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San Francisco Department of Public Health Barbara A. Garcia, MPA Director of Health City and County of San Francisco Edwin M. Lee, Mayor Policy & Procedure Title: San Francisco Department of Public Health Policy & Procedure Detail* Staff Notification & Call Down Procedure Category: Human Resources Effective Date: 8/1/2014 Last Reissue/Revision Date: Click here to enter a date. DPH Unit of Origin: Public Health Emergency Preparedness & Response (PHEPR) Branch Policy Contact Employee Name and Title; and/or DPH Division: Gretchen Paule, Public Health Emergency Preparedness and Response Branch (PHEPR) Contact Phone Number(s): (415) 558 5934 Distribution: DPH wide If not DPH wide, other distribution: *All sections in table required. Updated 3/2014 1. Purpose of Policy This document describes the requirements of call down procedures and drills for all San Francisco Department of Public Health (DPH) branches. A call down procedure enables each DPH Branch/Section to account for all DPH staff and relay critical information to employees during an emergency. Emergencies necessitating activation of call down procedures may include building closures, evacuations, and city wide emergencies. 2. Policy All City and County of San Francisco (CCSF) staff are designated Disaster Service Workers through state and local law (California Government Code Section 3100 3109). In the event of an emergency, DPH employees are required to report to work as instructed, and a mechanism must be in place to notify employees. All DPH Branches/Sections are required to have a call down procedure, based on this document, and exercise this procedure by conducting a call down drill, at minimum, on an annual basis. The mission of the San Francisco Department of Public Health is to protect and promote the health of all San Franciscans. We shall ~ Assess and research the health of the community ~ Develop and enforce health policy ~ Prevent disease and injury ~ ~ Educate the public and train health care providers ~ Provide quality, comprehensive, culturally proficient health services ~ Ensure equal access to all ~

Title of Policy : Staff Notification & Call-Down Procedure Effective Date 8/1/2014 3. Definitions a. Call Down Procedure: A call down procedure is a systematic series of telephone calls from one person to another used to relay specific information. A call down may be initiated during an emergency situation to deliver urgent information to staff members. Each Branch/Section shall identify the following: Call Down (s); The staff members each Call Down is responsible for calling; and The last staff members on the list who are responsible for calling the Call Down to close the loop. b. Call Down (): A Call Down is a preidentified person who is responsible for initiating a call down. A back up must be identified so that these activities are maintained if the primary is unavailable. If the Branch/Section is large, there may be assistants to the primary Call Down. 4. Procedures In order to successfully conduct a call down, each branch must complete specific elements identify a Call Down, obtain required contact information from all staff, and develop pre scripted messages. Below is a summary of the required elements needed to conduct a call down drill: a. Identifying the Call Down : i. Defined in Section 3(b) of this P&P, the is crucial to the success of any call down process, both in terms of practice drills and in case of an emergency. This person may be a manager, administrative assistant, or other staff member designated by the Branch/Section leadership. ii. Branch/Section leadership shall also identify a back up Call down who can carry out these functions in the primary s absence. b. Collecting Contact Information from all Staff: i. It is the s responsibility to collect and maintain primary and secondary contact information from each staff person working in his/her Branch/Section. Ultimately, however, it is the staff person s responsibility to inform the of any changes to his/her contact information in a timely manner. Barbara A. Garcia MPA, Director of Health, San Francisco Department of Public Health Page 2 of 4

Title of Policy : Staff Notification & Call-Down Procedure Effective Date 8/1/2014 c. Developing Pre Scripted Messages: Critical Message Elements: i. Prepare a pre written script briefly summarizing the emergency (see attached Sample Call Down Template). Each pre scripted message must contain critical message elements pertaining to the emergency. In some cases, DPH leadership will provide the appropriate language. ii. iii. Provide instructions on the immediate action(s) to be taken by the staff member (e.g., call work voicemail, report to Department Operations Center, etc.). Provide hotline information (if available) for call ins, message machines, etc. d. How to Conduct a Call Down Drill: Below are two recommended procedures DPH branches may follow in order to conduct a calldown drill. These procedures will guide DPH Branches/Sections as they develop their own procedures. Each head of the Branch/Section shall select one of these two options, based on their own preference. The numbers provided below are provided as guidelines only. Each Branch/Section may wish to modify in ways that best suits their needs. i. Preferred Procedure A: In this scenario, the designated Call Down, with help from assistants when necessary, will call/notify all staff in the Branch/Section to inform them of the situation. Smaller sections: It is recommended that if the Section is small, the Call Down may notify up to 12 staff members. Larger sections: The Call Down separates the list of staff members into several distinct lists, and then provides a list to key personnel (managers, team leaders, etc.). These assistants will then call each person on their list. For example, the Call Down may identify up to four assistants who then notify up to 25 staff members each. The assistants must notify the Call Down when their contacts are completed. ii. Alternate Procedure B (Phone Tree): In this scenario, the Call Down contacts a staff person, who in turn is responsible for contacting another staff person, and so on. Smaller sections: For a small group, the Call Down administrator develops one list and each person is responsible for contacting one person. Barbara A. Garcia MPA, Director of Health, San Francisco Department of Public Health Page 3 of 4

Title of Policy : Staff Notification & Call-Down Procedure Effective Date 8/1/2014 Larger sections: In this case, there can be one or more tiers. The Call Down will develop several lists, and make the initial call to start each list in motion. Example (2 tiers shown): Phone Tree Alternate Procedure (B) e. Evaluation Elements for Drill: The Call Down is encouraged to conduct a short evaluation to learn how to make improvements during the next drill and/or in case of a real emergency situation that requires this level of communication. These data points should be included in a post drill evaluation. i. Time first call made; time last call made. ii. Number of staff on call down list. iii. Type of contact phone number attempted (e.g. work phone, home phone, etc.). iv. Number of call attempts for each contact mode. v. Number of live staff members reached. vi. Number of messages left. 5. References/Attachments A. Sample Call Down Template Barbara A. Garcia MPA, Director of Health, San Francisco Department of Public Health Page 4 of 4

San Francisco Department of Public Health Barbara A. Garcia, MPA Director of Health City and County of San Francisco Edwin M. Lee Mayor Office of Policy and Planning Sample Call Down Procedure Template For Call Down Call Down Message in the event of an Emergency: Hello, this is, your Call Down. I am calling to inform you that there has been an emergency (can describe what type) and you are being requested to (list actions that staff member needs to take) immediately (or state specific time). Please indicate your ability to take these actions. Thank you for your cooperation. Call Down Message for use in Drill: Hello, this is, your Call Down. THIS IS A DRILL. I am calling to inform you that there has been an emergency (can describe what type) and you are being requested to (list actions that staff member needs to take) immediately (or state specific time). Please indicate your ability to take these actions. THIS IS A DRILL. Thank you for your cooperation. Staff Person Called Time Called Outcome (e.g. left message, will come in at am) 101 Grove Street, Room 308, San Francisco, CA 94102 415.554.2610 Fax: 415.554.2552

Procedure A for Larger Branches Primary Call Down #1 #2 To close the loop, the s will call back the Primary Call Down and report the results for their portion of the call down drill. Procedure B (Phone Tree) for Larger Branches Primary Call Down #1 #2 #1 #2 Primary Call Down Staff Notification & Call Down Procedure: Attachment A Page 2 of 2