1 Revised EOY for FY 08

Hospital Preparedness Program Data Collection

0990-0326 FY 08 EoY Matrix FINAL.xls

End of Year Report

OMB: 0990-0326

Document [xlsx]
Download: xlsx | pdf

Overview

Exercises
ED&TR
NIMS
Partnerships


Sheet 1: Exercises

Awardees must ensure at least one exercise is conducted in each Cities Readiness Initiative (CRI) city and an equal number of exercises in other locations during the FY 2008 budget period and ensure that participating healthcare organizations in those areas participate in these exercises. Exercises Awardees must have tested the operational capability of the following medical surge components:
1. Interoperable communications and Emergency Systems for Advance Registration of Volunteer Health Professionals (ESAR VHP);
2. A tabletop component to test the MOUs that are in place in partnerships/coalitions within the areas selected (further information on what these MOUs should contain is described below in the Partnership/Coalition description below); and
3. Fatality Management, Medical Evacuation, Tracking of Bed Availability (at least 2 of these other Level-One capabilities).

Provide a brief overview of your state's exercise activities during this funding period. In terms of HPP Capabilities, briefly describe three (3) "STRENGTHS" of this exercise. Major Strengths (3) In terms of HPP Capabilities, briefly describe three (3) "Areas of Improvement" noted during this exercise. Areas of Improvement (3)




















Select the capabilities tested in exercises during this funding period. Capabilities Tested Exercise Types There are seven types of exercises defined within HSEEP, each of which is either discussions-based or operations-based. Discussions-based Exercises familiarize participants with current plans, policies, agreements and procedures, or may be used to develop new plans, policies, agreements, and procedures. Types of Discussion-based Exercises include: • Seminar: A seminar is an informal discussion, designed to orient participants to new or updated plans, policies, or procedures (e.g., a seminar to review a new Evacuation Standard Operating Procedure). • Workshop: A workshop resembles a seminar, but is employed to build specific products, such as a draft plan or policy (e.g., a Training and Exercise Plan Workshop is used to develop a Multi-year Training and Exercise Plan). • Tabletop Exercise (TTX): A tabletop exercise involves key personnel discussing simulated scenarios in an informal setting. TTXs can be used to assess plans, policies, and procedures. • Games: A game is a simulation of operations that often involves two or more teams, usually in a competitive environment, using rules, data, and procedure designed to depict an actual or assumed real-life situation. Operations-based Exercises validate plans, policies, agreements and procedures, clarify roles and responsibilities, and identify resource gaps in an operational environment. Types of Operations-based Exercises include: • Drill: A drill is a coordinated, supervised activity usually employed to test a single, specific operation or function within a single entity (e.g., a nursing home conducts an evacuation drill). • Functional Exercise (FE): A functional exercise examines and/or validates the coordination, command, and control between various multi-agency coordination centers (e.g., emergency operation center, joint field office, etc.). A functional exercise does not involve any "boots on the ground" (i.e., first responders or emergency officials responding to an incident in real time). • Full-Scale Exercises (FSE): A full-scale exercise is a multi-agency, multi-jurisdictional, multi-discipline exercise involving functional (e.g., joint field office, emergency operation centers, etc.) and "boots on the ground" response (e.g., firefighters decontaminating mock victims). Language adopted from the Centers for Medicare & Medicaid Services' (CMS), Survey and Certification Groups, Health Care Provider After Action Report/Improvement Plan (AAR/IP) template. Types of Exercise










Select One Tabletop Exercise (TTX)










Select One Exercise Type
This section needs to expand…………………………………………..








Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type










Select One Exercise Type























Based on this exercise, what should future exercises focus on?




What capabilities will be addressed?

Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One
Select One


































































HIDE





































Capability Type

Exercise Type








Select One

Seminar








National Incident Management System (NIMS)

Workshop








Exercises, Evaluation and Corrective Actions

Tabletop Exercise (TTX)








Needs of At-Risk Populations

Games








Interoperable Communications

Drill








Tracking of Bed Availability (HAvBED)

Functional Exercise (FE)








ESAR-VHP

Full Scale Exercise (FSE)








Fatality Management











Medical Evacuation / Shelter-in-Place











Partnership / Coalitiion Development











Alternate Care Sites (ACS)











