Emergency Management Working Group 14 January 2013

1. Emergency Management Working Group14 January 2013 Please remember to silence your cell phone.

2. Agenda • Call to Order • Review 2012 Efforts • Our Plan and Objectives for 2013 • An Update on our Active Shooter procedure • Using Technology to Improve Readiness • Mass Casualty Incidents • Workplace Violence • Evacuation using Medsleds • Adjourn

3. Review 2012 Efforts • Emergency Management Framework outlines program components • Complete an annual Hazard Vulnerability Analysis (HVA) that evaluates what could happen, the likelihood of the event occurring, and the magnitude of the problems created by an event. Once the HVA is complete, response plans are developed in the form of an Emergency Operations Plan (EOP). • Develop and maintain an EOP to implement emergency management concepts before, during, and after planned and real-world incidents. • Organize and implement drills and improvement projects to mitigate, prepare for, respond to, and recover from emergencies. • Address Joint Commission elements of performance to meet or exceed standards through the assessment of performance indicators. • Provide educational opportunities for employees at all levels in order to establish and sustain emergency management competencies.

4. Review 2012 Efforts • Performance Indicators are presented monthly to the Safety and Security sub-committee;

5. Review 2012 Efforts 2012 Incidents 2012 Top 5 Hazards Workplace Violence Inclement Weather Utility Outages Mass Casualty Incidents (MCIs) Technology Failures January: Jan 21 - Medical Nitrogen Gas Outage February • Feb 2 - ED Over-Capacity/Simultaneous Trauma Alerts • Feb 21 - Breaker Failure UVA Medical Center March • Mar 15 - Bomb Threat at Fontaine • Mar 21 - Baby Safe Server Failure • Mar 26 - Bomb Threat at Fontaine April: Apr 28 - Foxfield May • May 23 - 8 West Ceiling Leak • May 24 - nTelos Outage June: June 29 - The "Derecho" October • Oct 10 - Urgent Electrical System Repair/Outage • Oct 28 - Hurricane Sandy December • Dec 17 - Ambriar Shopping Center Explosion • Dec 30 - Medical Center Bomb Threat

6. Review 2012 Efforts Lessons Learned • Power loss causes significant issues for Ambulatory areas • Impact during off hours • Widespread Outages • Building Security • Elevators 5 and 6 are significant concerns • Fridays Before 5 Groups are effective • Evacuation education must be a focus • Anticipate the “Domino Effect”

7. 2013 Objectives • Continue to plan, exercise, and educate to the hazards that make us most vulnerable. • Sustain emphasis on preparing for unplanned incidents. • Maintain momentum created by combining the Safety and Security Manual with the EP&R Guide into a (Red) Book used at the unit level. • At the unit level (e.g. Cyber exercise comment to integrate downtime checklist into Red Book and S&S support for developing a smart phone App for use “in the moment”). • Emphasize and continue creating Area Specific Plans that appear helpful at the Manager/Director levels. • Tie both of these into the Emergency Operations Plan (EOP).

8. 2013 Objectives • Exercise • Quarterly Focus with additional emphasis on Downtime procedures (WPV, Severe Weather, Hazmat, Evacuation) • TableTop Exercises (TTX) for the Emergency Management Working Group to facilitate Hospital Command Center Operations • Mature Sub-Incident Management Teams (e.g. Clinops, Ambulatory, M.D.’s) • Full Scale and Functional Exercising (e.g. Evacuation, Hazmat, IT downtime)

9. 2013 Objectives • Mass educate to reach thousands (vs exercising to reach 100’s) • Workplace Violence • Mass Casualty Incidents • Evacuation • Formalize Response Teams • Fridays Before Five Teams • First Response Teams from Transportation, Medical Transport Program, SRO, and HSPP.

10. Active Shooter Update

11. Active Shooter Update Workplace Violence Preparedness and Response Framework Call for Security and Police • Medical Center and contiguous area specific • Portrays low to high threat situations Dial 911 UPD Security Incident Mgt Team (IMT) Life Threatening Active shooter Evacuate Area or Defend in Place Isolate area of incident close doors, clear hallways, turn off lights, eliminate line of sight Call for BERT Call for Security Dial 4-2012 Behavioral response teams Police, as necessary. Bomb Threat Hostage situation Infant Abduction Actual Physical Event Pinching, pushing, punching Potential Threat Clenched fists/jaw, pacing, restlessness, agitation, shouting Security Information Threat Assessment Dial 4-5048 or PIC 1647 for Hospital Security Green Alert Yellow Alert Red Alert

12. Active Shooter Update Workplace Violence Preparedness and Response Framework • Off-site specific • Portrays low to high threat situations Dial 911 then PIC 1655 UPD Security Incident Mgt Team (IMT) Life Threatening Active shooter Evacuate Area or Defend in Place Isolate area of incident, close doors, clear hallways, turn off lights, eliminate line of sight Law Enforcement Support Dial 911 then PIC 1655 Bomb Threat Hostage situation Infant Abduction Actual Physical Event Pinching, pushing, punching Potential Threat Clenched fists/jaw, pacing, restlessness, agitation, shouting Security Information // Threat Assessment Dial 4-5048 or PIC 1647 for Hospital Security Preparedness Response

13. Active Shooter Procedure

14. Using Technology to Improve Readiness Workplace ViolenceMass Casualty IncidentsEvacuation using Medsleds

15. Thank you for your help in 2012…and your continued support in 2013! Next meeting: 11 March 2013

16. Emergency Numbers 4-2267 • Power failure • Elevator outage • Flooding • Gas leak • Heating, air cond, and ventilation • Sewage back up • Water supply or contamination • Tube outage 4-2012 • Bomb Threat • Fire • Medical emergency • Infant abduction • Medical gas outage • Workplace violence 2-FIXX • Transportation • Pool equipment • Environmental Services • Courier/Interfacility services • Linen • Nutrition Services Other Numbers • 4-5334:  Computer system failure • 2-4911:  HAZMAT • 4-8600: Telephone outage