Onx After Action Report Draft | ONX · Web viewIncorporated in Section 3: Analysis of...
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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) [email protected]
Hospital:
Morgan SaundersHolzer Medical Center - Gallipolis(Office) 740-446-5454(E-Mail) [email protected]
Exercise Director:
Chris FloydDisaster Resistant Communities Group LLC(Office) 850-241-3565(E-Mail) [email protected]
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