1. DIRECTIONS FOR THIS TEMPLATE
Use the Slide Master to make universal changes to the presentation, including inserting your organization’s logo.
“View” tab > “Master” > “Slide Master”
Replace placeholders (indicated by brackets [ ]) with information specific to your Functional Exercise (FE).
Update default date (November 16, 2017) used in slide deck with date specific to your FE.
Delete any slides that are not relevant for your FE.
Delete slide 1 after customizing your slide deck.
Font size should not be smaller than 22 point.
Last revised: 3/27/17

2. [INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE
There are a number of [insert here] notations throughout this slide presentation. Exercise Planners are responsible for filling in [insert] brackets with information pertaining to their local jurisdiction/agency/organization. These brackets appear both in the actual slides AND in the Notes sections, so please make sure that all brackets are filled in before the day of the exercise.
[INSERT YEAR] STATEWIDE MEDICAL AND HEALTH EXERCISE
PHASE III: TABLETOP EXERCISE
[Exercise Name / Exercise Date]

3. WELCOME & INTRODUCTIONS
Welcome Remarks
Introduction of Exercise Planners & Facilitators
Participant Introductions
Administrative Items
Schedule Overview

4. WELCOME & OVERVIEW WELCOME & OVERVIEW Welcome Logistics Name Position
Agency/Organization
Optional: Icebreaker
Logistics
Materials
Situation Manual
Follow along!
Feedback Form
Observer Handout
Player Handout
Introduce yourselves to the people at your table.
It is recommended that Exercise Planners facilitate group introductions by having an Icebreaker question or activity if time allows. One example icebreaker question could be: “Name one or two real world events that you have responded to, participated in, or experienced yourself.”

5. ADMINISTRATION ADMINISTRATION Exercise Materials
Breakout Discussion Groups
Parking Validations
Mobile Phones
Evacuation Procedure
“THIS IS NOT A DRILL”

6. SCHEDULE OVERVIEW SCHEDULE OVERVIEW
[Exercise Planners should insert an image or table here that is reflective of their exercise schedule.]

7. PRESENTATION GUIDE PRESENTATION GUIDE Welcome and Overview
[MODULE 3: Incident Update & Recovery]
[MODULE 1: Pre-Incident Information]
[MODULE 4: Debrief Questions and Planning for the Functional Exercise (FE)]
[MODULE 2: Day of the Incident]

8. EXERCISE OVERVIEW & GENERAL INFORMATION
KEY MATERIAL

9. EXERCISE OVERVIEW EXERCISE OVERVIEW Name Date Scope Mission Areas
Statewide Medical & Health Tabletop Exercise
Date
[insert date]
Scope
4 phases in program
Mission Areas
[insert selected]
Capabilities
[insert selected Public Health Emergency Preparedness , Health Care Preparedness and Response, or Core Capabilities]
This year’s capabilities and themes are listed in the Statewide Medical and Health Exercise Multi-Year Training and Exercise Plan (MYTEP).

10. EXERCISE OVERVIEW EXERCISE OVERVIEW Objectives Threat/Hazard Scenario
[Insert selected]
Threat/Hazard
Scenario
Sponsor
California Department of Public Health, Emergency Medical Services Authority, [insert your agency/organization]
Participating Organizations
[Insert]

11. GENERAL INFORMATION GENERAL INFORMATION
Participant Roles & Responsibilities
Players: Respond to situation presented based on current plans, policies, and procedures
Observers: Visit or view selected segments of the exercise , but do not participate in moderated discussion
Facilitators: Provide situation updates and moderate discussions
Evaluators: Observe and document player discussions
Controllers (if applicable): Control delivery of injects to exercise players

12. GENERAL INFORMATION GENERAL INFORMATION Tabletop Exercise Structure
[Module 1 – Pre-Incident Information]
Breakout group discussion and group presentations
[Module 2 – Day of the Incident]
Breakout group discussions and group presentations
[Module 3 – Incident Update & Recovery]

13. GENERAL INFORMATION GENERAL INFORMATION Exercise Guidelines
Open, low-stress, no-fault environment
Varying viewpoints are expected
Use current plans/capabilities
Consider different and innovative approaches
Issue identification is not as valuable as recommended actions and improvements
Are there any questions before the TTX scenario begins?
Exercise Evaluation
Exercise Evaluation Guides (EEG)
Feedback Forms

14. GENERAL INFORMATION GENERAL INFORMATION Assumptions Artificialities
The exercise is conducted in a no-fault learning environment wherein capabilities, plans, systems, and processes will be evaluated
The exercise scenario is plausible, and events occur as they are presented
Artificialities
Impacts across the response community
Some time lapses may be artificially used to achieve the exercise objectives
See page [insert] of your Situation Manual for more Assumptions & Artificialities

15. GENERAL INFORMATION Exercise Evaluation
Participant Feedback Forms
Exercise Evaluation Guides
Hot Wash Notes
Notes from today’s exercise may be used to design and implement the Functional Exercise (FE)

16. MODULE ONE
[PRE-INCIDENT INFORMATION]

17. BACKGROUND INFORMATION
[Terrorist Incident]
[an unlawful act of force and violence against persons or property to intimidate or coerce a government, the civilian population, or any segment thereof, in furtherance of political or social objectives]
Events such as:
[Bomb/Active Shooter]
[Cyber Attack]
[Civil Disorder]
[Kidnapping]
Image: Berlin, Germany - January 7th, 2015: March against Charlie Hebdo magazine terrorism attack, on January 7th, 2015, in front of France Embassy in Berlin, Germany
FBI Terrorism Definition
Source: What We Investigate." FBI. Accessed November 9th,

