OPERATIONS-BASED EXERCISE Public Health Preparedness Capability 7: Mass Care Capability Description: Mass care is the ability to coordinate with partner agencies to address the public health, medical, and mental/behavioral health needs of those impacted by an incident at a congregate location. This capability includes the coordination of ongoing surveillance and assessment to ensure that health needs continue to be met as the incident evolves. Jurisdiction or Organization: Name of Exercise: Location: Date: Evaluator: Evaluator Phone & E-mail: Function 1: Determine public health role in mass care operations Function Description: In conjunction with Emergency Support Function (ESF) #6, #8, and #11 partners, emergency management, and other partner agencies, determine the jurisdictional public health roles and responsibilities in providing medical care, health services, and shelter services during a mass care incident. Task/Observation Keys 1 Status/Task Completed Activate pre-determined public health roles (e.g., population monitoring, environmental health and safety assessment, accessibility for populations with special needs, and need for decontamination) needed in the mass care response in coordination with ESF #6 and #8 partners. Fully Partially Not N/A Mark the status of Function 1 based on the assessments of the associated Tasks: Infrastructure Fully in Place -- Fully Evaluated and Demonstrated Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated Infrastructure Not Fully in Place No Infrastructure in Place Function 2: Determine mass care needs of the impacted population Function Description: In conjunction with Emergency Support Function (ESF) #6, #8, and #11 partners, emergency management and other partner agencies, determine the public health, medical, mental/behavioral health needs of those impacted by the incident. Task/Observation Keys Exercise Evaluation Guide (EEG) Status/Task Completed Public Health Preparedness Capabilities #7 MASS CARE Page 1 of 7 OPERATIONS-BASED EXERCISE Coordinate with response partners to utilize pre-existing jurisdictional risk assessment, environmental data, and health demographic data to identify population health needs in the area impacted by the incident. Fully Partially Not N/A 1 2 Coordinate with response partners to complete a facility-specific environmental health and safety assessment of the selected or potential congregate locations. Fully Partially Not N/A 3 Coordinate with partner agencies to assure food and water safety inspections at congregate locations. Fully Partially Not N/A 4 Coordinate with partners to assure health screening of the population registering at congregate locations. Fully Partially Not N/A Mark the status of Function 2 based on the assessments of the associated Tasks: Infrastructure Fully in Place -- Fully Evaluated and Demonstrated Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated Infrastructure Not Fully in Place No Infrastructure in Place Function 3: Coordinate public health, medical, and mental/behavioral health services Function Description: Coordinate with partner agencies to provide access to health services, medication and consumable medical supplies (e.g., hearing aid batteries and incontinence supplies), and durable medical equipment for the impacted population. Task/Observation Keys Status/Task Completed 1 Coordinate with healthcare partners to assure medical and mental/behavioral health services are accessible at or through congregate locations. Fully Partially Not N/A 2 Coordinate with providers to facilitate access to medication and assistive devices for individuals impacted by the incident Fully Partially Not N/A Fully Partially Not N/A 3 Coordinate with jurisdictional HazMat resources or other lead agency to assure provision of population monitoring and decontamination services, including the establishment of tracking systems of contaminated or possibly contaminated (e.g., radiological, nuclear, or chemical) individuals who may enter congregate locations. 4 Disseminate and promote accessible information regarding available mass care health services to the public. Fully Partially Not N/A Exercise Evaluation Guide (EEG) Public Health Preparedness Capabilities #7 MASS CARE Page 2 of 7 OPERATIONS-BASED EXERCISE 5 Coordinate with agencies to accommodate and provide care (e.g., medical care, essential needs, and decontamination) for service animals within general shelter populations. Fully Partially Not N/A 6 Work with partner agencies in coordinating the location of human sheltering efforts with household pet sheltering efforts. Fully Partially Not N/A Fully Partially Not N/A 7 Coordinate with emergency medical services, local, state, tribal, and federal health agencies, emergency management agencies, state hospital associations, social services, and participating non-governmental organizations to return individuals displaced by the incident to their preincident medical environment or other applicable medical setting. Mark the status of Function 3 based on the assessments of the associated Tasks: Infrastructure Fully in Place -- Fully Evaluated and Demonstrated Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated Infrastructure Not Fully in Place No Infrastructure in Place Function 4: Monitor mass care population health Function Description: Monitor ongoing health-related mass care support, and ensure health needs continue to be met as the incident response evolves. Task/Observation Keys Status/Task Completed In coordination with partner agencies, monitor facility-specific environmental health and safety, including screening for contamination (e.g., radiological, nuclear, biological, or chemical), and assure any identified