Mobile Medical Assets











Pharmaceutical Caches











Personal Protective Equipment











Decontamination











Medical Reserve Corps











Critical Infrastructure Protection (CIP)





































Sheet 2: ED&TR

The FY 08 FOA stated, "Awardees shall ensure that education and training opportunities or programs exist for adult and pediatric pre-hospital, hospital, and outpatient healthcare personnel who respond to terrorist incidents or other public health emergencies. Those opportunities or programs must encompass the sub-capabilities described herein. Also, awardees shall undertake activities to ensure all education and training opportunities or programs (including those in local health departments, major community healthcare institutions, emergency response agencies, public safety agencies, mental health and substance abuse facilities, etc.) collectively enhance the abilities of workers to respond in a coordinated, non-overlapping manner that minimizes duplication and fills gaps in the event of a public health emergency". Education and Preparedness Training This needs to be set up in a way that a separate blank box appears with a response of "Other".


HIDE THIS AREA





Some frequently requested classes have been provided. If "Other" has been selected, you must provide the name of the class. Training Categories (Select from ONE category)












Provider Class Disaster Specific Class Incident Command Specific Class Indicate the type of training given/taken. Type of Training Select all the Overarching Requirements or Sub capabilities addressed in each of the trainings. Overarching Requirement or Sub Capability Addressed Indicate the number of personnel trained. # Personnel Trained









Select One Select one Select One Select One National Incident Management System (NIMS) 0


Incident Command/Evaluation Specific OA and Capabilities







Select One Select One 0

Select One Select One







Select One Select One 0

HICS National Incident Management System (NIMS)







Select One Select One 0

ICS 100 Exercises, Evaluation and Corrective Actions







Select One Select One 0


ICS 200 Needs of At-Risk Populations







Select One Select One 0


ICS 300 Interoperable Communications







Select One Select One 0


ICS 400 Tracking of Bed Availability (HAvBED)






Select One Select One 0


ICS 700 ESAR-VHP







Select One Select One 0


ICS 800 Fatality Management







Select One Select One 0


HSEEP Medical Evacuation / Shelter-in-Place







Select One Select One 0


Other Partnership / Coalitiion Development







Select One Select One 0



Alternate Care Sites (ACS)







Select One Select One 0


Class Type Mobile Medical Assets







Select One Select One 0


Select One Pharmaceutical Caches







Select One Select One 0


Class Personal Protective Equipment







Select One Select One 0


Seminar Decontamination







Select One Select One 0


Conference Medical Reserve Corps







Select One Select One 0



Critical Infrastructure Protection (CIP)







Select One Select One 0


Medical Clsses








Select One Select One 0


Select One








Select One Select One 0


Advanced Cardiac Life Support (ACLS)








Select One Select One 0


Advanced Burn Life Support (ABLS)








Select One Select One 0


Advanced Pediatric Life Support (APLS)








Select One Select One 0


Pediatric Advanced Life Support (PALS)








Select One Select One 0


Basic Trauma Life Support (BTLS)








Select One Select One 0


Advance Trauma Life Support (ATLS)








Select One Select One 0


Pre-Hospital Trauma Life Support (PHTLS)








Select One Select One 0


Basic Life Support (BLS)








Select One Select One 0


Advance Radiological Life Support (ARLS)








Select One Select One 0


Basic Radiological Life Support (BRLS)








Select One Select One 0


Other








Select One Select One 0












Select One Select One 0


Disaster Classes








Select One Select One 0


Select one








Select One Select One 0


Core Disaster Life Support (CDLS)








Select One Select One 0


Basic Disaster Life Support (BDLS)








Select One Select One 0


Advanced Disaster Life Support (ADLS)








Select One Select One 0


Other








Select One Select One 0












Select One Select One 0










Sheet 3: NIMS

In FY 08, HPP awardees are required to insure that all participating healthcare organizations are able to report full compliance with these NIMS implementation activities as described in Appendix B of the FY 08 FOA. NIMS Implementation Activities Instructions: List all participating healthcare facilities. Use the drop down boxes to indicate the status of each activity. The choices are:
X = Achieved,
IP = In Progress,
UNK = No report or status known.


