wednesday, september 27, 2017 10:00 a.m. 12:00 p.m. kern...
TRANSCRIPT
Wednesday, September 27, 2017
10:00 A.M. – 12:00 P.M.
Kern County Public Health Department
1800 Mt. Vernon Avenue
San Joaquin Room
WELCOME!
Opening Remarks
Introductions
Additions/Changes to Agenda
2017-18 HPP GRANT
AWARD LETTERS
CHRYSTAL SHEPPARD
HPP GRANT
Purchase Approval Letters
Funding Restrictions
Membership Participation
2017-18 Awardees
ADVENTIST HEALTH BAKERSFIELD
ADVENTIST HEALTH TEHACHAPI VALLEY
CLINICA SIERRA VISTA
DIGNITY HEALTH
KERN MEDICAL
KERN VALLEY HEALTHCARE DISTRICT
Step 1
Request wish lists from partners
Step 2
HPP Grant is approved by the State
Step 3
Wish lists are reviewed for eligibility. Funds are awarded via a purchase approval letter from Public Health.
Step 4
Facilities make approved purchases. Invoices are supplied to Public Health. Facilities are reimbursed.
Grant Life Cycle
PHASE III: TABLETOP EXERCISE
2017 STATEWIDE MEDICAL AND HEALTH EXERCISE
Earthquake/ November 15th 2017
WELCOME & INTRODUCTIONS
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WELCOME & OVERVIEW
• Welcome
– Name
– Position
– Agency/Organization
• Logistics
– Materials
• Participant Feedback Form
• Break-Out Questions
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• Exercise Materials
• Mobile Phones
• Restrooms
• Evacuation Procedure
– “THIS IS NOT A DRILL”
• Breakout Discussion Groups
ADMINISTRATIONADMINISTRATION
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PRESENTATION GUIDE
Welcome and Overview
MODULE 1: MITIGATION
MODULE 2: PREPAREDNESS
MODULE 3: IMMEDIATE AND
INTERMEDIATE RESPONSE
MODULE 4: EXTENDED
RESPONSE AND RECOVERY
PRESENTATION GUIDE
MODULE 5: HOT WASH &
DEBRIEF
KEY MATERIAL
EXERCISE OVERVIEW & GENERAL INFORMATION
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EXERCISE OVERVIEW
• Objectives
– Walk through the scenario
– Identify strengths and weaknesses
– Adjust emergency plans and resources
– Prepare for the functional November 15th
• Scenario
– Earthquake
• Sponsor
– California Department of Public Health, Emergency Medical Services Authority, Kern County Public Health, Kern County EMS
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• Participant Roles & Responsibilities– Players: Respond to situation presented based on
current plans, policies, and procedures
– Facilitators: Provide situation updates and moderate
discussions
– Evaluators: Observe and document player
discussions
GENERAL INFORMATIONGENERAL INFORMATION
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• Tabletop Exercise Structure
– Module 1 – Mitigation
• Breakout group discussions and group presentations
– Module 2 – Preparedness
• Breakout group discussions and group presentations
– Module 3 – Immediate and Intermediate Response
• Breakout group discussions and group presentations
– Module 4 – Extended Response & Recovery
• Breakout group discussions and group presentations
– Module 5 - Hot Wash/Debrief
• Evaluator Notes
GENERAL INFORMATION
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GENERAL INFORMATION
• Exercise Guidelines– Open, low-stress, no-fault
environment
– Varying viewpoints are expected
– Use current plans/capabilities
– Consider different and innovative approaches
– Issue identification is not as valuable as recommended actions and improvements
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• Assumptions– The exercise is conducted in a no-fault
learning environment wherein capabilities, plans, systems, and processes will be evaluated
– The exercise scenario is plausible, and events occur as they are presented
• Artificialities– Impacts across the response community
– Some time lapses may be artificially used to achieve the exercise objectives
GENERAL INFORMATION
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• Exercise Evaluation
– Participant Feedback Forms
– Exercise Evaluation Guides
– Hot Wash Notes
• Notes from today’s exercise may be used to
design and implement the Functional
Exercise (FE)
GENERAL INFORMATION
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DISCUSSION FORMAT
• Facilitator will be the spokesperson
• Focus on
– Strengths
– Areas for improvement
• As it pertains to:
– Organization
– Personnel
– Training
– Equipment
– Support
PRE-INCIDENT INFORMATION
MODULE ONE
Mitigation
• Mitigation strategies
– HVA’s
– Participation in KCHCC
– Ability to physically move patients
– Earthquake rated infrastructure
• Break-out session
– 20 minutes
– Mitigation Questions 1-9 for discussion
PREPAREDNESS
MODULE 2
Preparedness
• Extensive Evacuation Plans
– With yearly exercises?
