Hospital Preparedness Program Multi-Year and Exercise Plan 2017-2022 Version 5.0 Updated 12/22/2017
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PREFACE The North Central Texas Trauma Regional Advisory Council s ( s) Multi-Year and Exercise Plan (MYTEP) is the roadmap to accomplish the organizational priorities in accomplishing the development and maintenance of the overall preparedness capabilities required to facilitate effective response to all hazards faced by. This organization is pursuing a coordinated preparedness strategy that combines enhanced planning, resource acquisition, innovative training and realistic exercises to strengthen its emergency preparedness and response capabilities. The coalition stakeholders are engaged in the Health Care Preparedness and Response Capabilities Program through participation in the and Exercise Workgroup. This workgroup is charged to: Make recommendations for training and training vendors that may fulfill contract deliverables and HCC healthcare delivery needs, and which support disaster medical care delivery Assist in the development of regional discussion and operationsbased exercises Coordinate the completion of the yearly MYTEP Recommend training to close specific gaps and needs identified by HCC members Promote and support training for health care providers, laboratorians, non-clinical staff, and ancillary workforce in: o Clinical management (e.g., chemical, biological, radiological, nuclear and explosives [CBRNE] burn, trauma, and other recognized hazards) for all populations o Responder safety and health requirements o Management of patients in a resource-scarce environment, o including the implementation of crisis standards of care Ensure health care organization leadership is aware of and engaged in HCC activities Ensure HCC leadership receives NIMS training Promote NIMS implementation, including training and exercises, among HCC members to facilitate operational coordination with public safety and emergency management organizations during an emergency using an incident command system (ICS) iii
Assist HCC members with incorporating NIMS components into their EOPs For those members not bound by NIMS implementation, the HCC should consider training on response planning techniques, organizational structure, and other incident management practices that will prepare members for their roles during a response including participation in AAR/ IP development Recommend strategies to manage patients in a resource-scarce environment, including the implementation of crisis standards of care Ensure health care organization leadership is aware of and engaged in HCC activities The and Exercise Workgroup conducts annually a and Exercise Planning Workshop (TEPW). This is a collaborative workshop environment for Whole Community stakeholders to engage in the revision of the and Exercise Plan. The TEPW also serves as a forum to coordinate training and exercise activities across organizations in order to maximize the use of resources and prevent duplication of effort. iv
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TABLE OF CONTENTS Preface Point of Contacts 1 Purpose 2 Participating Organizations 3 Program Priorities 6 Health Care Preparedness and Response Capabilities Methodology and Event Tracking 12 20 and Multi-Year Exercise Schedules 21 LITMOS Schedule 25 Gaps Regional 2017-2022 Regional Exercises Schedule 2017-2022 28 30 36 vi
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POINTS OF CONTACT Overall Preparedness Coordinator: Name: Maurice Murray Title: Preparedness Coordinator Phone: 817-607-7024 Email Mmurray@ncttrac.org Coordinator: Name: Stephanie Patrick Title: Health Care Coalition Coordinator Phone: 817-607-7018 Email Spatrick@ncttrac.org Exercise Coordinator: Name: Stephanie Patrick Title: Health Care Coalition Coordinator Phone: 817-607-7018 Email Spatrick@ncttrac.org 1 For Official Use Only version 5.0
PURPOSE The purpose of the North Central Texas Trauma Regional Advisory Council s Multi-Year and Exercise Plan (MYTEP) is to identify the top priorities for improving the preparedness and response capabilities of the organization and define the cycle of training and exercise activities that will provide the most benefit in the development, refinement and maintenance of those capabilities. Included in this document are training and exercise schedules providing a graphic illustration of the proposed activities for the years 2017 through 2022. This is a living document that will be updated by the TSA E Healthcare Coalition Coordinator annually or as information is gathered during incidents, events, drills, and exercises, or as needed to accommodate changes in organization or capabilities. 2 For Official Use Only version 5.0
