1. West Virginia Healthcare Coalitions “Drill” evacuation and Med Surge
From the Ground up
West Virginia Healthcare Coalitions
“Drill” evacuation and Med Surge

2. Why Evacuation?
2017 and early 2018 has seen an unusually high rate of disasters
Extremely active and destructive hurricane season in Texas, Florida and Puerto Rico
Lethal wildfires in California – destroyed miles of land and properties
The deadliest mass shooting events in American history – 34 mass shooting incidents since Feb. 21, 2018 according to the Gun Violence Archive, including the Parkland, FL school shooting that killed 30 people
An early and severe flu season
Multiple Hurricanes on the East coast

3. Preparedness is Critical
If it wasn’t clear before, it should be now
Preparing for disasters before they hit is critical to survival and recovery
Evacuation can happen, even in WV

4. Introducing the CST We didn’t like the idea
One year later, after all seven coalition regions completed their first CST, Evacuation of an entire facility is not as unlikely as once thought
SO, we Prepared!

5. Planning Meetings and Conference Calls
DHHR-CTP + WVHA +Health EP&R + ASPR +Regional Coordinators

6. 4 Core Members
Who Participated

8. 7 Coalitions completed CST in 9 Months Lessons Learned
The time it took for WV hospitals evacuating to report the total number of evacuating patients to the HCC was done in less than 15 minutes
WV stood up command efficiently in less than 10 minutes
Task specific training is needed in Live Process and additional staff trained
WV has a limited number of PICU, NICU and Psych beds available

9. Lessons Learned cont…..
Credentialing nurses that need to go with patients to receiving facilities needs to be defined
Knowledge of ICS roles were strong across the state with few exceptions
Need to better define tracking systems for patients being transferred

10. Live Process
A new exercise tool

11. COMMUNICATIONS
First time Live Process was used statewide in all 7 Coalition Regions during an exercise year
Provided region wide situation awareness
Was used for notification to begin exercise
Challenges with Live Process
Not using it properly
Replying to posts rather than using a new post
Using the event board to respond and not the notification system
Too much to follow

12. CST areas For improvement
Include Brief Scenario
Allow facilities to follow their evacuation plans by allowing patients to be transferred outside the coalition’s geographic boundaries
Census numbers cannot be calculated until night before or day of exercise
A region’s example – 1 of 3 hospitals evacuating had a 40 patient lower census on day of CST –skewed the region’s overall % of evacuated patients

13. How did we do? An Objective Overview
14 hospitals evacuated 97% of the states targeted 20% goal of acute care patients within 90 minutes (discharged or transferred)
WV hospitals secured enough transportation for all evacuated patients in less than 80 minutes

14. What’s Next? Completed AARs sent to DHHR
Year 5
Year 4
Year 3
Year 2
Year 1
What’s Next?
Completed AARs sent to DHHR
CTp send State reports to ASPR
Work on improvements
Begin year 2 - June 1, 2018