1. 1 1 Pandemic Influenza Tabletop Exercise July 13, 2006 Albany, New York July 13, 2006 Albany, New York University at Albany School of Public Health Center for Public Health Preparedness University at Albany School of Public Health Center for Public Health Preparedness Home Care Association of New York State Home Care Association of New York State

2. 2 2 Ed Waltz, PhD Research Associate Professor Health Policy, Management & Behavior Eric Gebbie, MA, MIA Assistant Director Center for Public Health Preparedess Ed Waltz, PhD Research Associate Professor Health Policy, Management & Behavior Eric Gebbie, MA, MIA Assistant Director Center for Public Health Preparedess

3. 3 3 Purpose To assess the Capital District’s capacity to meet the surge in demands that an influenza pandemic could present to multiple health care sectors.

4. 4 4 Groups Why am I here ?

5. 5 5 Objectives (1) 1. Raise awareness about the broad impact of pandemic influenza on the health care system 2. Increase understanding regarding the responsibilities of all participating agencies 3. Identify the ability of participating agencies to pool resources to meet surge capacity demands 1. Raise awareness about the broad impact of pandemic influenza on the health care system 2. Increase understanding regarding the responsibilities of all participating agencies 3. Identify the ability of participating agencies to pool resources to meet surge capacity demands

6. 6 6 Objectives (2) 4. Identify gaps in coordination and communication between agencies 5. Identify gaps in training, education and planning within participating agencies 6. Promote advance planning between health departments, nursing homes, home care and other agencies, including hospitals and local emergency planners 4. Identify gaps in coordination and communication between agencies 5. Identify gaps in training, education and planning within participating agencies 6. Promote advance planning between health departments, nursing homes, home care and other agencies, including hospitals and local emergency planners

7. 7 7 Agenda See handout

8. 8 8 Participants In the pre-event survey, you told us… About half not very familiar with tabletops About half believe you have only fair or poor knowledge of pandemic flu impact ~ 70% are in the process of, or soon will be, revising your emergency plans to include pandemic flu In the pre-event survey, you told us… About half not very familiar with tabletops About half believe you have only fair or poor knowledge of pandemic flu impact ~ 70% are in the process of, or soon will be, revising your emergency plans to include pandemic flu

9. 9 9 Introductions

10. 10 Ground Rules (1) You are not role-playing. You are: Yourself Your facility Your community But you may need to think outside your usual role You are not making official representation of your agency. There are no wrong answers. (but there are better ones) You are not role-playing. You are: Yourself Your facility Your community But you may need to think outside your usual role You are not making official representation of your agency. There are no wrong answers. (but there are better ones)

11. 11 Ground Rules (2) Assume that the information you are given is accurate. Where the information provided is insufficient, do your best to explore all possibilities. Assume that the information you are given is accurate. Where the information provided is insufficient, do your best to explore all possibilities.

12. 12 Decide on Roles at Each Table Facilitator Primary clock watcher Keep discussion flowing Recorder Use data sheet provided Turn in at end of each segment Information provided contributes to the After Action Report Facilitator Primary clock watcher Keep discussion flowing Recorder Use data sheet provided Turn in at end of each segment Information provided contributes to the After Action Report

13. 13 Handouts

14. 14 Format Situation Update Pandemic scenario advances. Situation Update Pandemic scenario advances. Table Discussion Work as a team to find solutions to selected issues Report Back Selected tables share highlights. Report Back Selected tables share highlights.

15. 15 Table Discussions Organize your own discussion of the challenges and come up with potential solutions Develop a plan to respond to the request Identify barriers and gaps Share how events would really play out in your practice Share model plans or strategies you have developed or feel are unique Organize your own discussion of the challenges and come up with potential solutions Develop a plan to respond to the request Identify barriers and gaps Share how events would really play out in your practice Share model plans or strategies you have developed or feel are unique

16. 16 Time Constraints Approximately 30 minutes to Select issues that your table wants to address Discuss the issue Identify solutions and unresolved issues You may break into subgroups to deliberate if you have sufficient numbers at your table Approximately 30 minutes to Select issues that your table wants to address Discuss the issue Identify solutions and unresolved issues You may break into subgroups to deliberate if you have sufficient numbers at your table

17. 17 Report Back Return clear notes to contribute to AAR Be prepared to share brief highlights with the room Return clear notes to contribute to AAR Be prepared to share brief highlights with the room

18. 18 Questions before we begin?

19. 19 Begin Exercise

20. 20 Round 1 A Pandemic Begins

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34. 34 Table Discussion Round 1 A Pandemic Begins

35. 35 Report Back What solutions did you find? What remains unresolved? What solutions did you find? What remains unresolved? Round 1

36. 36 Confronting the Surge Round 2 Cases

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42. 42 Table Discussion Round 2 Cases Confronting the Surge

43. 43 Report Back What solutions do you recommend? What remains unresolved? What solutions do you recommend? What remains unresolved? Round 2

44. 44 Beyond Capacity Round 3 Cases

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49. 49 Table Discussion Round 3 Beyond Capacity Cases

50. 50 Report Back What solutions do you recommend? What remains unresolved? What solutions do you recommend? What remains unresolved? Round 3

51. 51 Next Steps Round 4

52. 52 Table Discussion Round 4 Next Steps

53. 53 Report Back What solutions do you recommend? What remains unresolved? What solutions do you recommend? What remains unresolved? Round 4

54. 54 Hotwash Topics What were the most important take-home messages from Day 1 ? What did you learn in today’s exercise ? … what else should have been included ? When you get back to your agency, how will your plan (or planning process) be different ? What are the next steps ? … training needs or exercise needs ID’d ? … big-picture questions that need to be answered ? What were the most important take-home messages from Day 1 ? What did you learn in today’s exercise ? … what else should have been included ? When you get back to your agency, how will your plan (or planning process) be different ? What are the next steps ? … training needs or exercise needs ID’d ? … big-picture questions that need to be answered ?

55. 55 Hotwash Topic 1 What were the most important take-home messages from Day 1

56. 56 Hotwash Topic 2 What did you learn in today’s exercise ? … what else should have been included ?

57. 57 Hotwash Topic 3 When you get back to your agency, how will your plan (or planning process) be different ?

58. 58 Hotwash Topic 4 What are the next steps ? … training needs or exercise needs ID’d ? … big-picture questions that need to be answered ? What are the next steps ? … training needs or exercise needs ID’d ? … big-picture questions that need to be answered ?

59. 59 End Exercise

60. 60 Ed Waltz, PhD Research Associate Professor Health Policy, Management & Behavior Eric Gebbie, MA, MIA Assistant Director Center for Public Health Preparedess www.ualbanycphp.org Ed Waltz, PhD Research Associate Professor Health Policy, Management & Behavior Eric Gebbie, MA, MIA Assistant Director Center for Public Health Preparedess www.ualbanycphp.org

61. 61 Acknowledgements Scenario originally developed for: Home Care Association of New York State Albany, NY, July 13, 2006 Presented by: University at Albany School of Public Health Center for Public Health Preparedness Available at www.UAlbanyCPHP.org Scenario originally developed for: Home Care Association of New York State Albany, NY, July 13, 2006 Presented by: University at Albany School of Public Health Center for Public Health Preparedness Available at www.UAlbanyCPHP.org