1. Welcome 2011 California Statewide Medical and Health Exercise

3. Visit the Statewide Medical and Health Exercise and Training Website http://www.californiamedicalhealthexercise.com

4. Timeline Recommended timelines for planning and implementing the exercise program Phase I Multi Media Training – April 18, 2011 Phase II Organizational Self-Assessment – May 2011 Phase III Tabletop Exercise – June –July, 2011 Phase IV Functional Exercise – November 17, 2011

5. Exercise Scenario “Water Disruption” –Based on recent and historic events. –What kind can realistically occur? –Hospitals: Examples with prior events. –SNFs –Dialysis Centers –“Do not Use” order implications.

6. Exercise Program Response Disciplines Community-Based Organizations Community Care Clinics Emergency Management Emergency Medical Services Providers Fire Service Hospitals Law Enforcement Local Emergency Medical Services Agency Local Public Health and Environmental Health Departments Long-Term Care Facilities Medical Examiners/Coroners

8. Main Goal for Conducting Exercises Exercise existing written plans to: Clarify roles and responsibilities. Improve interagency coordination. Find resource gaps. Develop individual performance. Identify opportunities for improvement.

11. Planning Conferences The conferences provide an opportunity for the team to: Define the exercise purpose and objectives. Develop the scenario. Coordinate logistics. Track design and development progress. Troubleshoot design or development problems. The scope, type, size, and complexity of the exercise determine the type and number of conferences the planning team decides to conduct.

12. Defining Design and Development Exercise development includes: Creating exercise documentation. Arranging logistics, actors, and safety. Coordinating participants and media. Other supporting planning tasks (e.g., training controllers, evaluators, and exercise staff).

13. Exercise design includes: Assessing exercise needs. Defining the scope of the exercise. Writing a statement of purpose. Defining exercise objectives. Creating a scenario for the exercise. Defining Design and Development

14. Discussion-Based exercise conduct involves: Site setup. Guided presentation. Facilitated/moderated discussion. Wrap-up activities. Operations-Based exercises conduct involves: Site setup. Exercise briefings. Exercise play. Wrap-up activities.

15. Evaluation Observing the exercise and collecting supporting data. Gauging performance against expected outcomes. Determining what changes are needed to ensure desired outcomes.

16. After-Action Reports Should be prepared after every exercise type. Summarize what happened during the exercise. Provide feedback to participants on their performance. Recommend improvements for better preparedness.

17. Improvement Planning Process By focusing on performance and how actual outcomes differ from expectations, public officials, and exercise planners can: Target their improvement resources more effectively. Modify their programs before having to respond to a real incident.

18. Improvement Planning Process The IP identifies: Actions to address each AAR recommendation. Who will be responsible for taking each action. A timeline for completion of those actions.

19. After Action Conference Recommended Conference Attendees: Official representatives of all participating organizations. Exercise Planners who assisted in the development of the AAR. Exercise Evaluators who assisted in the development of the AAR. Stakeholders from the city, state, region, or other jurisdictions. The conference should address: Specific improvement actions that agencies can take. Feedback and validation of observations and recommendations. Key lessons learned from the exercise experience. Distribution of the After-Action Report (AAR) and the Improvement Plan (IP).

20. QUESTIONS?