Wednesday, September 27, :00 A.M. 12:00 P.M. Kern County Public Health Department 1800 Mt. Vernon Avenue San Joaquin Room

Transcription

1 Wednesday, September 27, :00 A.M. 12:00 P.M. Kern County Public Health Department 1800 Mt. Vernon Avenue San Joaquin Room

2 WELCOME! Opening Remarks Introductions Additions/Changes to Agenda

3 HPP GRANT AWARD LETTERS CHRYSTAL SHEPPARD

4 HPP GRANT Purchase Approval Letters Funding Restrictions Membership Participation Awardees ADVENTIST HEALTH BAKERSFIELD ADVENTIST HEALTH TEHACHAPI VALLEY CLINICA SIERRA VISTA DIGNITY HEALTH KERN MEDICAL KERN VALLEY HEALTHCARE DISTRICT

5 Grant Life Cycle Step 1 Step 2 Step 3 HPP Grant is approved by the State Request wish lists from partners Step 4 Facilities make approved purchases. Invoices are supplied to Public Health. Facilities are reimbursed. Wish lists are reviewed for eligibility. Funds are awarded via a purchase approval letter from Public Health.

6 2017 STATEWIDE MEDICAL AND HEALTH EXERCISE PHASE III: TABLETOP EXERCISE Earthquake/ November 15 th 2017

7 WELCOME & INTRODUCTIONS

8 WELCOME & OVERVIEW Welcome Name Position Agency/Organization Logistics Materials Participant Feedback Form Break-Out Questions 8

9 ADMINISTRATION Exercise Materials Mobile Phones Restrooms Evacuation Procedure THIS IS NOT A DRILL Breakout Discussion Groups 9

10 PRESENTATION GUIDE Welcome and Overview MODULE 3: IMMEDIATE AND INTERMEDIATE RESPONSE MODULE 1: MITIGATION MODULE 4: EXTENDED RESPONSE AND RECOVERY MODULE 2: PREPAREDNESS MODULE 5: HOT WASH & DEBRIEF 10

11 EXERCISE OVERVIEW & GENERAL INFORMATION KEY MATERIAL

12 EXERCISE OVERVIEW Objectives Walk through the scenario Identify strengths and weaknesses Adjust emergency plans and resources Prepare for the functional November 15 th Scenario Earthquake Sponsor California Department of Public Health, Emergency Medical Services Authority, Kern County Public Health, Kern County EMS 12

13 GENERAL INFORMATION Participant Roles & Responsibilities Players: Respond to situation presented based on current plans, policies, and procedures Facilitators: Provide situation updates and moderate discussions Evaluators: Observe and document player discussions 13

14 GENERAL INFORMATION Tabletop Exercise Structure Module 1 Mitigation Breakout group discussions and group presentations Module 2 Preparedness Breakout group discussions and group presentations Module 3 Immediate and Intermediate Response Breakout group discussions and group presentations Module 4 Extended Response & Recovery Breakout group discussions and group presentations Module 5 - Hot Wash/Debrief Evaluator Notes 14

15 GENERAL INFORMATION Exercise Guidelines Open, low-stress, no-fault environment Varying viewpoints are expected Use current plans/capabilities Consider different and innovative approaches Issue identification is not as valuable as recommended actions and improvements 15

16 GENERAL INFORMATION Assumptions The exercise is conducted in a no-fault learning environment wherein capabilities, plans, systems, and processes will be evaluated The exercise scenario is plausible, and events occur as they are presented Artificialities Impacts across the response community Some time lapses may be artificially used to achieve the exercise objectives 16

17 GENERAL INFORMATION Exercise Evaluation Participant Feedback Forms Exercise Evaluation Guides Hot Wash Notes Notes from today s exercise may be used to design and implement the Functional Exercise (FE) 17

18 DISCUSSION FORMAT Facilitator will be the spokesperson Focus on Strengths Areas for improvement As it pertains to: Organization Personnel Training Equipment Support 18

19 MODULE ONE PRE-INCIDENT INFORMATION

20 Mitigation Mitigation strategies HVA s Participation in KCHCC Ability to physically move patients Earthquake rated infrastructure Break-out session 20 minutes Mitigation Questions 1-9 for discussion

21 MODULE 2 PREPAREDNESS

22 Preparedness Extensive Evacuation Plans With yearly exercises? Supply reserves Process to assess facility damage Redundant Communications Breakout Session 30 minutes Preparedness Questions 1-18 for discussion

23 MODULE THREE IMMEDIATE AND INTERMEDIATE RESPONSE

24 BACKGROUND INFORMATION Earthquake A 6.4 magnitude earthquake strikes the region where your facility is located at 6:05 am. The earthquake shakes the hospital for almost 40 seconds. Throughout the shaking, light fixtures sway, unsecured items fall from shelves and walls, the lights briefly flicker, and staff and patients are frightened. 24

25 BACKGROUND INFORMATION Responding Departments/ Agencies can include: Emergency Medical Services (EMS) / Ambulance Fire Police Search & Rescue Healthcare facilities Media Non Profit Organizations Public Health 25

26 BACKGROUND INFORMATION Will there be enough: Staff? Space? Supplies & Equipment? System? (i.e., patient tracking) Special considerations: Media Public Response Hazardous Materials Behavioral Health 26

27 MODULE THREE November 15, 2017 Several staff are injured, including the night shift supervisor. Within minutes, an aftershock is felt, this time lasting only 10 seconds but causing additional panic. The power goes out, but within minutes the generator power is up and running. 27

28 MODULE THREE November 15, 2017 Day shift staff are beginning to arrive, and report to the emergency department charge nurse that there is widespread damage to roadways, traffic lights are not functioning, and sirens can be heard across the area. By 7:30 am, the facility Command Center has been activated and staffed, damage reports are being received and your facility is on generator power only. 28

29 MODULE THREE November 15, 2017 Internal communications function but external communications (landline), have been lost. The emergency department is inundated with dozens of patients presenting with minor injuries. There is some damage to exterior walls and a complete structural assessment of the facility is expected tomorrow. All outpatient appointments, elective surgeries, and elective admissions were canceled and regular supply deliveries were not completed. Some facilities are placed under evacuation 29

30 MODULE THREE Immediate & Intermediate Response Break out 30 Minutes Questions

31 MODULE FOUR EXTENDED RESPONSE & RECOVERY

32 MODULE THREE Process for reporting injuries Process for submitting costs for disaster reimbursement Equipment recalibration COOP Plan 32

33 MODULE FOUR Breakout Session 20 Minutes Extended Response and System Recovery questions

34 34 CONCLUSION OF THE DISCUSSION-BASED TABLETOP

35 MODULE FIVE DEBRIEF & HOTWASH

36 MODULE FIVE Debrief questions Identify three strengths Identify three areas for improvement What processes should be addressed in future efforts? Functional Exercise (FE) planning Duration Stakeholders Roles and responsibilities Closing comments 36

37 Thank you! Functional Exercise November 15 th 9:00 am-2:00 pm Hot wash and Lunch 1:00 pm-2:00 S Street Please respond to the survey with attendees for accurate lunch numbers Questions and Concerns? Reach out to your break-out group facilitators 37