1. Central & West Central exercise Controller & Evaluator training
2017

2. Agenda Sim Deck Training Exercise Overview Roles & Responsibilities
Timeline & Injects
Communication
Briefings/Debriefings
Questions/Answers

3. Simulation deck

4. Exercise objectives
Demonstrate the ability to either receive a surge of patients/residents or evacuate the facility based on the situation impacting the facility.
Demonstrate the ability to create 20% hospital bed availability within 4 hours of notification.
Identify resources needed to transport evacuated patients/residents.
Implement triage, prioritization and tracking of patient/resident movement to appropriate healthcare facilities.
Consider the utilization of urgent care services to receive victims with minor injuries.
Coordinate the handoff of medical records and medications.
Show the handout to be provided to exercise participants – can be provided prior to exercise

5. Exercise Objectives
Identify at-risk populations and desired response action steps to meet the needs of those impacted by the event.
Identify adaptive/assistive equipment that can be sent with evacuees. Examples: walkers, glasses, hearing aids, customized wheel chairs, etc.
Identify how to provide services to community members with access and functional needs to offset the demand from emergency departments and urgent care centers.
Monitor and manage information being shared through social media outlets.
The PIO will utilize simulation deck to respond to social media posts (simulated software platform for twitter, Facebook, news media, etc.).

6. Exercise objectives
Activate necessary components of the National Incident Management System (NIMS) such as the Incident Command System (ICS), Emergency Operations Centers/Command Centers, and Multi Agency Coordination (MAC).
Complete the Incident Command System quick start guide and submit to the HMAC by the end of the exercise.
Activate an emergency operations center/command center (physical location).
Provide situation updates to the Healthcare Multi Agency Coordination Center (HMACC- coalition support center).
Utilize the coalition’s communications systems to gather and share pertinent disaster response information.
MNTrac – coordination center/bed availability (hospitals)
800 MHz radio – (hospitals)
Website chat feature (all)
Situation report via survey (all)

7. Exercise scenario
Severe weather that has produced tornadoes, straight line winds, damaging hail, and flash flooding and has impacted many communities in West Central/Central Minnesota. Some areas were more severely impacted than others causing several healthcare facilities to evacuate and others to prepare to receive patients/residents from evacuating facilities. Several communities are experiencing power outages and hospitals were reporting high censuses prior to the severe weather.
Facilities need to specify their scenario based on the overall scenario. Use the HVA.

8. Roles & Responsibilities
Facility Controller/Facilitator
Facilitates Briefing/Debriefing (see handout)
Provide written injects
Monitor electronic injects
Check the inject off on the MSEL when it is given
Collect the written injects from participants
Facilitate discussion and actions as necessary to reach desired outcomes
Communicate with simcell every time an inject is modified
Report to Master Controller/Sim Cell

9. Roles & Responsibilities
SimCell Controller
Give phone call and injects
Receives phone call and requests/problems/questions for supporting and responding agencies that not participating
Check the inject off on the MSEL when it is given
Report to Master Controller

10. When to notify the sim cell?
Need to communicate with an organization not playing
Fire Department, MDH, Funeral Home, etc.
Need an inject delivered
Late start
No longer participating
Exercise has gotten off course

11. Roles and Responsibilities
Participants
Take real steps to develop solutions to the situations presented.
Develop action plans and situation reports when requested.
Participate in the briefing/de-briefing
Assign people to the Hospital Command Center positions
Communicate/coordinate thru multi agency coordination.

12. Master Scenario Events List
Exercise guide
Lays out timeline of events
For the Exercise Controller ONLY
Starts the actual day of the exercise
Real time will be used
Provides overview of scenarios
More detailed scenarios are in power point
Some scenarios need to be customized
Number of victims

13. Injects Injects Written, Phone Call, Email, and Verbal
Each inject has it’s own method of delivery
If an electronic inject doesn’t arrive, give it in paper
Seeking participant outcomes/action items
Blank inject forms provided for impromptu injects/extra injects as needed
Check for accuracy
Facility Specific injects (handout)
Patient Census and Scenarios

14. Controller Communication
Phone Calling/Texting
800 Mhz Radio
MNTrac – Controller Coordination Center
Review radio communication – provide radios/check-in/out

15. Participant Communication
Phone Calling
MNTrac
800 MHz Radio
Runners
Message Forms
Face to face
Situation Reports
HAM Radio??

16. Evaluation If possible, assign someone to evaluate
Conduct an immediate debriefing after the exercise
Identify strengths and opportunities
Validate through discussion
Using the exercise objectives, complete the evaluation electronically
Pull up evaluation form

17. Information to validate
Facility command center contact information
& Phone
Direct line to command center if possible
Exercise Controller contact information
Pictures of Facility/Emergency Department

18. Contact Info You Need
Simulation Cell
Radio Talk Group – statewide talk group
Will test prior to exercise starting
address of the non-participating coalition

19. Contact info you need
Health Multi Agency Coordination Center
Follow normal protocols
Another phone number will be published after HMAC activation
Call your Regional Healthcare Preparedness Coordinator

20. Facilitator Tips
Pull Up Document

21. Questions/Comments
10 minutes remaining for questions and comments