1. STATEWIDE MEDICAL AND HEALTH EXERCISE CONTROLLER AND EVALUATOR BRIEFING [Exercise Name/Exercise Date]

2. 2 Agenda –Administration –Exercise Overview –General Information –Exercise Logistics –Post-Exercise and Evaluation Activities –Participation Information & Guidance –Controller Information & Guidance –Evaluator Evaluation & Guidance –Additional Information (Appendices) ADMINISTRATION

3. WELCOME & LOGISTICS

4. 4 Welcome –Name –Position –Agency/Organization Logistics –Meeting Materials Sign-in Sheet C/E Handbook –Follow along in your handbook! Exercise Evaluation Guides (EEG) Master Scenario Events List (MSEL) ADMINISTRATION

5. EXERCISE OVERVIEW HIGH LEVEL SUMMARY

6. 6 EXERCISE OVERVIEW Name –Statewide Medical & Health Exercise Date –November 19, 2015 Scope –4 phases in program Mission Areas –[insert selected] Capabilities –[insert selected]

7. 7 Objectives –[insert selected] Threat/Hazard –Pandemic Influenza Scenario –Novel Strain of H5N1 Sponsor –CDPH, EMSA, [insert your agency/organization] Participating Organizations –[insert] EXERCISE OVERVIEW

8. GENERAL INFORMATION KEY MATERIAL

9. 9 Introduction Objectives & Core Capabilities –[agency/organization objectives & core capability details] Scenario –Pandemic Influenza –Causes significant medical surge –[insert local scenario tailoring] GENERAL INFORMATION

10. 10 Participant Roles & Responsibilities –Players –Exercise Director –Controllers Senior Controller –Exercise Director –Simulators –Evaluators –Actors –Observers –Media Personnel –VIPs –Support Staff GENERAL INFORMATION

11. 11 Assumptions & Artificialities –Impacts across response community –Timelines are condensed –See handbook for others Tools –C/E resources reviewed today –Multiple resources provided via CDPHReady.org HSEEP –Aligned with HSEEP GENERAL INFORMATION

12. EXERCISE LOGISTICS SECURITY, OBSERVER COORDINATION, AND MORE

13. 13 Security –Site access Observer Coordination –Observer Host –Designated areas Exercise Identification –Badges, vests and uniforms EXERCISE LOGISTICS

14. 14 Parking and Transportation –Designated areas Lunch –[insert time and location] Cleanup & Restoration –Supply packaging –Trash supplies –Recycling areas Safety –Safety Controller –“This is a real-world emergency” EXERCISE LOGISTICS

15. POST-EXERCISE & EVALUATION ACTIVITIES DEBRIEFINGS, EVALUATION AND IMPROVEMENT PLANNING

16. 16 Debriefings –Hotwash Strengths & Areas for Improvement discussed with the players Up to 30 minutes –C/E Debriefing Key observations discussed with C/Es –Participant Feedback Forms Collect written feedback Turn in to the After Action Report (AAR) lead POST-EXERCISE & EVALUATION

17. 17 Evaluation –EEGs Completed by Evaluators –AAR Strengths, Areas for Improvement, & recommendations Improvement Planning –After Action Meeting (AAM) Reviews draft AAR –Improvement Plan (IP) Provides due dates and assignments for action items POST-EXERCISE & EVALUATION

18. PARTICIPANT INFORMATION & GUIDANCE EXERCISE RULES, PLAYER INSTRUCTIONS & SIMULATION

19. 19 Exercise Rules –Real-world emergencies take priority –“This is an exercise” phrase used –Identify the organization or agency you wish to speak with when contacting the SimCell –Keep the exercise objectives in mind throughout the exercise –[insert others as needed] PARTICIPANT INFORMATION

20. 20 Player Instructions –Before the exercise Review materials At site 30 minutes in advance [insert others as needed] –During the exercise Respond as though real Obtain information through emergency channels [insert others as needed] PARTICIPANT INFORMATION

21. 21 Player Instructions –After the exercise Participate in hotwash Complete Feedback form [insert others as needed] Simulation Guidelines –Based on MSEL PARTICIPANT INFORMATION

22. CONTROLLER INFORMATION & GUIDANCE OVERVIEW, INSTRUCTIONS & MORE

23. 23 Exercise Control Documentation –Controller Package –Incident Simulation –Scenario Tools MSEL CONTROLLER INFORMATION

24. 24 Exercise Control Structure CONTROLLER INFORMATION

25. 25 Controller instructions –Before the exercise Review materials Attend briefings [inserts others as needed] –During the exercise Wear identification Avoid personal conversations Deliver injects at the time indicated on the MSEL or as directed by Exercise Director Note all key actions and the time they occur Receive and record information from players that would be directed to non-participating groups Ensure observers and/or media stay out of exercise play area [insert others as needed] CONTROLLER INFORMATION

26. 26 Controller instructions –After the exercise Distribute Feedback form Conduct hotwash [inserts others as needed] –Scenario Tools MSEL CONTROLLER INFORMATION Exercise control maintains exercise scope, pace, and integrity during exercise conduct.

