1. Exercises for the Future the Hybrid Model Emergency Management Institute June 3, 2014

2. Where have we been Homeland Security Exercise and Evaluation Program (HSEEP) has been the benchmark for exercises. Workshop, Seminar, Tabletop, Drill, Functional and Full-Scale are the types. HSEEP website helps with design and implementation schedule.

3. Where are we going? Boston University Healthcare Emergency Management Graduate Program is looking at a Hybrid Exercise model. It combines elements of a workshop, seminar, tabletop and drill. Very targeted objectives and short duration (2.5 to 3 hrs long).

4. Benefits Short time frame is more pallatable for keeping costs down and for attention span. Keeping the scenario real is important for buy in and participation. You can do more (3) hybrids instead of one full day functional. – Include a functional element in each hybrid

5. Motive Exercise written to include maximum participation of agencies. Each agency will have to participate in what their role will be. The added benefit is agencies learn what others will do and have to integrate their response and plans with others.

6. BU HEM Plan Concept originally developed in Sandwich, MA and moved forward through the Boston University Graduate program. The exercise will always include a private sector participant to improve relations with the municipal sector partners. Public/Private partnerships are born and maintained after the exercise.

7. Operation Irene Conducted in 2009 and 2010 at the Spaulding Hospital Cape Cod. TTX on Hospital Hurricane Plan with a functional piece of actually boarding up windows, credentialing volunteers at the facility and evacuating patients. Total exercise length 3 hrs. Real “Hurricane Irene” hit in 2011

8. Operation Silent Angels By JJ Burke MS EMT-I Gregory Bond MS EMT-P March 21, 2014

9. Intro/Overview Simulation exercise designed to test the capabilities of both in- hospital and pre- hospital personnel and equipment in the event of a partial or full evacuation of Neonatal Intensive Care Unit (NICU) patients.

10. Silent Angels 1 The first evolution was conducted in 2012 as a partial NICU Evacuation Drill Two “test” NICU patients were evacuated to awaiting ambulances, which were used as temporary NICU beds

11. Silent Angels 2 Simulated evacuation of the entire NICU patient census of 18-19 babies Streamline both security and tracking of NICU patients by moving them all into a single transport asset

12. Two Phases 1.In-hospital preparation of patients for transport 2. Out-of-hospital loading and preparation of patients for continuous monitoring/treatment throughout duration of transport

13. NICU

14. Conclusions Hybrid is a new way to get to the finish line, while including education and functionality. Time and length of exercise is critical to participation and engagement. Allows for more frequency and variety over the fiscal year. In the past 2 years, more positives and then negative feedback on the hybrid.

15. Contact Information Gregory Bond, MS EMT-P Adjunct Instructor Boston University Healthcare Emergency Management Program gbond@bu.edu