1. Convene Planning Workshop with Key Stakeholders to Develop TMM Educate Stakeholders Select Exercise Planning Team from Stakeholders Conduct Facilitator and Evaluator Training Conduct TMM Table Top Exercise Draft After Action Report Conduct AAR/IP Conference Track Improvement Plan Make Modifications to TMM Educate Stakeholders Convene Exercise Planning Team Conduct Controller and Evaluator Training Conduct TMM Functional Exercise Draft After Action Report Conduct AAR/IP Conference Track Improvement Plan Make Modifications to TMM Educate Stakeholders Broaden Stakeholders Group Using the Transitional Medical Model Toolkit to create Exercises

2. Introduction Each of the following slides explains a key step in applying the Transitional Medical Model to a jurisdiction and testing it using the Homeland Security Exercise and Evaluation Program (HSEEP) cycle.

3. Convene Planning Workshop with Key Stakeholders to Develop TMM Key Stakeholders: Local Public Health, Hospitals and Healthcare Facilities, EMS/EMA Review TMM Documents Develop jurisdiction-specific TMM using blank template

4. Educate Stakeholders Key Stakeholders conduct TMM seminars for their user groups End-users from Local Public Health, Hospitals/Healthcare Facilities, and EMS/EMA learn how to use the TMM

5. Select Exercise Planning Team from Stakeholders The EPT is responsible for designing, developing, conducting, and evaluating all aspects of an exercise Customize the TMM Table Top exercise for the jurisdiction Facilitate and Evaluate the exercise

6. Conduct Facilitator and Evaluator Training Complete Data fields for jurisdiction Download Situation Manual, Exercise Evaluation Guides, and TTX slide presentation Conduct Evaluator and Facilitator Training

7. Conduct TMM Table Top Exercise Using plenary methodology, the Players discuss their agency’s role and response to the scenario presented based on the Transitional Medical Model Moderated discussions allow for the participants to hear the outcomes of the various facilitated discussions that have taken place at the functional and agency level All participants contribute feedback during the Hot Wash

8. Draft After Action Report Based on data collected by the Evaluation Team and feedback provided during the Hot Wash and the Facilitator/Evaluator Debriefing an After Action Report is drafted Analysis of Capabilities Recommendations for improvement Capture of “Best Practices” The AAR Template will be used for this step

9. Conduct AAR/IP Conference Validation/Acceptance of the Draft After Action Report Discussion of recommendations for improvement and incorporation into Improvement Plan using IP Template Discussion of “Best Practices” and incorporation into Improvement Plan Final Products: After Action Report Improvement Plan

10. Track Improvement Plan Implementing the Improvement Plan is only the first step…. The progress made in achieving the recommendations detailed in the Improvement Plan must be tracked over time and tested in future exercises

11. Make Modifications to TMM Modifying the jurisdiction-specific Transitional Medical Model is an important aspect of the Improvement Plan

12. Educate Stakeholders Key Stakeholders conduct TMM seminars for their user groups End-users from Local Public Health, Hospitals/Healthcare Facilities, and EMS/EMA become familiar with the revised their agency/jurisdiction-specific TMM

13. Convene Exercise Planning Team The EPT is responsible for designing, developing, conducting, and evaluating all aspects of an exercise Customize the TMM Functional Exercise for the jurisdiction Control and Evaluate the exercise

14. Conduct Controller and Evaluator Training Complete Data fields for jurisdiction Download customized Exercise Plan, Player Manual, Evaluation Plan, Exercise Evaluation Guides, Controller/Evaluator Handbook, and Functional Exercise slide presentation Conduct Controller and Evaluator Training Provide Briefings for Simulators

15. Conduct TMM Functional Exercise Designed to evaluate the individual agency/jurisdictional responses to a communicable disease outbreak, using the Transitional Medical Model Typically conducted in an Emergency Operations Center (EOC)/Operations Center Deployment of resources is simulated All participants contribute feedback during the Hot Wash

16. Draft After Action Report Based on data collected by the Evaluation Team and feedback provided during the Hot Wash and the Controller/Evaluator Debriefing an After Action Report is drafted Analysis of Capabilities Recommendations for improvement Capture of “Best Practices” The AAR Template will be used for this step

17. Conduct AAR/IP Conference Validation/Acceptance of the Draft After Action Report Discussion of recommendations for improvement and incorporation into Improvement Plan using IP Template Discussion of “Best Practices” and incorporation into Improvement Plan Final Products: After Action Report Improvement Plan

18. Track Improvement Plan Implementing the Improvement Plan is only the first step…. The progress made in achieving the recommendations detailed in the Improvement Plan must be tracked over time and tested in future exercises

19. Make Modifications to TMM Modifying the agency/jurisdiction-specific Transitional Medical Model is an important aspect of the Improvement Plan

20. Educate Stakeholders Key Stakeholders conduct TMM seminars for their user groups End-users from Local Public Health, Hospitals/Healthcare Facilities, and EMS/EMA learn how to use the TMM

21. Broaden Stakeholders Group Increase the number of agencies and stakeholders in the Transitional Medical Model Repeat the cycle