1. May 3, 2016 Jefferson County Public Health, Golden, CO
MFHCC Meeting
May 3, 2016
Jefferson County Public Health, Golden, CO

2. Welcome and Introductions
Please state your name and the agency you represent
Please avoid using acronyms

3. Agenda Welcome & Introductions - Janelle
Review Previous Action Items - Janelle
Communications Plan Workgroup - Janelle
MFHCC Website Update - Lisa
COOP Training – Cali and Roger
Public Health Training and Exercise (T&E) Plan Presentation – Pam, Donna and Cali
Active Shooter Training and Exercise Opportunities - Lisa
Workgroup Updates – Lisa, Janelle and Cali
Agency Updates - All
Review New Action Items - Janelle
Networking

4. Review Previous Action Items
Person responsible
Deadline
Contact Christine/Cali if interested in becoming a JCPH or Denver Closed POD.
All
On-going
Call your local non-emergency dispatch, introduce yourself and ask what situations they would like you to use this number instead of 911. Prepare to report back at the next meeting.
There is a statewide need for blood donors so please spread the word.
Janelle or Lisa re: workgroups of interest
Janelle or Lisa to volunteer as secretary  
Member Spotlight - Janelle and Lisa if you would like to be featured on the website.
Include information on how to access the Mass Fatality Training (PDF) and the Mass Fatality Plan with the meeting minutes. DONE
Janelle and Lisa
5/10/16
Include Flyer for the CASCA Active Shooter exercise on May 10, 2016 with the meeting minutes. DONE

5. Communications Workgroup & Website Updates
Janelle Worthington
Lisa Filipczak

6. MFHCC Communication Plan Development Exercise
In person - use the rolodex cards at your seat
Via phone - compose an to: and
Please answer the following questions in regards to your communication preferences:
1. What is important to consider for regular/on-going communication from MFHCC?
2. What is important to consider for notifications during an emergency from MFHCC?

7. MFHCC Website Updates Old site: www.foothillshealthcarecoalition.com
New URL:
Features:
Organizational structure (charter, operational structure)
Meeting details (dates, times, location, minutes)
Membership (new member registration, member roster spreadsheet)
Resources (Zika Virus)
Volunteers for new member spotlight pages

8. Continuity of Operations (COOP) Planning
Cali Zimmerman – Denver Public Health
Roger Rewerts – Denver VA Medical Center

9. COOP Overview Continuity Plan will: Continuity Plan documents:
Provide for continuation of essential functions.
Enable a rapid response to any emergency situation.
Continuity Plan documents:
What will occur in a continuity situation.
How and how quickly continuity actions must occur.
Where continuity operations will occur.
Who will participate in continuity operations.

10. Elements of a Continuity of Operations Plan
Federal Continuity Directive 1 (FCD 1)
identifies 10 elements for a viable continuity plan:
Essential Functions
Orders of Succession
Delegations of Authority
Continuity Facilities
Continuity Communications
Essential Records Management
Human Resources
Test, Training, and Exercise (TT&E)
Devolution of Control and Direction
Reconstitution Operations
Federal Continuity Directive 1 (FCD 1)
FCD 1 provides direction to all Federal executive branch agencies for developing continuity plans and programs. Continuity planning facilitates the performance of essential functions during all-hazard emergencies or other situations that may disrupt normal operations.
FCD 1 also serves as guidance to State, local, tribal, and territorial governments. All organizations, including nongovernmental organizations (NGOs), can benefit from continuity planning.