deficiencies are corrected. Fully Partially Not N/A 1 2 Conduct surveillance at congregate locations to identify cases of illness, injury, and exposure within mass care populations. Fully Partially Not N/A Identify updated health needs as part of the agency’s/jurisdictional situational awareness update, and refer those updates through the public health incident management system for additional local, state, regional, or federal assistance as necessary. Fully Partially Not N/A 3 4 In conjunction with partner agencies, de-escalate health response as appropriate to the mass care situation, including creating and executing a health resource demobilization plan. Fully Partially Not N/A Mark the status of Function 4 based on the assessments of the associated Tasks: Exercise Evaluation Guide (EEG) Public Health Preparedness Capabilities #7 MASS CARE Page 3 of 7 OPERATIONS-BASED EXERCISE Infrastructure Fully in Place -- Fully Evaluated and Demonstrated Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated Infrastructure Not Fully in Place No Infrastructure in Place Exercise Evaluation Guide (EEG) Public Health Preparedness Capabilities #7 MASS CARE Page 4 of 7 OPERATIONS-BASED EXERCISE Public Health Preparedness Capability 7: Mass Care Exercise Evaluation Guide Analysis Sheets The purpose of this section is to provide a narrative of what was observed by the Evaluators team for inclusion in the draft After Action Report/Improvement Plan (AAR/IP). This section includes a chronological summary of what occurred during the exercise for the observed Functions and Tasks. This section also requests the Evaluator to provide key observations (strengths or areas for improvement) to provide feedback to support sharing of lessons learned and best practices, as well as identification of corrective actions to improve overall preparedness. “Lessons Learned” are activities (strength or improvement) identified during your exercise that may be applied or replicated in another jurisdiction. Observations Summary Write a general chronological narrative of the Players’ actions based on your observations during the exercise. Provide an overview of what you witnessed and, specifically, discuss how this particular Capability was carried out during the exercise, referencing specific Tasks where applicable. The narrative provided will be used in developing the After Action Report (AAR)/Improvement Plan (IP). [Insert text electronically or on separate pages.] Evaluator Observations: Record your key observations using the structure provided below. Provide a minimum of three observations for each section. There is no maximum (three templates are provided for each section; reproduce these as necessary for additional observations). Use these sections to discuss strengths and any areas of improvement. Provide as much detail as possible, including references to specific Functions and/or Tasks. Document your observations with reference to plans, procedures, exercise logs, and other resources. Describe and analyze what you observed and, if applicable, make specific recommendations. Please be thorough, clear, and comprehensive, as these sections will feed directly into the drafting of the After Action Report (AAR). Complete electronically if possible, or on separate pages if necessary. STRENGTHS Exercise Evaluation Guide (EEG) Public Health Preparedness Capabilities #7 MASS CARE Page 5 of 7 OPERATIONS-BASED EXERCISE Observation Title: Related Function & Task: Record for Lesson Learned? (Check the box that applies.) Yes No 1) Analysis: (Include a discussion of what happened. When? Where? How? Who was involved? Also describe the root cause of the observation, including contributing factors and what led to the strength. Finally, if applicable, describe the positive consequences of the actions observed.) 2) References: (Include references to plans, policies, and procedures relevant to the observation.) 3) Recommendation: (Even though you have identified this issue as a strength, please identify any recommendations you may have for enhancing performance further, or for how this strength may be institutionalized or shared with others.) Observation Title: Related Function & Task: Record for Lesson Learned? (Check the box that applies.) Yes No 1) Analysis: 2) References: 3) Recommendation: Observation Title: Related Function & Task: Record for Lesson Learned? (Check the box that applies.) Yes No 1) Analysis: 2) References: 3) Recommendation: AREAS FOR IMPROVEMENT Exercise Evaluation Guide (EEG) Public Health Preparedness Capabilities #7 MASS CARE Page 6 of 7 OPERATIONS-BASED EXERCISE Observation Title: Related Function & Task: Record for Lesson Learned? (Check the box that applies.) Yes No 1) Analysis: (Include a discussion of what happened. When? Where? How? Who was involved? Also describe the root cause of the observation, including contributing factors and what led to the strength. Finally, if applicable, describe the negative consequences of the actions observed.) 2) References: (Include references to plans, policies, and procedures relevant to the observation.) 3) Recommendation: (Write a recommendation to address the root cause. Relate your recommendations to needed changes in plans, procedures, equipment, training, mutual aid support, management and leadership support.) Observation Title: Related Function & Task: Record for Lesson Learned? (Check the box that applies.) Yes No 1) Analysis: 2) References: 3) Recommendation: Observation Title: Related Function & Task: Record for Lesson Learned? (Check the box that applies.) Yes No 1) Analysis: 2) References: 3) Recommendation: Exercise Evaluation Guide (EEG) Public Health Preparedness Capabilities #7 MASS CARE Page 7 of 7