Onx After Action Report Draft | ONX System

After Action Report / Improvement PlanOhio Contagion Functional Exercise

ADMINISTRATIVE HANDLING INSTRUCTIONS

1. The title of this document is The "Ohio Contagion - A Healthcare Coalition Functional Exercise" After Action Report.

2. The information gathered in this AAR/IP is classified as For Official Use Only (FOUO) and should be handled as sensitive information not to be disclosed. This document should be safeguarded, handled, transmitted, and stored in accordance with appropriate security directives.

3. At a minimum, the attached materials will be disseminated only on a need-to-know basis and when unattended, will be stored in a locked container or area offering sufficient protection against theft, compromise, inadvertent access, and unauthorized disclosure.

4. Points of Contact:

Health Department:

Betty KingWashington County Health Department(Office) 740-374-2782 # 1013(E-Mail) bking@washco-ohhealth.org

Hospital:

Morgan SaundersHolzer Medical Center - Gallipolis(Office) 740-446-5454(E-Mail) msaunder@holzer.org

Exercise Director:

Chris FloydDisaster Resistant Communities Group LLC(Office) 850-241-3565(E-Mail) chrisfloyd@drc-group.com

CONTENTS

2ADMINISTRATIVE HANDLING INSTRUCTIONS

3CONTENTS

4EXECUTIVE SUMMARY

5SECTION 1: EXERCISE OVERVIEW

5Exercise Details

6Participant Information

8SECTION 2: EXERCISE DESIGN SUMMARY

8Exercise Purpose and Design

8Exercise Objectives, Capabilities and Activities

9Scenario Summary

10SECTION 3: ANALYSIS OF CAPABILITIES

187SECTION 4: CONCLUSION

189APPENDIX A: IMPROVEMENT PLAN

193APPENDIX B: PARTICIPANT FEEDBACK (Strengths Areas for Improvement)

263APPENDIX C: ACRONYMS

EXECUTIVE SUMMARY

Ohio Contagion - A Healthcare Coalition Functional Exercise was designed and facilitated to provide an opportunity for the management and staff that make up individual hospitals, health departments and public health partners to work through scenario information and injects dealing with the numerous challenges associated with maintaining operations with a reduced workforce while supporting the health and medical needs of local residents.

The purpose of this report is to analyze exercise results, identify strengths to be maintained and built upon, identify potential areas for further improvement, and support development of corrective actions.

Incorporated in Section 3: Analysis of Capabilities of this After Action Report is a comprehensive listing of each Core Capability with its associated Major Strengths, Primary Areas for Improvement and Improvement Recommendations

SECTION 1: EXERCISE OVERVIEW

Exercise Details

Exercise Name:

Ohio Contagion - A Healthcare Coalition Functional Exercise

Type of Exercise:

Functional

Exercise Start Date:

May 8, 2014

Duration:

Three Hours

Location:

Southeast and Southeast Central Ohio Homeland Security Regions

Sponsor:

Ohio Hospital Association

Scope: The purpose of the exercise was to provide an opportunity for the management and staff that make up individual hospitals, health departments and public health partners to work through scenario information and injects dealing with the numerous challenges associated with maintaining operations with a reduced workforce while supporting the health and medical needs of local residents.

Mission Area: The focus of the exercise was community preparedness, response and recovery due to a significant pandemic.

