1. CONTINUITY OF OPERATIONS (COOP) Exercise Series for FQHC’s & other Community – Based Health Care Providers

2. WELCOME and INTRODUCTIONS

4. EXERCISE TARGET CAPABILITIES and DESIGN OBJECTIVES Warning and notification to mission essential staff and patients regarding potential and current threats. Activation, management and maintenance of existing Continuity of Operations Plans (COOP) in support of identified Mission Essential Functions. Support of staff members “Family Disaster Plans.” Logistical plans for facility operations, critical resource identification, acquisition, distribution and re-supply. Transition to normal business operations. Validation of existing policies, plans and procedures. Identification of deficiencies and un-met needs in existing policies, plans and procedures. Identify a plan of action that facilitates the revision of current policies, plans and procedures based on identified strengths and weaknesses. Expedite the development of a viable “All-Hazards” Continuity of Operations Plan (COOP).

5. EXERCISE RULES There are no textbook solutions. Varying viewpoints, even disagreements, are expected. This is intended to be a safe, open, stress-free environment. Respond based on your knowledge of current plans and capabilities (i.e., you may use only existing assets) and insights derived from training Your organization’s positions or policies do not limit you. Make your best decision based on the circumstances presented. Decisions are not precedent setting and may not reflect your organization’s final position on a given issue. This is an opportunity to discuss and present multiple options and possible solutions. Assume cooperation and support from other responders and agencies. The situation updates, written material, and resources serve as the basis for discussion.

6. THE 2011 HURRICANE SEASONAL OUTLOOK FROM NOAA NOAA hurricane outlook indicates an above-normal Atlantic season May 19, 2011 The Atlantic basin is expected to see an above-normal hurricane season this year, according to the seasonal outlook issued by NOAA’s Climate Prediction Center – a division of the National Weather Service. Across the entire Atlantic Basin for the six-month season, which begins June 1, NOAA is predicting the following ranges this year: 12 to 18 named storms (winds of 39 mph or higher), of which: 6 to 10 could become hurricanes (winds of 74 mph or higher), including: 3 to 6 major hurricanes (Category 3, 4 or 5; winds of 111 mph or higher) Each of these ranges has a 70 percent likelihood, and indicate that activity will exceed the seasonal average of 11 named storms, six hurricanes and two major hurricanes

7. EXERCISE BACKGROUND Hurricane Zoey is based on the actual storm track and statistics of the “No Name # 6” Hurricane of 1921. Hurricane # 6 made landfall in the Tampa Bay region and impacted large portions of what is now the Greater Orlando Area.

8. Module 1 – Preparedness and Initial Response Pre-Landfall (+96 hours to +48/36 hours) Current Situation: It is a bright, sunny morning in Central Florida. Orlando residents are starting their daily routines. Vacationers from around the world are venturing out to enjoy the beaches and local tourist attractions. Meanwhile, meteorologist from the National Hurricane Center (NHC) and the Weather Forecast Office (WFO), Melbourne continue to monitor Hurricane Zoey. After reviewing the current data and evaluating the potential threat to Central Florida, The National Hurricane issued the following Public Advisory. SUMMARY OF INCIDENT: No current weather events are impacting the greater Orlando area. The National Hurricane Center has issued Hurricane Watches for the majority of Florida’s Gulf Coast. Residents and visitors are conducting business and leisure as usual.

9. Module 1 - Update - Preparedness and Initial Response Pre-Landfall ( +48 Hours to +36 hours) Current Situation: The weather remains pleasant in the Greater Orlando area. Hurricane Zoey continues to strengthen and remains on an eastward path towards the Florida Gulf Coast. Residents and visitors have been monitoring the progress of the storm via various media outlets. However, due to the uncertainty of the storm’s path, many residents and visitors are hoping for the best and haven’t considered potential protective actions. SUMMARY OF INCIDENT: The National Hurricane Center has issued Hurricane Watches and Warnings for the majority of the Florida Gulf Coast and portions of the Florida Atlantic Coast. At this time, there are no disruptions to any municipal services. Local merchants are reporting a surge in the purchase disaster supplies. Many Counties have issued Mandatory Evacuation Order for all non-residents and Voluntary Evacuation Orders for residents. Emergency Operations Centers (EOCs) in potentially impacted counties have activated. Additionally, the State Emergency Operations Center (SEOC) is activated and stands ready to respond to any county mission request.

10. EXERCISE INJECT DUE TO PRE-SCHEDULED VACATIONS AND STAFF ON SICK LEAVE, THE FACILITY IS NOT CURRENTLY OPERATING AT 100% STAFFING

11. Module 2 -Response Plan Maintenance and Recovery Transition (+24 hours to Post-landfall -72 hours) Current Situation: Hurricane Zoey continues on its current path. Weather conditions on the Florida Gulf Coast and inland portions of the state have deteriorated over the past few hours. Tropical storm force winds are impacting coastal areas. Residents, visitors, and evacuees are dealing with high wind, torrential rain and urban flooding as they attempt obtain last minute supplies, seek shelter and/or in need of medical attention. SUMMARY OF INCIDENT: Major portions of the Florida Gulf Coast, inland regions and Atlantic Coast regions (in Zoey’s path) are currently under Hurricane Warning or Watches. In areas under current Warnings and Watches, all schools, day care facilities and non-essential municipal public services are closed. Very few retail (food, gasoline, etc.) outlets are open and disaster supplies are difficult to obtain. Large portions of the Florida Gulf Coast and inland regions are experiencing power outages, sewage spills and boil water notices. There are wide spread landline telephone and internet outages in the threatened area. Additionally, cellular telephone and Wi-Fi internet services are disrupted and unreliable. Due to urban flooding, many areas have limited or no ingress/egress. General and “Special Needs” shelters throughout the impacted and host counties are at or near capacity. Hurricane Zoey has not made landfall and conditions will continue to deteriorate over the next several hours.

12. Module 2- Update -Response Plan Maintenance and Recovery Transition (+24 hours to Post-landfall -72 hours) Current Situation: The eye of Category 4 Hurricane Zoey moved ashore near Tampa Bay 12 hours ago with maximum sustained winds of 140 mph. Zoey spread sustained major hurricane force winds of 111-130 mph with gusts to Category 4 strength across coastal and inland regions of Central Florida. The eye of Hurricane Zoey passed just to the north of the greater Orlando area and has re-entered the Atlantic Ocean as a Category 1 hurricane. Both local and national media outlets are reporting widespread damage to residential, business and municipal structures along Zoey’s path. Local, regional and state emergency responders are conducting search and rescue operations in all impacted areas. As is typical with post hurricane weather conditions, it is a sunny, breezy, hot and humid day in the impacted regions. SUMMARY OF INCIDENT: Hurricane Zoey has made landfall and has caused major damage in large areas of the central Florida Gulf Coast, inland central Florida, and the north-central Florida Atlantic coast. Local emergency services are concentrated on search and rescue missions and are not able to provide assistance to residents and visitors that require treatment for minor injuries. Electrical, water, sewage, landline and cellular telephone services are inoperable or have minimal capability across the region. Downed power lines pose a threat to residents and visitors across the region. Roadways throughout the region are impacted by standing water and debris. Public transportation is not operational at this time. Local residents have started to clear debris from properties.

13. THANK YOU FOR YOUR PARTICIPATION! PLEASE TAKE A FEW MOMENTS TO FILL OUT THE EXERCISE EVALUATION FORM