PANDEMIC INFLUENZA TABLETOP - .Exercise Name Foothills Healthcare Coalition Pandemic Influenza Tabletop

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  • PANDEMIC INFLUENZA

    TABLETOP

    AFTER ACTION REPORT

    January 8, 2014

    Lutheran Medical Center

    Facilitator: Kelly Keenan

  • CONTENTS

    Exercise Overview .......................................................................................................................................................... 3 CDPHE 2014-2015 Pandemic Tabletop AAR Improvement Tracking Form ................................................................... 4

    Objectives .................................................................................................................................................................. 4 Successes ................................................................................................................................................................... 4 Improvement ............................................................................................................................................................. 4

    Appendix A: List of Participants ..................................................................................................................................... 6 Appendix B: Participant Feedback ................................................................................................................................. 8

  • EXERCISE OVERVIEW

    Exercise Name Foothills Healthcare Coalition Pandemic Influenza Tabletop

    Exercise Dates January 8, 2014

    Scope This exercise is a Tabletop Exercise that is planned for 4 hours at Lutheran Medical Center.

    Mission Area(s) Protection, Response, Recovery

    PHEP and HPP Capabilities

    Community/ Healthcare System Preparedness, Emergency Operations Coordination, Public Health Surveillance and Epidemiological Investigation, Emergency Operations Coordination, Preparedness Information Sharing

    Objectives

    Describe your agencys roles in the response.

    Identify at least one gap in your agencys existing Emergency Operations Plan.

    Articulate the process to contact appropriate partnering agencies during business hours, as well as after hours, for response to a pandemic influenza outbreak.

    Threat or Hazard Pandemic Influenza

    Sponsor Jefferson County Public Health and Foothills Healthcare Coalition

    Participating Organizations

    Please see Appendix B.

    Point of Contact

    Kelly Keenan, MPH JCPH Emergency Response Planner & FHCC Lead

    kkeenan@jeffco.us 303-271-8391 Kim Vowell, CSP St. Anthony Hospital Safety Manager & FHCC Co-Chair KimVowell@centura.org 720-321-0134

  • CDPHE 2014-2015 PANDEMIC TABLETOP AAR IMPROVEMENT TRACKING FORM

    Reporting Agency: Jefferson County Public Health

    Exercise Name: Pandemic Influenza Tabletop Exercise

    Exercise Date: January 8, 2015

    Healthcare Coalition Name: Foothills Healthcare Coalition

    PHEP/HPP Capabilities Tested? Community/ Healthcare System Preparedness, Emergency Operations

    Coordination, Public Health Surveillance and Epidemiological Investigation, Emergency Operations Coordination,

    Preparedness Information Sharing.

    OBJECTIVES

    What was Objective 1? Describe your agencys roles in the response.

    Was Objective 1 achieved? Yes, all of our participants understood their role in a pandemic response.

    What was Objective 2? Identify at least one gap in your agencys existing Emergency Operations Plan.

    Was Objective 2 achieved? Yes, most of our participants reported identifying gaps in their current plans. The most

    common gap that was identified was the need to plan for a long-term incident.

    What was Objective 3? Articulate the process to contact appropriate partnering agencies during business hours, as

    well as after hours, for response to a pandemic influenza outbreak.

    Was Objective 3 achieved? Yes, this process was reviewed with our participants.

    Were there other objectives not previously mentioned? If they, what were they? Not applicable.

    Whos those other objectives achieved? Not applicable.

    SUCCESSES

    Success 1: What was the biggest success of the exercise? The biggest success of the exercise was the coalitions

    ability to bring together over 60 people from 25 different agencies to discuss this public health threat. The

    collaborating and networking were considered the strongest benefit of this exercise for our participants.

    Success 2: What was another big success of the exercise? Another success of this exercise was that it allowed the

    exercise participants to see how the different parts of the healthcare system would be impacted, and would

    respond, in this type of incident. This will help each agency with their planning assumptions.

    Success 3: What was another big success of the exercise? Overall the tabletop exercise showed that we have a

    strong and well-prepared healthcare community. While we did identify areas for improvement, overall the group

    felt very confident in their plans and their ability to respond to a real incident.

