1 Revised EOY for FY 08

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Overview

Exercises
ED&TR
NIMS
Partnerships

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Sheet 1: Exercises

Awardees must ensure at least one exercise is conducted in each Cities Readiness Initiative (CRI) city and an equal number of exercises in other locations during the FY 2008 budget period and ensure that participating healthcare organizations in those areas participate in these exercises. Exercises

Awardees must have tested the operational capability of the following medical surge components: 1. Interoperable communications and Emergency Systems for Advance Registration of Volunteer Health Professionals (ESAR VHP); 2. A tabletop component to test the MOUs that are in place in partnerships/coalitions within the areas selected (further information on what these MOUs should contain is described below in the Partnership/Coalition description below); and 3. Fatality Management, Medical Evacuation, Tracking of Bed Availability (at least 2 of these other Level-One capabilities).

Provide a brief overview of your state's exercise activities during this funding period.

In terms of HPP Capabilities, briefly describe three (3) "STRENGTHS" of this exercise. Major Strengths (3)

In terms of HPP Capabilities, briefly describe three (3) "Areas of Improvement" noted during this exercise. Areas of Improvement (3)

Select the capabilities tested in exercises during this funding period. Capabilities Tested

Exercise Types There are seven types of exercises defined within HSEEP, each of which is either discussions-based or operations-based. Discussions-based Exercises familiarize participants with current plans, policies, agreements and procedures, or may be used to develop new plans, policies, agreements, and procedures. Types of Discussion-based Exercises include: • Seminar: A seminar is an informal discussion, designed to orient participants to new or updated plans, policies, or procedures (e.g., a seminar to review a new Evacuation Standard Operating Procedure). • Workshop: A workshop resembles a seminar, but is employed to build specific products, such as a draft plan or policy (e.g., a Training and Exercise Plan Workshop is used to develop a Multi-year Training and Exercise Plan). • Tabletop Exercise (TTX): A tabletop exercise involves key personnel discussing simulated scenarios in an informal setting. TTXs can be used to assess plans, policies, and procedures. • Games: A game is a simulation of operations that often involves two or more teams, usually in a competitive environment, using rules, data, and procedure designed to depict an actual or assumed real-life situation. Operations-based Exercises validate plans, policies, agreements and procedures, clarify roles and responsibilities, and identify resource gaps in an operational environment. Types of Operations-based Exercises include: • Drill: A drill is a coordinated, supervised activity usually employed to test a single, specific operation or function within a single entity (e.g., a nursing home conducts an evacuation drill). • Functional Exercise (FE): A functional exercise examines and/or validates the coordination, command, and control between various multi-agency coordination centers (e.g., emergency operation center, joint field office, etc.). A functional exercise does not involve any "boots on the ground" (i.e., first responders or emergency officials responding to an incident in real time). • Full-Scale Exercises (FSE): A full-scale exercise is a multi-agency, multi-jurisdictional, multi-discipline exercise involving functional (e.g., joint field office, emergency operation centers, etc.) and "boots on the ground" response (e.g., firefighters decontaminating mock victims). Language adopted from the Centers for Medicare & Medicaid Services' (CMS), Survey and Certification Groups, Health Care Provider After Action Report/Improvement Plan (AAR/IP) template. Types of Exercise

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Tabletop Exercise (TTX)

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Based on this exercise, what should future exercises focus on?

What capabilities will be addressed?

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Capability Type

Exercise Type

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Seminar

National Incident Management System (NIMS)

Workshop

Exercises, Evaluation and Corrective Actions

Tabletop Exercise (TTX)

Needs of At-Risk Populations

Games

Interoperable Communications

Drill

Tracking of Bed Availability (HAvBED)

Functional Exercise (FE)

ESAR-VHP

Full Scale Exercise (FSE)

Fatality Management

Medical Evacuation / Shelter-in-Place

Partnership / Coalitiion Development

Alternate Care Sites (ACS)

Mobile Medical Assets

Pharmaceutical Caches

Personal Protective Equipment

Decontamination

Medical Reserve Corps

Critical Infrastructure Protection (CIP)

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Sheet 2: ED&TR

The FY 08 FOA stated, "Awardees shall ensure that education and training opportunities or programs exist for adult and pediatric pre-hospital, hospital, and outpatient healthcare personnel who respond to terrorist incidents or other public health emergencies. Those opportunities or programs must encompass the sub-capabilities described herein. Also, awardees shall undertake activities to ensure all education and training opportunities or programs (including those in local health departments, major community healthcare institutions, emergency response agencies, public safety agencies, mental health and substance abuse facilities, etc.) collectively enhance the abilities of workers to respond in a coordinated, non-overlapping manner that minimizes duplication and fills gaps in the event of a public health emergency". Education and Preparedness Training

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Some frequently requested classes have been provided. If "Other" has been selected, you must provide the name of the class. Training Categories (Select from ONE category)

Provider Class

Disaster Specific Class

Incident Command Specific Class

Indicate the type of training given/taken. Type of Training

Select all the Overarching Requirements or Sub capabilities addressed in each of the trainings. Overarching Requirement or Sub Capability Addressed

Indicate the number of personnel trained. # Personnel Trained

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National Incident Management System (NIMS)

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Incident Command/Evaluation Specific

OA and Capabilities

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HICS

National Incident Management System (NIMS)

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ICS 100

Exercises, Evaluation and Corrective Actions

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ICS 200

Needs of At-Risk Populations

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ICS 300

Interoperable Communications

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ICS 400

Tracking of Bed Availability (HAvBED)

