OUREx Exercise Briefing for Preparedness Field Reps
The Outbreak Unchecked Response Exercise (OUREx) held on October 20, 2016, aimed to review exercise design elements, address issues, and plan next steps. The design team included various organizations from New York State, focusing on testing capabilities like medical surge and emergency operations coordination. Plans, policies, and procedures related to healthcare systems were also examined. The exercise emphasized coalition-level participation, including LHDs, hospitals, EMS, and at-risk populations, as part of a coalition-level, full-scale event.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Outbreak Unchecked Response Exercise (OUREx) October 20, 2016 Exercise Briefing for Preparedness Field Reps
2 OUREx Briefing Objectives Review exercise design elements and planning updates Address any outstanding issues and questions Discuss next steps
3 OUREx Design Team New York State Department of Health OHEP BCDC Wadsworth Center Environmental Health PAG BEMSATS WNY, CNY, MARO, and CD Regional Offices OPCHSM Saratoga Hospital New York State Office of Mental Health Division of Homeland Security and Emergency Services State Office of Emergency Management Office of Temporary and Disability Assistance New York State Office of Children and Family Services Commission for the Blind Community Health Centers Association of New York State Healthcare Association of New York State
4 OUREx Workgroups LHD Subgroup BCDC Environmental Health Regional Offices PHP Reps PAG Labs OHEP EMS/EM Subgroup OEM BEMSATS OPCHSM At-risk populations Subgroup OMH CHCANYS OTDA Commission for the Blind OHEP Healthcare Subgroup OPCHSM Saratoga Hospital HANYS Regional Offices HPP Reps PAG OHEP Nursing Home Associations
5 OUREx Capabilities to be Tested Medical Surge Emergency Operations Coordination Healthcare System Preparedness and Recovery (COOP functions) Information Sharing Medical Countermeasure Distribution and Dispensing Non-Pharmaceutical Interventions (NPIs)
6 OUREx Plans, Policies, and Procedures Relevant plans, policies, and procedures to be tested or examined during the exercise Hospital Medical Surge Plans Nursing Home Decompression Plans LHD POD Plans LHD NPI Plans Statewide EMS Mobilization Plan CEMP Communication and Resource Procurement appendices
7 OUREx Design Coalition-level, Full-scale exercise HPP grant requirement Must include LHDs, hospitals, EMS, and Emergency Managers Must include at-risk populations Deliverable for both LHDs and hospitals, so all will play Engaging as many EMS and EMs as possible via State BEMSATS and State OEM, and the objectives they have developed
8 OUREx Design Exercise design elements As of 10/1/16 23 LHDs conducting PODs 9 non CRI counties (Clinton, Delaware, Greene, Hamilton, Warren, Broome, Tioga, Livingston, Ontario) 14 CRI counties 34 LHDs conducting NPI component of the exercise Will Regional Offices activate their incident command ? Who will be involved in communicating with facilities and LHDs? Will Regional Reps serve as Coalition conduits? In Regional Rep role? Under discussion at ROs
9 OUREx Design SIMCELLs Central SIMCELL in Menands Regional SIMCELLs in each sub-region/region on day of play CNY Capital District
10 OUREx Logistics Exercise locations On-site Local hospitals and LHDs NPIs; POD sites for LHDs conducting PODs; Regional SIMCELL sites to be determined by region; Central SIMCELL in Menands A/V requirements Computers, phones Badging and identification of Controller/Evaluators
11 OUREx Exercise Timeline Dates of Exercises The exercise will span 7 work days: 2/27/17 2/28/17 3/1/17 3/2/17 3/6/17 3/7/17 3/8/17 Long Island Lower Hudson Valley Capital District North Country Central New York (South and East) Central New York (North and West) Western New York
12 OUREx Exercise Timeline Long Island Lower Hudson Valley Capital District N. Country Central NY Central NY W and N Western NY S and E 2/27/17 2/28/17 3/1/17 3/2/17 3/6/17 3/7/17 3/8/17 February, 2017 March, 2017
13 OUREx Design Bi-directional Information Sharing Regional HOC/ HEPC HUB
14 OUREx Inclement Weather Plan If a HEPC Exercise is affected by an event that would interrupt exercise participation, a discussion will be held with OHEP Central Office, Regional Office, and HEPC representatives to determine potential courses of action (rescheduling/cancelling) for exercise conduct.