18. BACKGROUND INFORMATION
Responding Departments/ Agencies can include:
Emergency Medical Services (EMS) / Ambulance
Fire
Police
Search & Rescue
Healthcare facilities
Media
Non Profit Organizations
Public Health

19. BACKGROUND INFORMATION
[Terrorist Incident] Response Flow:
Pre-Incident
[Define the threat]
[Identify terrorists]
[Prevent additional acts]
Mid-Incident
[Resolve the terrorist incident]
Post- Incident
[Investigate incident]
[Apprehend those responsible]

20. BACKGROUND INFORMATION
Will there be enough:
Staff?
Space?
Supplies & Equipment?
System? (i.e., patient tracking)
Special considerations:
Media
Public Response
Hazardous Materials
Behavioral Health

21. MODULE ONE [September 2017]
[Multiple threats are issued via Social Media]
[FBI gathers intelligence suggesting ongoing preparations for an attack]
[Intelligence leads to the arrest of a 23-year-old male suspect found with both ammunitions and explosives]
Pre-Incident Information

22. MODULE ONE
[October 2017]
[A shooter carrying a semi-automatic rifle manages to kill two people and wound five at a local community clinic]
[The shooter commits suicide before being apprehended]
[FBI determines that this may have been an intelligence gathering mission for potential future attacks]
Pre-Incident Information

23. MODULE ONE
[November 2017]
[FBI and law enforcement act on information suggesting a potential [November] attack]
[Local emergency management agencies activate their Emergency Operations Centers (EOC) / Department Operations Centers (DOC)]
[First responders are placed on high alert]
Pre-Incident Information

24. DISCUSSION FORMAT DISCUSSION FORMAT Elect a group spokesperson
Use the Situation Manual and exercise materials to take notes
Focus on
Strengths
Areas for improvement
As it pertains to:
Doctrine
Organization
Personnel
Training
Equipment
Support

25. MODULE TWO
[DAY OF THE INCIDENT]

26. MODULE TWO [Insert time] – First Incident
[A white van arrives at a crowed event]
[The van lurches forward, killing the security guard and launching into the crowd of bystanders]
[The van crashes into a wall and a man in his 20s is seen escaping from the vehicle]
[Law enforcement arrives and begins investigations]
Day of the Incident

27. MODULE TWO [Insert time] – Second Incident
[Two adults posing as concerned parents pull automatic weapons and begin firing on staff and students]
[Local law enforcement arrive on scene and establish Incident Command. They are unable to find the shooters]
[The school falls near the county line, and neighboring jurisdictional authorities are involved in the search]
Day of the Incident

28. MODULE TWO [Insert time] - Traffic Incident
[A black van collides with a cargo truck on a local freeway causing a multi-car pileup]
[Witnesses report seeing the driver of the black van exit the vehicle and running away from the scene]
[Traffic comes to a standstill]
Day of the Incident

29. MODULE TWO [Insert time] – Third Incident
[A small white van explodes near the loading dock of a local healthcare facility]
[Multiple wings are affected, and some areas of the building have collapsed]
[There are staff and patients/residents trapped underneath the rubble]
Day of the Incident

30. DISCUSSION FORMAT DISCUSSION FORMAT Elect a group spokesperson
Use the Situation Manual and exercise materials to take notes
Focus on
Strengths
Areas for improvement
As it pertains to:
Doctrine
Organization
Personnel
Training
Equipment
Support

31. MODULE THREE
[INCIDENT UPDATE & RECOVERY]

32. MODULE THREE [Insert time] – Update & Recovery
[Law enforcement locate the male and female suspects across county lines]
[Both shooters are apprehended, alive but wounded]
[Local press have obtained and are broadcasting the graphic video footage from the school shooting]
Incident Update & Recovery

33. MODULE THREE [The driver from the first incident is apprehended]
[An international terrorist organization has claimed the attack]
[All incident sites are being flooded with bystanders and family members looking for their loved ones]
[Many family members require interpretive services]
Incident Update & Recovery

34. MODULE THREE [County hotlines are flooded]
[First responders, staff, family members, and victims are in need] additional mental and behavioral support]
[Volunteers and donations are pouring in]
Incident Update & Recovery

35. DISCUSSION FORMAT DISCUSSION FORMAT Elect a group spokesperson
Use the Situation Manual and exercise materials to take notes
Focus on
Strengths
Areas for improvement
As it pertains to:
Doctrine
Organization
Personnel
Training
Equipment
Support

36. CONCLUSION OF THE DISCUSSION-BASED TABLETOP

37. MODULE FOUR
[DEBRIEF QUESTIONS & FUNCTIONAL EXERCISE PLANNING]

38. MODULE FOUR MODULE FOUR Debrief questions
Identify three strengths
Identify three areas for improvement
What processes should be addressed in future efforts?
Functional Exercise (FE) planning
Duration
Stakeholders
Roles and responsibilities
Closing comments
*Ask participants to identify three strengths from the exercise*
*Ask participants to identify any areas for improvement (with a strengths-based perspective if possible)*
Run through the activities listed above to plan for the Functional Exercise

39. CONCLUSION CONCLUSION
Please complete your Participant Feedback Form or evaluation notes / Exercise Evaluation Guide and return them to an Exercise Facilitator at Registration
Please clean up your area and take all your materials with you
Additional materials can be found at the Statewide Medical and Health Exercise Program website: