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Emergency Management Working Group 9 July 2012.  Call to Order and Approval of Minutes  Guest Speaker: Chief Charles Werner Charlottesville Fire Department.

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Presentation on theme: "Emergency Management Working Group 9 July 2012.  Call to Order and Approval of Minutes  Guest Speaker: Chief Charles Werner Charlottesville Fire Department."— Presentation transcript:

1 Emergency Management Working Group 9 July 2012

2  Call to Order and Approval of Minutes  Guest Speaker: Chief Charles Werner Charlottesville Fire Department Geographic Information Systems (GIS) Project for CVILLE  Expanded “Group 99” Page Groups (M.Winstead)  Getting more people involved in setting up the Hospital Command Center (N.Kell)  Incident Reviews (N.Kell) Bomb Threat Baby Safe nTelos Severe Thunderstorm and Extended Power Outage  Sub-Incident Management Teams … spinning these up in hospital and off-site locations (T.Berry)  Adjourn Agenda

3 Geographic Information Systems (GIS) Project for CVILLE Presented by; Chief Charles Werner Charlottesville Fire Department Guest Speaker

4 Emergency Preparedness and Response Expanded “99” Page Groups Marc Winstead, BS, RRT, EMT-P Emergency Preparedness and Response Coordinator Center for Emergency Management

5  Group 99:MCI  Group 199: In-house (24/7) pagers  Group 299: Managers and Directors  Group 399: Administrators and Chiefs  Group 499: Utility Outages  Group 599:Computer/IT Outage  Group 699:Weather Event  Group 799:Hazmat/Decon Incident  Others to be developed Page Group 99’s

6 Mass Casualty Incident  Medcom  AoC, Nursing Supervisor, Bed Ctr  ED MoD, ED Shift Mgr  EM Dir, EM OMD, EM MoD  Surgery Attending, Trauma Coord.  Radiology Administrator  EOC Administrator  Others as Needed Page Group 99

7 Utility Outage  AoC, Nursing Supervisor, Bed Ctr  EM Dir, EM OMD, EM MoD  HSPP Administrator  HSPP Engineers  HSPP Zone 1 Superintendent and Supervisors  Communications Manager  EOC Administrator  Pt & Guest Services  Others as Needed Page Group 499

8 Computer/IT Outage  AoC, Nursing Supervisor, Bed Ctr  EM Dir, EM OMD, EM MoD  HSPP Administrator  HSPP Engineers  HSCS: Perry, Monroe, O’Malley, Fielding, Hughes, Barbieri, Preston, HSTS AoC  Communications Manager  Others as Needed Page Group 599

9 Weather Event  AoC, Nursing Supervisor, Bed Ctr  EM Dir, EM OMD, EM MoD  HSPP Administrator  EOC Administrator  PT & Guest Services  Communications Manager  Others as Needed Page Group 699

10 Hazmat/Decon Incident  AoC, Nursing Supervisor, Bed Ctr  EM Dir, EM OMD, EM MoD  HSPP, Medical Transport, HIS, EH&S, HSPP Zone 1 Superintendent and Supervisors  Kostas Alibertis, Will Barnhardt, Nick Kell, Sara Ferrell, SEMM Supervisor  EOC Administrator  UVAHS Security  Media Relations  Others as Needed Page Group 799

11  Ambulatory Fontaine Northridge Multistory Orange 1222 JPA  School of Medicine Page Group TBD

12  Emergency Management needs assistance with setting up the Hospital Command Center (HCC)  Takes about 1 hour and 30 minutes when 2 people set it up  Tables, chairs, computers, phones, printer, projector, paper products, etc  Blue print is inside of cabniet  If you are paged for assistance, lock combination will be provided Command Center Set-up

13 Incident Reviews Presented by; Nick Kell Center for Emergency Management

14 Situation At approximately 0230 on 21 March 2012, a network server servicing the 7 th and 8 th floor infant security system failed causing complete failure of the system. Major Take-aways: Redundancy with hardware and data storage Major burden to provide manual security on all exits Planning for multiple operational periods Elevators must be reconfigured First incident to pull in the FB5 groups for additional manpower Baby Safe Server Failure

15 Situation On 24 May 2012, components of the AMCOM paging system experienced hardware failure resulting in the inability to send messages to PCI numbers connected to nTelos devices. Major Takeaways: Weak and vulnerable system, 3 outages in 2 months. Downtime procedures Need a formal plan Moving PIC #s to cell phone #s The “Queue” nTelos Outage

16 Situation On 15 March 2012, a male patient made a verbal threat to blow up the building at Pain Management Clinic at Fontaine. Major Takeaways Evacuation for a non-fire emergency Separating Area Specific Fire and Evac Plans Communication Timing of messaging Ambulatory Staff and Health System Alerts Broad vs Targeted messaging Bomb Threat #1

17  Different perspectives of responders Those at incident site and those in “Command Center”  Leadership organization in the external environment Sub-IMTs EP&R liaison Staging Manager  Moving Forward Bomb Threat #1 Continued …

18  Activation of Incident Mgt Team via Page Groups and Enotify  Teleconferencing  Communications In the first 2 hours After the first two hours WebEOC, Instant Messaging, hand held radios HCC Operations

