1. CST Exercise Update West Virginia
March 8, 2019

2. Find an appropriate level of care facility to accept the patient in transfer.
Hospital
Long Term Care Facility
Dialysis
Discharge to Home
Find an appropriate means of transportation.
ALS/BLS
Bus
Air
Police
Objectives

3. Total – Available = Census X 20% = Regions number to evacuate
20 %
SMARTT, the day before, excluding Emergency Department beds and Rehabilitation Units
Total – Available = Census X 20% = Regions number to evacuate

4. Strengths Activating Incident Command All HCC Hospitals participating
Effective communication with Live Process and phones
Good inter-facility communication
Having the communications directory available
Sending staff with patients to receiving facilities
Assessing and discharging patients to home to free up beds at evac and receiving facilities
Staff representation participating including: pharmacy, nursing, program managers, medical staff, admissions, administration and facilities.
Setting up incident command

5. Areas For Improvement More Coalition involvement from EMS, EM and PH
Need Training on Live Process. And have more staff members trained on the system.
Expand Coalition Membership
Use of IRP radio’s
Utilize coalition partners more. ie: Health Departments, Emergency Management and Long Term Care Providers.
Need a tracking system in place for patients transferred
Better understanding of resources available within the HCC

6. PERFORMANCE MEASURES – EXERCISE RESULTS SUMMARY
Regions 1 , 2 , 3/4 , 6/7
PM15
Time in minutes for the last evacuating facility to report the # of patients to be evacuated after the start of Phase 1
30 Minutes
PM16
Time in minutes for the HCC’s last potential receiving facility to report the total # of available beds in Phase 1
40 Minutes
PM17
Time in minutes for the HCCs to identify an appropriate mode of transport for the last evacuating patient.
79 Minutes

7. PERFORMANCE MEASURES – EXERCISE RESULTS SUMMARY
PM18
Percent of patients at the evacuating facilities that are identified as able to be:
a.) discharges safely to home or
b.) evacuated to receiving facilities during Phase
1: Evacuation exercise and Phase 2: Post-Evacuation Conference Call.
# of patients at evacuating facilities identified as being able to be discharged to home during Exercise Phases 1 & 2
81 Patients
# of patients at evacuating facilities identified as being able to be evacuated during Exercise Phases 1 & 2
165 Patients
Total # of patients at all evacuating facilities at the beginning of Phase 1: Evac Exercise
270 Patients
Total # of acute-care patients in the Coalition, as determined prior to start of the exercise (use total # from Form B: Data on Coalition Beds)
1,021 Patients

8. PERFORMANCE MEASURES – EXERCISE RESULTS SUMMARY
PM19
Percent of evacuating patients with an
appropriate bed identified at a receiving health care facility in 90 minutes.
Total # of beds identified at all receiving facilities at the end of Phase 1
during Phase 1: Evac Exercise
217 Beds
# of patients at evacuating facilities identified as being able to be evacuated during Phase 1: Evac Exercise
194 Patients

9. PERFORMANCE MEASURES – EXERCISE RESULTS SUMMARY
PM20
Percent of evacuating patients with acceptance for transfer to another facility that have an appropriate mode of transport identified in 90 minutes.
Total # of patients matched to a confirmed, appropriate mode of transport to their receiving facility at the end of Phase 1: Evac Exercise
161 Patients
# of patients at evacuating facilities identified as being able to be evacuated during Phase 1: Evac Exercise
165 Patients
Percentage of the HCC's acute care patients that were "placed"
(discharged or transferred) in the HCC during this exercise
24%

10. Still To Come Region 10/11 Region 5 Region 8/9 February 26, 2019
AAR Due April 2, 2019
March 4 – March
AAR Due April 16, 2019
April 29 – May 10, 2019
AAR Due June 18, 2019

11. Presented By: Lisa Green West Virginia Hospital Association
Program Manager
Emergency Preparedness