Welcome

2011 California StatewideMedical and Health Exercise

Visit the Statewide Medical and Health Exercise and Training Website

http://www.californiamedicalhealthexercise.com

Timeline

Recommended timelines for planning and implementing the exercise program

• Phase I Multi Media Training – April 18, 2011

• Phase II Organizational Self-Assessment – May 2011

• Phase III Tabletop Exercise – June –July, 2011

• Phase IV Functional Exercise – November 17, 2011

Exercise Scenario

“Water Disruption” – Based on recent and historic events.

– What kind can realistically occur?

– Hospitals: Examples with prior events.

– SNFs

– Dialysis Centers

– “Do not Use” order implications.

Exercise Program Response Disciplines

• Community-Based Organizations

• Community Care Clinics

• Emergency Management

• Emergency Medical Services Providers

• Fire Service• Hospitals

• Law Enforcement• Local Emergency

Medical Services Agency

• Local Public Health and Environmental Health Departments

• Long-Term Care Facilities

• Medical Examiners/Coroners

Main Goal for Conducting Exercises

Exercise existing written plans to:• Clarify roles and responsibilities.

• Improve interagency coordination.

• Find resource gaps.

• Develop individual performance.

• Identify opportunities for improvement.

Planning Conferences• The conferences provide an opportunity for the team

to:

• Define the exercise purpose and objectives. • Develop the scenario. • Coordinate logistics. • Track design and development progress. • Troubleshoot design or development problems. • The scope, type, size, and complexity of the exercise

determine the type and number of conferences the planning team decides to conduct.  

Defining Design and Development

• Exercise development includes:

• Creating exercise documentation.

• Arranging logistics, actors, and safety.

• Coordinating participants and media.

• Other supporting planning tasks (e.g., training controllers, evaluators, and exercise staff).

• Exercise design includes:

• Assessing exercise needs.

• Defining the scope of the exercise.

• Writing a statement of purpose.

• Defining exercise objectives.

• Creating a scenario for the exercise.

Defining Design and Development

Discussion-Based exercise conduct involves:• Site setup. • Guided presentation. • Facilitated/moderated discussion. • Wrap-up activities.

Operations-Based exercises conduct involves:

• Site setup. • Exercise briefings. • Exercise play. • Wrap-up activities.

Evaluation

• Observing the exercise and collecting supporting data.

• Gauging performance against expected outcomes.

• Determining what changes are needed to ensure desired outcomes.

After-Action Reports

• Should be prepared after every exercise type.

• Summarize what happened during the exercise.

• Provide feedback to participants on their performance.

• Recommend improvements for better preparedness.

Improvement Planning Process

• By focusing on performance and how actual outcomes differ from expectations, public officials, and exercise planners can:

• Target their improvement resources more effectively. • Modify their programs before having to respond to a

real incident.

Improvement Planning Process

• The IP identifies:

• Actions to address each AAR recommendation.

• Who will be responsible for taking each action.

• A timeline for completion of those actions.

After Action Conference• Recommended Conference Attendees:

• Official representatives of all participating organizations. • Exercise Planners who assisted in the development of the AAR. • Exercise Evaluators who assisted in the development of the AAR. • Stakeholders from the city, state, region, or other jurisdictions.

• The conference should address:

• Specific improvement actions that agencies can take. • Feedback and validation of observations and recommendations. • Key lessons learned from the exercise experience. • Distribution of the After-Action Report (AAR) and the Improvement

Plan (IP).

QUESTIONS?