PARTICIPATING ORGANIZATIONS has developed and continues to refine a Healthcare Coalition (HCC) that provides integration, coordination, and organization for unified regional healthcare preparedness activities and response. A collaborative network of public and private sector response partners, s HCC focuses healthcare delivery by hospitals and EMS agencies, and their interaction with other pre-hospital, hospital, jurisdiction emergency management, and public health authorities. NCTTRC also serves as the lead Regional Advisory Council (RAC) for the Texas Emergency Medical Task Force Region 2 (EMTF-2). Partner RACs include North Texas RAC (TSA-C) and Big County RAC (TSA-D). The HCC reinforces National Response Framework concepts and provides multiagency coordination during disasters that interfaces and integrates healthcare delivery and other regional healthcare coalitions into disaster response. The HCC directly supports the region s 187 hospitals and 250 EMS provider agencies in their preparation for, and response to emergencies that require a health and medical care delivery response. More than 120 hospitals are active participants in s Hospital Preparedness Program, including all of the region s forty trauma centers. The HCC includes five full service county health departments and the Department of State Health Services regional offices, enabling collaboration with the region s Public Health Emergency Response Program and the Cities Readiness Initiative. Integrated into the HCC are county emergency management officials from all nineteen counties, major cities, and Texas Department of Public Safety regional offices. staff support other regional initiatives, including preparedness and patient distribution activities with the Dallas - Fort Worth Hospital Council and area medical societies. provides advisory support to the North Central Texas Council of Government s (NCTCOG) Emergency Preparedness Planning Council, and its Regional Emergency Preparedness Advisory Committee (REPAC). similarly participates with the smaller Texoma Council of Governments, which supports three counties that border Oklahoma. 3 For Official Use Only version 5.0
In developing the HCC, established support and participation agreements with pre-hospital and hospital healthcare providers, public health, and jurisdiction authorities. These agreements include memoranda of understanding, mutual aid agreements, sharing agreements, and inter-local cooperation contracts, which enhance emergency and/or disaster healthcare delivery capacity. Other partners are routinely integrated into the HCC by peer representation during response by their physical or virtual presence in the Medical Coordination Center (EMCC). For example, DSHS Public Health Region 2/3 (PHR2/3) in Arlington operates a regional health and medical operations center (RHMOC) that investigates disease outbreaks, conducts all hazards preparedness and public health emergency response planning, the PHR 2/3 RHMOC is linked to the Medical Coordination Center (EMCC) by a seated liaison and/or virtually by phone, video teleconferencing, WebEOC, and EMResource. The MCC acts as a secondary site for DSHS s regional command center if the RHMOC has to relocate. 4 For Official Use Only version 5.0
Private-sector health professionals and others in hospitals, community-based agencies and healthcare providers, and other health-related organizations are important contributors to our training and exercise plan. Many of the partners listed below can be a resource for our health care coalition and may offer functions that will enhance our training and exercise plan and increase collaboration and consolidation of exercises. Hospitals EMS Emergency Management Public Health Medical Reserve Corps (MRC) Behavioral Health Services and Organizations Dialysis Centers and regional Centers for Medicare & Medicaid Services (CMS) Community Emergency Response Team (CERT) Federal Facilities Home Health Agencies Infrastructure Companies Jurisdictional Partners Local chapters of health care professional organizations Non-governmental organizations Public Safety Outpatient health care delivery Medical and device manufacturers and distributors Primary care providers Schools and universities Support Service providers Child Care Services Dental Clinics Social Work Services Faith-Based Organizations 5 For Official Use Only version 5.0
PROGRAM PRIORITIES The North Central Texas Trauma Regional Advisory Council s () MYTEP planning group focused its program priorities on the top priority capabilities that need to be in place to meet the top threats facing the organizations to comply with any related grant-based requirements and improve the overall preparedness and response capabilities of the organization. The and Exercise Plan is updated annually following the regional level and Exercise Plan Workshop (TEPW). The following assessment process was used to determine the MYTEP program needs. Process Overview The 2017 revised process for the development of this MYTEP consist of the following: Regional Document Review Lessons Learned from Multi-Year & Exercise Planning Workshop TSA -E MYTEP Past MYTEPs After Action Reports 2017 THIRA 2017 MYTEP Workshops 2016 HVA 2017 HVA YR 15 End of Year Assessment Lessons Learned from other hazard vulnerability and risks Lessons Learned from training Identify training gaps Sharing regional planned exercises Addressing other health care coalition needs Draft MYTEP distributed to & Exercise Workgroup for review. Final MYTEP submitted to DSHS Final MYTEP distributed to TSA E partners and Exercise Planning Workshop (TEPW) Part I Summary Report 2017 Date & Location The 2017 TEPW was conducted in two parts, part one on November 7, 2017. This consensus workshop was aimed at addressing training gaps identified through strategic planning, hazards vulnerability assessment, 6 For Official Use Only version 5.0
