Goal or Target
One hundred percent of each HCC’s core member organizations are participating in Phase 1 of the CST every fiscal year.
Operational Intent
Other than actual events, exercises are the primary method for HCCs and their member organizations to demonstrate their ability to perform under emergency scenarios. Therefore, a number of HPP performance measures are based on exercises. Participation of HCC members is crucial to truly test preparedness and response capabilities; thus, this measure is intended to gauge the extent to which HCC core member organizations are engaged in coalition exercises.
Data Reporting
Each HCC should report the following data in the CAT. During the specified time period for end-of-year reporting, recipients should enter this information on behalf of each HCC into the end-of-year performance measure module in PERFORMS. SPPR will calculate percentages.
|
Data Point |
Data Entity |
Data Source |
Response |
|---|
| PM14.1 Number of acute care hospitals participating in Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or
AAR/IP) | HCC Name:________ # __________ (Acute care hospitals) |
|---|
| PM14.2 Number of EMS participating in Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or AAR/IP) | HCC Name:________ # __________ (EMS) |
|---|
| PM14.3 Number of emergency management agencies participating in Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or
AAR/IP) | HCC Name:________ # __________ (emergency management agencies) |
|---|
| PM14.4 Number of public health agencies participating in Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion of the Coalition Surge Test (or AAR/IP) | HCC Name:________ # __________ (public health agencies) |
|---|
Definitions and Interpretation
-
HCC core member organizations: Core members are defined in the
2017-2022 Health Care Preparedness and Response Capabilities as acute care hospitals, EMS, emergency management agencies, and public health agencies. See
Appendix 2: List of Core and Additional HCC Member Types for a full list.
-
Participating: A member organization is considered to be participating if they are physically or remotely connected to the conduct of the CST or real-world evacuation in real time. A core member organization should be marked as “not participating” if it did not participate.
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Phase 1: Table Top Exercise with Functional Elements and Facilitated Discussion: The exercise starts 60 minutes after the assessment team notifies one or more hospitals or other patient-care facilities that they need to stand up their facility command centers. The exercise ends when all patients have an identified bed and mode of transport, or after 90 minutes, whichever comes first. Immediately following the exercise, participants will join a facilitated discussion that explores issues raised during the exercise, which may include: patient transportation planning; receiving health care facility capacity; patient tracking and public information; and the needs of vulnerable patients; and continuity of operations.
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CST: The CST tests a coalition’s ability to work in a coordinated way using their own systems and plans to find appropriate destinations for patients by using a simulated evacuation of inpatient facilities (that collectively represent at least 20 percent of a coalition’s staffed acute care bed capacity). The CST is designed to help HCCs identify gaps in their surge planning through a no- or low-notice exercise. The exercise’s foundation comes from a real-world health care system disaster challenge—the evacuation of a hospital or other patient care facility. Further, the test incorporates lessons learned from pilot tests with HCCs in South Dakota, Texas, Michigan, and Wyoming, which contributed significantly to the tool’s development. The test is available and free for all to use in their health care disaster preparedness and planning. The CST and related materials are available online.
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AAR/IPs: An AAR/IP is used to provide feedback to participating entities on their performance during an exercise. The AAR/IP summarizes exercise events and analyzes performance of the tasks identified as important during the planning process. It also evaluates achievement of the selected exercise objectives and demonstration of the overall capabilities being validated. The IP portion of the AAR/IP includes corrective actions for improvement, timelines for implementation of corrective actions, and assignment to responsible parties. AAR/IPs should follow HSEEP principles, and HPP will provide an optional template for future use.8
8. “Phase 4: After Action Report and Improvement Planning.” City and County of San Francisco Department of Emergency Management.
http://sfdem.org/phase-4-after-action-report-and-improvement-planning-0. Accessed 6 Aug. 2020.
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