    IMPROVEMENT

  • Needed Improvement 1: What was the biggest needed improvement noted from the exercise? Continuity of

    operations planning (COOP) was identified as an area that needs improvement for many agencies.

    What will be done to make improvement 1 by the time of the next exercise/event? COOP will be addressed as an

    training topic for our 2015 coalition meetings.

    Needed Improvement 2: What was a big needed improvement noted from the exercise? Many agencies identified

    that their pandemic plans only address the short-term impacts of a pandemic, and do not consider the long-term

    consequences.

    What will be done to make improvement 2 by the time of the next exercise/event? We will incorporate long-term

    threats, like a pandemic, into our COOP trainings.

    Needed Improvement 3: What was a big needed improvement noted from the exercise? During the exercise the

    issue of civil unrest and security was highlighted as an area of improvement. Most agencies security plan relies

    heavily on outside law enforcement support, which may not be available during an incident.

    What will be done to make improvement 3 by the time of the next exercise/event? The coalition will coordinate

    with local law enforcement agencies to provide a training about security for facilities. This training will try to

    address expectations for support, and mitigation opportunities for agencies.

    What barriers are there to make improvements, if any? While the coalition can provide trainings and support,

    ultimately each agency is responsible for taking that information and making it actionable. This is outside of the

    control of the coalition, and can pose an unavoidable barrier.

    What training, if any was identified as needed by the event/exercise? COOP, management of long-term incidents

    and security during an incident trainings.

    Other comments. Overall the exercise was well received. The FHCC utilized the tabletop documents that were

    created by CDPHE, however they had to be significantly adapted to make the scenario and information valuable for

    our participants. We did use Module 5 as it was written by CDPHE, and many of our participants reported that it

    felt like the apocalypse, which was unrealistic and was not valuable for them. Additionally, we followed CDPHEs

    recommendation to group participants by functional group, and we received feedback that they would have

    preferred to have been mixed up into random groups.

  • APPENDIX A: LIST OF PARTICIPANTS

    Name Organization Functional Group

    Suzi Albo Colorado Lutheran Home Long Term

    Angel Anderson Jefferson County Public Health Public Health

    Steve Aseltine West Metro Fire/Rescue EMS

    Brenda Barrett Mt Evans Home Health & Hospice Long Term

    Christine Billings Jefferson County Public Health Evaluator

    Susan Black Colorado Lutheran Home Long Term

    Mitchell Brown Jefferson County Public Health Public Health

    Margaret Bryan Jefferson County Public Health Evaluator

    Kodi Bryant Jefferson County Public Health Public Health

    Ron Celentano Jefferson County Office of Emergency Management Community

    Alan Colon US Dept of Justice Community

    Brandon Daruna Gilpin Ambulance Authority EMS

    Diana Delgado Eaton Senior Communities Long Term

    Jody Erwin Jefferson County Department of Health and Environment Public Health

    Margaret Farrar Exempla Colorado Lutheran Home Long Term

    Mark Fellers Gilpin Ambulance Community

    Deborah French Colorado Hospital Association Observer

    Alice Huges Lutheran Medical Center Hospital

    Betsy Isherwood Katz Lutheran Medical Center Hospital

    Dr. Mark Johnson Jefferson County Public Health Public Health

    Nicolena Johnson Clear Creek EMS EMS

    Kelly Keenan Jefferson County Public Health Facilitator

    Dan Kipp Bear Creek Center Long Term

    Ana Marin Cachu Jefferson County Public Health Evaluator

    Konalyn Melon Bear Creek SWF Long Term

    Dave Mitchell Arvada Fire Protection District EMS

    Glenn Most Exempla West Pines Hospital

    Sandra Newell Colorado Lutheran Home Long Term

  • Megan Nies CDPHE Public Health

    Barb O'Kane Colorado School of Mines Community

    Tom Olbrich Jefferson Center for Mental Health Community

    Michael Piper Arvada Fire Protection District EMS

    Richard Prestidge Colorado Hospital Association Hospital

    Dan Pruett Jefferson County Coroner's Office Community

    John Putt Alpine Rescue Team EMS