response plans, and other assessments. Participants were provided the opportunity to identify training priorities for each of the four capabilities and identify additional training that could have been overlooked in the 2016 TEPW. Capability Based Planning The following were conducted during the TEPW o Overview of the MYTEP process o Review of the Health Care Preparedness and Response Capabilities o Breakout Sessions: Discussion of training needs o Review of the results from the FY16 End of Year Assessment o Discussion of workshop results and next steps o Conclusion of TEPW Part I The following areas were identified as training priorities o THIRA Overview (offer online via LITMOS) o HVA & Risk Assessment o Shelter Operations for Special Populations o HICS vs NIMS o Preparedness & Response GAPS o WebEOC o Resource Sharing and Coordination o PIO Hospital Course o MGT 314 Enhanced Incident Management/Unified Command o Type 3 All-Hazards o POD o PPE /DECON o COOP o DECON Setup o Crisis Standards of Care o Coalition Response Plan 7 For Official Use Only version 5.0
Knowledge, skills, and abilities acquired through education and training, including NIMS training is incorporated into exercises identified in the Multi- Year and Exercise Plan. Gaps identified during previous exercises and real incidents are taken into consideration when planning for TSA E training and exercises. September 2017 Year 15 End of Year (EOY) Assessment facilitated the End of Year (EOY) Assessment to determine the status of the Healthcare Coalition s progress and any outstanding needs. As part of the survey, respondents were asked what training opportunities were needed. The analysis of this assessment will be used to assist the and Exercise Workgroup in identifying and developing future health care preparedness and response training and exercises. The top five responses are listed below: Patient Tracking 65% WebEOC 65% EMResources 52% Resource Requesting 50% COOP and Recovery 49% Additional identified by Partners: Cyber Security Planning for Behavioral Health Patients Active Shooter Patient Surge Evacuation Planning (Full or Partial) Critical Incident Stress Management Incident Action Planning During an Emergency Closed POD HSEEP Courses 8 For Official Use Only version 5.0
September 2017 Hazard Vulnerability Assessment (HVA) In September 2017 TSA E, conducted a regional Hazard Vulnerability Analysis. distributed the Kaiser Permanente formulated spreadsheet tool for hospital emergency preparedness coordinators (EPCs) to input their hospital s risk assessment data. The spread sheet was comprised of four hazard tabs (Natural Hazards, Technological Hazards, Human Hazards, and Hazardous Materials). For each tab, the participants were asked to score each event type according to the probability of the event occurring and the severity of the event based on six factors, (Human Impact, Property Impact, Business Impact, Preparedness, Internal Response, and External Response). From the facilities self reported scores, each event was assigned a corresponding risk percentage. The assessment provided the top three hazards by type. Top Three Hazards by Type Natural Hazards Human Hazards 1. Tornado 1. Mass Casualty Incident, Trauma 2. Severe Thunderstorm 2. Mass Casualty Incident, Medical/ 3. Temperature Extremes Infectious 3. Bomb Threat Technological Hazards Hazardous Materials 1. Electrical Failure 1. Chemical Exposure, External 2. Information Systems Failure 2. Small Casualty Hazmat Incident 3. Communications Failure 3. Small Medium Sized Internal Spill 9 For Official Use Only version 5.0
2017 Regional Risk Assessments The North Central Texas Council of Government (NCTCOG) conducted the 2017 Regional Threat and Hazard Identification Risk Assessment (THIRA) initial planning meeting. Many HCC members of the Healthcare Coalition participated in the meeting and discussed the top ten hazards from this HVA. The following threats and hazards have been identified as priorities for regional preparedness efforts Natural Technological/Accidental Human/Intentional Flooding Gas Well/ Pipeline CBRNE Biological Severe Thunderstorms Tornadoes Wildfire/ Fire Wildland Dam/ Levee Failure Complex Coordinated Terrorist Attack (CCTA) 2017 Department of State Health Services (Central Office) TEPW participated in the Department of State Health Services-Central Office s TEPW, held on November 1, 2017 to participate in the development of strategies, priorities, and a regional multiyear training and exercise plan. The following areas were identified as priorities for DSHS-PHR 2/3: Infectious Disease Arbovirus Severe Weather Terrorism HAZMAT 10 For Official Use Only version 5.0