11. Why is COOP Planning Important?

12. Deliverables

13. Benefits of COOP Planning
Customer / Consumer / Patient Well-Being:
Continue essential services and functions
Reduce time for recovery to normal operations
Preserves relationships and builds trust
Economic Protection:
Continue providing services
Reduce amount of time before returning to normal operations
Employee Safety and Happiness:
Employees know communication process
Increase employee response / attendance
Reassures employees and their families

14. Resources FEMA EMI (Independent Study):
IS-0546.a – Continuity of Operations Awareness [1 hour] (
IS-547.a – Introduction to Continuity of Operations [2 hours] (
MFHCC COOP Training (PowerPoint) and COOP Workbook posted on MFHCC Website and sent with meeting minutes
LPHA Contacts
Janelle Worthington Cali Zimmerman
Jefferson County Public Health Denver Public Health

15. Public Health Training and Exercise (T&E) Plan Presentation
Pam Stephens – Jefferson County Public Health
Donna Kline – Clear Creek County Public and Environmental Health
Cali Zimmerman – Denver Public Health

16. Why Are We Sharing Our Training and Exercise (T&E) Calendars?
MFHCC Goal – To provide opportunities for collaboration
Training and exercises
By coordinating, we can maximize resources
Expertise
Experience
Time
By working together, minimize work load
We need to know who needs what training
Who is planning specific trainings and exercises
Three MFHCC counties sharing their T & E calendars

17. Jefferson County Public Health (JCPH) 2016 – 2017 Training and Exercise Calendar
At Jefferson County Public Health, we train to three primary audiences:
Community partners and response associates
Healthcare coalition members
JCPH staff and Incident Management Team members
On the next three slides, I will be presenting the trainings and exercises we have planned for these audiences.

18. COMMUNITY PARTNERS AND RESPONSE ASSOCIATES - TRAINING CALENDAR
Community Partners and Response Associates Process of Dispensing Resources and Medication During a Public Health Emergency
JEFFERSON COUNTY PUBLIC HEALTH
COMMUNITY PARTNERS AND RESPONSE ASSOCIATES - TRAINING CALENDAR
YEAR
MONTH
TRAINING
PRIMARY AUDIENCE
FORMAT
PROVIDER
2016
July
Medical counter measures (MCM) training for community partners and agencies representing community members with access and functional needs
Community Associates including those representing at risk populations - respond and recover
In person
JCPH EPR Staff
Christine
Aug
Medical counter measures (MCM) and demobilization Training for Jefferson County Incident Management Team members
Jefferson County Incident Management Team – role and responsibilities
Oct
Medical counter measures (MCM) and demobilization training for Jefferson County Road and Bridge staff members
Jefferson County Road and Bridge staff – role and responsibilities
Nov
Training on Medical counter measures (MCM) and using joint information systems during MCM events for Jefferson County Public Information Officers
Jefferson County and JCPH Public Information staff (primary and back-up) – role and responsibilities
Dec
Training on Medical counter measures (MCM) and roles and responsibilities for security partners during an MCM event
Jefferson County Sheriff’s Office staff – role and responsibilities

19. Healthcare Coalitions (MFHCC & RSHCC) Emergency Preparedness and Response and Information Sharing
METRO FOOTHILLS HEALTHCARE COALITION AND REGIONAL SPECIALTY HEALTHCARE COALITION
TRAINING CALENDAR
YEAR
MONTH
TRAINING
PRIMARY AUDIENCE
FORMAT
PROVIDER
2016
Feb
Regional Specialty Healthcare Coalition
Active Shooter Response
Training
Regional Specialty Healthcare Coalition (RSHCC)
Apr
Mass Fatality Training
Metro Foothills Healthcare Coalition
(MFHCC)
In Person
Denver Environmental Health (Suzanne Boccia)
May 3
Review of participating counties Training and Exercise calendars 
MFHCC
JCPH, DPH, CCCPEH
May 10
Active Shooter Simulation
RSHCC
Sponsored by the Colorado ASC Association and
CDPHE
June
July
Aug. 18
Individual Preparedness for Staff Resiliency and Retention in LTC Facilities During Emergencies
Lisa Filipczak Denver Public Health and
Pam Stephens Jefferson County Public Health
Sept
Medical Counter-Measures (MCM) Training for Healthcare Partners
JCPH EPR Staff
Emergency Responder Resiliency
CDPHE (Aimee Voth-Siebert)
Oct
Nov. 17
Managing a Utility Outage in a Long Term Care Environment
Nick Kell, Boulder County Public Health and Jason Atencio, Tri-County Health Department
Dec
The primary focus of the trainings that will provided to the Healthcare Coalitions, both this Healthcare Coalition, as well as the Regional Specialty Healthcare Coalition, relate to topics regarding emergency preparedness and response and information sharing.
In response to feedback received from coalition members, we have been providing trainings related to active shooter and mass fatality incidents.
We will also be providing a training on the importance of Individual Preparedness for staff in long term care environments to increase staff retention during emergencies, as well as trainings on medical counter measures, responder resiliency, and managing a power outage in a long term care environment.