Core Capabilities:

Hospitals

Implement Hospital Incident Command

Establish Full Hospital Incident Command

Communications

Develop Incident Action Plans

Demobilize Operations

Health Departments

Community Preparedness

Emergency Operations Coordination

Emergency Public Information and Warning

Information Sharing

Responder Safety and Health

Threat / Hazard: Natural

Scenario Type: Pandemic

Participant Information

Participant

Location

Adena Pike Medical Center

Adena Regional Medical Center

Athens County Health Department

Barnesville Hospital

Belmont Community Hospital

Belmont County Health Department

Coshocton County Health Department

Coshocton County Memorial Hospital

Doctors Hospital of Nelsonville

East Ohio Regional Hospital

Gallia County Health Department

Genesis Healthcare System

Guernsey County Health Department

Harrison Community Hospital

Harrison County Health Department

Hocking County Health Department

Hocking Valley Community Hospital

Holzer Medical Center Athens

Holzer Medical Center Gallipolis

Holzer Medical Center Jackson

Jackson County Health Department

Jefferson County Health Department

Lawrence County Health Department

Marietta Memorial Hospital

Meigs County Health Department

Monroe County Health Department

Morgan County Health Department

Muskingum County Health Department

Noble County Health Department

O'Bleness Memorial Hospital

Perry County Health Department

Pike County Health Department

Ross County Health Department

Scioto County Health Department

Selby General Hospital

Southeastern Ohio Regional Medical Center

Southern Ohio Medical Center

Trinity Medical Center West

Vinton County Health Department

Washington County Health Department

Number of Participants

366

SECTION 2: EXERCISE DESIGN SUMMARY

Exercise Purpose and Design

The purpose of the exercise was to provide an opportunity for the management and staff that make up individual hospitals, health departments and public health partners to work through scenario information and injects dealing with the numerous challenges associated with maintaining operations with a reduced workforce while supporting the health and medical needs of local residents.

Exercise Objectives, Capabilities and Activities

Capabilities-based planning allows for the exercise planning team to develop exercise objectives and observe exercise outcomes through a framework of specific action items that were derived from the Target Capabilities List (TCL). The capabilities listed below form the foundation for the organization of all objectives and observations in this exercise. Additionally, each capability is linked to several corresponding activities and tasks to provide additional detail.

Based upon the identified exercise objectives below, the exercise planning team decided to demonstrate the following capabilities during this exercise:

Hospital Incident Command System

Activity

Core Capability

# 1

Implement Hospital Incident Command

# 2

Establish Full Hospital Incident Command

# 3

Communications

# 4

Develop Incident Action Plan (IAP)

# 5

Demobilize Operations

Health Department Operations

Capability

Core Capability

# 1

Community Preparedness

# 3

Emergency Operations Coordination

# 4

Emergency Public Information and Warning

# 6

Information Sharing

# 14

Responder Safety and Health

Scenario Summary

An outbreak of unusually severe respiratory illness is identified in a small village in southern China.

Over the next 45 to 60 days the outbreak becomes a devastating Phase 6 infectious disease pandemic effecting communities throughout the United States.

SECTION 3: ANALYSIS OF CAPABILITIES

Hospital Incident Command System

Performance

Core Capability

[OVERALL]

Activity # 1: Implement Hospital Incident Command

Associated Critical Tasks

Task # 1.1: HICS staff establishes Incident Command.

Strong

Hocking Valley Community Hospital

Observations

HVCH was very proficient and outstanding in understanding their plan.

Recommendations

None

Strong

O'Bleness Memorial Hospital

Observations

Well laid out in their plan

Recommendations

None

Strong

Marietta Memorial Hospital

Observations

Hospital Incident Command was established early during the exercise well before guided to do so by the scenario play etc... Significant thought went into deciding who would perform each role.

Recommendations

None

Adequate

Belmont Community Hospital

Observations

When the HICS was activated the individuals assigned to the positions were knowledgeable of their role and responsibilities. The group worked together well in discussing the problem at hand and those in the foreseeable future. The group assemble had open dialogue all participants had input. The weak point that I observe was the flow of information and decisions made to the whole group.

Recommendations

The group as a whole needs to be informed of all the decisions and changes in the Action Plan.

Strong

East Ohio Regional Hospital

Observations

All positions staffed by hospital personnel.

Recommendations

None

Strong

Southern Ohio Medical Center

Observations

Responders received initial briefing and went to work organizing the ICS Command structure. Discussed