North Central Texas Council of Government Multi-Year and Exercise Plan 2018-2022 participated in the North Central Texas TEPW, held on October 24, 2017 to discuss regional training and exercise priorities for the years 2018-2022. Participants representing ESF 8 agencies (, DSHS PHR 2/3, Dallas County Health and Human Services, and Tarrant County Public Health) worked together to compile a list of ESF 8 priority training and exercises for this workshop. CBRNE WebEOC ICS/NIMS Family Reunification Center/Family Assistance Center Shelter Management Mass Dispensing Community Recovery Patient Tracking CMS Preparedness Rule Healthcare Coalition Cyber Security Donation Management Stop the Bleed Exercises Closed PODs Fatality Management Mass Casualty Mass Care 11
2017-2022 Health Care Preparedness and Response Capabilities The 2017-2022 Health Care Preparedness and Response Capabilities document outlines the high-level objectives that the nation s health care delivery system, including HCCs and individual health care organizations, should undertake to prepare for, respond to, and recover from emergencies. The following is a further description of those four capabilities, including a brief description of the importance of that capability to, an outline of improvement ideas relative to that capability, any associated priority capabilities and ideas for cycles of specific planning, training and exercise activities that would strengthen this capability for the organization. s and Exercise Program priorities correspond with the five key domains identified in the CDC s Cooperative Agreement for 2017-2022. Capability 1: Foundation for Health Care and Medical Readiness The community s health care organizations and other stakeholders coordinated through a sustainable HCC have strong relationships, identify hazards and risks, and prioritize and address gaps through planning, training, exercising, and managing resources. 12
Capability 2: Health Care and Medical Response Coordination Health care organizations, the HCC, their jurisdiction(s), and the ESF-8 lead agency plan and collaborate to share and analyze information, manage and share resources, and coordinate strategies to deliver medical care to all populations during emergencies and planned events. Capability 3: Continuity of Health Care Service Delivery Health care organizations, with support from the HCC and the Emergency Support Function-8 (ESF-8) lead agency, provide uninterrupted, optimal medical care to all populations in the face of damaged or disabled health care infrastructure. Health care workers are well-trained, well-educated, and wellequipped to care for patients during emergencies. Simultaneous response and recovery result in a return to normal or, ideally, improved operations. Capability 4: Continuity of Health Care Service Delivery Health care organizations including hospitals, emergency medical services (EMS), and out- of-hospital providers deliver timely and efficient care to their patients even when the demand for health care services exceeds available supply. The HCC, in collaboration with the Emergency Support Function-8 (ESF-8) lead agency, coordinates information and available resources for its members to maintain conventional surge response. When an emergency overwhelms the HCC s collective resources, the HCC supports the health care delivery contingency and crisis surge response and promotes a timely return to conventional standards of care as soon as possible. 13
CORRESPONDING DOMAINS COMMUNITY RESILIENCY Promote the development of public health, medical and mental/behavioral health systems that support emergency response and recovery efforts. Corresponding Health Care Preparedness Capabilities: Capability 1: Foundation for Health Care and Medical Readiness Capability 3: Continuity of Health Care Service Delivery Supporting Courses and Exercises EMTF-2 Mobile Medical Unit Strike Team Initial EMTF-2 Mobile Medical Unit Strike Team Advanced Logistics EMTF-2 Communications Orientation EMTF-2 Medical Incident Support Team Orientation EMTF-2 Crisis Applications Component Specific EOC Operations and Planning for All-Hazards - MGT-346 Jurisdictional Threat and Hazard Identification and Risk Assessment - MGT-310 Pediatric Disaster Response and Emergency Preparedness- MGT- 439 Medical Preparedness and Response for Bombing Incidents - MGT- 348 Medical Management of CBRNE Events - PER-211 Psychological Simple Triage and Rapid Treatment (PsySTART) WebEOC 14
