Required Capabilities for HPP-Qualified Exercises
Deliverable 15: Multi-Agency Medical
Countermeasure Distribution Exercise
Michael Perillo and Pat Anders
Hospital Webinars
September 18 and September 23, 2014
Multi-Agency Medical Countermeasure Distribution Exercise
• To prepare healthcare facilities for the required joint HPP-PHEP
Strategic National Stockpile exercise scheduled for BP4 (July 1, 2015
– June 30, 2016), the following exercise is an additional deliverable,
that will be run in parallel with a local health department led multiagency medical countermeasure dispensing exercise.
• If this deliverable is selected, each hospital will be expected to
participate with other partners in planning this full-scale exercise,
as well as evaluate the exercise at the hospital.
• A hospital module with the same scenario as the medical
countermeasures dispensing exercise will be developed by OHEP
and provided to hospitals for incorporation into the LHD dispensing
exercise.
• This module is required for this deliverable, and will address the
four required HPP capabilities:
The Four Required Capabilities
•
Capability 3: Emergency Operations Coordination
– Objective 1: HCDDA #11: Healthcare coalition demonstrates coordination within the jurisdictional
response framework during emergency operations
– Objective 2: HCDDA #12: Healthcare coalition demonstrates they can communicate the status of the
healthcare system during response
– Objective 3: HCDDA #14: Healthcare coalition engages in the jurisdictional resource management
process to support healthcare system operations
•
Capability 6: Information Sharing
– Objective 1: Continuity #4: Healthcare coalition demonstrates redundant means of communication
for achieving and sustaining situational awareness.
– Objective 2: Joint Measure #6.1: Report Essential Elements of Information
•
Capability 10: Medical Surge
– Objective 1: MS #4: Implement resource management processes to deliver appropriate levels of care
to all patients as well as to provide no less than 20% immediate availability of staffed members' beds,
within 4 hours of a disaster
– Objective 2: MS #5: Monitor acuity, staff, beds; off-load and on-load patients, track patient
movement
– Objective 3: Continuity #3: Implement a process to enhance its members' situational awareness to
support activation of immediate bed availability through continuous monitoring
•
Capability 1: Health Care Systems Preparedness
– Objective 1: Continuity #6: Implement resource processes to assist healthcare coalition members to
ensure the delivery of essential healthcare services.
•
Elements of Completion
• Hospitals will identify controller/evaluator role(s), conduct the exercise
module, complete Exercise Evaluation Guides and participate in an exercise hot
wash session.
•
• NOTE: No After Action Report/Improvement Plan (AAR/IP) is required.
Technical assistance will be available should a facility wish to write an AAR/IP
for their internal benefit.
• Target Date: January 1, 2015 – March 31, 2015
• Payment:
Payments will be made based on participation in the multiagency planning, exercise and host wash.
•
Planning: $7,000;
Exercise: $5,000;
Hot Wash: $2,000
• Element of Completion:
• Planning: Documentation that summarizes the exercise planning activities.
Include the planning session date(s), summary of topics discussed, and
attendees (names/titles) and their roles in the exercise.
• Exercise: Documentation of participation, including names, titles and roles.
• Hot Wash: Documentation of participation, including names, titles and roles.
Participation in each stage must be clearly titled and documented separately.
Emergency Operations Coordination
3 Healthcare Coalition Developmental
Assessment factors (HCCDA)
and 1 Core Capability
5
HCCDA
#11: The HCC
has an incident
management
structure to
coordinate
actions to
achieve
incident
objectives
during
response.
Program
measure
NONE
Capabilities to
reference
Capability 3:
Emergency
Operations
Coordination
Function
within
Capability
Joint HPPPHEP
Measures
NONE
NONE
Objectives
Assess the ability of the
hospital and/or regional
coalition to activate its
Hospital Incident Command
System (HICS) or Incident
Command System.
AND
Assess the ability of the
hospital and/or regional
coalition to activate staff and
operate its Hospital
Command Center (HCC).
6
HCCDA
Program
measure
#12: The HCC
NONE
demonstrates
an ability to
enhance
situational
awareness
for its
members
during an
event.
Capabilities
to reference
Capability 3:
Emergency
Operations
Coordination
Function
within
Capability
Joint HPPPHEP
Measures
NONE
NONE
Objectives
Evaluate the ability of the
regional partners to
communicate with other
mutual aid partners and with
appropriate government
agencies during an event, as
needed, utilizing redundant
interoperable
communications.
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HCCDA
#14: The HCC
has
demonstrated
resource
support and
coordination
among its
member
organizations
under the time
urgency,
uncertainty,
and logistical
constraints of
emergency
response.
Program
measure
Capabilities
to
reference
Function
within
Capability
Joint HPPPHEP
Measures
NONE
Capability 3:
Emergency
Operations
Coordination
NONE
NONE
Objectives
Demonstrate the ability to
ensure the appropriate
assessment and clinical
management of individuals who
present to the ED.
AND
Demonstrate resource support
and coordination among other
healthcare facilities.
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Information Management
1 HCCDA, 1 Program Measure, 2 Core
Capabilities, 3 Functions within the Core
Capabilities, and
1 Joint PHEP-HPP Performance Measure
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HCCDA
#12: The HCC
demonstrates
an ability to
enhance
situational
awareness for
its members
during an
event.
Program
measure
COOP
Measure #4:
The HCC has
demonstrated
the capability
of a redundant
means of
communicatio
n for achieving
and sustaining
situational
awareness.
Capabilities
to reference
Capability 3:
Emergency
Operations
Coordination
Capability 6:
Information
Sharing
Function
within
Capability
Joint HPPPHEP
Measures
Function 2: Assess
and notify
stakeholders of
healthcare delivery
status.
6.1: Percentage of
Function 1:
Provide healthcare
situational
awareness that
contributes to the
incident common
operating picture.
Function 2:
Develop, refine,
and sustain
redundant
interoperable
communication
systems.
local partners that
reported
requested
Essential Elements
of Information
(EEI) to the public
health/medical
lead within the
requested
timeframe.
Objectives
Develop and report the
following list of requested
Elements of Information for the
public health lead within 2
hours:

