1 1 Pandemic Influenza Tabletop Exercise July 13, 2006 Albany, New York July 13, 2006 Albany, New York University at Albany School of Public Health Center

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Pandemic Influenza Tabletop Exercise

Pandemic Influenza Tabletop Exercise

July 13, 2006

Albany, New York

July 13, 2006

Albany, New York

University at Albany

School of Public Health

Center for Public Health Preparedness

University at Albany

School of Public Health


Home Care Association

of New York State

Home Care Association

of New York State

22

Ed Waltz, PhD

Research Associate Professor

Health Policy, Management & Behavior

Eric Gebbie, MA, MIA

Assistant Director

Center for Public Health Preparedess

Ed Waltz, PhD

Research Associate Professor

Health Policy, Management & Behavior


Assistant Director

Center for Public Health Preparedess

33

PurposePurpose

• To assess the Capital District’s capacity to meet the surge in demands that an influenza pandemic could present to multiple health care sectors.

• To assess the Capital District’s capacity to meet the surge in demands that an influenza pandemic could present to multiple health care sectors.

44

GroupsGroups

Why am I here ?Why am I here ?

55

Objectives (1)Objectives (1)

1. Raise awareness about the broad impact of pandemic influenza on the health care system

2. Increase understanding regarding the responsibilities of all participating agencies

3. Identify the ability of participating agencies to pool resources to meet surge capacity demands

1. Raise awareness about the broad impact of pandemic influenza on the health care system

2. Increase understanding regarding the responsibilities of all participating agencies

3. Identify the ability of participating agencies to pool resources to meet surge capacity demands

66

Objectives (2)Objectives (2)

4. Identify gaps in coordination and communication between agencies

5. Identify gaps in training, education and planning within participating agencies

6. Promote advance planning between health departments, nursing homes, home care and other agencies, including hospitals and local emergency planners

4. Identify gaps in coordination and communication between agencies

5. Identify gaps in training, education and planning within participating agencies

6. Promote advance planning between health departments, nursing homes, home care and other agencies, including hospitals and local emergency planners

77

AgendaAgenda

• See handout• See handout

88

ParticipantsParticipants

In the pre-event survey, you told us…• About half not very familiar with tabletops• About half believe you have only fair or

poor knowledge of pandemic flu impact• ~ 70% are in the process of, or soon will

be, revising your emergency plans to include pandemic flu

In the pre-event survey, you told us…• About half not very familiar with tabletops• About half believe you have only fair or

poor knowledge of pandemic flu impact• ~ 70% are in the process of, or soon will

be, revising your emergency plans to include pandemic flu

99

IntroductionsIntroductions

1010

Ground Rules (1)Ground Rules (1)

• You are not role-playing. You are:• Yourself• Your facility• Your community• But you may need to think outside your usual

role• You are not making official representation of your

agency.• There are no wrong answers.

(but there are better ones)

• You are not role-playing. You are:• Yourself• Your facility• Your community• But you may need to think outside your usual

role• You are not making official representation of your

agency.• There are no wrong answers.

(but there are better ones)

1111

Ground Rules (2)Ground Rules (2)

• Assume that the information you are given is accurate.

• Where the information provided is insufficient, do your best to explore all possibilities.

• Assume that the information you are given is accurate.

• Where the information provided is insufficient, do your best to explore all possibilities.

1212

Decide on Roles at Each TableDecide on Roles at Each Table

• Facilitator• Primary clock watcher• Keep discussion flowing

• Recorder• Use data sheet provided• Turn in at end of each segment• Information provided contributes to the

After Action Report

• Facilitator• Primary clock watcher• Keep discussion flowing

• Recorder• Use data sheet provided• Turn in at end of each segment• Information provided contributes to the

After Action Report

1313

HandoutsHandouts

1414

FormatFormat

Situation UpdatePandemic scenario

advances.

Situation UpdatePandemic scenario

advances.

Table Discussion Work as a team to find solutions to selected

issues

Table Discussion Work as a team to find solutions to selected

issues

Report BackSelected tables share

highlights.

Report BackSelected tables share

highlights.

