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Los Angeles County Operational Area Statewide Medical & Health Exercise 2011. (Name of Agency Here) November 17, 2011. Exercise Agenda. 0700 – Sign-in 0730 – Player’s Briefing 0800 – Start Exercise 1200 – EndEx & Hotwash. Housekeeping. Exercise Documents in Hand Player Handout

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Los angeles county operational area statewide medical health exercise 2011

Los Angeles County Operational AreaStatewide Medical & Health Exercise 2011

(Name of Agency Here)

November 17, 2011

Exercise agenda
Exercise Agenda

  • 0700 – Sign-in

  • 0730 – Player’s Briefing

  • 0800 – Start Exercise

  • 1200 – EndEx & Hotwash


  • Exercise Documents in Hand

    • Player Handout

    • Communications Directory

    • EOPs, Checklists, Etc.

  • Wear your vests – Ensure you sign in/out

  • Wear credentials outside and above the waist

  • Please place non-exercise related communications devices on vibrate

  • Emergency exits

  • Restrooms

  • Food/beverage

Exercise purpose
Exercise Purpose

  • Part of the annual Statewide Health and Medical Exercise coordinated by California Department of Public Health (CDPH)

  • An opportunity to exercise the entire medical and health mutual aid and response system across the State

  • An opportunity to identify systematic and individual areas for improvement and best practices to share with others

  • Can be used to meet other exercise requirements (e.g., HPP, Joint Commission)


  • Operational Area /EMS Agency/Public Health

    • Interoperable Communications

    • Intelligence/Information Sharing and Dissemination

    • Environmental Health

    • Emergency/Department Operations Center Management/Resource Management

  • Hospitals

    • Communications

    • Intelligence/Information Sharing and Dissemination

    • Medical Surge

    • Hospital Command Center Management

    • Public Safety and Security Response


  • Clinics

    • Communications

    • Intelligence/Information Sharing and Dissemination

    • Medical Surge

    • Emergency Operations Center Management

  • Fire/EMS/Ambulance Provider Agencies

    • Communications

    • Intelligence/Information Sharing and Dissemination

    • Medical Surge

    • Emergency Operations Center Management

Functional exercise
Functional Exercise

  • Players perform processes in real time as they would in a real world situation with the exception of actually deploying resources to the field

    • If They Are Playing – Communicate With Them!

      • Follow procedures and protocols

      • Use Communications Directory

  • No-Fault learning environment

    • Evaluation of organizational capabilities, not individuals

    • A focus on process and outcomes

  • Participants

    • Players

    • Exercise Staff

      • Controllers/Coaches

      • Simulators

      • Evaluators

Functional exercise cont
Functional Exercise (Cont.)

  • Simulation Cell (SimCell)

    • Provides scenario-related injects to drive play

      • Phone calls, email/information management system, and paper

      • Do not fight injects; instead focus on the action you should take in response

      • Each inject is designed to meet exercise objectives

    • Acts as all entities (organizations, individuals, etc.) that are not participating as players

      • The Communications Directory tells who is and isn’t playing

        • Provides contact information for SimCell

      • Identify the organization, agency, office, and/or individual with whom you want to speak when you call

        • SimCell will not make decisions for Players

        • Recognize the knowledge limitations of Simulators

Functional exercise cont1
Functional Exercise (Cont.)

  • LA County DHS DOC

    • Focus will be on process

    • Coaches are available to guide you through the process

    • No- fault learning environment

    • Goals for the DOC include

      • Situational Awareness

      • Establishment of SMART Objectives

      • Development of an IAP

      • Resource Management (bed, volunteers)

      • Communications

Rules of play
Rules of Play

  • Real-world emergencies take priority over exercise activities

  • Players are expected to act in a professional manner at all times

  • Exercise Staff/Player Engagement

    • Controllers will only provide information they are specifically directed to disseminate

      • Obtain other information through existing information channels

    • Evaluators may interview Players at appropriate times

    • Respect the exercise staff’s efforts to maintain the integrity of the exercise

    • Do not engage exercise staff in casual conversation

    • Ask a Controller/Coach if the exercise confuses you

Rules of play cont
Rules of Play (Cont.)

  • All verbal, written, and electronic communication will start and end with

    “This is an Exercise”

  • Use “Real-World Emergency” to classify a real situation that might affect safety or the exercise

    • Notify the nearest Controller

  • “Timeout” is used by Controllers/Coaches to temporarily stop exercise play if necessary or to facilitate a specific learning point

  • Under no circumstances will exercise communication interfere with real-world emergency communications

    • Only use contact information in the Communications Directory

Rules of play cont1
Rules of Play (Cont.)

  • Respond to the exercise events and information as if the emergency were real

    • Demonstrate the activity

      • Examples: write the IAP, issue a press release, submit the resource request, communicate the decision

      • Verbalize processes for Evaluators

    • Make decisions, discuss alternatives, take calculated risks

      • “This is a decision for a higher pay grade” is not allowed

      • Lives and property depend on your action with the information available

      • Decisions are NOT precedent setting

    • Be realistic about resource availability

After the exercise
After the Exercise

  • Participate in the Hotwash

    • Give honest and constructive feedback

    • Identify strengths and areas for improvement

  • Complete and submit a Participant Feedback Form

  • Provide documentation to Evaluator

    • Make copies for yourself if you would like

Background scenario
Background Scenario

  • Homeland Security officials in California have issued warnings to local health departments and water systems concerning a threat to disrupt water facilities throughout the state.

  • The Joint Regional Intelligence Center (JRIC) has disseminated information and intelligence that include the following threats: sabotage or disruption of the water treatment systems, contamination of the water distribution systems and/or contamination of local reservoirs.

Background scenario cont
Background Scenario (Cont.)

  • It is mid-November and the annual flu season has begun to take hold across the State. In addition to recommending flu shots, health professionals are recommending the use of over-the – counter medicines to control symptoms along with getting plenty of rest and drinking plenty of fluids. Healthcare facilities have seen a significant surge of patients.

  • The JRIC has issued a Request for Information regarding recent incidents of vandalism at storage reservoirs and suspicious activities around water treatment facilities in the Los Angeles area.


  • What strengths were demonstrated during the exercise?

  • Identify 1-3 practices to “sustain”

  • Identify 1-3 practices to “improve”

    • Plans, policies, procedures

    • Training

    • Resources (equipment, supplies, MOUs)

    • Communication and coordination

  • How might identified strengths be used to address identified gaps/weaknesses?

  • What additional things did you learn during this exercise? Any surprises?

  • Please complete and submit Feedback Forms

Thank you for participating

Thank You for Participating