INCIDENT MANAGEMENT Ensure that personnel are able to conduct emergency operations and establish a standardized, scalable system consistent with state and local practices and the National Incident Management System. Corresponding Health Care Preparedness Capabilities: Capability 2: Health Care and Medical Response Coordination Supporting Courses and Exercises Flash Point for Healthcare: Workplace Violence Shots Fired for Healthcare: Active Shooter Silent Storm: Domestic Violence in the Workplace EMResource Task : NEDOCS EMTF-2 Mobile Medical Unit Strike Team Initial EMTF-2 Mobile Medical Unit Strike Team Advanced Logistics EMTF-2 Communications Orientation EMTF-2 Medical Incident Support Team Orientation EMTF-2 Crisis Applications Component Specific EOC Operations and Planning for All-Hazards - MGT-346 Disaster Management for Electric Power Systems - MGT-345 Essentials of Promoting Community Cybersecurity AWR 136 Public Information in an All-Hazards Incident - MGT-318 Disaster Preparedness for Hospitals and Healthcare Organizations Within the Community Infrastructure MGT 341 Jurisdictional Threat and Hazard Identification and Risk Assessment - MGT-310 Pediatric Disaster Response and Emergency Preparedness- MGT-439 Personal Protective Measure for Biological Incidents PER 320 Medical Preparedness and Response for Bombing Incidents - MGT- 348 Medical Management of CBRNE Events - PER-211 Promoting Community Cybersecurity AWR 135 Psychological Simple Triage and Rapid Treatment PsySTART Crisis Applications for EMResource and WebEOC 15
INFORMATION MANAGEMENT Ensure that staff is trained and systems are in place to develop, coordinate, and disseminate information to the public and share situational awareness data with response partners. Corresponding Health Care Preparedness Capabilities: Capability 2: Health Care and Medical Response Coordination Supporting Courses and Exercises EMResource Task : Bed Reporting EMResource Task : NEDOCS EMTF-2 Mobile Medical Unit Strike Team Initial EMTF-2 Mobile Medical Unit Strike Team Advanced Logistics EMTF-2 Communications Orientation EMTF-2 Medical Incident Support Team Orientation EMTF-2 Crisis Applications Component Specific EOC Operations and Planning for All-Hazards - MGT-346 Disaster Management for Electric Power Systems - MGT-345 Public Information in an All-Hazards Incident - MGT-318 Disaster Preparedness for Hospitals and Healthcare Organizations Within the Community Infrastructure Redundant Communication Drills EMResource and WebEOC 16
COUNTERMEASURES AND MITIGATION Ensure systems and processes are in place and staff is trained to conduct community mitigation activities (e.g. non-pharmaceutical intervention, responder safety and health), and to support the delivery of medical countermeasures and materiel during disasters. Corresponding Health Care Preparedness Capabilities: Capability 3: Continuity of Health Care Service Delivery Supporting Courses and Exercises EOC Operations and Planning for All-Hazards - MGT-346 Public Information in an All-Hazards Incident - MGT-318 SNS and CHEMPACK 101 Closed POD SNS 101 for Hospitals Pediatric Disaster Response and Emergency Preparedness- MGT-439 Personal Protective Measure for Biological Incidents PER 320 Psychological Simple Triage and Rapid Treatment PsySTART Mass Prophylaxis Preparedness and Planning - MGT-319 17
SURGE MANAGEMENT Ensure that staff is trained and systems are in place to manage public health and health care surge capabilities for all hazards responses including Fatality Management, Mass Care, Medical Surge, and Volunteer Management. Corresponding Health Care Preparedness Capabilities: Capability 4: Medical Surge Supporting Courses and Exercises EMTF-2 Mobile Medical Unit Strike Team Initial EMTF-2 Mobile Medical Unit Strike Team Advanced Logistics EMTF-2 Communications Orientation EMTF-2 Medical Incident Support Team Orientation EMTF-2 Crisis Applications Component Specific EOC Operations and Planning for All-Hazards - MGT-346 Jurisdictional Threat and Hazard Identification and Risk Assessment - MGT-310 Pediatric Disaster Response and Emergency Preparedness- MGT- 439 Medical Preparedness and Response for Bombing Incidents - MGT- 348 Medical Management of CBRNE Events - PER-211 Psychological Simple Triage and Rapid Treatment (PsySTART) Coalition Surge Test 101 Coalition Surge Test Tabletop Exercise 18
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Methodology and Event Tracking methodology is consistent with HSEEP. HSEEP guidelines provide a standardized framework for planning, training and exercising. This common framework allows for capabilities based planning between public health, health care, emergency management, and other sectors involved in emergency preparedness and response. All efforts were made to build on or eliminate duplicate training and exercises and to coordinate these training and exercise activities with all stakeholders and response partners. s and Exercise Workgroup will provide direction and oversight for the MYTEP. The training courses and exercises chosen were deemed most appropriate to assist in strengthening the program priority capabilities for. For each key area addressed, the planning group implemented a cycle, mix and range of training courses/activities and exercises that will allow the organization to increase its preparedness through different and progressively difficult training courses and exercise activities. The results of the training activities and implementation of the corrective action recommendations resulting from exercises will be monitored to ensure a consistent approach to continually improve planning, training, and exercising to ensure