1. Northern Virginia Hospital Alliance (NVHA) Overview  Non-profit organization formed in the wake of 9/11 terrorist attacks for the purpose of improving hospital emergency preparedness and coordination within the 13 hospitals of Northern Virginia.  Consists of a Governing Board of Hospital Executives.  Mutual Aid Agreement to coordinate resources, manpower and preparedness activities in response to Mass Casualty Incidents.

2. Virginia Hospital Disaster Regions Overview Virginia Healthcare & Hospital Association (VHHA) and VDH has divided Virginia into 6 hospital regions for the purpose of coordination, disaster preparedness, and grant management. 1. Central (Richmond area) 2. Eastern (Hampton Roads area) 3. Far Southwest (Roanoke area) 4. Near southwest (Tazwell area) 5. Northern (Metropolitan DC area) 6. Northwest (Charlottesville area)

3. NoVA Hospital Disaster Region Final NoVA Jurisdictions: Alexandria City Arlington Caroline Fairfax Fairfax City Falls Church City Fauquier Fredericksburg City King George Loudoun Manassas City Manassas Park City Prince William Spotsylvania Stafford

4. NoVA Hospital Disaster Region & NVHA hospitals  DeWitt Army Community Hospital  Fauquier Hospital  Inova Alexandria Hospital  Inova Fair Oaks Hospital  Inova Fairfax Hospital  Inova Mount Vernon Hospital  Inova Loudoun Hospital Center  Mary Washington Hospital  Northern Virginia Community Hospital  Potomac Hospital  Prince William Hospital  Reston Hospital Center  Virginia Hospital Center

5. Regional Healthcare Coordinating Center (RHCC) Overview  Each hospital disaster region has: A Regional Hospital Coordinator (Kevin Harlen) Representitive(s) on the VHHA Hospital Emergency Management Committee (HEMC) At least one Regional Healthcare Coordinating Center (RHCC)  Northern Virginia has a primary and a back-up RHCC: INOVA eICU, Falls Church Prince William Hospital, Manassas

7. Primary RHCC Responsibilities  Coordination between hospitals and Virginia Department of Health; Virginia Emergency Operations Center (VEOC); other regional RHCCs  Coordination / Communication between hospitals and local Fire / EMS & Public Health  Information Collection & Dissemination, including: Hospital Status / Bed Availability Service Availability (bed status / availability)  Patient Movement / Transfer Coordination  Clinical Supply / Resource Logistics  Aggregate Patient Tracking  SNS Request Coordination

8. General Rule on RHCC Scope Issues requiring coordination of clinical resources / functions In Scope of RHCC Issues requiring coordination of non- clinical resources / functions Out of RHCC Scope See local EOC

9. Current RHCC Activities  Restructuring of RHCC Operations around the Hospital Emergency Incident Command System (HEICS)  Revision of RHCC Staffing / Activation protocols  Updating Regional Hospital Emergency Operations Plan (EOP)  Education & Familiarization of RHCC responsibilities and protocols with Hospitals and Emergency Response Agencies (Fire / EMA)

10. Communication / Coordination Tools  Traditional Communications (phone, fax, email)  Medcomm radio  WebEOC  HipLinx Alerting (in 2 months)  VoIP (in 2 months)

11. Medcomm  Overview  Indications for Use  Receiving an Alert  Sending an Alert  Participants

12. Medcomm

17. WebEOC  Overview / basic requirements  Intended Use  System Configuration  Accessing WebEOC  Posting a Message to WebEOC  Viewing Hospital Messages  Viewing / Updating Hospital Emergency Operations Status

18. WebEOC: Overview / Basic Requirements  Web based Crisis Incident Management System (CIMS)  Accessible wherever an internet connection exists  Basic Requirements: A computer with internet connectivity Internet Explorer ’96 or greater Valid Hospital User Name / Password Pop-Up Blocker Disabled Valid VHHA-MCI User Name / Password (In 2 months)

19. WebEOC: Intended Use  Disaster Coordination  Mutual Aid Requests  Situational Updates / Status Reports  Hospital Status / Bed Availability  Hospital Diversion

20. WebEOC: System Configuration ResPWFaqPotoILouIFOAlexIFFXMWHIMVDeWittVHC Northern Region Events Board North RHCCEast RHCCFSW RHCCNSW RHCCCentral RHCCNTW RHCC RHCC Events Board

21. WebEOC: System Configuration Two types of Users: Individual Hospital Access To: Northern Region Events Board Hospital Status Board Hospital Status Map Regional Resources Statewide Resources RHCC Access To: All Regional Events Board RHCC Events Board Hospital Status Board Hospital Status Map Regional Resources Statewide Resources

22. Accessing WebEOC 1. Step 1: Go to www.VHHA-MCI.orgwww.VHHA-MCI.org Enter a valid User Name & Password Step 2 Step 3 Click Here

23. Choose Incident Then click here

24. Posting a Message for Other Hospitals Click Here

25. Posting a Message for Other Hospitals Fill out desired fields and Click SAVE in the upper left hand corner Note: not all fields are required for posting a message. Only the Description field

26. Viewing Hospital Messages Click Directly on the TEXT of the Northern Region Events

27. Viewing Hospital Messages Key Considerations: 1.Messages post from top, so messages at the bottom are oldest 2.To view message details, click on the hospitals name 3.To view additional pages of messages as they build-up, click the arrows on the bottom

28. Updating Hospital Emergency Operations Status Click directly on the TEXT of the Hospital Status Board / Update

29. Updating Hospital Emergency Operations Status Click Here

30. Updating Hospital Emergency Operations Status Enter Hospital Status Data and Click UPDATE STATUS in the bottom left corner

31. Accessing Hospital Diversion 1. Step 1: Go to www.VHHA-MCI.orgwww.VHHA-MCI.org Enter a valid User Name & Password Step 2 Step 3 Click Here

32. Accessing Hospital Diversion Click Here Step 4

33. Updating Hospital Diversion Pick Status: Open; Special Diversion; Full Enter Comments if DesiredClick Submit

34. Questions? Zachary Corrigan Manager, Regional Healthcare Coordinating Center Northern Virginia Hospital Alliance 703-879-1747 (Primary) 617-599-8199 (Secondary) 703-207-7877 (Fairfax RHCC) 703-783-0550 (fax) zachary.corrigan@novaha.com www.novaha.org