The Functional Exercise Executive Briefing Overview (This slide to be deleted prior to briefing) The briefing should be scheduled at least 2 months prior to the desired exercise date. Briefing Purpose: Gain buy-in for the exercise series Provide background information on the exercise Market the exercise Potential briefing attendees Healthcare Coalition members Decision makers/ policy group members County Commissioners Public health directors Handouts for consideration: Potential marketing documentation

CDPHE Exercise Functional Exercise Series Executive Briefing

Exercise Series Schedule Table-top Exercise Completed Functional Exercise Oct Mar Full-Scale Exercise June 2017

Next Step: The Functional Exercise A functional exercise simulates an emergency in the most realistic manner possible, short of moving real people and equipment to an actual site. The goal is to test or evaluate the capability of one or more functions in the context of an emergency event. The role of the players is to respond as they would in a real emergency to the messages that they receive during the exercise. All players will respond to decision and actions in the timeframe determined in the scope of the scenario, and generate real responses and consequences from other players

Mandatory vs. Optional Participation All Office of Emergency Preparedness and Response funded partners are required to participate Local Public Health Agencies, Hospitals, Clinics and Behavioral Health All HCC members and partners are highly encouraged to participate Community response partners (law enforcement, fire departments and volunteer agencies) are also highly encouraged to participate

Exercise Support CDPHE Department Operations Center (DOC) will be activated in support of exercise play DHSEM State Emergency Operations Center (SEOC) will be activated virtually in support of exercise play All partners within a given region will play on the same day As organized by public health regional staff A SimCell will be staffed to play the role of any partner agencies within the community that cannot participate in the exercise

Grant Requirements PHEP and HPP grants require participation by all funded partners in this exercise series Local Public Health Agencies Hospitals Clinics Behavioral Health Grant capabilities that will be exercised: Capability 2- Recovery Capability 3- EOC coordination Capability 6- Info Sharing Capability 10- Medical Surge

Exercise Overview The purpose of this exercise is to evaluate player actions against current response concepts, plans, and capabilities during a response to a Pneumonic Plague incident. The exercise will focus on the coordinated response by all community partners, to this pneumonic plague scenario. ESF 8 response systems, Healthcare coalition members, and community response partners will all respond to an incident that occurs within the same region.

Functional Exercise Objectives Recovery / Continuity of Operations Healthcare coalition members and ESF 8 partners will monitor public health, medical, and mental/behavioral health needs of the community, throughout incident response, to ensure health system recovery operations are ongoing. Emergency Operations Center Coordination Healthcare coalition members will demonstrate their ability to coordinate emergency response procedures, utilizing the established jurisdictional response framework (including ESF 8) to activate or support a local emergency operations center, within one hour of event notification. Information Sharing Evaluate the ability of the incident response structure (including ESF 8) to maintain agency, healthcare coalition and community level situational awareness by disseminating pertinent event information as it is gathered, utilizing existing and redundant means of communication and following locally established processes and procedures, throughout incident response and recovery.

Functional Exercise Objectives Medical Surge Evaluate the ability of the ESF 8 response structure to maintain and support the activation of local healthcare emergency response processes; including tracking patients and monitoring the status of each healthcare facility, within four hours of event notification. Medical Surge – Hospital Specific Objectives All hospitals will demonstrate the ability to implement hospital resource management processes to deliver appropriate levels of care to all patients within their facilities at the onset of an event All hospitals will demonstrate the ability to provide no less than 20% immediate availability of staffed members’ beds, within 4 hours of event notification

Functional Exercise Objectives Capability / Focus Area HCC or Agency specific inject Capability / Focus Area HCC or Agency specific inject

Functional Exercise Action Items Action Item 1: Date Selection Dates of play for selection by partners will be available 7/1/2015 Listed within PHEP grant guidance Chosen date should be reported, once per region, to the State RPOC Dates must be chosen by region All partners within the region will play in a functional exercise on the same day PH Regional staff will coordinate this date selection for the region Date selection due to state Regional Point of Contact by 9/1/15 Dates given on first come first serve basis Action Item 2: Sites of Play Selection Identify agencies/locations who will participate in the exercise Identify participating partners Identify additional objectives and inject requests; communicate those with CDPHE-OEPR using the Functional Exercise HCC Report Form

Functional Exercise Action Items Action Item 3: Evaluator and Observer Section Identify evaluators, controllers and observers for each site of play Choose a Regional Staff member to work with those identified and assist in coordinating them Action Item 4: Complete Exercise Documentation The following items will be provided to Health Care Coalitions for modification at a local / agency level – They will be ed to partners, posted on CoShare and posted to the CDPHE webpage: response-training-and-education/exercise-series Exercise Plan Master Scenario Events List Exercise Evaluation Guide templates Controller / Evaluator Briefing PPT - Player Briefing PPT Marketing Materials Communications Plan Template (will be sent out after date selection) After Action Report Template

Marketing Resources Marketing materials and templates will be provided to all Health Care Coalitions to assist in exercise promotion and responder recruitment All community response partners (law enforcement, fire, EMS, dispatch, and volunteer agencies) will receive a letter from CDPHE, encouraging their active participation in the local exercise series Exercise Marketing fliers should be modified to reflect local exercise information / Logistics and distributed within the community

After Action Reporting Each HCC lead will receive an after action survey link once the region has completed their exercise Leads will disseminate the survey link to all HCC partners for completion Data collected from the surveys will be compiled by CDPHE and distributed to HCC partners who participated Data will be used by CDPHE-OEPR to prepare for the 2017 full scale exercise A formal After Action Report will be complied by CDPHE HCC partners are not required complete their own after action report An AAR template will be provided for those agencies who wish to use it, or agencies may use their own template

Looking Ahead: 2017 Full-Scale Exercise One large exercise will take place across Colorado Multiple days of play Deployment of assets and resources  SNS resources will be “requested” and deployed Allow for all community response partners to exercise together, using a Pubic Health driven scenario Lessons learned from tabletop exercises and functional exercises will be incorporated into objectives and tasks CDPHE will write and submit formal AAR / IP and distribute to all partners

Questions?

Local Points of Contact Health Care Coalition leads and Public Health regional staff should be your resource locally for any questions. (Incorporate names and contact information for local POCs)

State Contact Information Feel free to contact CDPHE-OEPR if you have any other needs! Korey Bell, PHEP Grant Manager (303) Judy Yockey, Grants Branch Manager (303) Nicole Cantrell, Training and Exercise Coordinator (720)