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Home Care Association of New York State, Inc (HCA). Emergency Preparedness Conference 2007 “TRIPLE CROWN FLU” PANDEMIC TABLETOP EXERCISE. WELCOME. INTRODUCTIONS SAFETY ISSUES ROLES & RESPONSIBILITIES REPORT-BACK DOCUMENTATION “SITMAN” = Situation Manual, or Player’s Handbook. Tabletop.

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home care association of new york state inc hca

Home Care Association of New York State, Inc (HCA)

Emergency Preparedness Conference

2007

“TRIPLE CROWN FLU”

PANDEMIC TABLETOP EXERCISE

welcome
WELCOME
  • INTRODUCTIONS
  • SAFETY ISSUES
  • ROLES & RESPONSIBILITIES
  • REPORT-BACK DOCUMENTATION
  • “SITMAN” = Situation Manual, or Player’s Handbook.

Home Care Association of NYS

tabletop
Tabletop
  • Early step in an organized, progressive exercise program
  • Purpose:
    • facilitated analysis of plan;
    • identification of gaps, weaknesses and strengths in plan leading to improvement
    • staff training

Home Care Association of NYS

other types of exercises
Other types of Exercises
  • Orientation – low stress, informal, used to introduce policies and procedures
  • Drills – test a specific function, can involve deployment of people/equipment
  • Functional –“simulated” real thing; takes place in EOC, involves multiple functions; groups
  • Full Scale – as close to reality as possible; involves all response functions

Home Care Association of NYS

tabletop outcome what happens next
Tabletop Outcome (what happens next?)

Theory: one step at a time

  • Discussion; planning; plan
  • Problem identification during tabletop
  • Corrective action planning
  • Drills to test improvement in specific, identified problems
  • Tabletop (revisited) or functional exercise

Home Care Association of NYS

assumptions artificialities
Assumptions / Artificialities
  • Time is the only limiting factor – in order to stay “on-track”, the following apply:
  • The scenario is plausible, and events occur as presented.
  • No “hidden agendas” or trick questions.
  • All players receive information at the same time.

Home Care Association of NYS

exercise rules
EXERCISE RULES
  • There is no one “right answer.”
  • Respond based on your knowledge, experience & training.
  • Focus on problem solving efforts - suggestions and recommended actions that could improve response and preparedness efforts.
  • Assume cooperation & support from other responders & agencies.

Home Care Association of NYS

exercise rules8
EXERCISE RULES

and most importantly…

  • Varying viewpoints, even disagreements, are expected. This is intended to be a safe, open, stress-free environment.
  • Processes & decision making are more important than minute details.
  • The only limiting factors are time and open vs. closed minds…

Home Care Association of NYS

exercise objectives
EXERCISE OBJECTIVES
  • Discuss activation of your Emergency Response Plan
  • Discuss and outline for implementation the management of personnel in support of surge needs
  • Discuss implementation of occupational health response plan
  • Discuss and list procedures to coordinate with regulatory bodies for relief relating to various requirements
  • Work with Finance to implement billing & cost tracking
  • Discuss and outline combined knowledge of community partners’ plans, assets, resources, and needs
  • Discuss and outline a plan identifying responsible parties & reporting requirements for monitoring general health trends and illness in patients, staff, animals & pets

Home Care Association of NYS

exercise objectives10
EXERCISE OBJECTIVES
  • Discuss the development of protocols for increasing surge capacity.
  • Discuss and identify surge assistance needs.
  • Discuss & outline plans & collaborations for any necessary Alternate Care Site / Sheltering planning, Evacuation and Patient Locator (tracking) procedures.
  • Discuss working with Public Health to coordinate care for individuals who have been isolated or quarantined.
  • Discuss and outline plans & procedures for Demobilization (de-activation).

Home Care Association of NYS

module 1 march may 2007 off to the races
MODULE 1: (March – May 2007) Off to the Races
  • The CDC has confirmed, along with the WHO, that the H3N8 sub-type that was transferred from horses to dogs, has again jumped species and has infected human beings through canines. The number of human cases in northeastern NY is increasing. (What’s the difference here between Avian Flu/Asia and this situation?)
  • The WHO has issued a Phase 3 Pandemic Alert: human infections with a new sub-type, but no human-to-human spread, or at most rare instances of spread to a close contact.
  • Go to Page 9 of your SITMAN and follow the facilitator’s instructions.

