[INSERT SEAL] [State] Homeland Security Exercise and Evaluation Program [Jurisdiction] [Exercise Type] Master Scenario s List (MSEL) Package [Month] [Day#], [Year]
MSEL Package Preface The purpose of publishing the Master Scenario s List (MSEL) Package is to provide central exercise control team members a complete edition of the MSEL. This document is not intended to be distributed in full to field controllers, but rather they should receive those portions for which they are responsible as handouts. This would include the summary listing as well as any detailed inject forms that they will be delivering to players. The / Evaluator (CE) Handbook should be consulted for more information on MSEL Inject procedures. Core control team members, primarily located at a Control Cell, may use this document to track exercise play, manage simulation cell (SIMCELL) functions, and maintain the situational awareness for the Exercise Director. Evaluators may also reference individual pieces of the document through teamwork with the controllers. Exercises are the culmination of training toward a higher level of preparedness. This document was produced with the help, advice, and assistance of planning team members from various departments and agencies. As such, this document is tangible evidence of the public safety partnership in response to the threat or act of terrorism. The information in this document is current as of the date of publication and is subject to change as dictated by the Exercise Planning Team. Important! This MSEL Package is complementary to the Exercise Plan (EXPLAN) and the CE Handbook. Refer to the EXPLAN and CE Handbook for more extensive information about the exercise, including participating agencies, schedules, briefings, and the responsibilities of various participants. This Handout contains information about the events of the exercise and should be safeguarded from disclosure before and during the exercise. Only designated controllers should have access to this handout. Preface ii
Administrative Handling Instructions 1. The title of this document is [Exercise Name] Master Scenario s List Package. 2. This document should be safeguarded, handled, transmitted, and stored in accordance with appropriate security directives. It should be released to individuals on a strict need-to-know basis. Information contained herein was prepared for the exclusive use of planning team members, project officers, and non-participant personnel involved in the operational and administrative aspects of the exercise. The contents of this handbook will not be divulged to exercise participants unless officially authorized by [Sponsor Agency]. 3. Reproduction of this document, in whole or in part, without prior approval from [Sponsor Agency] is prohibited. 4. Primary Point of Contact: [Contact Information] 5. Other Contacts: [Contact Information] Administrative Handling Instructions iii
Contents Part 1: Exercise Objectives... 1-1 Part 2: Master Scenario s List (Summary)... 2-1 Part 3: Master Scenario s List (Expanded)... 3-1 Table of Contents iv
Part 1: Exercise Objectives [Jurisdiction] Overarching Objectives: 1. Implement [Cities, Towns, Counties] Emergency Operations Plans (EOPs) 2. Coordinate efforts of [Jurisdiction] County] Health Officers in am utual response to a bioterrorism event 3. Evaluate the ability of the County] and County] Health Officer to provide adequate service to both counties during a bioterrorism event [City, Town County] Objectives: [Local Emergency Management Agency]: 1. Coordinate information received from [Local Health] and 2. Activate the Emergency Operations Center (EOC) in a region-wide terrorism event 3. Demonstrate security in the EOC 4. Test communications system for an isolation and quarantine event 5. Provide effective risk communication during this emergency, by coordinating with other local and regional players through a Joint Information Center (JIC) [Local Health] 1. Coordinate surveillance, detection, and reporting activities with local hospitals and health care providers in order to identify a communicable disease outbreak in a timely manner. 2. Coordinate the activation of the department s Emergency Coordination Center using the [Local Health] Public Health Emergency Response Plan and the Incident Command System (ICS). 3. Implement communication methods and procedures linking county and regional public health, hospitals and emergency management authorities. 4. Provide effective risk communication during this emergency in coordination with other local and regional players through the operation of a JIC. 1. Determine the period of time that it takes to first recognize an uncommon cluster of symptomatic patients. 2. Communicate information regarding the presence of a potential biological threat to appropriate organizations. 3. Treat patients infected with a highly transmissible biological agent using proper protocols and isolation procedures. County] Objectives: Part 1: Exercise Objectives 1-1
