United States Department of Health Human Services Office

United States Department of Health & Human Services Office of the Assistant Secretary for Preparedness and Response HPP Coalition Surge Test Final Briefing

Agenda • Overview of the Coalition Surge Test (CST) • Scope of Play • Exercise Documents & Deliverables • Q & A ASPR: Resilient People. Healthy Communities. A Nation Prepared.

Overview of the Coalition Surge Test • Elements of the Coalition Surge Test include: ─ Annual Requirement for all funded HCCs ─ Hospital Evacuation Scenario – low to no-notice • Evacuating hospital seeks assistance from HCC partners • Table Top Exercise/Functional Exercise and Facilitated Discussion for hospitals • Simulated surge of 20 percent of the HCCs’ staffed acute care bed capacity ─ 20 percent surge – parallels Immediate Bed Availability (IBA) ─ Consistent with 2017 -2022 Health Care Preparedness and Response Capabilities ASPR: Resilient People. Healthy Communities. A Nation Prepared. 3

Regulatory Compliance ─ Completion of all exercise deliverables may meet CMS & JCO requirements for a full scale/community-based disaster drill. ─ Framework & templates for all documentation needed to demonstrate regulatory compliance will be provided to you after the exercise. ─ Essential to participate fully in order to meet minimum regulatory requirements. ASPR: Resilient People. Healthy Communities. A Nation Prepared. 4

Role of the HCC in this exercise 1. Collaborate & coordinate with health care response entities to identify clinically appropriate beds for evacuating patients 2. Communicate & coordinate with medically appropriate transportation 3. Identify essential elements of information that helps inform situational awareness among coalition members and partners ASPR: Resilient People. Healthy Communities. A Nation Prepared. 5

Coalition Performance Measures ASPR: Resilient People. Healthy Communities. A Nation Prepared. 6

Exercise Scenario ASPR: Resilient People. Healthy Communities. A Nation Prepared. 7

Hospital Scope of Play ─ Activation of your Emergency Operations Plan. ─ Minimum/skeleton staffing of your command center. ─ Complete all required VHASS reporting: • Update Hospital Status Board with inpatient bed availability when requested. • Post required information in the VHASS Event Log. Monitor throughout exercise and respond to information requests from the RHCC. ─ Work through surge test discussion questions over the 90 minute period. ─ Participate in a 20 minute discussion/hot wash immediately following the exercise. ASPR: Resilient People. Healthy Communities. A Nation Prepared. 8

Exercise Sequence ─ Thursday, May 3 rd, 2018 (morning) ─ Hospitals will receive VHASS text alert & email 60 mins before the start of the exercise. ─ Exercise will start promptly 1 hour later (have IMT assembled) and has a hard stop 90 minutes after STARTEX. • Participate in VHASS deliverables quickly • Work through discussion questions ─ Faciliated discussion/hot wash via conference call will occur 10 minutes after exercise ends. Wrap up by 11 A. ASPR: Resilient People. Healthy Communities. A Nation Prepared. 9

Review of Hospital Exercise Docs • Exercise Briefing • VHASS Review ASPR: Resilient People. Healthy Communities. A Nation Prepared. 10

Q&A • Questions? ASPR: Resilient People. Healthy Communities. A Nation Prepared. 11