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Evaluation & Exercise Susan Belt, MT(ASCP) Director, Evaluation & Exercise Development Phone: 785-296-1984 E-Mail: sbelt@kdhe.state.ks.us National Preparedness Goal Target Capabilities List Capabilities Based Planning National Planning Scenarios Capabilities-Based Planning

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Evaluation exercise l.jpg

Evaluation & Exercise

Susan Belt, MT(ASCP)

Director, Evaluation & Exercise Development

Phone: 785-296-1984

E-Mail: sbelt@kdhe.state.ks.us


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National Preparedness Goal

Target Capabilities List

Capabilities Based Planning

National Planning Scenarios

Capabilities-Based Planning

Identify the capabilities needed to prevent, protect against, respond to and recover from incidents of national significance

Target Capabilities

  • Tasks organized into 37 capabilities

  • Led to capabilities-based planning

Model 1: Evolution of Capabilities-Based Planning

Universal Task List


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National Homeland Security Strategy and Health and Medical Planning

Strategy

Presidential Directives

National Initiatives

State Implementation

KDHE – DOH Implementation

National Response Plan (NRP)

Homeland Security Presidential Directive 5

Emergency Support Function 8 – Health and Medical

Kansas Response Plan (KRP)

The National Strategy for Homeland Security

National Incident Management System (NIMS)

Biological Incident Annex

National Preparedness Goal

Standard Operating Guides (SOGs) are developed that detail “how” the plans will be carried out. SNS and EOC SOG’s have been drafted. Disease specific checklists will be included in existing guides.

The following plans will be encompassed in the KRP: Bioterrorism, Smallpox, Strategic National Stockpile, and Pandemic Influenza.

Homeland Security Presidential Directive 8

National Planning Scenarios

Universal Task List (UTL)

NIMS Training (IS-700) for all public health and medical personnel with response roles in their position descriptions (state and local)

Target Capabilities List (TCL)

Kansas NIMS Implementation Plan

PRIORITY

Strengthen Medical Surge and Mass Prophylaxis Capabilities

National Preparedness Guidance


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37 Target Capabilities Planning

Common

Planning

Communications

Citizen Preparedness and Participation

Risk Management

Prevent Mission Area

Information Gathering and Recognition of Indicators & Warnings

Intelligence Analysis & Production

Intelligence/Information Sharing and Dissemination

Law Enforcement Investigation and Operations

CBRNE Detection

Protect Mission Area

Critical Infrastructure Protection (CIP)

Food and Agriculture Safety and Defense

Epidemiological Surveillance and Investigation

Public Health Laboratory Testing

Respond Mission Area

Animal Health Emergency Support

Emergency Operations Center Management

Critical Resource Logistics and Distribution

Volunteer Management and Donations

Responder Safety and Health

Respond Mission Area (cont)

Public Safety and Security Response

Firefighting Operations/Support

WMD/Hazardous Material Response and Decontamination

Explosive Device Response Operations

On-Site Incident Management

Environmental Health

Citizen Protection: Evacuation and/or In-Place Protection

Isolation and Quarantine

Urban Search and Rescue

Emergency Public Information and Warning

Triage and Pre-Hospital Treatment

Medical Surge

Medical Supplies Management and Distribution

Mass Prophylaxis

Mass Care (Sheltering, Feeding, and Related Services)

Fatality Management

Recover Mission Area

Structural Damage and Mitigation Assessment

Restoration of Lifelines

Economic and Community Recovery


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Performance Measurement Planning

  • Mission – x4

  • Target Capability – x 37

  • Tasks – x 1600

  • Metrics – x 5000 +

  • All activities should tie to these!


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Planning Assumptions Planning

  • 10% decrease in funding

  • No increase in staff, turnover 28%

  • Federal grant requirements WILL change

  • Exercises for LEPC, JCAHO, etc

  • Some tasks don’t contribute to understanding of preparedness

  • Currently written plans


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Performance Measures Planning

  • CDC Goals and Measures

  • HRSA Goals and Measures

  • Pan Flu Goals and Measures

  • National Preparedness Goals

  • Kansas DHS Investments

  • Public Health Essential Services

  • Core Public Health Competencies

  • Bioterrorism Competencies

  • Kansas Response Plan ESF 8 Functions


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CDC Performance Measures Planning

  • Currently there are 9 goals and 23 measures.

    • Prevention, Detection, Reporting, Investigation, Control, Recover, Improve

  • CDC has a longer list they are working with for more measures.