15 OUREx Objectives Hospitals Objectives released June 24, 2016 Posted to HCS Local Health Departments POD Objectives released 10/20/19 NPI Objectives released 10/20/19 Coalitions TBD after Regional Offices determine roles and activation of ICS at regional level
16 Hospital Objectives
17 OUREx Hospital Objectives Objectives Capabilities 1. Demonstrate the ability of the hospital to notify staff and operate its Hospital Command Center (HCC). Include activation of Hospital Incident Command System (HICS). Demonstrate the ability of the hospital to implement information-sharing processes on a regular basis with other mutual aid partners, the Regional DOH Office, and with appropriate government agencies, utilizing redundant interoperable communications to: a) maintain situational awareness Demonstrate the ability of the hospital to communicate consistent elements of information (EEIs) to the Regional DOH Office, other mutual aid partners and the local public health/medical lead (PERFORMANCE MEASURE). Emergency Operations Coordination 2. AND Information Sharing 3.
18 OUREx Hospital Objectives Objectives Capability 1. Demonstrate the ability of the hospital to inventory patient census, acuity, and staffed bed availability in real time, and again after rapid patient discharge in order to decompress the facility (offload patients) GOAL: 2 hours Demonstrate the hospital s coordination of hospital surge operations (on- load patients) with EMS operations. Evaluate the ability of the hospital to move and track patients to their final disposition (ED to a staffed available bed; hospital to healthcare facility: If an evacuation scenario - must use eFINDS). Demonstrate inclusion of individuals (highly suggested = minimum of 3) from one or more of the following at-risk populations : - Frail Elderly - Behaviorally involved - Pediatrics - Pregnant women - Physically disabled - Non-English speaking - Hearing impaired/deaf - Access/functional needs populations - Blind Medical Surge 2. 3. 4. Activities involving the at-risk populations can be developed at the discretion of the Exercise Design Team, depending on the scenario and scope of the exercise.
19 OUREx Hospital Objectives Objectives Capabilities 1. Evaluate the hospital s ability to reference and incorporate components of its appropriate plans (e.g., COOP, 96 hour Sustainability Plan, the Isolation and Quarantine Plan, the Alternate Care Site Plan, etc.) to prioritize and continue mission essential services after HCC activation. Determine if event has caused a complete or partial disruption of health care service delivery, and delineate how this disruption occurred with prioritized mission essential functions (suggested minimum of 3). Demonstrate appropriate activities that focus on rapid resumption of the prioritized mission essential functions (suggested minimum of 3). Healthcare System Preparedness (Continuity of Operations) AND 2. Healthcare System Recovery 3.
20 Local Health Department Objectives Points of Dispensing
21 OUREx LHD Objectives - PODs Objectives Identify medical countermeasure dispensing strategies. Activate dispensing strategies, dispensing sites, dispensing modalities, and other approaches as necessary to achieve the dispensing goals appropriate to the targeted population. Demonstrate the ability of the LHD to identify five (5) individuals considered to be at-risk who present during the POD: - Frail Elderly - Physically disabled - Pediatrics - Non-English speaking - Behaviorally involved - Hearing impaired/deaf - Pregnant women - Blind - Physically disabled 4. Demonstrate one (1) mechanism (beyond POD flow design for ADA compliance) that supports and/or assists the at-risk individual. 5. Provide situational updates to the Regional Healthcare Coalition upon request. Capabilities 1. 2. Medical Countermeasure Distribution and Dispensing 3. AND Information Sharing
22 Local Health Department Objectives Non-Pharmaceutical Interventions
23 OUREx LHD Objectives - NPIs Objectives Capabilities 1. Identify and delineate two (2) strategies to initiate social distancing. In consultation with the county attorney, draft a written notice for voluntary isolation, as well as talking points for an oral explanation of the written notice. Develop one public message related to NPI strategy that is targeted toward (specific TBD) at-risk individuals. Activate three (3) supportive services or wrap-around services that the county could implement to support voluntary/involuntary quarantine, including behavioral health needs. Provide situational updates to the Regional Healthcare Coalition upon request. Non-Pharmaceutical Interventions 2. AND 3. Information Sharing 4. Integration of access and functional needs populations 5.
24 Emergency Medical Services Objectives
25 OUREx EMS Objectives Objectives Capabilities 1. Validate the County EMS Coordinator and County EMS Points of Contact phone and email distribution lists, and update as needed. Test the communication plan component of the Statewide EMS Mobilization Plan with at least seven counties (one in each DOH regional/subregion) in assessing their local EMS agency capabilities and resources that could be deployed to another region in response to an infectious disease outbreak. Report EMS agency capabilities and resources back to BEMSATS. Provide situational updates to the Regional Healthcare Coalition upon request. Information Sharing 2. AND Medical Surge 3. 4.
