1. Virginia Medical Countermeasure (MCM) Distribution and Dispensing Bob Mauskapf, MPA Colonel, USMC (ret) Director, Emergency Preparedness

2. Public Health Preparedness & CRI Regions in Virginia

3. VDH MCMD/D Initiatives VDH is a statewide, organic PH System –35 LHDs Private / Public Partnerships –UPS –Amerisource Bergen / Antiviral Med Stockpile –Pharmacies INVATRAK –UPS Interface –DMAS Tracking Closed PODs Initiative Federal Gov’t Role in NCR Planning / Response CDC Technical Assistance Reviews

4. New CDC MCMD/D Performance Measures VDH scored perfect 100 past 5 years using ONLY annual TAR scores Now track over a five-year performance period. –New Year 1 benchmark - 43 –Virginia score - 62.3 / “Exceeds” Benchmark –New data points: LHD Dispensing results Enhanced State and local MCM Exercise results VDH embraces new measurement and anticipates continuing to exceed benchmark expectations

5. Partners VDH MMRS(s) Loc Law Enforcement UPS Loc School Districts Loc EP&R Partners DC / Neighbor States Hospitals and (6) Hospital Regions VDEM Dept. of Corrections State Police VNG VDOT VDGS –DCLS Feds –HHS / CDC –DOD –DHS / FEMA –Marshal Service

6. RSS External

7. RSS Internal

10. Inventory Management System

11. 1PRW999 VIRGINIA DEPARTMENT OF MEDICAL ASSISTANCE SERVICES REPORT NO: POS-O- 999-1 AS OF:11/03/2009 PANDAMIC RELIEF PROGRAM REPORT -BY ZIP CODE, PROVIDER, NDC PAGE NUMBER: 3 RUN DATE: 11/03/2009 01:36:18 pm SERVICING ZIP: 22192 PROVIDER: 1497952238 PROVIDER NAME: HARRIS TEETER PHARMACY #316 RA ADDRESS: HARRIS TEETER PHARMACY #316 PO BOX 601323 CHARLOTTE, NC 28260 NDC BRAND NAME QUANTITY CLIAMS COUNT --- ---------- -------- ---- -------- 00004081095 TAMIFLU 12MG/ML SUSP RECON 50.000 2 TOTAL CLAIMS COUNT: 2 -

13. OPERATION DIME October 23-24, 2012 Distribution, Dispensing, and Inventory exercise of the Strategic National Stockpile (SNS) WHEN: Tabletop Exercise (TTX) with Leadership: October 23, 2012 Full-scale Exercise (FSE): October 24, 2012 7 am to ~ 6:00 pm WHO: VDH and HHR and other partners (VDC, VSP, UPS) WHAT: Requesting the SNS Push Pack Receiving, staging; Picking and storing SNS assets; Transport of same; dispensing activities WHERE: October 23: ECC in the Madison Building October 24: VDC facility in Sandston, 4 VDH districts and 5 hospitals HOW: Funded through the PHEP grant lunches, exercise materials and supplies Incident Management team (IMT) Observers

14. OPERATION DIME October 23-24, 2012

15. Questions? VDH Staff Contact Information Dr. Marissa Levine, Deputy Commissioner, Public Health and Preparedness Marissa.Levine@vdh.virginia.gov 804-864-7025 Bob Mauskapf, Director, Emergency Preparedness Bob.Mauskapf@vdh.virginia.gov Bob.Mauskapf@vdh.virginia.gov 804-864-7035 Julie McMorrow, Assistant Director, Emergency Preparedness 804-432-9987 Julie.Mcmorrow@vdh.virginia.gov Julie.Mcmorrow@vdh.virginia.gov 804-864-7025 Jeff Walker, NOVA Regional Planner Jeff.Walker@vdh.virginia.gov Jeff.Walker@vdh.virginia.gov 571-722-4757 Kim Allan, Executive Advisor Kim.Allan@vdh.virginia.gov 804-864-7030 Suzi Silverstein, Director, Risk Communication and Education Suzi.Silverstein@vdh.virginia.gov Suzi.Silverstein@vdh.virginia.gov 840-864-7538 Jenny Smock, State Hospital Coordinator Jennifer.Smock@vdh.virginia.gov Jennifer.Smock@vdh.virginia.gov 804-864-7034 Info / Contact http://www.vdh.virginia.gov/OEP/