27. 27 Controller responsibilities –C/E Briefing –Placement and monitoring –Post-exercise activities Exercise Report –AAR Feedback –AAR Meeting CONTROLLER INFORMATION

28. EVALUATOR INFORMATION & GUIDANCE OVERVIEW, INSTRUCTIONS & MORE

29. 29 General Information –Validate strengths and identify improvement opportunities Exercise Evaluation –HSEEP AAR/IP EEGs –Tool for identifying & analyzing key events EVALUATOR INFORMATION

30. 30 Evaluator instructions –Before the exercise Review materials Attend briefings [inserts others as needed] –During the exercise Wear identification Stay near decision makers Use EEGs to document performance relative to exercise objectives, capabilities, and tasks. Document performance [insert others as needed] EVALUATOR INFORMATION Exercise evaluation validates strengths and identifies areas for improvement.

31. 31 Evaluator instructions –After the exercise Participate in hotwash Turn in EEGs to Lead Evaluator [inserts others as needed] EVALUATOR INFORMATION

32. 32 EVALUATOR INFORMATION Using the Exercise Evaluation Guides –P- Performed Without Challenges –S- Performed With Some Challenges –M- Performed With Major Challenges –U- Unable to be Performed Tips and Focus Areas: –Activities and key decisions that relate to goals and objectives –Expected actions associated with injects –Critical events or initiating scenario events –Deviation from plans or procedures –Judge the plans, capabilities, and actions, NOT the players

33. 33 Assessment, review, and analysis of exercise –Evaluator Package –C/E Briefing –Placement and monitoring –Post-exercise activities Hotwash C/E Debrief Evaluations Participant Feedback Forms Exercise Report EVALUATOR INFORMATION

34. ADDITIONAL INFORMATION (APPENDICES) SCENARIO, SCHEDULE & MORE

35. 35 Scenario –H5N1 pandemic influenza –30% attack rate across all groups –High flu season –Hospitals experiencing medical surge, 9-1-1 taxed –Public health managing risk communications, surveillance, SNS, PODs –Leading media story –Civil unrest –[insert additional information as needed] ADDITIONAL INFORMATION

36. 36 Site Maps –[insert maps] ADDITIONAL INFORMATION

37. 37 Exercise Schedule ADDITIONAL INFORMATION TimeActivityLocation [0715]Exercise Check-In[North Hospital] [0755]C/Es in Starting Positions [North Hospital] [0800]StartEx[North Hospital] [1200]EndEx[North Hospital] [1210]Hot Wash[North Hospital] [1245]Debrief[North Hospital] [1330]C/Es Dismissed[North Hospital]

38. 38 Exercise Personnel Assignments –Players –Exercise Director –Controllers Senior Controller –Exercise Director –Simulators –Evaluators –Actors –Observers –Media Personnel –VIPs –Support Staff ADDITIONAL INFORMATION

39. 39 Communications Plan –Player communications Cannot interfere with real- world emergencies –Controller communications –Communications check –Player briefings –Public affairs –Communications directory –Radio use demonstration ADDITIONAL INFORMATION

40. 40 Acronyms –Review prior to exercise EEGs –Complete & submit to evaluator lead following the exercise ADDITIONAL INFORMATION

41. 41 Sync clocks Weather report –Sunblock, hydrate Walkable shoes, belt to clip radio to Review reporting time and location –Allow time for parking –Note check-in location Prepare for a fast-paced day C/E TIPS

42. 42 Maintain professionalism at all times –Serious topic matter –Radio traffic –Breaks –Standing –Proactive in role –Announce start/stop of key actions Calm and attentive demeanor –Resolve issues –Ask questions C/E TIPS

43. ACTION ITEMS QUESTIONS & MORE

44. 44 Review all materials Ask questions Report to exercise check-in ACTION ITEMS

45. STATEWIDE MEDICAL AND HEALTH EXERCISE CONTROLLER AND EVALUATOR BRIEFING [Exercise Name/Exercise Date]