[Local Emergency Management Agency] 1. Coordinate with the [Local Health] in deployment of the Strategic National Stockpile (SNS) resources for County] 2. Coordinate and establish a JIC to manage media relations and proactive rumor control procedures. 3. Coordinate meeting the new demands of transporting large numbers of diverted patients and routine immediate / emergency patients after local Emergency Medical Services (EMS) resources have been fully utilized 4. Provide effective communication to the Policy Group from which they can make decisions on implementing disease containment strategies 5. Support the establishment of a neighborhood distribution center 6. Utilize a variety of redundant methods to maintain communications with local, regional, and State agencies 7. Draft and disseminate exercise messages that can be transmitted via landline, cell phone, radio, satellite phones, e-mail, fax, etc. 8. Develop a plan for protracted disaster response and recovery 9. Coordinate relief efforts with the American Red Cross and other community agencies 10. Initiate long-term recovery considerations to include economic remediation [Local Health] 1. Coordinate surveillance, detection, and reporting activities with local hospitals and health care providers in order to identify a communicable disease outbreak in a timely manner. 2. Coordinate the activation of the department s Emergency Coordination Center using the [Local Health] Public Health Emergency Response Plan and the Incident Command System (ICS). 3. Implement communication methods and procedures linking county and regional public health, hospitals and emergency management authorities. 4. Provide effective risk communication during this emergency in coordination with other local and regional players through the operation of a JIC. 5. Implement effective disease containment strategies to include the decision-making process involved in implementing isolation and quarantine. 6. Request deployment of SNS resources and convey that decision to the appropriate [State] authorities in a timely and effective manner. 7. Oversee the opening of neighborhood distribution centers in partnership with [Local Emergency Management Agency]. County] Objectives: Overall Objectives 1. Initiate and practice a unified command for protocols including [Local Emergency Management Agency], [Local Health], Local Law, and Fire Part 1: Exercise Objectives 1-2
2. Exercise County] s Terrorism Response Plan 3. Provide a positive experience, develop confidence in emergency procedures and provide feedback for all participants, including response personnel, law enforcement and emergency management. 4. Evaluate all first response agencies ability to respond to a terrorism event [Local Emergency Management Agency] 1. Test [Local Emergency Management Agency] s ability to coordinate a region wide terrorism event 2. Form a unified command among [Local Emergency Management Agency], [Local Health], fire units and law enforcement agencies 3. Evaluate the effectiveness of the County] Terrorism Response Plan 4. Coordinate the opening of neighborhood distribution centers 5. Implement proactive public information strategies through the operation of a JIC overseen by the [Local Emergency Management Agency] Public Information Officer (PIO). [Military Hospital] 1. Accomplish an effective communication network between the Public Agencies and the Military Treatment Facilities 2. Support a logistically incorporated effort of civilian and DoD resources in the SNS reception and distribution. 