20. JCPH Staff and JCPH Incident Management Team Role and Responsibilities During a Public Health Emergency Response Supported by and Followed up with Drills and Exercises - Practice
JCPH STAFF AND PUBLIC HEALTH INCIDENT MANAGEMENT TEAM
TRAINING CALENDAR January 2016 – December 2017
YEAR
MONTH
TRAINING
PRIMARY AUDIENCE
FORMAT
PROVIDER
AAR/IP ADDRESSED
DOCUMEN-TATION
COMPLETE
2016
Jan
Information regarding the Regional functional exercise
JCPH PHIMT
Apr. 19
Information Sharing
Staffing the EOC
In Person
JCPH EPR Staff
Agenda,
Sign-in Sheet
CoTrain #
Apr. 20
All Staff Call Down
JCPH Staff
Call Down
May 24
RTP Staff Training
Warehouse staff IMS training
Inventory tracking and managing resources
JCPH EPR Staff and
Chris
Mitchell
June 21
RSS to RTP
Drill
2017
Apr
POD Staff Training
May
Demobilization
May/June
Information regarding the Statewide Full Scale Exercise
We also provide training to our internal staff and our Jefferson County Public Health Incident Response Team, primarily related to their role and responsibilities during a public health emergency response.
These trainings are on topics such as how we would share information, how we staff the Emergency Operations Center, and how we would track inventory.
These trainings are often supported and follow up by drills and exercises to give our staff the opportunity to practice what they have learned.

21. JCPH Exercises and Drills
JEFFERSON COUNTY PUBLIC HEALTH EXERCISE CALENDAR
YEAR
MONTH
EXERCISE/DRILL
Exercise Participants
2016
January
Plague Functional Exercise
CDPHE
Jefferson County Public Health
Metro Foothills Healthcare Coalition
North Central Region Public Health Agencies
North Central Region Public Health Emergencies Associates
June 21
Regional Staging and Storage to Regional Transfer Point Drill
Transportation, Distribution, Inventory Management for Mass Dispensing incident
Onward Innovations
Nov.
Ebola/Highly Infectious Disease Table Top Exercise
All Clear Emergency Management Group
2017
June
Full Scale Exercise
Medication dispensing process during a public health emergency
North Central Region/Colorado Public Health Agencies
North Central Region/Colorado Public Health Response Associates
Which is what we did in January, when we participated, along with many of you, in the Plague Functional Exercise.
We will also be sponsoring a regional drill to test the transportation, distribution, and inventory management process involved in a mass dispensing incident.
In November, we will be running a highly infectious disease tabletop.
And in June of 2017, we will be participating, along with many of you again, in a state-wide full scale exercise to test the medication dispensing process during a public health emergency.

22. Collaboration Divides the Task and Multiplies the Success Please let us know if there is anything we can do to include your agency or to support trainings or exercises you are planning
That is an overview of the trainings and exercises that we will be conducting at Jefferson County Public Health during the next two years.
Please let us know if there is anything we can do to include your agency in any of these trainings or to support any trainings or exercises that your agency will be conducting.
Now Clear Creek and Denver are going to share with you the trainings and exercises they have coming up.

