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The Basics of Preparedness Exercises
Objectives
Fundamentals of Exercises
Types of exercises
Evaluations
Documentation types
Next steps
Why do we conduct exercises?
Clarify roles and responsibilities
Improve interagency coordination
Find Resource gaps
Develop individual performance
Identify opportunities for improvement
Exercises
Play a vital role in national preparedness
by enabling whole community stakeholders to test and validate plans
and capabilities, and identify both gaps and areas for improvement.
Bring together and strengthen the whole community
in its efforts to prevent, protect against, mitigate, respond to, and recover from all hazards
Cost-effective and useful tools
To practice and refine our collective capacity
To achieve the core capabilities in the National Preparedness Goal.
Eight key steps to exercise design
Setting the exercise foundation
Selecting participants for planning team and developing timelines
Developing objectives and identifying core capabilities
Identifying evaluations guidelines
Developing the exercise scenario
Creating documentation
Coordinating logistics
Planning for exercise control and evaluation
Types of Exercises
Discussion Based Exercises
Discussion-based exercises familiarize participants with current plans, policies, agreements and procedures, or may be used to develop new plans, policies, agreements, and procedures. Types of discussion-based exercises include:
Seminars, Workshops, Tabletop Exercises (TTX), Games
Operation Based Exercises
Operation Based Exercises validate plans, policies, agreements and procedures, clarify roles and responsibilities, and identify resource gaps in an operational environment. Types of operations-based exercises:
Drills, Functional and Full Scale
Drills
Coordinated, supervised activity
Employed to test a single, specific operation or function within a single entity
Functional Exercise (FE)
Examines and/or validates the coordination, command, and control between various organizations
(Health Department, LTC, Hospitals,
Emergency operation center, fire, EMS,
Does not involve any “boots on the ground” (i.e., first responders or emergency officials responding to an incident in real time).
Full Scale Exercise (FSE)
Multi-agency, multi-jurisdictional, multi-discipline exercise involving functional (e.g., joint field office, emergency operation centers, EMA, Fire Department, etc.) and
“Boots on the ground” response (e.g., firefighters decontaminating mock victims).
Copied from IS 120
Copied from IS 120
Evaluation
Can also be referred to as “hot wash” or debriefing
Hot wash: immediately after the event/exercise
Debrief: happens later, report out from various locations/departments
Many tools can be used.
Should be evaluated by those participating in the exercise
Example of Debriefing/Hot Wash tool
Topic heading Observations strength / opportunity
Observed at (name of facility)
Other comments
Sample - type in your observations Opportunity Type your comments
Notification
Communication
Command structure
Safety and Security
Management of Patients
Resources ( people, places or equipment or supplies)
Utility system
Staff knowledge
Best practices
Improvements from previous drills
Other topics
After Action Plan
Should be documented and shared with appropriate agency leadership and others
Written summary
Power point presentation
HSEEP written documentation
Can include your HICS forms
Basic Components
Summary of the event
Strengths
Opportunities
Next steps
What
When
Who
Example of the HSEEP after-action improvement plan
Core CapabilityIssue/Area for
ImprovementCorrective Action
Capability
Element
Primary
Responsible
Organization
Organization
POCStart Date
Completio
n Date
Core Capability 1:
[Capability Name]
1. [Area for
Improvement]
[Corrective Action
1]
[Corrective Action
2]
[Corrective Action
3]
2. [Area for
Improvement]
[Corrective Action
1]
[Corrective Action
2]
[1] Capability Elements are: Planning, Organization, Equipment, Training, or Exercise.
This IP has been developed specifically for [Organization or Jurisdiction]
as a result of [Exercise Name] conducted on [date of exercise].
Using June 6th as a FE Example
MSEL- Master Scenario Event List
Sim Cell/ phone book or method of contact
Regional Debrief
Player Prebrief
Controller Evaluator training
Documents
AAR/IP
ExPlan
Player Guide
California Emergency Preparednesshttp://www.calhospitalprepare.org/
Questions?
Ken Johnson, Deputy Director
Clark County Emergency Management Agency (EMA)
(937) 521-2178
Christina Conover
Clark County Combined Health District
(937) 390-5600 ext. 279
www.clarkhcc.com