3. Measure the effectiveness of the unified medical surveillance system linking civilian and DoD [Military Installation] 1. Increase participant understanding of State/Local authorities relating to quarantine or other movement restrictions on DoD facilities during health emergencies 2. Exercise [Military Installation] sheltering plans 3. Exercise plans for food and medicine distribution to dependent populations at [Military Installation] housing areas 4. Coordinate with [Military Installation] medical assets and State, Local, and Federal health officials during health crises 5. Provide pertinent medical surveillance and epidemic modeling information to enable informed decision making by Commander [Military Installation]. 6. Exercise Regional Operations Center in incident command of a WMD attack in [City, Town, County] County] Coroner's Office 1. Effectively coordinate with EMS, which would include identifying potentially affected decedents. 2. Institute personnel protective measures to include the use Personal Protective Equipment (PPE) and safe handling practices. Part 1: Exercise Objectives 1-3
3. Coordinate with the [Local Health] in identifying the disease as well as taking proper precautionary procedures. [Local Health] 1. Identify the effectiveness of public health, hospital, and health care disease surveillance, detection, reporting, and identification procedures and protocols. 2. Initiate [Local Health] staff recall procedures, as necessary. 3. Detail appropriate [Local Health] staff to the County] EOC. 4. Implement communications methods and procedures linking county and regional public health, hospitals, and emergency management authorities. 5. Request deployment of the SNS resources and convey that decision to the appropriate [State] authorities in a timely and effective manner. 1. Assess recognition by ED (Emergency Department) staff of an unusual increase in the number of people seeking care for similar symptoms and staff understanding that a possible community infectious event has occurred. 2. Evaluate whether timely notifications to ED Director/Clinical Coordinator, Infection Control Director, VPMA (Vice President of Medical Affairs) occur. 3. Activate the hospital s Mass Casualty Coordination Center in a timely manner. 4. Ensure the ED staff use the appropriate level of PPE while interacting with infected patients. 5. Support Pharmacy needs for additional antibiotics from SNS from the recognition of the need through the delivery of the resources. 6. Implement the Civil Disturbance and Crowd Control Plan. [Local Law Enforcement Agency] 1. Assist in co-ordination of law enforcement activities to include investigation, crowd control, transportation, quarantine and general peace keeping during a local crisis. 2. Interface with other local, state and federal agencies in a simulated event that dictates a need for inter-agency cooperation in the event of a localized emergency. 3. Interface with other groups of emergency responders and support groups to deal with a prolonged critical incident. 4. Assist the [Local Emergency Management Agency] in a Homeland Security event in any other manner that may be deemed appropriate or expedient. [State] State Patrol 1. Form a Unified Command with [Local Emergency Management Agency], [Local Health], Fire, Law Enforcement and Military Emergency Response agencies. 2. Demonstrate [State] State Patrol Communication Center s ability to work collaterally with other Emergency Centers in the region. 3. Determine the validity of using [State] State Patrol Incident Management Handbook as a guideline and policy response to a bioterrorism incident. Part 1: Exercise Objectives 1-4
4. Support the investigative process of a bioterrorism event with other law enforcement agencies. County] Transit 1. Coordinate with [Local Emergency Management Agency] for the use of County] Transit buses and drivers during evacuation operations in County], local cities and municipalities, as required. 2. Establish and maintain communications between the [Local Emergency Management Agency] EOC and County] Transit s EOC or Dispatch. 3. Coordinate public transportations efforts with local school districts and the Department of Transportation, as directed by [Local Emergency Management Agency], should evacuation needs dictate. 4. Assess the ability of County] Transit to provide timely bus transportation updates on the agency website during emergency conditions. County] Fire/EMS 1. Open Emergency Communications Centers in a timely manner 2. Identify the nature of the incident and disseminate necessary information to the appropriate personnel 3. Initiate career and volunteer call-back protocols (Fire only). 4. Determine how quickly the Emergency Communications Center understands that responders are becoming victims and what it does with that information. American Red Cross 1. Test the security / requirements and ability to respond to and support a Neighborhood Distribution Center. 2. Assess response activities and communication within County] EOC between Red Cross Liaisons and other organizations. Public Information Officer 1. Provide timely information to the population and assist in minimizing chaos. 2. Upload information to [Local Emergency Management Agency] website. 3. Set-up telephone hotline for public to call in and have concerns addressed. Part 1: Exercise Objectives 1-5