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ICS 700

ESAR-VHP

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ICS 800

Fatality Management

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HSEEP

Medical Evacuation / Shelter-in-Place

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Other

Partnership / Coalitiion Development

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Alternate Care Sites (ACS)

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Class Type

Mobile Medical Assets

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Pharmaceutical Caches

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Class

Personal Protective Equipment

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Seminar

Decontamination

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Conference

Medical Reserve Corps

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Critical Infrastructure Protection (CIP)

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Medical Clsses

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Advanced Cardiac Life Support (ACLS)

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Advanced Burn Life Support (ABLS)

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Advanced Pediatric Life Support (APLS)

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Pediatric Advanced Life Support (PALS)

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Basic Trauma Life Support (BTLS)

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Advance Trauma Life Support (ATLS)

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Pre-Hospital Trauma Life Support (PHTLS)

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Basic Life Support (BLS)

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Advance Radiological Life Support (ARLS)

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Basic Radiological Life Support (BRLS)

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Other

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Disaster Classes

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Core Disaster Life Support (CDLS)

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Basic Disaster Life Support (BDLS)

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Advanced Disaster Life Support (ADLS)

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Other

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Sheet 3: NIMS

In FY 08, HPP awardees are required to insure that all participating healthcare organizations are able to report full compliance with these NIMS implementation activities as described in Appendix B of the FY 08 FOA. NIMS Implementation Activities

Instructions: List all participating healthcare facilities. Use the drop down boxes to indicate the status of each activity. The choices are: X = Achieved, IP = In Progress, UNK = No report or status known.

List the names of all HPP participating healthcare facilities. Participating Healthcare Facilities

Adoption

Preparedness: Planning

Preparedness: Training

Communication and Information Management

Command and Management

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Adopt NIMS throughout the healthcare organization including all appropriate departments and business units. 1

Ensure Federal Preparedness awards support NIMS Implementation (in accordance with the eligibility and allowable uses of the awards). 2

Revise and update emergency operations plans (EOPs), standard operating procedures (SOPs), and standard operating guidelines (SOGs) to incorporate NIMS and National Response Framework (NRF) components, principles and policies, to include planning, training, response, exercises, equipment, evaluation, and corrective actions. 3

Participate in interagency mutual aid and/or assistance agreements, to include agreements with public and private sector and nongovernmental organizations. 4

Identify the appropriate personnel to complete ICS-100, ICS-200, and IS-700, or equivalent courses. 5

Identify the appropriate personnel to complete IS-800 or an equivalent course. 6

Promote NIMS concepts and principles into all organization-related training and exercises. Demonstrate the use of NIMS principles and ICS Management structure in training and exercises. 7

Promote and ensure that equipment, communication, and data interoperability are incorporated into the healthcare organization’s acquisition programs. 8

Apply common and consistent terminology as promoted in NIMS, including the establishment of plain language communications standards. 9

Utilize systems, tools, and processes that facilitate the collection and distribution of consistent and accurate information during an incident or event. 10

Manage all emergency incidents, exercises, and preplanned (recurring/special) events in accordance with ICS organizational structures, doctrine, and procedures, as defined in NIMS. 11

ICS implementation must include the consistent application of Incident Action Planning (IAP) and common communications plans, as appropriate. 12

Adopt the principle of Public Information, facilitated by the use of the Joint Information System (JIS) and Joint Information Center (JIC) during an incident or event. 13

Ensure that Public Information procedures and processes gather, verify, coordinate, and disseminate information during an incident or event. 14

KEY

X

IP

UNK

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Sheet 4: Partnerships

In FY 08, Awardees were to conduct activities that: 1. Ensured operational partnerships/coalitions that encompassed all CRI cities in the State plus an equal number of partnerships/coalitions involving non-CRI sub-state regions. For example if a State possess 2 CRI cities there needs to be 4 partnerships/coalitions (2 in the CRI cities and 2 in other sub-state regions) 2. Planned and developed memoranda of understanding (MOUs) to share assets, personnel and information. They shall also develop plans to unify management of healthcare during a public health emergency and integrate communication with jurisdictional command in the area. These MOUs were to be tested through tabletop components of exercises conducted in CRI and non-CRI cities as described in the Exercise Section of the FY 08 FOA. 3. Awardees were to submit the following information with the end-of-year report: a. The name of the partnership/coalition b. The location of the partnership/coalition c. The participant healthcare organizations and other partners d. Number and type of MOUs that exist Partnerships/coalitions are to consist of: • one or more hospitals, at least one of which shall be a designated trauma center, if applicable; • one or more other local healthcare facilities, including clinics, health centers, primary care facilities, mental health centers, mobile medical assets, or nursing homes; and • one or more political subdivisions; • one or more Awardees; or • one or more Awardees and one or more political subdivision Partnership/Coalition Status			Address the folowing Items: a. The name of the partnership/coalition b. The location of the partnership/coalition c. The participant healthcare organizations and other partners d. Number and type of MOUs that exist
List the name or names of the Partnership/Coalition. Name of Partnership/ Coalition	Select the area covererd by the Partnership/Coalition. Area Covered	List location (city, region etc.) Partnership/Coalition is Headquarterd. Location	List the names of all participants in the Partnership/Coalition. Names of the Participant Healthcare Organizations or Partners	List the number of MOUs that exist in the Partnership/Coalition. # of MOUs that Exist	Select the type of MOUs that exist in the Partnership/Coalition. Types of MOUs that Exist
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