Facility has established its
HCC and is operating
under HICS.

Status of open staffed
beds on 3 units.

ED census, and % over
average daily census.

Status of ability to
discharge.

Current census of hospital.

# pts. Referred to a POD
for prophylaxis.
AND
Evaluate the ability of the
regional partners to
communicate consistent
elements of information to
other mutual aid partners and
with appropriate government
agencies, as needed, utilizing
redundant interoperable
communications.
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Medical Surge
3 Program Measures, 1 Core Capability, 3
Functions within Capability
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HCCDA
NONE
Program
measure
Capabilities
to reference
Function
within
Capability
Joint HPPPHEP
Measures
Medical Surge Capability
Indicator #4:
#10: Medical
The HCC has
Surge
demonstrated,
through
exercise or
real incident,
its ability to
deliver
appropriate
levels of care
to all patients,
as well as to
provide no
less than 20%
immediate
availability of
staffed
members’
beds within 4
hours of a
disaster.
Function 3:
Assist
healthcare
organizations
with surge
capacity and
capability.
NONE
Objectives
Demonstrate the ability to
determine the facility’s current
patient census (in real time).
AND
Demonstrate the ability to
inventory patient census and
status on at least 3 units and
determine suitability for discharge.
AND
Demonstrate information sharing
processes across facilities to
identify staffed available beds in
an event.
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Medical Surge (cont.)
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HCCDA
NONE
Program
measure
Capabilities
to reference
Medical Surge Capability
Indicator #5:
#10: Medical
The HCC has
demonstrated Surge
the ability to
do the
following
during an
incident,
exercise, or
event: 1)
monitor
patient acuity
and staffed
bed
availability in
real time; 2)
off-load
patients; 3)
on-load
patients; 4)
track and
document
patient
movement.
Function
within
Capability
Function 2:
Coordinate
integrated
healthcare surge
operations with
pre-hospital EMS
operations.
Function 3: Assist
healthcare
organizations
with surge
capacity and
capability.
Joint HPPPHEP
Measures
NONE
Objectives
Demonstrate the facility’s
integration of pre-hospital
and hospital surge
coordination and
management.
AND
Demonstrate the ability to
coordinate with public health
in the appropriate
assessment and transport of
patients who are ill.
AND
Evaluate the ability of the
hospital to move and track
patients from the ED to an
appropriate staffed available
bed.
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Medical Surge (cont.)
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HCCDA
NONE
Program
measure
Capabilities
to reference
COOP Measure Capability
#3: The HCC
#10: Medical
has a process
Surge
to enhance its
members’
situational
awareness to
support
activation of
immediate bed
availability
through
continuous
monitoring.
Function
within
Capability
Joint HPPPHEP
Measures
NONE
NONE
Objectives
Demonstrate the ability to
determine the facility’s current
patient census (in real time).
AND
Demonstrate the ability to
inventory patient census and status
on at least 3 units and determine
suitability for discharge.
AND
Demonstrate information sharing
processes across facilities to
identify staffed available beds in an
event.
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Healthcare System Preparedness
1 Program Measure, 2 Core Capabilities, 2
Functions with the Capabilities
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HCCDA
Program
measure
Capabilities
to reference
NONE
COOP
Measure
#6: The
HCC has
prioritized
and
integrated
essential
healthcare
recovery
needs in its
Emergency
Plan.
Capability 1:
Healthcare
System
Preparedness
Function
within
Capability
Function 3:
Identify and
prioritize
essential
healthcare
assets and
services.
Joint HPPPHEP
Measures
NONE
Objectives
Evaluate the facility’s ability to
reference and incorporate
components of their appropriate
plans or processes (e.g., 96 hour
Sustainability Plan, the Isolation
and Quarantine Plan, the
Alternate Care Site Plan to
prioritize and continue essential
services.
AND
Capability 2:
Healthcare
System
Recovery
Function 2:
Assist
healthcare
organizations to
implement
Continuity of
Operations.
Identify two specific mission
essential functions in the facility’s
Continuity of Operations Plan.
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Questions, support or
technical assistance
patricia.anders@health.ny.gov
michael.perillo@health.ny.gov
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