23. Clear Creek Public and Environmental Health (CCPEH) 2016 – 2017 Training and Exercise Calendar
My name is Donna Kline, I’m the Public Health Emergency Planner for Clear Creek County.

24. Clear Creek County Public and Environmental Health
Clear Creek County Public and Environmental Health will be training to two primary audiences:
Community partners and response associates
CCPEH staff and Multi-Agency Coordination Group
The next three slides represent the trainings and exercises we have planned for these audiences.

25. COMMUNITY PARTNERS AND RESPONSE ASSOCIATES - TRAINING CALENDAR
Community Partners and Response Associates Process of Dispensing Resources and Medication During a Public Health Emergency
CLEAR CREEK COUNTY PUBLIC HEALTH
COMMUNITY PARTNERS AND RESPONSE ASSOCIATES - TRAINING CALENDAR
YEAR
MONTH
TRAINING
PRIMARY AUDIENCE
FORMAT
PROVIDER
2016
July
Medical counter measures (MCM) training for community partners and agencies representing community members with access and functional needs
Community Associates including those representing at risk populations - respond and recover
In person
CCPEH EPR Staff
Donna
Aug
Medical counter measures (MCM) and demobilization training for Clear Creek County Public Works staff members
Clear Creek County Public Works staff – role and responsibilities
Sept
Training on Medical counter measures (MCM) and roles and responsibilities for security partners during an MCM event
Clear Creek County Sheriff’s Office and Local Law Enforcement – role and responsibilities
Oct
Medical counter measures (MCM) and demobilization Training for Clear Creek County Multi Agency Coordination Group
Clear Creek County Multi Agency Coordination Group– role and responsibilities
JCPH EPR Staff
Pretty much what Pam said, however, we won’t be training to PIOs as we only have one county PIO, but I will be encouraging our PIO to attend the Jefferson training.

26. TRAINING CALENDAR January 2016 – December 2017
CCPEH Staff and CC Multi Agency Coordination Group Role and Responsibilities During a Public Health Emergency Response Supported by and Followed up with Drills and Exercises -
CLEAR CREEK PUBLIC HEALTH STAFF AND CLEAR CREEK MULTI AGENCY COORDINATION GROUP
TRAINING CALENDAR January 2016 – December 2017
YEAR
MONTH
TRAINING
PRIMARY AUDIENCE
FORMAT
PROVIDER
AAR/IP ADDRESSED
DOCUMEN-TATION
COMPLETE
2016
Jan
Information regarding the Regional functional exercise
CCPEH CCIMT
Apr. 1
All Staff Call Down
CCPEH Staff
Call Down
CCPEH EPR Staff
May 24
RTP Staff Training
Warehouse staff IMS training
Inventory tracking and managing resources
JCPH PHIMT
In Person
JCPH EPR Staff and
Chris
Mitchell
Agenda,
Sign-in Sheet
CoTrain #
June 21
RSS to RTP
Drill
Aug
Drive thru Dispensing Exercise
CCPEH CCMACG
2017
May
Demobilization
JCPH EPR Staff
May/June
Information regarding the Statewide Full Scale Exercise
We are partnering with Jefferson County on a lot of the exercises. We recently lost our primary POD location, so one of our exercises will be a drive through dispensing site.

27. Clear Creek Public Health Exercises and Drills
CLEAR CREEK COUNTY PUBLIC HEALTH EXERCISE CALENDAR 2016 – 2017
YEAR
MONTH
EXERCISE/DRILL
Exercise Participants
2016
January
Plague Functional Exercise
CDPHE
Jefferson County Public Health
Metro Foothills Healthcare Coalition
North Central Region Public Health Agencies
North Central Region Public Health Emergencies Associates
June 21
Regional Staging and Storage to Regional Transfer Point Drill
Transportation, Distribution, Inventory Management for Mass Dispensing incident
Onward Innovations
Nov.
Ebola/Highly Infectious Disease Table Top Exercise
All Clear Emergency Management Group
2017
June
Full Scale Exercise
Medication dispensing process during a public health emergency
North Central Region/Colorado Public Health Agencies
North Central Region/Colorado Public Health Response Associates
I want to express how much we at Clear Creek appreciate all the help and support that Pam and her staff have given us. We would not be able to accomplish the level of work required with this program without them. Thank you!

