1. Pandemonium 2008 DOH Full Scale Exercise Danica Mann Healthcare Coalition Training and Exercise Coordinator

2. Pandemonium  November 2008 - 13,14,17,18  Public Health Seattle & King County is hosting the CDC Strategic National Stockpile exercise for the WA State DOH  Testing an array of capabilities in response to a pandemic influenza event  The exercise will be run over 4 days, with a series of “mini-drills”

3. November 13, 2008 – Day 1  Surveillance and Epidemiology  PHSKC CD/Epi team will be tested in case and contact investigation of the initial outbreak  Communication Coordination with healthcare and PHSKC CD/Epi  Healthcare organizations will have an opportunity to test receipt of health alerts from PHSKC and practice filtering those to front line clinicians

4. November 14, 2008 – Day 2  Patient Influx  To meet Joint Commission requirements, each healthcare organization will have an opportunity to test influx – this will also drive some MAC Group decisions  ESF-8 MAC Group  Provide MAC Group with status update to test policy decision making process

5. November 14, 2008 – Day 2  PH and Hospital Public Information Officers  Communications team from PHSKC will coordinate with the PIOs at each hospital to manage event messaging  Test WATrac system as a means to coordinate PIO messaging

6. November 17, 2008 – Day 3  Strategic National Stockpile delivery  Test delivery to each hospital, Alternate Care Facility and PHSKC Warehouse  Test communications between hospitals and PHSKC regarding documentation of receipt of medicines  Test internal dispensing plans  Some hospitals will be testing this component on different days  Engage PHSKC and Hospital Public Information Officers  Coordinate messaging again via WATrac

7. November 18, 2008 – Day 4  Alternate Care Facility  Set-up, logistics and operations of the ACF will be tested, including running volunteer patients through the system  4 observer group tours will also be conducted: Media Tour VIP Tour DOH Bus Tour Healthcare and Response Partners Tour

8. Pandemonium  MAC Group Participation  MAC Group meeting is conducted via conference call [LHO, EMS and MEO will co-locate]  Information regarding the event will be sent at least 24 hours in advance of the MAC Group call, including a list of potential policy issues that need resolution and the agenda for the meeting  Important to read material prior to the call and be ready to provide input

9. Pandemonium  MAC Group Participation  Purpose of MAC Group Meeting (conference call) is to test a decision making process  Call is facilitated by the MAC Group Coordinator [Chief Admin. Officer for PHSKC - Ben Leifer]  No right/wrong answer – testing protocols for briefing the MAC and reaching a decision

10. Pandemonium  Exercise objectives for healthcare  Test ability of hospitals to respond to an influx of patients (Joint Commission Requirement)  Evaluate ability of Area Command to communicate with healthcare facilities across the region  Evaluate ability of healthcare facilities to communicate with outside agencies

11. Pandemonium  Exercise objectives for healthcare  Provide healthcare facilities and partners with information regarding the Alternate Care Facility  Provide healthcare partners with situational updates, including MAC group decisions/recommendations  Coordinate public messaging with Public Health Communications via WATrac

12. Pandemonium  Healthcare organizations that are Joint Commission accredited are encouraged to also test the following elements:  Communicating during emergency conditions.  Managing resources and assets during emergency conditions.  Managing safety and security during emergency conditions.  Defining and managing staff roles and responsibilities during emergency conditions.  Managing utilities during emergency conditions.  Managing clinical activities during emergency conditions.

13. Pandemonium  Preparation for the exercise  Letter of Commitment  WATrac Training for PIOs  Dispensing Planning Workshop  Security Workshop  Evaluator Training

14. Pandemonium Questions?