2 • May 7 – Mass Fatality TTX #3 • July 14 – Alternate Care Site Seminar • September 14 – State EOC Drill • September 22 – Tanker of Terror #1 • September 23 – Tanker of Terror #2 • September 24 - Tanker of Terror #3 • November 17 – RSS Drill • December 1-3 – Alternate Care Site Drill / Community Containment

19. 2010 Schedule • January 27 – Electronic Triage TTX #1 • January 28 – Electronic Triage TTX #2 • January 29 – Electronic Triage TTX #3 • March 23-25 – WebEOC Drill/ Epidemiology Electronic TTX • April 20 – RSS Drill • June 15 – STATPAK / Hot Shot Drill • July 15 - State EOC TTX • July 15 – DOC Drill • August 3-5 – Federal Flavor of the Day TTX • October 25-29 – Oktoberfest II:The Nightmare Continues FSE

20. “Box” Drills • “Box” patients move through the full-scale to test supply levels and protocols such as decontamination and triage. • KDHE will purchase: triage tags, boxes, general PPE, etc but we’re….. • Looking for expired supplies • Looking for pharmaceutical boxes • Looking for suggestions

21. Questions? Susan Belt, MT(ASCP)Director, Evaluation and Exercise DevelopmentKDHE, Center for Public Health Preparedness Phone: 785-296-1984Blackberry: 785-217-3499E-Mail: sbelt@kdhe.state.ks.us