Part 2: Master Scenario s List (Summary) [Exercise Name] [Date] MASTER SCENARIO EVENTS LIST (Summary) # Optional Time Description Responsible Recipient Player(s) Expected Outcome of Player Action [Time] STARTEX 01 [Time] County] EOC Activation EOC Manager County] EOC personnel 02 [Time] [State Homeland Security Agency] calls each EOC to confirm that SNS push pack will be at NDC at [Time] SimCell 03 [Time] ER reports patient numbers 04 [Time] ER reports patient numbers 05 [Time] ER Reports Patient numbers 06 [Time] [Cities, Towns, Counties] ECC ECC ECC School Closings SimCell [Cities, Towns, Counties] 07 [Time] [Military Hospital] ER Reports Patient Numbers [Military Hospital] 08 [Time] ER Reports patient numbers 09 [Time] [Hospitals] in County] report patient numbers County] [Local Health] [Military Hospital] ECC ECC County] [Local Health] Callout of EOC personnel Begin actions to accept and distribute SNS activate Distribution Center Track and communicate school closings. Consider speaking with health and other school districts about closing others Part 2: MSEL Summary 2-1
[Exercise Name] [Date] MASTER SCENARIO EVENTS LIST (Summary) # Optional Time Description Responsible Recipient Player(s) Expected Outcome of Player Action 10 [Time] [Hospitals] in County] report patient numbers County] [Local Health] Distribution Site 11 [Time] SNS operations: receipt of simulated SNS shipment from the DOH Receipt, Storage and Staging (RSS) facility 12 Optional [Time] Non-English Speakers in Emergency Room All Hospital County] [Local Health] [Location] MRC Any or All s Hospitals 13 [Time] CDC sending epidemiology team SimCell County] EOC 14 Optional [Time] Weather Advisory Issued SimCell Any or All 15 [Time] FBI sending team SimCell County] [Local Law Enforcement] 16 [Time] Employees calling in sick All s All Work 17 18 19 Optional [Time] 911 Call from County] Centers Optional [Time] Request meals for distribution center SimCell Red Cross and County] EOC Optional [Time] SNS operations: Operate the Neighborhood Distribution Center at [Location] County] Transit [Local Health] Medical Reserve Corps (MRC) Neighborhood Distribution Clinic (NDC) opens at [Location] Contact interpreter to assist with treatment Establish working and living arrangements for team Begin weather watch checklists. Prepare for difficulties in moving people and equipment. Establish working and living arrangements for team Develop staffing plan Handle patients according to existing plans but report numbers to County] EOC Make arrangements for meals to be picked up from County]. Neighborhood Distribution Clinic processes 250 actors simulating recipients of prophylaxis between 10:15 AM and 2:00 PM Part 2: MSEL Summary 2-2
[Exercise Name] [Date] MASTER SCENARIO EVENTS LIST (Summary) # Optional Time Description Responsible Recipient Player(s) Expected Outcome of Player Action 20 [Time] [State Homeland Security Agency] requests list of NDCs and whether any County] will need [State] State Patrol assistance for security 21 [Time] Partial list of attendees for County] [Local Law Enforcement Agency] SimCell [Local Law Enforcement Agency] [Cities, Towns, Counties] [Local Law Enforcement Agency] 22 Optional [Time] Communications Cell Inquiry EOC s Any or All 23 Optional [Time] Closures SimCell Any or All 24 [Time] Reporter shows up at hospital instead of JIC in County] 25 Optional [Time] EMS asks for universal precautions [Cities, Towns, [Cities, Counties] [Local Towns, Health] Counties] 26 Optional [Time] [Venue] owners want access to facility to set up for another event 27 [Time] 28 SimCell [Local Health] [Local Law Enforcement Agency] Media Inquiries SimCell County] EOC Optional [Time] Pharmacy Closures SimCell Any or All 29 [Time] PPE logistics issues County] EOC County] EOC Provide information to state about locations of NDCs and need for additional security Share information with other law enforcement and begin interviews Direct calls to appropriate agency Track events and prompt decision making process about further events Send Reporter to JIC Determine and distribute universal precautions information Determine if owner can enter [Venue] consider safety and crime scene Refer inquiry to JIC for information Consider need for distribution of routine medical supplies Determine extent of PPE supplies and trained workers. Determine how to find more if necessary Part 2: MSEL Summary 2-3
