Michael Perillo and Pat AndersHospital Webinars

September 18 and September 23, 2014

Required Capabilities for HPP-Qualified ExercisesDeliverable 15: Multi-Agency Medical Countermeasure Distribution Exercise

Multi-Agency Medical Countermeasure Distribution Exercise

• To prepare healthcare facilities for the required joint HPP-PHEP Strategic National Stockpile exercise scheduled for BP4 (July 1, 2015 – June 30, 2016), the following exercise is an additional deliverable, that will be run in parallel with a local health department led multi-agency medical countermeasure dispensing exercise.

• If this deliverable is selected, each hospital will be expected to participate with other partners in planning this full-scale exercise, as well as evaluate the exercise at the hospital.

• A hospital module with the same scenario as the medical countermeasures dispensing exercise will be developed by OHEP and provided to hospitals for incorporation into the LHD dispensing exercise.

• This module is required for this deliverable, and will address the four required HPP capabilities:

The Four Required Capabilities • Capability 3: Emergency Operations Coordination

– Objective 1: HCDDA #11: Healthcare coalition demonstrates coordination within the jurisdictional response framework during emergency operations

– Objective 2: HCDDA #12: Healthcare coalition demonstrates they can communicate the status of the healthcare system during response

– Objective 3: HCDDA #14: Healthcare coalition engages in the jurisdictional resource management process to support healthcare system operations

• Capability 6: Information Sharing– Objective 1: Continuity #4: Healthcare coalition demonstrates redundant means of communication

for achieving and sustaining situational awareness.– Objective 2: Joint Measure #6.1: Report Essential Elements of Information

• Capability 10: Medical Surge– Objective 1: MS #4: Implement resource management processes to deliver appropriate levels of care

to all patients as well as to provide no less than 20% immediate availability of staffed members' beds, within 4 hours of a disaster

– Objective 2: MS #5: Monitor acuity, staff, beds; off-load and on-load patients, track patient movement

– Objective 3: Continuity #3: Implement a process to enhance its members' situational awareness to support activation of immediate bed availability through continuous monitoring

• Capability 1: Health Care Systems Preparedness – Objective 1: Continuity #6: Implement resource processes to assist healthcare coalition members to

ensure the delivery of essential healthcare services.•

Elements of Completion • Hospitals will identify controller/evaluator role(s), conduct the exercise

module, complete Exercise Evaluation Guides and participate in an exercise hot wash session.

• • NOTE: No After Action Report/Improvement Plan (AAR/IP) is required.

Technical assistance will be available should a facility wish to write an AAR/IP for their internal benefit.

• Target Date: January 1, 2015 – March 31, 2015 • Payment: Payments will be made based on participation in the multi-

agency planning, exercise and host wash. • Planning: $7,000; Exercise: $5,000; Hot Wash: $2,000

• Element of Completion: • Planning: Documentation that summarizes the exercise planning activities.

Include the planning session date(s), summary of topics discussed, and attendees (names/titles) and their roles in the exercise.

• Exercise: Documentation of participation, including names, titles and roles. • Hot Wash: Documentation of participation, including names, titles and roles.

Participation in each stage must be clearly titled and documented separately.

Emergency Operations Coordination

3 Healthcare Coalition Developmental Assessment factors (HCCDA)

and 1 Core Capability

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HCCDA Program measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

Measures

Objectives

#11: The HCC has an incident management structure to coordinate actions to achieve incident objectives during response.

NONE Capability 3: Emergency Operations Coordination

NONE NONE Assess the ability of the hospital and/or regional coalition to activate its Hospital Incident Command System (HICS) or Incident Command System.

AND

Assess the ability of the hospital and/or regional coalition to activate staff and operate its Hospital Command Center (HCC).

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HCCDA Program measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

Measures

Objectives

#12: The HCC demonstrates an ability to enhance situational awareness for its members during an event.

NONE Capability 3: Emergency Operations Coordination

NONE NONE Evaluate the ability of the regional partners to communicate with other mutual aid partners and with appropriate government agencies during an event, as needed, utilizing redundant interoperable communications.

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HCCDAProgram measure

Capabilities to

reference

Function within

Capability

Joint HPP-PHEP

MeasuresObjectives

#14: The HCC has demonstrated resource support and coordination among its member organizations under the time urgency, uncertainty, and logistical constraints of emergency response.

NONE Capability 3: Emergency Operations Coordination

NONE NONE Demonstrate the ability to ensure the appropriate assessment and clinical management of individuals who present to the ED.

