Department of Health and Environmental Control

1. Department of Health and Environmental Control 2010-2011 Exercises/Future Exercise Requirements

2. Discuss exercises from the 2011-2012 grant year Review the new PHEP Capabilities and How they relate to the new HPP capabilities HPP Exercises: Evaluation and Annual Progress Report Requirements Brief Overview of HSEEP 2012-2013 Exercises (Handout) Objectives

3. 2011-2012 Exercises • 2011-2012 exercises • SCDHEC Region 1, CRI Lander FSE, April 2012 • SCDHEC Region 2, NDMS, April 2012 • SCDHEC Region 3, State Hurricane FSE, June 2012 • SCDHEC Region 4, Radiological TTX, June 2012 • SCDHEC Region 5, Augusta NDMS, April 2012 • SCDHEC Region 6, Mass Fatality TTX, April 2012 • SCDHEC Region 7, State Hurricane TTX, June 2012 • SCDHEC Region 8, Mass Fatality TTX, April 2012

4. The Public Health Emergency Preparedness (PHEP) Capabilities • 2011 CDC Public Health Preparedness Capabilities. • The newly designed HPP Capabilities are based on the PHEP Capabilities. 1. Community Preparedness 2. Community Recovery 3. Emergency Operations Coordination 4. Emergency Public Information and Warning 5. Fatality Management 6. Information Sharing 7. Mass Care

5. New PHEP Capabilities (con’t) 8. Medical Management Dispensing 9. Medical Materiel Management and Distribution 10. Medical Surge 11. Non-Pharmaceutical Interventions 12. Public Health Laboratory Testing 13. Public Health Surveillance and Epidemiological Investigation 14. Responder Safety and Health 15. Volunteer Management

6. 2012 HPP Capabilities • Capability 1 – Healthcare System Preparedness • Specifically Function 6 : Improve healthcare response capabilities through coordinated exercise and evaluation • Capability 2 – Healthcare System Recovery • Capability 3 – Emergency Operations Coordination • Capability 5 – Fatality Management • Capability 6 – Information Sharing • Capability 10 – Medical Surge • Capability 14 – Responder Safety and Health • Capability 15 – Volunteer Management

7. HPP Exercises: Evaluation and Annual Progress Report Requirements • Exercise Program • Exercise Plans • Exercise Execution • Evaluation • Annual Reporting

8. Exercise Program “To meet the applicable goals described in section 2802(b) of the PHS Act, all Budget Period 1 HPP funding applications must address the evaluation of state and local preparedness and response capabilities through exercises.Awardees must conduct annual preparedness exercises in accordance with the Homeland Security Exercise and Evaluation Program (HSEEP). Exercise programs funded all or in part by HPP cooperative agreement funding, or conducted to address the exercise requirements reflected in this cooperative agreement, should be built on HSEEP guidance and concepts.”

9. Exercise Plan • Each Region PHP submitted 2012-2013 regional exercises to the SCDHEC Exercise Plan. In July 2012, the exercise plan was finalized during the SCDHEC exercise planning meeting. Your region PHP has a copy of this plan is you wish to have a copy.

10. Exercise Execution • During the five-year project period, awardees must: “Ensure hospitals, other healthcare organizations, and healthcare coalitions participate in HSEEP-compliant substate regional or statewide, functional or full-scale exercises conducted in substate regions that encompass a healthcare coalition. The substate regions selected are determined by the priorities of the awardee during strategic planning. Each substate regional or statewide, functional or full-scale exercise must address components of Capability 6: Information Sharing and Capability 3: Emergency Operations Coordination. Also during this exercise, at least one healthcare preparedness capability must be tested.” • “

11. Exercise Execution • “During the five-year project period, awardees are to plan for all substate regions that encompass a healthcare coalition to exercise as outlined above and to test all healthcare preparedness capabilities. This may require implementation of rotation strategies across the five budget periods to ensure different substate regional and any statewide exercise opportunities that may cover the state include healthcare systems. HPP awardees must ensure that all HPP participating hospitals participate in at least one substate regional or statewide HSEEP-based functional or full-scale exercise during the five-year project period.”

12. Capability 3 and 6 • Capabilty 3 - Emergency Operations Coordination • Emergency operations coordination is the ability to direct and support an event or incident with public health or medical implications by establishing a standardized, scalable system of oversight, organization, and supervision consistent with jurisdictional standards and practices and with the National Incident Management System. • Capability 6 - Information Sharing • Information sharing is the ability to conduct multijurisdictional, multidisciplinary exchange of health-related information and situational awareness data among federal, state, local, territorial, and tribal levels of government, and the private sector. This capability includes the routine sharing of information as well as issuing of public health alerts to federal, state, local, territorial, and tribal levels of government and the private sector in preparation for, and in response to, events or incidents of public health significance.

13. Exercise Evaluation • Participate in the evaluation process as outlined in Capability 1: Healthcare System Preparedness; Function 6: Improve healthcare response capabilities through coordinated exercise and evaluation; • Describe the role of hospitals, other healthcare organizations, and healthcare coalitions in evaluation, development of after-action reports, and participation in evaluation and improvement plans; • Describe how the awardee will ensure that the lessons learned from after-action reports are shared with the hospitals, other healthcare organizations, and healthcare coalitions, and how their emergency operations plans will then be modified; and • Describe how plans for training are integrated into the exercise program; and • HPP encourages putting after-action reports (AAR) for substate regional healthcare coalition-based exercises on the FEMA Lessons Learned Information Site (LLIS) at http://www.llis.dhs.gov/ .

14. Capability 1 – Function 6 • Capability 1 – Healthcare System Preparedness • Function 6 - Improve healthcare response capabilities through coordinated exercise and evaluation • Exercise Plans • Exercise implementation and coordination • Evaluation and improvement plans • Best practice and lessons learned sharing • Exercise and evaluation training • The State and Healthcare Coalitions, in coordination with healthcare organizations, emergency management, ESF #8, relevant response partners, and stakeholders, provide exercise and evaluation training to assist healthcare organizations with the concepts of exercise coordination, implementation, and evaluation.

15. HSEEP

16. HSEEP Compliance • “HSEEP compliance is defined as adherence to specific HSEEP-mandated practices for exercise program management, design, development, conduct, evaluation and improvement planning.”

17. HSEEP Compliance • “In order to be HSEEP compliant an awardee will have to satisfy four distinct performance requirements: • Conduct an annual training and exercise workshop and develop and maintain a multi-year training and exercise plan. • Planning and conducting exercises in accordance with the guidelines set forth in HSEEP Volumes I-III. • Developing and submitting a properly formatted AAR/IP. The format for the AAR/IP is found in HSEEP Volume III. • Tracking and implementing corrective actions identified in the AAR/IP

18. Building Block Approach

19. Exercise Scheduling/Reporting • DHS has created a centralized, secure web-based reporting system. SCDHEC uses The National Exercise Schedule (NEXS) to schedule, develop, and report on exercises. You should go to the HSEEP website and register for access to this system.

20. Exercise Options for Hospitals • Design and conduct HSEEP compliant exercises. This includes compliant After Action Reports, Corrective Action Plans, and Improvement Plans. • Participate in the planning, development, and execution of local and statewide exercises.

21. 2011-2012 Exercises • Refer to Handout

22. Questions and Conclusion