Exercise Planning From Tabletops to Full Scale

1. Exercise PlanningFrom Tabletops to Full Scale Alaska Department of Health and Social Services

2. Disclosure Statement - CE/CME • There is no conflict of interest for anyone involved in planning or presenting this learning activity. • To receive CME/CE hours for qualified sessions:attend the session or participate in the skills lab and complete a CE (Continuing Education) verification form. • Forms are in your packet. Questions about CME/CE? Stop by the registration desk for assistance.

3. Course Description This session will review the Homeland Security Exercise and Evaluation Program (HSEEP) guiding principles for exercise programs, to include the common approach to exercise program management. Through HSEEP, exercise planners may develop, design, execute and evaluate exercises across the whole community to improve capacity to build, sustain and deliver core capabilities

4. Exercise Planning: From Tabletops to Full Scale Charles Pelton

5. DHSS Response Team Sondra Leclair Jessica Gould Karie Hawk Todd Lecours Bonnie Bailey Allison Natcher

6. Agenda • Homeland Security Exercise and Evaluation Program (HSEEP) Overview • Capabilities-based Planning Overview • Review of Prior Multi-Year Training and Exercise Plan (TEP) • Exercise Design and Development • Exercise Conduct • Evaluation • Improvement Planning

7. Design and Development Templates • https://preptoolkit.fema.gov/web/hseep-resources/design-and-development

8. Homeland Security Exercise and Evaluation Program (HSEEP) Overview • Guiding principles for exercise programs • Provides common approach • Allows the exercise planner to • Shape the exercise • Provide insight to elected and appointed leaders • Develop training • Identify improvements

9. Homeland Security Exercise and Evaluation Program (HSEEP) Overview

10. Capabilities-based Planning Overview • This method involves a functional analysis of operational requirements. • Capabilities are identified based on the tasks required • Once the required capability inventory is defined, the most cost effective and efficient options to satisfy the requirements are sought • These options are evaluated in the context of a robust set of threat scenarios

11. Review of Multi-Year Training and Exercise Plan • Strategic and Operational Planning • Leads to effective exercise program • Exercises support larger, overarching priorities • Strategic, high level priorities • Develops objectives • Build and sustain program • Provides structure • Progressive approach

12. Exercise Design and Development • Types of Exercises • Discussion based • Operational based • Exercise Resources • Budget • Staffing • Training courses • Mutual aid agreements • Previous exercise outcomes • Equipment

13. Exercise Design and Development • Select and define participants and stakeholders • Develop timeline • Training requirements • Training objectives and core capabilities • Develop exercise scenario • Coordination of logistics • Control and evaluation

14. Exercise Design and Development • Planning Meetings • Concept and Objectives Meeting • Scenario Development • Initial Planning Meeting • Mid Planning Meeting • Master Scenario Event List • Final Planning Meeting

15. Exercise Design and Development • Exercise Conduct Meetings • Controller Evaluator • Communication Plan • Media • Exercise Control • Actor/participant briefing • Post Exercise Meetings • Hot Wash • After Action Report

16. Exercise Conduct • Discussion Based • Seminars • Workshops • Table Top • Games • Operational Based • Drills • Functional • Full Scale

17. Discussion Based • Situation Manuals (SitMans) or other written documentation • Multimedia presentation • Appropriate A/V • Table/name tents • Badges • Sign-in sheets • Participant Feedback Forms

18. Operational Based • Design • Location • Capabilities • Logistics • Control • Duration • Parameters • Safety/Security

19. Exercise Conduct • Exercise Program Priorities • Threats/Hazards • Capabilities • Requirements • Exercise Objectives • Specific • Measureable • Achievable • Relevant • Time-Bound • Core Capabilities • Alignment • Systematic • Standardized

20. After Action • Hot Wash • After Action Report • Participant Feedback Forms • Controller/Evaluator Handbooks • Resiliency • Recovery

21. Improvement Plan • Corrective Actions • What changes needed to improve performance • Plans and procedures • Organizational structure • Management • What additions/action to improve performance • Training • Equipment • Tracking and Implementation

22. Exercise ProcessPlanning

23. Exercise ProcessExecution and Control

24. Exercise ProcessClosing

25. Exercises ConductedSince 2013 • Alaska Shield 2014 • SeAquarium Shaker • Featured Script Forward Patient Movement Table Top • Forward Patient Movement TTX • Rock and a Hard Place • Pills to Polar Bears

26. Exercises ConductedSince 2013 7. Ebola TTX 8. Behavioral Health TTX 9. Code Black TTX 10. Code Black Part 2, Functional Exercise 11. PHN TTX for an active shooter 12. Family Assistance Center TTX 13. Alaska Shield 2016/ Part I

27. Exercises ConductedSince 2013 14. Alaska Shield 2016/ Part II 15. Alaska State Ebola Exercise 16. Region X Ebola Exercise 17. Arctic Chinook 18. Mass Casualty TTX 19. Frozen Contagion TTX 20. Frozen Contagion Full Scale Exercise

28. Exercises ConductedSince 2013 21. Movin’ and Groovin’ TTX 22. Perturbed Ptarmigan 23. Arctic Eagle 24. Highly Infectious Disease Exercise 25. Disability Advisory Group TTX 26. Redundant Communications Drill

29. Upcoming Exercises • Alaska Shield 2019 • Full Scale exercise (April 2019) • Many partners • Ptarmigan’s Revenge • Functional Exercise • Low Notice • Communications Drill • MOA

30. Raging Contagion 2019 • Pneumonic Plague symptoms are spreading among communities throughout the state. • Lab confirmed pneumonic plague • State declares emergency • Requests Fed support • Tasks AKNG/AST support • CDC ships Rx Inventory to Ted Stevens • ANTHC RSS activated • Local Jurisdictions alerted for POD set-up • Local staff call down • Site activation • POD site set-up • FBI/Epi conduct joint investigation. • Samples sent to State Lab • DHSS EOC Activated Functional Phase, Day 1-2 • Local PODS staffed/ready • Volunteers assembled • Closed POD partners ready • Meds shipped w/ escort • PODS receive meds • POD Ops conducted • Volunteer patients get meds • Locals send report to EOC • Recover unused meds • Demob PODS, RSS & EOC • ENDEX • Hot wash • AKNG Mobilized w/ AST • Warehouse secured • US Marshal escorts shipment • ANTHC receives and begins distribution processing Full Scale Phase, Day 3(4)

31. Communities Involved • Anchorage • Mat-Su • Hub Communities • Utqiaġvik • Bethel • Dillingham • Fairbanks • Kotzebue

32. Partners Involved • SOA Department of Homeland Security • Medical Facilities • Alaska Native Tribal Health Consortium • US Public Health Service • SOA Public Health Nursing • Alaskan Command • US Army Alaska • Alaska National Guard

33. Questions? Charles Pelton DHSS Exercises and Training Charles.pelton@alaksa .gov 907-334-2242