AND

Demonstrate resource support and coordination among other healthcare facilities.

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Information Management

1 HCCDA, 1 Program Measure, 2 Core Capabilities, 3 Functions within the Core

Capabilities, and 1 Joint PHEP-HPP Performance Measure

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HCCDAProgram measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

MeasuresObjectives

#12: The HCC demonstrates an ability to enhance situational awareness for its members during an event.

COOP Measure #4: The HCC has demonstrated the capability of a redundant means of communication for achieving and sustaining situational awareness.

Capability 3: Emergency Operations Coordination

Capability 6: Information Sharing

Function 2: Assess and notify stakeholders of healthcare delivery status.

Function 1: Provide healthcare situational awareness that contributes to the incident common operating picture.

Function 2: Develop, refine, and sustain redundant interoperable communication systems.

6.1: Percentage of local partners that reported requested Essential Elements of Information (EEI) to the public health/medical lead within the requested timeframe.

Develop and report the following list of requested Elements of Information for the public health lead within 2 hours:Facility has established its HCC and is operating under HICS.Status of open staffed beds on 3 units.ED census, and % over average daily census.Status of ability to discharge.Current census of hospital.# pts. Referred to a POD for prophylaxis.

AND

Evaluate the ability of the regional partners to communicate consistent elements of information to other mutual aid partners and with appropriate government agencies, as needed, utilizing redundant interoperable communications.

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Medical Surge

3 Program Measures, 1 Core Capability, 3 Functions within Capability

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HCCDA Program measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

Measures

Objectives

NONE Medical Surge Indicator #4: The HCC has demonstrated, through exercise or real incident, its ability to deliver appropriate levels of care to all patients, as well as to provide no less than 20% immediate availability of staffed members’ beds within 4 hours of a disaster.

Capability #10: Medical Surge

Function 3: Assist healthcare organizations with surge capacity and capability.

NONE Demonstrate the ability to determine the facility’s current patient census (in real time).

AND

Demonstrate the ability to inventory patient census and status on at least 3 units and determine suitability for discharge.

AND

Demonstrate information sharing processes across facilities to identify staffed available beds in an event.

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Medical Surge (cont.)

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HCCDA Program measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

Measures

Objectives

NONE Medical Surge Indicator #5: The HCC has demonstrated the ability to do the following during an incident, exercise, or event: 1) monitor patient acuity and staffed bed availability in real time; 2) off-load patients; 3) on-load patients; 4) track and document patient movement.

Capability #10: Medical Surge

Function 2: Coordinate integrated healthcare surge operations with pre-hospital EMS operations.

Function 3: Assist healthcare organizations with surge capacity and capability.

NONE Demonstrate the facility’s integration of pre-hospital and hospital surge coordination and management.

AND

Demonstrate the ability to coordinate with public health in the appropriate assessment and transport of patients who are ill.

AND

Evaluate the ability of the hospital to move and track patients from the ED to an appropriate staffed available bed.

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Medical Surge (cont.)

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HCCDA Program measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

Measures

Objectives

NONE COOP Measure #3: The HCC has a process to enhance its members’ situational awareness to support activation of immediate bed availability through continuous monitoring.

Capability #10: Medical Surge

NONE NONE Demonstrate the ability to determine the facility’s current patient census (in real time).

AND

Demonstrate the ability to inventory patient census and status on at least 3 units and determine suitability for discharge.

AND

Demonstrate information sharing processes across facilities to identify staffed available beds in an event.

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Healthcare System Preparedness

1 Program Measure, 2 Core Capabilities, 2 Functions with the Capabilities

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HCCDA Program measure

Capabilities to reference

Function within

Capability

Joint HPP-PHEP

Measures

Objectives

NONE COOP Measure #6: The HCC has prioritized and integrated essential healthcare recovery needs in its Emergency Plan.

Capability 1: Healthcare System Preparedness

Capability 2: Healthcare System Recovery

Function 3: Identify and prioritize essential healthcare assets and services.

Function 2: Assist healthcare organizations to implement Continuity of Operations.

NONE Evaluate the facility’s ability to reference and incorporate components of their appropriate plans or processes (e.g., 96 hour Sustainability Plan, the Isolation and Quarantine Plan, the Alternate Care Site Plan to prioritize and continue essential services.

AND

Identify two specific mission essential functions in the facility’s Continuity of Operations Plan.

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Questions, support or technical assistance

patricia.anders@health.ny.govmichael.perillo@health.ny.gov

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