Phase 3

Home Care Association of NYS

module 1 objectives
MODULE 1 Objectives
  • Discuss activation of an Emergency Response Plan
  • Discuss & outline for implementation, the management of personnel in support of surge needs
  • Discuss implementation of an occupational health response plan

Home Care Association of NYS

module 2 june 2007 man s best friend
MODULE 2: (June 2007)Man’s Best Friend
  • Limited human-to-human transmission has begun in the northeastern and southern portions of New York State.
  • The WHO has issued a Phase 4 Pandemic Alert: small clusters with limited human-to-human transmission, but spread is highly localized suggesting that the virus is not well adapted to humans.
  • Go to Page 11 of your SITMAN and follow the facilitator’s instructions.

Phase 4

Home Care Association of NYS

module 2 objectives
MODULE 2Objectives
  • Discuss & list procedures to:- coordinate with regulatory bodies for relief relating to (listed items).- Work with Finance to implement billing / cost-tracking
  • Discuss & outline combined knowledge of community partners’ plans, assets, resources & needs
  • Discuss & list a plan identifying responsible parties & reporting requirements for monitoring general health trends & illness in patients, staff, animals & pets

Home Care Association of NYS

slide16
BREAK

Home Care Association of NYS

module 3 mid july 2007 dog day afternoon
MODULE 3: (mid - July 2007)Dog Day Afternoon
  • Increasing numbers of human-to-human transmission is being reported throughout NYS. Animal control experts are attempting to enforce complete isolation & quarantine of all dogs, statewide, and the destruction of any animal exhibiting flu-like symptoms, or whose owners have acquired the disease.
  • The WHO has issued a Phase 5 Pandemic Alert: larger clusters of human-to-human spread, however still localized. This suggests that the virus is becoming increasingly better adapted to humans, but may not yet be fully transmissible (substantial pandemic risk).
  • Page 12

Phase 5

Home Care Association of NYS

module 3 objectives
MODULE 3Objectives
  • Discuss the development of protocols for increasing surge capacity
  • Discuss & identify surge assistance needs

Home Care Association of NYS

module 4 august 2007 the dog days of august
MODULE 4: (August 2007)The Dog Days of August
  • The numbers of human-to-human transmission throughout the State has increased dramatically. Hospitals and other healthcare facilities are overwhelmed.
  • We are in a Phase 6 Pandemic: there is increased and sustained human-to-human transmission in the general population.
  • Go to Page 15 of your SITMAN and follow the facilitator’s instructions.

Phase 6

Home Care Association of NYS

module 4 objectives
MODULE 4Objectives
  • Discuss / outline plans and collaborations for any necessary alternate care site / sheltering planning, evacuation & patient locator (tracking) procedures.
  • Discuss working with Public Health to coordinate care for individuals who have been isolated or quarantined

- What about the dogs?

Home Care Association of NYS

module 5 october 2007 snoopy come home
MODULE 5: (October 2007 - ?)Snoopy Come Home
  • The pandemic phases and several cycles have been completed. No new human-to-human infections have been reported in over a month. The overall mortality rate for this pandemic has been slightly under 30% (28.5). Hundreds of thousands of dogs have been euthanized and disposed of in accordance with Federal, CDC & Animal Control guidelines.
  • The quarantines and public gathering enforcement laws have been lifted.
  • Go to Page 17 of your SITMAN and follow the facilitator’s instructions.

Home Care Association of NYS

module 5 objectives
MODULE 5Objectives
  • Discuss & outline plans & procedures for the following de-activation (demobilization) activities:

- transition from surge to normal ops- discharge of surge patients- reconcile billing issues with Finance- After Action Reviews

Home Care Association of NYS

endex

ENDEX

&

“HOTWASH”

contact information
Contact Information

Alexis Silver

Home Care Association of NYS, Inc. (HCA)

(518) 810 – 0658

asilver@hcanys.org

Eugene Lucchese, MEP/CIC

NYSDOH Health Emergency Preparedness Program

(518) 474-2893

efl03@health.state.ny.us

Home Care Association of NYS

resources for training
Resources for Training
  • FEMA Independent Study Program http://training.fema.gov/IS/crslist.asp
  • State Emergency Management Training http://www.semo.state.ny.us/programs/training/catalog.cfm

Home Care Association of NYS