    • (A workgroup is debating each one’s merit.)

  • Don’t monitor the same each period.

  • No federal schedule for monitoring.


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Example Performance Measures Planning

  • Goal 2: Detection and Reporting Time to initiate an epi investigation of an event that may be of urgent public health consequence.

  • Goal 6: Control Percent of key health partners who are notified when electric power grid, etc are unavailable.

  • Goal 7: Recover Time to issue guidance to the public after an event.



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Strategic Planning Planning

  • Environmental Analysis – 5 forces

    • Additional Entities, Consumers, Providers, Threat of Substitutes, Rivalry

  • Gap Analysis

    • Statewide Exercises

    • HSEEP Compliance

    • NIMS Compliance

    • Electronic Options

    • Centralized Calendar


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CPHP Exercise Plans Planning

  • Additional template tabletop exercises

    • Tuberculosis, smallpox, SNS arrival, etc

  • Template functional exercises

    • Including plan activation, ICS, epi investigation

  • Template evaluator forms for each exercise

    • Including new forms for PODs

  • Strategic plan with future exercise objectives already plotted for future grant years

  • AAR / Evaluation classes

  • Program for direct assistance for exercises


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CPHP Exercise Priorities Planning

  • Worker Health and Safety

  • Volunteer Management

  • Triage & Pre-hospital Treatment

  • Fatality Management

  • Emergency Public Information

  • Interoperable Communications

  • Mass Prophylaxis

  • Medical Surge

  • Isolation and Quarantine

  • Epidemiology & Lab

  • Medical Supplies Management


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Deliverables Format Planning

  • By Target Capability /Task

  • Participation in state designed /conducted

    • Evaluation forms provided

    • AAR templates provided

  • Participation in local designed/conducted

    • TA provided according to terms

  • AARs must address original task list by date certain


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Evaluation and AAR Reporting for Health Care Exercises Planning

  • Topeka – Aug 28 & Sept 28

  • Salina – Aug 30 & Sept 26

  • Wichita – Aug 31 & Oct 26

  • Pittsburg – Sept 10

  • Chanute – Sept 14

  • Hays – Oct 22

  • Garden City – Oct (date TBD)


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2008 Schedule Planning

  • January 17 – Hot Shot / Packing & Shipping Drill

  • March 25 – State FBI TTX

  • March 26 – State JIC FE

  • April 16 – State DOC Drill + DOC TTX

  • June 10-12 – Project VP3 (Statewide FSE)

  • July 29 – RSS Drill

  • August 6-8 – CHEMPAK Seminar

  • October 21 – Decon Drill #1

  • October 22 – Decon Drill #2

  • October 23 – Decon Drill #3


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2009 Schedule Planning

  • January 27 – Triage TTX #1

  • January 28 – Triage TTX #2

  • January 29 – Triage TTX #3

  • March 23-27 – Medical Surge Drill / Epi via WebEOC

  • May 5 – Mass Fatality TTX #1

  • May 6 – Mass Fatality TTX #2

  • May 7 – Mass Fatality TTX #3

  • July 14 – Alternate Care Site Seminar

  • September 14 – State EOC Drill

  • September 22 – Tanker of Terror #1

  • September 23 – Tanker of Terror #2

  • September 24 - Tanker of Terror #3

  • November 17 – RSS Drill

  • December 1-3 – Alternate Care Site Drill / Community Containment


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2010 Schedule Planning

  • January 27 – Electronic Triage TTX #1

  • January 28 – Electronic Triage TTX #2

  • January 29 – Electronic Triage TTX #3

  • March 23-25 – WebEOC Drill/ Epidemiology Electronic TTX

  • April 20 – RSS Drill

  • June 15 – STATPAK / Hot Shot Drill

  • July 15 - State EOC TTX

  • July 15 – DOC Drill

  • August 3-5 – Federal Flavor of the Day TTX

  • October 25-29 – Oktoberfest II:The Nightmare Continues FSE


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“Box” Drills Planning

  • “Box” patients move through the full-scale to test supply levels and protocols such as decontamination and triage.

  • KDHE will purchase: triage tags, boxes, general PPE, etc but we’re…..

    • Looking for expired supplies

    • Looking for pharmaceutical boxes

    • Looking for suggestions


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Questions? Planning

Susan Belt, MT(ASCP)Director, Evaluation and Exercise DevelopmentKDHE, Center for Public Health Preparedness

Phone: 785-296-1984Blackberry: 785-217-3499E-Mail: sbelt@kdhe.state.ks.us