full development of each healthcare capability. In its training history, has established a strong base of HCC partners that have received initialized training and have a basic working knowledge of s crisis application systems. will continue to provide introductory training to maintain the region s baseline as turnover occurs, and increase the base of introductory trained HCC partners. For the upcoming training cycle, s training program will focus on providing intermediate and advanced level training to build upon the already provided baseline training in order to build specific capabilities throughout the region. topics are determined through regional needs assessments and specific feedback received from our partners. In addition, will solicit constant feedback from partners within through task specific workgroups, including the re-established and Exercise workgroup to review recommended processes, ongoing assessments and evaluations, and 20
participant training evaluations. All gathered feedback will be interpreted and used to continuously adapt and target s training program to meet the region s expressed needs. will lead to yearly regional functional exercises for HCC partners participation. Using the Homeland Security Exercise Evaluation Program (HSEEP) toolkit, exercises will be designed to focus on regional training initiatives and serve as a culmination of training and a test for participants. Strengths and weaknesses will be identified in the submitted After Action Report and noted in s corrective action plan, which will be used to further guide the training program. 21
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and Multi-Year Exercise Schedules The following pages contain the North Central Texas Trauma Regional Advisory Council s () TSA E training schedule for at least the current year and the exercise schedule for the years 2017 through 2022. This schedule will be updated annually to reflect the accomplishments and progress of the program as well as current planning for priority capability related training and exercise activities. 23
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2017-2018 LITMOS TRAINING SCHEDULE North Central Texas Trauma Regional Advisory Council uses the LITMOS Learning Management System as a platform to provide online training. This learning management system may be utilized by state partners, local partners and volunteers from healthcare, public health, emergency management, and EMS; as well as various partners from TSA C, D, and E. The system is used to host online training opportunities, which can be taken at any time through website. These online opportunities reduce the burden on staff and provide cost saving measures for travel and other expenditures. Name of Applicable Capability/ Domain CMS Healthcare Agency Emergency Preparedness CMS Preparedness: CORFs, RHCs and FQHCs CMS Preparedness: Hospice, HHA, LTC, PACE, ICF/IID CMS Preparedness: Hospitals, CAH, ASC, ESRD CMS Preparedness: PARTY and CMHC CMS Preparedness: Rehabilitation Agencies, Public Health Agencies as Agencies of Outpatient Physical Therapy and Speech Pathology Capability 1/Community Resiliency Capability 1/Community Resiliency Capability 1/Community Resiliency Capability 1/Community Resiliency Capability 1/Community Resiliency Capability 1/Community Resiliency Comet 37ft Air Tower Operation DMS Triage Tag Capability 2/Incident Management Capability 2, 4/Incident Management 25
2017-2018LITMOS TRAINING SCHEDULE (continue) Name of Doffing PPE - N95 Respirator With Gown EMResource Overview Flash Point for Healthcare Applicable Capability/ Domain Capability 2, 3/Incident Management, Countermeasures & Mitigation Capability 2, 4/ Incident Management, Information Management Capability 1/Community Resiliency HICS: Command Staff Capability 2,3/Incident Management HICS: Finance Section HICS: Logistics Section HICS: Operations Section HICS: Planning Section Capability 2,3/Incident Management Capability 2,3/Incident Management Capability 2,3/Incident Management Capability 2,3/Incident Management ISO-POD Capability 2/Incident Management Bed Availability Report for EMResouce Board of Directors Orientation (FY 2017 v.2) Capability 2, 4/ Incident Management, Information Management Capability 1/Community Resiliency Regional Carbon Monoxide Detector Program Capability 1/Information Management Regional Hazard Vulnerability Assessment (HVA) Capability 1/Community Resiliency 26
Shots Fired for Healthcare Capability 2/ Incident Management WebEOC Patient Tracking Capability 2, 4/ Incident Management, Information Management 27