28. Denver Public Health (DPH) 2016 – 2017 Training and Exercise Calendar

29. Denver Public Health
Communication / Situational Awareness Resource Utilization
Healthcare Coalition Collaboration
Incident Management

30. DPH Staff and Incident Management Team Training & Drills: 2016 - 2018
Audience
Date
Provider
Format
Duty Officer
DPH Staff
March, September
Lisa Filipczak
In-person
WebEOC
IMT
TBD
Denver Office of Emergency Mgmt.
EMResource
CDPHE
Webinar
Call-Down Drill
January, April, July, October
Drill
COOP Training
June, December
Radio Comms Training
Partners
September
Radio Drill
November
DOC Activation Training
January, May, August
DPH
DOC Activation Drill

31. Partners Training & Drills: 2016 - 2018
Audience
Date
Provider
Format
First Responder Closed POD Training
DPH
FR Partners
October, 2017
TBD
Closed POD Operations Training
Partners
February, 2017
February, 2018
In-person
Closed POD Communication Training
August, 2017
August, 2018

32. Questions? Thank you! Pam Stephens – Jefferson County Public Health
Donna Kline – Clear Creek County Public and Environmental Health
Cali Zimmerman – Denver Public Health

33. Active Shooter Trainings and Exercise Opportunities
Lisa Filipczak – Denver Public Health

34. Active Shooter Educational Program
Is Your Facility Prepared for an Active Shooter Situation? By CASCA and CDPHE
Waiting List currently
Tuesday, May 10th, 6-8pm, including light dinner
Northwest Regional ASC
10170 Church Ranch Way
Broomfield, CO 80021
Settings include: ambulatory surgery center, nursing homes, assisted living, and long term care facilities.
For more information, please visit:
Phone: (303) Fax: (503)

35. Active Shooter Educational Program
Tuesday, June 7 at MFHCC meeting, 12:00-1:30 pm
Panel discussion including various disciplines
How agencies are addressing active shooter education for staff and visitors
Sharing best practices
Request for your input:
On the index cards or in an to Janelle and Lisa, please list:
Your educational needs regarding active shooter education
What gaps currently exist for training, preparation, recovery, etc.?
Other needs or requests?

36. Workgroup Updates Sign-up for the workgroups that interest you
Workgroups meet 1-3 times total
If you are remote, Janelle and Lisa to sign-up
EMS Workgroup: to meet during NCR EMS Meeting
Wednesday, May 25 at 1:15 pm, at St. Anthony's Hospital (11600 W. 2nd Place, Lakewood, CO 80228 ) in conference center Rooms A-D

37. Community Inclusion in Colorado (CICO) Workgroup Wrap Up
Cali Zimmerman – Denver Public Health

38. DPH and JeffCo using CICO Maps: POD Planning
Identify which PODs are in areas with large populations of non-native English speakers
Include in plans need for translator at POD
Identify areas with no PODs and high functional needs populations
Include in plans system for delivering prophylaxis

39. Agency Updates
Please mention brief updates you would like to share with the entire group
Include your name and agency name
High level reports applicable to various agencies
Updates requiring in depth discussions may transition into workgroups

40. Agency Updates Epi Update Hospitals Public Health EMS Provider
Emergency Management
Long Term Care
Mental/ Behavioral Health
Outpatient Medical Services (Example: community health center, clinic, dialysis, etc.)
Other HCC Partner (Example: education, private, federal entity, coroner, etc.).

41. Review New Action Items
Janelle Worthington

42. Thank you! Networking