26 Emergency Management Objectives
27 OUREx EM Objectives Objectives Capabilities . 1. Process and order resources through the NY Responds system in coordination with NYSDHSES and local County Emergency Management Offices . Establish effective communication through systems such as Mutualink and NY Responds in coordination with NYSDHSES. Ensure that local County Emergency Management Offices vet requests with their respective NYS DHSES Regional Staff before submitting the requests. E Provide situational updates to the Regional Healthcare Coalition upon request. 5. MS Coordinator and County EMS Point of Operational Coordination AND 2. Operational Communication 3. AND 4. Logistics and Supply Chain Management
28 OUREx - Master Scenario Event List (MSEL) Chronological listing of the events that drive exercise play Each MSEL entry will contain the following: Designated scenario time Inject number Controller responsible for delivering the inject Intended player Message Expected player response
29 Exercise Time Inject # From To Message Expected Outcome/ Actions 0900 1 SIMCELL ALL PLAYERS STARTEX Exercise begins 0915 2 SIMCELL Hospitals The NYSDOH is requesting that all hospitals complete a HERDS survey of current bed availability within one hour. Hospitals receive IHANS notification Hospitals complete HERDS survey within one hour and submit to NYSDOH
30 OUREx MSEL Development Session Participants will develop specific MSEL injects to support evaluation of their organizations objectives and critical tasks Working session October 26, 2016 9:00 am 4:00 pm
31 OUREx Important Dates Date Subject Time Location June 17 , 2016 Initial Planning Meeting 10:00 12:30 p.m. 800 N. Pearl St., Room 218 Webinar September 20, 2016 Mid-Planning Meeting 10:30 1:00 p.m. 800 N. Pearl St., Room 218 Webinar October 14, 2016 Briefing for OHEP Director and Deputy Directors 1:00 2:00 p.m. 800 N. Pearl St., Room 322 October 20, 2016 Briefing for Field Reps 1:00 3:00 p.m. 800 N. Pearl St., Room 322 Webinar October, 2016 Objectives Distributed to Partners October 26, 2016 MSEL Huddle 9:00 4:00 p.m. 800 N. Pearl St., Suite 322 Conference Room January 17, 2017 Final Planning Meeting 10:30 1:00 p.m. 800 N. Pearl St., Room 218 Webinar February 7, 2017 Last Touch Base Meeting 10:30 1:00 p.m. 800 N. Pearl St., Room 218 Webinar
32 OUREx Important Dates Date Subject Time Location C/E Briefing LHD PODs C/E Briefing LHD - NPIs 10:00 11:30 a.m. Webinar February 13, 2017 1:00 2:30 p.m. Webinar C/E Briefing Hospitals 10:30 12:00 p.m. Webinar February 15, 2017 1:00 2:00 p.m. Increasing #s of patients arriving at Emergency Departments IHANS notification to LI and LHV Partners February 23-24, 2017 10:00 a.m. Increasing #s of patients arriving at Emergency Departments IHANS notification to Capital District Partners February 27-28, 2017 10:00 a.m. Increasing #s of patients arriving at Emergency Departments IHANS notification to CNY partners March 2-3, 2017 10:00 a.m. Increasing #s of patients arriving at Emergency Departments IHANS notification to LI and LHV partners March 6-7, 2017 10:00 a.m.
33 OUREx Important Dates Date Subject Time Location Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx LI Business hours February 27, 2017 Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx LHV Business hours February 28, 2017 Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx CD Business hours March 1, 2017 Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx N. Country Business hours March 2, 2017 Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx CNY (S/E) Business hours March 6, 2017 Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx CNY (W/N) Business hours March 7, 2017 Hospitals, LHDs, LHD POD Sites, Local EMs, EMS OUREx (WNY) Business hours March 8, 2017
34 OUREx Important Dates Date Subject Time Location Hotwashes Regional level Regional Offices to determine Regional Offices to determine ~ March 8 March 22, 2017 Hotwash OHEP and Design Team TBD 800 N. Pearl St., Suite 322 Webinar March 10, 2017 After Action Conference - OHEP and Design Team TBD 800 N. Pearl St., Suite 322 Webinar April 17, 2017 Draft OHEP AAR sent to senior management N.A. N.A. May 22, 2017 Finalize AAR and distribute N.A. N.A. June, 2017
35 OUREx Next Steps Development of Exercise Materials - ongoing Exercise Plans Controller and Evaluator Handbook Exercise Evaluation Guides Master Scenario Event List Participant Feedback Forms Other exercise materials, as needed MSEL Huddle October 26, 2016 Finalize activities of ROs during the exercise