Gaps 1. Topic of training course 2. Target audience 3. Applicable capability 4. Gaps to be addressed 5. Funding type 6. Primary challenges to offering this training? Crisis Standards of Care Health and medical personnel Capability 10- Medical Surge Indicators for crisis standards of care. Legal protections for healthcare practitioners and institutions. Crisis standards of care training Lower priority Lack of trained personnel to provide the training Lack of subject matter experts to inform development of the training Lack of personnel due to funding to develop or deliver the training X Other Legal Barriers Topic of training course Target audience Applicable capability Gaps to be addressed Funding type Primary challenges to offering this training? Patient Record Tracking Health and medical personnel Capability 6- Information Sharing Medial surge capacity and capability. Lower priority X Lack of trained personnel to provide the training Lack of subject matter experts to inform development of the training Lack of personnel due to funding to develop or deliver the training Other 28
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Regional Schedule FY 2017-2022 Name of Applicable Capabilities Frequency / Date(s) Target Audience Type Funding (PHEP,, other) Flash Point for Healthcare: Workplace Violence Capability 1 Capability 3 Ongoing; As Requested and Healthcare organizations Shots Fired for Healthcare: Active Shooter Capability 2 Capability 3 Ongoing; As Requested and Healthcare organizations Silent Storm: Domestic Violence in the Workplace Capability 2 Capability 3 Bed Reporting Capability 2 Capability 4 Ongoing; As Requested Ongoing; As Requested and Healthcare organizations and Healthcare organizations EMResource Task : NEDOCS Capabilities 1,2 and 4 Ongoing; As Requested and Healthcare organizations EMTF-2 Mobile Medical Unit Strike Team Initial Capabilities 1,2,3 and 4 As needed Up to 24 per class; Open to all EMTF-2 MMU partners 30
Name of EMTF-2 Mobile Medical Unit Strike Team Advanced Logistics EMTF-2 Communications Orientation EMTF-2 Medical Incident Support Team EMTF-2 Crisis Applications Component Specific MGT-346 EOC Operations and Planning for All-Hazards Events MGT-345 Disaster Management for Electric Power Systems MGT-318 Public Information in an All-Hazards Incident Applicable Capabilities Capabilities 1,2,3 and 4 Capabilities 1,2 and 4 Capabilities 1,2,3 and 4 Capabilities 1,2 and 4 Capabilities 1,2 and 4 Capabilities 1,2 and 3 Capabilities 1 and 2 Frequency / Date(s) Semi-annually Annually; As Needed Annually; As Needed Annually; As Needed Annually; As Needed As Needed 2018, 2020,2022 Target Audience Up to 35; Pre-trained EMTF MMU members Up to 20; Pre-trained EMTF-2 members Up to 20; Pre-trained EMTF-2 MIST members Up to 35; Pre-trained EMTF-2 members and Healthcare organizations and Healthcare organizations and Healthcare organizations Type Drill, Funding (PHEP,, other) Basic Disaster Life Support Capability 2 As Needed and Healthcare organizations 31
Name of MGT-341 Disaster Preparedness for Hospitals and Healthcare Organizations Within the Community Infrastructure MGT 439 Pediatric Disaster Response and Emergency Preparedness Applicable Capabilities Capability 1 Capability 2 Capability 2 Capability 4 Frequency / Date(s) Target Audience 2018,2020,2022 and Healthcare organizations Annually; As Needed and Healthcare organizations Type Funding (PHEP,, other) MGT-348 Medical Preparedness and Response for Bombing Incidents Capabilities 1,2 and 3 As Needed and Healthcare organizations MGT-318 Public Information in an All- Hazards Incident (customize course for health care PIOs) PER-211 Medical Management of CBRNE Events PsySTART Capability 2 Annually Healthcare Coalition Partners and Healthcare PIOs Capabilities 1,2,3 and 4 Capabilities 1,3 and 4 As needed Annually; As Needed and Healthcare organizations and Healthcare organizations 32
Name of SNS and CHEMPACK 101 for Hospitals Applicable Capabilities Capability 2 Capability 3 Frequency / Date(s) Target Audience 2018,2020,2022 and Healthcare organizations Type Workshop Funding (PHEP,, other) MGT-319 Mass Prophylaxis Preparedness and Planning Closed PODs Capability 2 Capability 3 Annually and Healthcare organizations ESF 8 Capability 1 Annually Healthcare Coalition Partners, emergency management, PHEP Workshop PHEP HSEEP Evacuation/Shelter In Place Capability 2 As needed Regional Partners Capability 2 Quarterly Staff Drill Coalition Surge Test 101 Capability 4 2018, 2020, 2022 Advanced Disaster Life Capability 2 As needed Support Capability 4 and Healthcare organizations and Healthcare organizations HCC Orientation Capability 1 2018 / Ongoing New Healthcare Coalition partners Crisis Applications Capability 2 Quarterly Healthcare Coalition for EMResource & WebEOC Partners, emergency management, PHEP, EMS 33
Name of Applicable Capabilities Closed POD Capability 2 Capability 3 Frequency / Date(s) As Needed Target Audience and Healthcare organizations Type Funding (PHEP,, other) RSS Patient DECON Capability 2 Capability 3 As Needed and Healthcare organizations Drill AMBUS Drivers Course Capability 2 As Needed Emergency management personnel, AST/MST Leaders Course Capability 1 Capability 2 Family Assistance Center/Family Unification Center 2017,2019,2021 EMTF partners Capability 2 As Needed All regional partners Workshop PHEP Mass Fatality Incident Capability 2 Annually All regional partners Workshop PHEP NCTCOG Mass Casualty Incident with an Emphasis on Patient Tracking Capability 2 Capability 4 MYTEP Workshop Capability 1 Capability 2 As Needed All regional partners Workshop Annually Healthcare Coalition Partners, Regional partners Workshop Licensed HAM Radio Operators Course Capability 2 Quarterly and Healthcare organizations 34