19  Roles in the Hospital Command Center (HCC)  Sub IMT’s … groups that need to form outside of the HCC  Off Site IMT’s … i.e. Fontaine, Northridge, Republic Plaza, etc Incident Management Teams

20  Incident Commander: Normally Nursing Sup or Admin on-call. Establishes and manages by objectives. Conducts rapid assessment of situation and determines whether the emergency can be managed with resources available. Assigns Emergency Response Levels which drives resources needed.  Command Staff: Includes Public Information Officer, Safety Officer, Liaison, Medical Director.  Clinops: Next weeks Administrator on-call. Conducts rapid assessment of situation by interfacing with people assigned within Clinical Operations structure. Develops tactics for established objectives. Responsible for ensuring safe and wherever possible continuous patient care operations. Facilitates and directs surge capacity demands. HCC – Key Roles

21  Plans: See separate slide.  Logistics: Conduct rapid assessment of situation by interfacing with people assigned within Logistics structure. Develops tactics for established objectives. Maintains resource needs and status of logistical operations (i.e. utilities, computing, clinical support, and support functions). Responsible for ensuring safe and wherever possible continuous patient care operations. HCC – Key Roles

22 HCC - Incident Management Team Incident Commander Administrator on-call Liaison Officer Safety Officer Public Information Officer Medical/Technical Specialist(s) General Staff Command Staff Clinical Operations Next week’s A-on-call PlansLogisticsFinance Deputy Incident Commander Agency Executives / Incident Advisory Council Family Care Center

23 CLINOPS UVA MTN Hazmat // Decon Triage Adult Peds Overflow MedSurg CritCare ORs C & W Psych SocWork Chap RT Pharmacy (decentralized) Infection Control TCH KCRC HomeHealth ECCCC Renal HeartCenter Therapies Clinical Nutrition XRay MRI IV Rad CT U.Sound Pharm Medical Labs Prehosp ED Hosp Ops Ambulatory Ops Ancillary and Allied Health SRO = Staging for Clinicians Clinical Operations Section ChiefDeputy Nursing Sup SoM Bed Coordination Center Know where you fit and think about sub-IMT’s … groups that can formed outside of the HCC

24 Logistics CE Patient Transport Supply Chain Mgt Morgue Security EoC - Environ Svc - Nutrition Svc Supply Chain P&G - Information Desks - Greeters - InterfacilityTransport P&T Facilities HSPP Volunteer Services Child Services Non-clinical personnel Vehicles Equip & Supplies Logistics Section Chief Staging Manager Resource Support CenterDeputy Clinical Support BranchSupport Services Branch Health System Computing Services Know where you fit and think about sub-IMT’s … groups that can formed outside of the HCC

25 Plans Section “Filtering” Information for Intelligence WebEOC (MC, local, regional versions) Office Communicator VIPER Social Media (Twitter, FB) Internet TV 800 mhz –external (Interoperability) Collaboration with other nodes; Risk Mgt BRPC Comm Services Phys & Pt Referral Call Ctr Medcom Focus = the Next Op Period Modified Planning P Assess situation Develop objectives Develop tactics Communicate plan Track implementation of plan Re-assess situation Deploy people, supplies, equipment Redeploy people, supplies, equipment “Targeted” Communications (EP&R) Form Incident Mgt Tm (99) Text Paging (199, 299, 399) Command Center Alerts Teleconferencing Overhead Paging (ITC) Alertus (UVA) 800 mhz – internal (Interoperability) “Broad” Communications (Marketing) Mass s Internet Social Media (Twitter, FB) Radio TV Situational Awareness (EP&R) Incident Action Planning and Resource Management (EP&R) Communicate (EP&R and Marketing)

26 Incident Management Team for Satellite Settings One Building Involved Building Manager (e.g. Republic Plaza or Bldg 415 at Fontaine) Safety Officer Medical/Technical Specialist(s) General Staff Command Staff Communications Assistant Logistics Coordinator Floor Leader Hospital Command Center Administrators/ Chiefs Incident Commander On Scene

27 Incident Management Team for Satellite Settings Two or More Bldgs Involved – Both Medical Ctr Complex Coordinator (e.g. Northridge Medical Park) Safety Officer Medical/Technical Specialist(s) General Staff Command Staff Communications Assistant Logistics Coordinator Building Manager (e.g. TCH) Building Manager (e.g. MOB) Building Manager (e.g. Moser) Floor Leaders Hospital Command Center Administrators/ Chiefs Incident Commander On Scene

28 Incident Management Team for Satellite Settings Two or More Agencies Involved Multiagency Coordination Group (e.g. Fontaine Research Center) Safety Officer Medical/Technical Specialist(s) General Staff Command Staff Communications Assistant Logistics Coordinator Building Manager (e.g. UPG) Building Manager (e.g. Bldg 545) Floor Leaders Local EOC Incident Commander On Scene Building Manager (e.g. Bldg 415) Floor Leaders Building Manager (e.g. HealthSouth) Building Manager (e.g. Snyder Bldg) Hospital Command Center

29 Thank You For Your Time! Next meeting: 10 September 2012 Note: Look for Emergency Management Icon on your Desktop. If it’s not there type Start > Run > Load Icons and click OK

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


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