• Supply reserves
• Process to assess facility damage
• Redundant Communications
• Breakout Session
– 30 minutes
– Preparedness Questions 1-18 for
discussion
IMMEDIATE AND INTERMEDIATE RESPONSE
MODULE THREE
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BACKGROUND INFORMATION
• Earthquake
– A 6.4 magnitude earthquake strikes the region where your facility is located at 6:05 am. The earthquake shakes the hospital for almost 40 seconds. Throughout the shaking, light fixtures sway, unsecured items fall from shelves and walls, the lights briefly flicker, and staff and patients are frightened.
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• Responding Departments/ Agencies can include:
– Emergency Medical Services (EMS) / Ambulance
– Fire
– Police
– Search & Rescue
– Healthcare facilities
– Media
– Non Profit Organizations
– Public Health
BACKGROUND INFORMATION
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BACKGROUND INFORMATION
• Will there be enough:
– Staff?
– Space?
– Supplies & Equipment?
– System? (i.e., patient
tracking)
• Special
considerations:– Media
– Public Response
– Hazardous Materials
– Behavioral Health
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MODULE THREE
November 15, 2017
• Several staff are injured, including the night shift supervisor. Within minutes, an aftershock is felt, this time lasting only 10 seconds but causing additional panic. The power goes out, but within minutes the generator power is up and running.
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MODULE THREE
November 15, 2017
• Day shift staff are beginning to arrive, and report to the emergency department charge nurse that there is widespread damage to roadways, traffic lights are not functioning, and sirens can be heard across the area. By 7:30 am, the facility Command Center has been activated and staffed, damage reports are being received and your facility is on generator power only.
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MODULE THREE
November 15, 2017• Internal communications function
but external communications (landline), have been lost.
• The emergency department is inundated with dozens of patients presenting with minor injuries. There is some damage to exterior walls and a complete structural assessment of the facility is expected tomorrow. All outpatient appointments, elective surgeries, and elective admissions were canceled and regular supply deliveries were not completed.
• Some facilities are placed under evacuation
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• Immediate & Intermediate Response
– Break out
– 30 Minutes
– Questions 1-17
MODULE THREE
EXTENDED RESPONSE & RECOVERY
MODULE FOUR
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MODULE THREE
• Process for reporting
injuries
• Process for submitting
costs for disaster
reimbursement
• Equipment recalibration
• COOP Plan
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MODULE FOUR
• Breakout Session
– 20 Minutes
– Extended Response
and System
Recovery questions
– 1-9
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CONCLUSION OF THE
DISCUSSION-BASED TABLETOP
DEBRIEF & HOTWASH
MODULE FIVE
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MODULE FIVE
• Debrief questions
– Identify three strengths
– Identify three areas for improvement
– What processes should be addressed in future efforts?
• Functional Exercise (FE) planning
– Duration
– Stakeholders
– Roles and responsibilities
• Closing comments
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• Functional Exercise
– November 15th 9:00 am-2:00 pm
– Hot wash and Lunch 1:00 pm-2:00 pm @ “S”
Street
• Please respond to the survey with attendees for
accurate lunch numbers
– Questions and Concerns?
• Reach out to your break-out group facilitators
Thank you!