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DESIGNING A SUCCESSFUL EXERCISE WITH MEASUREABLE OBJECTIVES; INCLUDING JOINT COMMISSION’S SIX CRITICAL A REAS Patient Movement in the Midst of a Disaster.

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Presentation on theme: "DESIGNING A SUCCESSFUL EXERCISE WITH MEASUREABLE OBJECTIVES; INCLUDING JOINT COMMISSION’S SIX CRITICAL A REAS Patient Movement in the Midst of a Disaster."— Presentation transcript:

1 DESIGNING A SUCCESSFUL EXERCISE WITH MEASUREABLE OBJECTIVES; INCLUDING JOINT COMMISSION’S SIX CRITICAL A REAS Patient Movement in the Midst of a Disaster

2 Objectives By the end of this session, you will be able to:  Define the Homeland Security Exercise Evaluation Program (HSEEP)  List the seven building blocks of exercise in order  Identify how SMART elements are used in writing objectives  Define the key elements of facilitating an exercise  Review a table top active shooter exercise

3 HSEEP - Defined “ Homeland Security Exercise Evaluation Program” Capabilities-based exercise program Ensures consistent terminology Provides tools and resources to help build self- sustaining exercise programs. Generic process that is flexible. Meets the NIMS goals in HSPD-8

4 Benefits of HSEEP Proven effective to validate plans, policies, agreements, procedures, Streamlines the exercise process Builds on same elements for each type of exercise (discussion-based or operational) Identifies gaps Identifies strengths Thus identifying priorities for funding, resources, time, etc…..

5 Building-Block Approach to Exercise Scheduling Uses a cycle of increasingly complex exercises Builds upon lessons learned from previous exercises x

6 Seminar Discussion-based exercise Informal discussion Designed to orient participants to new or updated plans, policies, or procedures. Example: A Seminar to review the hospitals evacuation/surge capacity plans.

7 Workshop Discussion-based Exercise Used to build a specific product such as a draft plan or policy Example: A workshop to develop a new plan for patient placement during an evacuation.

8 Tabletop Exercise (TTX) Discussion-based Exercise Involves key personnel Discusses simulated scenarios Informal setting Used to assess plans, policies, and procedures, agreements Example: Hospital Command Center staff, Facilities, Security and nursing leadership meets to discuss an ICU evacuation based off of a fire scenario.

9 Game Discussion-based Exercise Simulation of operations Involves two or more teams (competitive) Uses rules, data, and procedures designed to depict an actual or assumed real-life situation. Example: Emerging technology with online scenarios.

10 Drill Operations-based Exercise Coordinated, supervised activity Tests a single, specific operation or function within a single entity using internal SOPs Example: Hospital conducts a decontamination drill

11 Functional Operations-based Exercise Examines and/or validates coordination, command, and control through use of injects Between various multi-agency coordination centers with key personnel Does not involve any “boots on the ground” Example: Fire in hospital scenario. Hospital Command Central activates and coordinates with first responders for patient movement

12 Full-Scale Operations-based Exercise Multi-agency, multi-jurisdiction, multi-discipline Involves coordinating response Involves “boots on the ground” response Example: Earthquake scenario, one hospital in the region severely damaged and must evacuate to surrounding hospitals. This would involve, fire, hospital, EMS, transportation, law, EOCs, etc.

13 You Tell Us! What building blocks are needed to successfully evaluate the following: (Sample) Patient care during an incident Seminar to explain plans Tabletop to walk through the plan, setup, and resources Drill to triage patients, as walkthrough Full scale exercise – from activation request to actually moving patients  Activate the Hospital Command Center

14 What are Objectives ? Cornerstone of design and development Define specific goals Provide framework for scenario development Drive formulation of Master Scenario Events List (MSEL) Guide development of individual organizational objectives Provide evaluation criteria by focusing on what needs to be accomplished during exercise

15 Exercise Design Planning Team Creates the Objectives Uses HICS structure Includes representation from key participating agencies Incorporates Subject Matter Experts (SMEs) Employs project management principles Follows a standardized design/development process Support of leadership in each participating agency

16 Differences in Objectives Discussion-Based Exercise Objectives: Typically focus on strategy and policy- oriented issues (discuss/review plans, SOPs) Operations-Based Exercise Objectives: Typically focus on integration of multiple entities and systems-level and tactical-level issues (activation of plans, SOPs)

17 SMART Objectives Simple: an easily understood statement Measurable: can be gauged against a standard Achievable: challenging but not impossible Realistic: plausible for your jurisdiction and germane to what you want to accomplish Task-oriented: tied to a task and measures what you want to exercise

18 Example Objective Discuss the process for establishing… WHO: Hospital command WHAT: to include naming the incident and setting incident objectives and priorities CONDITIONS: during a chemical/hazmat spill STANDARDS: in accordance with existing standard operating procedures (SOPs).

19 Sample Objective Discuss the process for establishing hospital command to include naming the incident and setting incident objectives and priorities during a chemical/hazmat spill in accordance with existing standard operating procedures (SOPs).

20 Who is Involved in an Exercise?  Participants  Evaluators  Observers/VIPs  Facilitators  Recorders  Controllers  Actors  Volunteers  Simulators

21 Facilitators Discussion-Based:  Facilitates discussion and coordinates issues between groups  Focuses the group’s discussions on specific areas and questions  Recognizes issues to be resolved  Verifies notes provided by the recorder Operations-Based:  N/A Roles and Characteristics:  Should be comfortable talking in front of large groups of people  Knowledgeable on plans and policies

22 Review Active Shooter Table Top Exercise… Thank you for your participation Marci Scott, Program Manager Pierce County Dept. of Emergency Management mscott@co.pierce.wa.us


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