Name of EMS-850 Ambulance Strike Team/Medical Task Force Leader PER-320 Personal Protective Measures For Biological Events Applicable Capabilities Frequency / Date(s) Target Audience Capability 2 As Needed Open to all EMTF-2 MMU partners Capability 2 Capability 3 As Needed and Healthcare organizations Type Funding (PHEP,, other) 35
Regional Exercises Schedule FY 2017 BP 1 Note: Some parts of this "pre exercise timeline" are confirmed or completed. All future events are "projected" and may be subject to change or additional events being added. Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization DSHS Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Emergency Medical Task Force Region 2 Hotter N Hell FSE No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Emergency Medical Task Force Region 2 No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Emergency Medical Task Force Region 2 TSA E Coalition Surge Test Tabletop TTX, H4 No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Emergency Medical Task Force Region 2 36
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun RNST Exercise FC, Ambulance Strike Team Exercise May 2018 Bataan Memorial March FSE, Children s Red Balloon Race FSE, RETA Team RETA Team RETA Team RETA Team DSHS PHR 2/3 Rockwall County TTX H1, HCID TTX, H4 HCID TTX, H4 Parkland Hospital Patient Tracking FSC, H4 37
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Zone 3: Palo Pinto County and Parker County City of Dallas FEMA Denton County Fire Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Palo Pinto County Response to Truck Explosion and Mass Casualty Incident TTX MCI Exercise TTX and FSE, H4 Large Scale Aviation Accident Response TTX, FSE 38
Regional Exercises Schedule FY 2018 BP 2 Note: Some parts of this "pre exercise timeline" are confirmed or completed. All future events are "projected" and may be subject to change or additional events being added. Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun DSHS No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Redundant Communication Redundant Communication Redundant Communication Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 TSA E Coalition Surge Test Exercise TTX, H4 39
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Hotter N Hell FSC TSA E FSE Exercise H1,, H3, H4 DSHS Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down DSHS HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 DFW Airport MCI/MF Exercise FSE 40
Regional Exercises Schedule FY 2019 BP 3 Note: Some parts of this "pre exercise timeline" are confirmed or completed. All future events are "projected" and may be subject to change or additional events being added. Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun DSHS No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Redundant Communication Redundant Communication Redundant Communication Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 TSA E Coalition Surge Test Exercise FE, H4 41
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Hotter N Hell FSC TSA E FSE Exercise H1,, H3, H4 DSHS Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down DSHS HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 42
Regional Exercises Schedule FY 2020 BP 4 Note: Some parts of this "pre exercise timeline" are confirmed or completed. All future events are "projected" and may be subject to change or additional events being added. Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun DSHS No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Redundant Communication Redundant Communication Redundant Communication Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 TSA E Coalition Surge Test Exercise FE, H4 43
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Hotter N Hell FSC TSA E FSE Exercise H1,, H3, H4 DSHS Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down DSHS HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 44
Regional Exercises Schedule FY 2021 BP 5 Note: Some parts of this "pre exercise timeline" are confirmed or completed. All future events are "projected" and may be subject to change or additional events being added. Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun DSHS No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 No Notice Available Bed & Ventilator Reporting, H3 Redundant Communication Redundant Communication Redundant Communication Redundant Communication Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 Emergency Medical Task Force Region 2 TSA E Coalition Surge Test Exercise FE, H4 45
Quarter 1 Quarter 2 Quarter 3 Quarter 4 Lead Organization Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Hotter N Hell FSC TSA E FSE Exercise H1,, H3, H4 DSHS Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down Closed PODs Call Down DSHS HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 HCID TTX, H4 NCTCOG Big X FSE, H4 46
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