Goal or Target
SPPR will establish a baseline based on participation of HCCs’ core member organizations with executives in Phase 2: After Action Review of the CST in the initial fiscal years, which will be used to set targets and goals for subsequent years.
Operational Intent
Member organizations’ executive participation demonstrates an HCC’s ability to perform its role as a convener. Executive-level participation in the after action review phase of the CST increases the likelihood that HCC member organizations can act on lessons learned, improving preparedness and response capabilities for their communities. This indicator provides insight into the extent to which HCC core member organizations’ executives are engaged in the lessons learned event of the required surge exercise (to enable systematic learning).
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 |
|---|
| PM15.1 Number of acute care hospitals with at least one executive participating in Phase 2: After Action Review of the
Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 2: After Action Review of the Coalition Surge Test (or
AAR/IP) | HCC Name:________ # __________ (acute care hospitals) |
|---|
| PM15.2 Number of EMS with at least one executive participating in Phase 2: After Action Review of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 2: After Action Review of the Coalition Surge Test (or
AAR/IP) | HCC Name:________ # __________ (EMS) |
|---|
| PM15.3 Number of emergency management agencies with at least one executive participating in Phase 2: After Action Review of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 2: After Action Review of the Coalition Surge Test (or
AAR/IP) | HCC Name:________ # __________ (emergency management agencies) |
|---|
| PM15.4 Number of public health agencies with at least one executive participating in Phase 2: After Action Review of the Coalition Surge Test (or real-world evacuation of at least 20 percent of coalition’s total beds) | HCC | Attendance log for Phase 2: After Action Review of the Coalition Surge Test (or
AAR/IP) | HCC Name:________ #__________ (public health agencies) |
|---|
Definitions and Interpretation
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Executives: An executive is a decision-maker for his/her respective organization and should have decision-making power that includes, but is not limited to, allocating or reallocating resources, changing staffing roles and responsibilities, and modifying business processes in his/her organization. Typical titles of executives with decision-making power include: Chief Executive Officer, Chief Operating Officer, Chief Medical Officer, Chief Clinical Officer, Chief Nursing Officer, State and/or Local Director of Public Health, Director of Emergency Management, Administrator on Duty, or Chief of EMS, among others.
-
Participating: A member organization or executive is considered to be participating if they are physically or remotely connected to the execution of the after action review in real time.
-
Phase 2: After Action Review: An after action review concludes the exercise and consists of an assessment of strengths and weaknesses and corrective action planning. This phase should be conducted within 30 days of completing the CST.
-
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.
-
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.
9
9. “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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