Sutter Health Incident Command System Purpose: Provide an organized structure to assist Affiliates in maintaining optimal patient care in the event of a catastrophe. Initiate recovery processes. Affiliate Site Assessment Purpose: Evaluate Affiliate’s ability to be self sustainable for the first 96 hours of a Catastrophe. Design for Customer Needs Purpose: Utilize the Design for Six Sigma methodology to identify customer needs and develop a program to fulfill those needs. Business Continuity Initiative Purpose: Protect the most critical aspects of our business to ensure continuity of mission. Mitigation/Preparedness Response Business Continuity Recovery SHEMS =

1.Event Recognition 2.Alert/Notification 3.Activate/Mobilization 4.Incident Operations 5.Management by Objectives 6.Demobilization 7.Transition to Long-term Recovery 8.Return to Readiness Event Response Normal Operations Disrupted Operations

 SHEMS Hotline SHEMS Duty Officer On-call 24/7  4 Response Levels LevelActivationResponse 1Standby Used to notify the IMT members and system leaders that event is occurring or has occurred, response maybe needed but not at this time 2Analysis Utilize SHEMS infrastructure (positions as needed) to analyze emerging issue 3 Rapid Response/System Guidance Utilize SHEMS Infrastructure (positions as needed) to provide coordinated/standardization system guidance 4 Incident Command Center and IMT Activated Mobilize SHEM IMT members as needed to respond to affiliate needs

 Sutter Health Incident Command System Mirrors Hospital Incident Command System (HICS) Incident Management Team (IMT) Activation Protocols Incident Command Center (ICC)

 SHEMS Event Management Tool (EMT) Automates HICS Process –IRG scenarios built into the tool –Incorporates various HICS Forms –Allows users to interact at multiple locations via the web-based tool –Post incident reports can be turn in to required government entities.

Allows user to: Update the incident Create, Send, & Receive –Messages –Requests Track current and ongoing incident issues

Electronic Department Status Forms

Department Status Summary

 Communication Redundancy Everbridge Mass Notification System Redundant outside of Sutter Health’s network Equipped with an outbound notification system and a Patient Call-in status line Features: –Multiple pathways - , cell phone, home phone –Emergency and/or Standard Message, –Polling /Quota –Built in Conference Bridge

 Communication Redundancy HAM Radio Network Satellite Phone GETS WPS TSP

 Sustainable Staffing Additional additional staff EE payment and Benefits Dependant care, Crisis Counseling teams  SHEMS Supply Cache ACS  Building Restoration General clean-up contractor Record restoration service HazMat clean-up service

 Business Continuity Planning Purpose: The ultimate goal of Business Continuity Planning is to resume business functions to a normal state after a period of time post event Provides Information Regarding: –Critical Business Processes –Critical Equipment and Resources –IS Applications –Staff Positions –Critical Records –Departmental Dependencies