Emergency Management Working Group January

1.Introductions 2.Bi-monthly Review 3.Active Shooter Drill Review 4.Joint Commission for Emergency Management 5.Infection Prevention and Control 6.Inclement Weather Response Drill 7.Closing Comments Agenda

Bi-Monthly Update

Exercises Red Alert Drill Training Sub-IMT Updates Actual Events January Power Disruption Bi-monthly Update

Active Shooter Drill Review

Functional exercise designed to test communications and staff knowledge. Conducted in the same manner as the Tornado and Earthquake drills. Concepts modeled after school responses nationwide. First held at 1400 hours. Second at 2000 hours. Initiated through text paging and overhead announcement. Mock gunman was not present. Active Shooter Drill Review

Unit Response (University Hospital) Significant variation by floor, unit, and time. Over 150 surveys completed. 14:00 Drill – Barringer Pharmacy was among the best. 20:00 Drill – 8 North, Central, and West were among the best. At least 7 units did not participate – some actively disengaged.

Active Shooter Drill Review Moving Forward Opportunities to create a more robust emergency communication network.

JC for Emergency Management

Joint Commission for EM 12 Primary Standards 112 Sub-Standards The hospital conducts a hazard vulnerability analysis (HVA) to identify potential emergencies that could affect demand for the hospital’s services or its ability to provide those services, the likelihood of those events occurring, and the consequences of those events. The findings of this analysis are documented. 1.UVAHS CEM conducts a comprehensive HVA yearly with various stakeholders. These stakeholders include all specialties/services within the Health System. SEE TAB 1 – HVA The hospital, together with its community partners, prioritizes the potential emergencies identified in its hazard vulnerability analysis (HVA) and documents these priorities. 1.UVAHS CEM conducts a comprehensive HVA yearly with various stakeholders. 2.The results of this HVA are prioritized. The top 5 hazards become the focus of planning efforts. SEE TAB 1 – HVA 3.These hazards are shared with the LEPC and NWHR. SEE TAB 3 - NWHR Comprehensive Regional HVA. The evaluation of all emergency response exercises and all responses to actual emergencies includes the identification of deficiencies and opportunities for improvement. This evaluation is documented. 1.Opportunities for Improvement from Exercise/Incident AARs are moved to a Corrective Action Plan (CAP) where they are addressed. SEE respective AAR CAP.

Joint Commission for EM The hospital keeps a documented inventory of the resources and assets it has on site that may be needed during an emergency, including, but not limited to, personal protective equipment, water, fuel, and medical, surgical, and medication-related resources and assets. 1.SEE EOP, SA#4 – Logistics and Resource Support 2.SEE Tab 8 – Medical Equipment Inventory The Emergency Operations Plan identifies the hospital’s capabilities and establishes response procedures for when the hospital cannot be supported by the local community in the hospital's efforts to provide communications, resources and assets, security and safety, staff, utilities, or patient care for at least 96 hours. 1.The hospital maintains an extensive inventory of supplies that would be needed for an emergency. If said supplies are not kept in quantities of at least 96 hours, contracts and MOUs are in place to ensure 96 hours of operation. SEE EOP, SA#4 – Logistics and Resource Support (Grid located in back of plan). The hospital conducts an annual review of its risks, hazards, and potential emergencies as defined in its hazard vulnerability analysis (HVA). The findings of this review are documented. 1.The UVAHS HVA is reviewed annually, with a comprehensive review every three years. SEE HVA. SEE EMWG March The hospital conducts an annual review of the objectives and scope of its Emergency Operations Plan. The findings of this review are documented. 1.The UVAHS EOP is reviewed annually, with a comprehensive review every four years, conducted by the EMWG. SEE EOP Appx #1 – Review. SEE EMWG July The hospital conducts an annual review of its inventory. The findings of this review are documented. 1.The Logistics Branch of the IMT reviews the inventory annually. SEE EOP, SA#4 – Logistics and Resource Support

Infection Prevention and Control

6 sites are monitored for Influenza Like Illness (ILI) and data is calculated weekly All but one site is linked with EPIC and automatically generates information Our goal is to create a surveillance tool that provides meaningful information so that we are not dependent on the state or CDC for surveillance So far this season, our tool is tracking well and providing useful data Seasonal Flu Monitoring Project Infection Prevention and Control

Flu and Ebola

Cumulative Confirmed Flu A cases this season: 177 (+/-) Infection Prevention and Control

Special Pathogen: Ebola  November 18 CDC REP Team Visit UVA  November 19 CDC REP Team Visit VCU  December 2 CDC Announces 35 Hospitals as Ebola Treatment Centers CDC Announces 3-Tier System with “Assessment Centers”  December UVA Team to University of Nebraska for Pediatric Education  December ~20 VDH Announces “Assessment Centers” in the state

Infection Prevention and Control Special Pathogen: Ebola Current Efforts PPE—Struggling to get sufficient quantities L&D—Initiating planning for plan of care Education—Very challenging for scheduling Employee Monitoring ISO Chambers—VHHA Approved and ordered 2 Transport Planning Pediatric Planning

Command Board Drill

Inclement Weather Response Drill Command Board View Winter Weather Warning for the Charlottesville area and surrounding localities. Snowfall expected to begin today at 2000 and continue into mid-day Tuesday. 6-8 inches in expected, with up to 1 foot in higher elevations. Temperatures in the low 20s tonight, with a high of 28 on Tuesday.

Thank You Next Meeting: March