List the names of all HPP participating healthcare facilities. Participating Healthcare Facilities Adoption Preparedness: Planning Preparedness: Training Communication and Information Management Command and Management
HIDE
Adopt NIMS throughout the healthcare organization including all appropriate departments and business units. 1 Ensure Federal Preparedness awards support NIMS Implementation (in accordance with the eligibility and allowable uses of the awards). 2 Revise and update emergency operations plans (EOPs), standard operating procedures (SOPs), and standard operating guidelines (SOGs) to incorporate NIMS and National Response Framework (NRF) components, principles and policies, to include planning, training, response, exercises, equipment, evaluation, and corrective actions. 3 Participate in interagency mutual aid and/or assistance agreements, to include agreements with public and private sector and nongovernmental organizations. 4 Identify the appropriate personnel to complete ICS-100, ICS-200, and IS-700, or equivalent courses. 5 Identify the appropriate personnel to complete IS-800 or an equivalent course. 6 Promote NIMS concepts and principles into all organization-related training and exercises. Demonstrate the use of NIMS principles and ICS Management structure in training and exercises. 7 Promote and ensure that equipment, communication, and data interoperability are incorporated into the healthcare organization’s acquisition programs. 8 Apply common and consistent terminology as promoted in NIMS, including the establishment of plain language communications standards. 9 Utilize systems, tools, and processes that facilitate the collection and distribution of consistent and accurate information during an incident or event. 10 Manage all emergency incidents, exercises, and preplanned (recurring/special) events in accordance with ICS organizational structures, doctrine, and procedures, as defined in NIMS. 11 ICS implementation must include the consistent application of Incident Action Planning (IAP) and common communications plans, as appropriate. 12 Adopt the principle of Public Information, facilitated by the use of the Joint Information System (JIS) and Joint Information Center (JIC) during an incident or event. 13 Ensure that Public Information procedures and processes gather, verify, coordinate, and disseminate information during an incident or event. 14
KEY

































X
















IP
















UNK




















































Sheet 4: Partnerships

In FY 08, Awardees were to conduct activities that: 1. Ensured operational partnerships/coalitions that encompassed all CRI cities in the State plus an equal number of partnerships/coalitions involving non-CRI sub-state regions. For example if a State possess 2 CRI cities there needs to be 4 partnerships/coalitions (2 in the CRI cities and 2 in other sub-state regions) 2. Planned and developed memoranda of understanding (MOUs) to share assets, personnel and information. They shall also develop plans to unify management of healthcare during a public health emergency and integrate communication with jurisdictional command in the area. These MOUs were to be tested through tabletop components of exercises conducted in CRI and non-CRI cities as described in the Exercise Section of the FY 08 FOA. 3. Awardees were to submit the following information with the end-of-year report: a. The name of the partnership/coalition b. The location of the partnership/coalition c. The participant healthcare organizations and other partners d. Number and type of MOUs that exist Partnerships/coalitions are to consist of: • one or more hospitals, at least one of which shall be a designated trauma center, if applicable; • one or more other local healthcare facilities, including clinics, health centers, primary care facilities, mental health centers, mobile medical assets, or nursing homes; and • one or more political subdivisions; • one or more Awardees; or • one or more Awardees and one or more political subdivision Partnership/Coalition Status Address the folowing Items:
a. The name of the partnership/coalition
b. The location of the partnership/coalition
c. The participant healthcare organizations and other partners
d. Number and type of MOUs that exist






List the name or names of the Partnership/Coalition. Name of Partnership/ Coalition Select the area covererd by the Partnership/Coalition. Area Covered List location (city, region etc.) Partnership/Coalition is Headquarterd. Location List the names of all participants in the Partnership/Coalition. Names of the Participant Healthcare Organizations or Partners List the number of MOUs that exist in the Partnership/Coalition. # of MOUs that Exist Select the type of MOUs that exist in the Partnership/Coalition. Types of MOUs that Exist






Select One


Select One


HIDE


Select One


Select One

Types of MOUs



Select One


Select One

Select One



Select One


Select One

Contract Based



Select One


Select One

General Agreement



Select One


Select One

Both Contract and General Agreement



Select One


Select One






Select One


Select One

Area Covered



Select One


Select One

Select One



Select One


Select One

Local



Select One


Select One

Regional



Select One


Select One

Statewide



Select One


Select One

Combination



Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One






Select One


Select One





File Typeapplication/vnd.ms-excel
AuthorDHHS
Last Modified BySeleda.Perryman
File Modified2009-09-18
File Created2009-05-07

© 2024 OMB.report | Privacy Policy