[Exercise Name] [Date] MASTER SCENARIO EVENTS LIST (Summary) # Optional Time Description Responsible Recipient Player(s) Expected Outcome of Player Action 30 [Time] Responders become victims Fire / EMS County] Fire/EMS 31 [Time] FEMA sending team SimCell County] EOC 32 Optional [Time] Volunteers calling in SimCell Any or All 33 Optional [Time] Bed and Breakfasts throwing out guests SimCell Any or All 34 [Time] Land Lines down in County] and County] for 30 minutes County] and [City, Town, County] s 35 [Time] Drive-up patient at ECC County] Fire 36 Optional [Time] Hospital crowd control 37 Optional [Time] Hospital crowd control 38 Optional [Time] [State Homeland Security Agency] requests SimCell needs projection for next 48 hours 39 [Time] ER reports patient numbers 40 [Time] ER Reports patient numbers 41 Optional [Time] Home health workers ill All [City, Town, County] and [City, Town, County] agencies County] Fire/EMS ECC Coord Center Any or All ECC ECC Any or All Hospitals Develop a contingency staffing plan Determine lodging and working needs for team Develop plan for coordinating volunteers Develop plan for lodging people Utilize secondary communications sources for 30 minutes. Appropriate treatment of patient and protection of responders Implement selected parts of Civil Disturbance and Crowd Control Plan Individuals are treated according to protocols Determine needs assessment and begin planning for next day Develop a contingency staffing plan and consider patients already contacted Part 2: MSEL Summary 2-4
[Exercise Name] [Date] MASTER SCENARIO EVENTS LIST (Summary) # Optional Time Description Responsible Recipient Player(s) Expected Outcome of Player Action 42 Optional [Time] Providers request information [Local Health] All [Local Health] 43 [Time] ER reports patient numbers ECC 44 [Time] [Military Hospital] ER Reports Numbers [Military Hospital] [Military Hospital] ECC 45 Optional [Time] Ferry service refused SimCell County] EOC 46 [Time] Medical Volunteers from other states SimCell All [Local calling in Health] 47 [Time] Reports patient numbers ECC 48 [Time] ER Reports Patient numbers ECC 49 Optional [Time] Family Members looking for diverted patients ECC 50 [Time] Community Inquiries SimCell [Cities, Towns, Counties] 51 [Time] County] Transit Web site inquiry County] Transit County] 52 53 Optional [Time] FBI requests isolation and quarantine information SimCell Transit All Develop instructions for distribution to providers Coordinate with [State DOT] for canceling ferry crossings Develop plan for coordinating volunteers Coordinate status of patients transported from county Direct calls to appropriate agency (JIC) Fax web site details to SimCell Coordinate with other [Cities, Towns, Counties] and [Local Health] to determine isolation and quarantine information Optional [Time] Closures SimCell All Track events and prompt decision making process about further events 55 [Time] ENDEX Part 2: MSEL Summary 2-5
Part 3: Master Scenario s List (Expanded) NOTE: On the following pages are several examples of detailed MSEL injects, often times referred to as implementer message forms. These are examples of injects drawn from the exercise for which the preceding MSEL Summary was written. In an actual MSEL Package, every line within the MSEL Summary would have a corresponding detailed MSEL inject. These would be distributed to those controllers that have responsibility for delivering the respective injects. Part 3: MSEL Expanded 3-1