1515

Table DiscussionsTable Discussions

• Organize your own discussion of the challenges and come up with potential solutions • Develop a plan to respond to the

request• Identify barriers and gaps• Share how events would really play

out in your practice• Share model plans or strategies you

have developed or feel are unique

• Organize your own discussion of the challenges and come up with potential solutions • Develop a plan to respond to the

request• Identify barriers and gaps• Share how events would really play

out in your practice• Share model plans or strategies you

have developed or feel are unique

1616

Time Constraints Time Constraints

Approximately 30 minutes to• Select issues that your table wants

to address• Discuss the issue• Identify solutions and unresolved issues

You may break into subgroups to deliberate if you have sufficient numbers at your table

Approximately 30 minutes to• Select issues that your table wants

to address• Discuss the issue• Identify solutions and unresolved issues

You may break into subgroups to deliberate if you have sufficient numbers at your table

1717

Report BackReport Back

• Return clear notes to contribute to AAR• Be prepared to share brief highlights with

the room

• Return clear notes to contribute to AAR• Be prepared to share brief highlights with

the room

1818

Questions before we begin?Questions before we begin?

1919

Begin ExerciseBegin Exercise

2020

Round 1

A Pandemic BeginsRound 1

A Pandemic Begins

2121

2222

2323

2424

2525

2626

2727

2828

2929

3030

3131

3232

3333

3434Table DiscussionTable Discussion

Round 1Round 1

A Pandemic BeginsA Pandemic Begins

3535


• What solutions did you find?• What remains unresolved?

• What solutions did you find?• What remains unresolved?

Round 1Round 1

3636

Confronting the SurgeConfronting the SurgeRound 2Round 2

CasesCases

3737

3838

Infected

Seeking care

3939

4040

4141


Round 2Round 2

CasesCases

Confronting the SurgeConfronting the Surge

4343


• What solutions do you recommend?• What remains unresolved?


Round 2Round 2

4444

Beyond CapacityBeyond CapacityRound 3Round 3

CasesCases

4545

4646

4747

4848


Round 3Round 3

Beyond CapacityBeyond Capacity

CasesCases

5050




Round 3Round 3

5151

Next StepsNext StepsRound 4Round 4


Round 4Round 4

Next StepsNext Steps

5353




Round 4Round 4

5454

Hotwash TopicsHotwash Topics

• What were the most important take-home messages from Day 1 ?

• What did you learn in today’s exercise ?… what else should have been included ?

• When you get back to your agency, how will your plan (or planning process) be different ?

• What are the next steps ?… training needs or exercise needs ID’d ? … big-picture questions that need

to be answered ?

• What were the most important take-home messages from Day 1 ?

• What did you learn in today’s exercise ?… what else should have been included ?

• When you get back to your agency, how will your plan (or planning process) be different ?

• What are the next steps ?… training needs or exercise needs ID’d ? … big-picture questions that need

to be answered ?

5555

Hotwash Topic 1Hotwash Topic 1

• What were the most important take-home messages from Day 1

• What were the most important take-home messages from Day 1

5656


• What did you learn in today’s exercise ?

… what else should have been included ?

• What did you learn in today’s exercise ?

… what else should have been included ?

5757


• When you get back to your agency, how will your plan (or planning process)be different ?

• When you get back to your agency, how will your plan (or planning process)be different ?

5858


• What are the next steps ?

• … training needs or exercise needs ID’d ?

… big-picture questions that need to be answered ?

• What are the next steps ?

• … training needs or exercise needs ID’d ?

… big-picture questions that need to be answered ?

5959

End ExerciseEnd Exercise

6060

Ed Waltz, PhD

Research Associate ProfessorHealth Policy, Management & Behavior


Assistant DirectorCenter for Public Health Preparedess

www.ualbanycphp.org

Ed Waltz, PhD

Research Associate ProfessorHealth Policy, Management & Behavior


Assistant DirectorCenter for Public Health Preparedess

www.ualbanycphp.org

6161

AcknowledgementsAcknowledgements

Scenario originally developed for:

Home Care Association of New York StateAlbany, NY, July 13, 2006

Presented by:

University at AlbanySchool of Public Health


Available at www.UAlbanyCPHP.org

Scenario originally developed for:

Home Care Association of New York StateAlbany, NY, July 13, 2006

Presented by:

University at AlbanySchool of Public Health


Available at www.UAlbanyCPHP.org

Eric N Gebbie

This does not need to be presented in the exercise, but is put here for when the slides are disseminated.

Documents

1 1 Pandemic Influenza Tabletop Exercise July 13, 2006 Albany, New York July 13, 2006 Albany, New York University at Albany School of Public Health Center