# 04 Time: [Time] (Expected) (Actual) Via: Fax / Hand Delivery Objective(s): EEG VI-8, VI-13 Who Delivers? Recipient Player(s): ECC Description: ER reports patient numbers Inject: FAX MEMO From: Emergency Department To: Emergency Coordination Center Situation Report: Patient summary as of [Time] on [Date] Total to date admissions with severe respiratory (influenza-like) symptoms: : 45 Total to date deaths with severe respiratory (influenza-like) symptoms: : 4 Next SitRep: [Time] Expected Action(s): Receive, coordinate, and post initial and follow-up reports (e.g., from dispatch, Incident Command System (ICS)/Unified Command System (UCS), hospital) about location and status of victims. Post aggregate victim information to status boards and brief senior officials in accordance with local procedures. Periodically solicit updates on victims if updates are not forthcoming from field sources. Identify delays in victim care. Coordinate with [Local Health] and [State Health] coordinator and exchange information regarding victim status and location. Expected Outcome: Appropriate decision-makers implement plans to prioritize medical care. Decision-makers maintain information on patient identities in compliance with the Health Insurance Portability and Accountability Act (HIPAA). Notes Notes Part 3: MSEL Expanded 3-2
# 13 Time: [Time] (Expected) (Actual) Via: Phone Objective(s): EEG III-10 Who Delivers? SimCell Recipient Player(s): County] EOC Description: CDC sending epidemiology team Inject: SimCell calls County] EOC with the following: This is the [State Health]. The CDC said that they are sending an epidemiology team that will arrive at [Time] and will be available to help the region. Please make working and living arrangements for staff. Provide the information back to us when you have made the arrangements. (Note: Be sure to provide the call back number to the call recipient.) Expected Action(s): Staff will make arrangements and be prepared to describe their plan for the team when it arrives. Notes Expected Outcome: Notes Part 3: MSEL Expanded 3-3
# 21 Time: [Time] (Expected) (Actual) Via: Hand Delivery Objective(s): EEG II-8, II-9, VII-2, VII-3 Who Delivers? [Local Law Enforcement Agency] Recipient Player(s): [Local Law Enforcement Agency] Description: Partial list of attendees for [Local Law Enforcement] Inject: EOC provides written list of local participants at the [Venue] event who paid by credit card. Expected Action(s): Establish an incident hotline/tip line. Determine how information from informants will be gathered and used. Solicit information from informants if appropriate. Establish procedures for documenting the investigation and reporting results and findings. Interview witnesses from the scene: a. Coordinate interviewing of victims. b. Consider that suspects may be among victims/witnesses. Provide investigators and interview victims at alternative casualty collection/treatment facilities. Document the interviews and report all results of interviews and witness identification to Crime Scene Coordinator. Notes Expected Outcome: Investigation team structure is established; investigative actions are initiated; potential crime scene evidence is preserved. Witnesses are identified and interviewed; useful data is collected. Notes Part 3: MSEL Expanded 3-4
# 39 Time: [Time] (Expected) (Actual) Via: In Person Objective(s): EEG VI-17 Who Delivers? County] Fire / EMS Recipient Player(s): County] Fire/EMS Description: Drive-up patient at ECC Inject: County] Fire notifies players that a patient has just arrived at the building saying that he is sick and wants help. No actor will be provided and players are not expected to deal with an actual patient. Instead, only their decisions about appropriate actions will be observed. Expected Action(s): ECC command staff will take appropriate infection control actions: Decide whether the patient will be brought into the ECC Implement isolation of patient Decide whether staff will use PPE Sufficient PPE is available Verbalize a plan of care and action that appropriately treats patient and protects responders Notes Expected Outcome: Notes Patient is given appropriate medical treatment consistent with their illness. Patient is stabilized and transferred as appropriate. Part 3: MSEL Expanded 3-5
# 51 Time: [Time] (Expected) (Actual) Via: Oral Objective(s): EEG III-14 Who Delivers? County] Transit Recipient Player(s): County] Transit Description: County] Transit Web site inquiry Inject: informs the County] Transit personnel that local PIO elements are requesting information on the Transit web site. County] Transit may provide information on the exercise website to the controller. Expected Action(s): Notes County] Transit provides copy of web page to Sim Cell or local controller to simulate their outreach to the public. Expected Outcome: Notes Part 3: MSEL Expanded 3-6