# Presentation: 921737

## Worksheet A

**Year 1**

**Year 2**

**Year 3**

**End Product**

**Emergency Management**
**Program/Sub-topic**

***Indicate the year the***
***program/sub-topic is ***
***to be accomplished***
***Development ________***
***Maintenance __  __  __***

***List programs***
***and sub-topics***

***Exactly what will***
***the results be ?***

**Worksheet A**

**3 Year Program Overview**

## Worksheet A

**Year 1**

**Year 2**

**Year 3**

**End Product**

**Emergency Management**
**Program/Sub-topic**

***Indicate the year the***
***program/sub-topic is ***
***to be accomplished***
***Development ________***
***Maintenance __  __  __***

***Exactly what will***
***the results be ?***

**Worksheet A**

**3 Year Program Overview**

***List programs***
***and sub-topics***

## Worksheet B  Emergency Management Program:

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Select an Emergency Management***
***Program from Worksheet A.***

***Indicate the year and***
***quarter the Action Step***
***is to be completed.***

## Worksheet B  Emergency Management Program:

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Indicate the year and***
***quarter the Action Step***
***is to be completed.***

***Select an Emergency Management***
***Program from Worksheet A..***

## Worksheet A

**Year 1**

**Year 2**

**Year 3**

**End Product**

**Emergency Management**
**Program/Sub-topic**

**Worksheet A**

**3 Year Program Overview**

## Worksheet A

**Year 1**

**Year 2**

**Year 3**

**End Product**

**Emergency Management**
**Program/Sub-topic**

**Worksheet A**

**3 Year Program Overview**

***1.   Develop/maintain/update the ***
***      ******facility’s Process Action Plan.***
***2.   Complete a Hazards Vulnerability***
***      ******Analysis.***
***3.   Develop a Resources Identification***
***      ******and Inventory system.***
***4.   Conduct a Briefing for the Emergency***
***      ******Preparedness Committee.***
***5.   Have a “First Visit” with Key Service***
***      ******Chiefs.***
***6.   Develop the Facility Coordination***
***      ******Plan.***
***7.   Have a “Second Visit” with Key***
***      ******Service Chiefs.***
***8.   Develop/Refine SOPs & Checklists.***
***9.   Conduct training on the Incident***
***      ******Command System (ICS).***
***10  Hold a Tabletop Exercise for ***
***      ******Management.  ***
***11   Develop/maintain a “Full-Scope”***
***       ******Exercise Program.***

***An up-to-date program mgmt. system***
***showing status of preparedness.***

***A prioritized listing of hazards/risks***
***faced by the facility, used in training.***

***A regularly updated listing of assets***
***useful in emergencies.***

***Periodic reports on the progress of***
***CEM program development activities.***

***Initial meetings to discuss roles & ***
***responsibilities in plan development.***

***An organizational strategy which ***
***organizes Services into ESF teams.***

***Follow-up meetings to ensure ***
***accuracy & to eliminate duplication.***

***Simplifying taskings for individuals.***

***An initial orientation on how the***
***Coordination Plan is implemented.***

***An initial orientation on how the ***
***EOC supports response & recovery.***

***An on-going cycle of training for***
***all staff in the facility on the Plan.***

**1993**

**1994 __ __ __ __ __ **

**1993**

**1994 __ __ __ __ __ **

**1994 __ __ __ __ __ **

**1993**

**1993**

**1994 __ __ __ __ __ **

**1994**

**1995 __ **

**1994**

**1995 __ **

**1994**

**1995 __ **

**1994**

**1995 __ **

**1993  __  __  __  __  __  __  __ **

**1993  __  __  __  __  __  __  __ **

**1993  __  __  __  __  __  __  __ **

***Development Phase, VAMC Anywhere ***

## Worksheet B  Emergency Management Program:

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time: **

**Cost:**

***Development Phase, VAMC Anywhere ***

***Develop/Maintain/Update the***
***Facility’s Process Action Plan***

***An up-to-date program management system***
***which guides preparedness at the facility***

***1-2 Months***

***Staff Time***

***1.  Evaluate the current facility program by completing the Program***
***     ******Development Tool, Internal and External Audits, with input from***
***     ******the Emergency Preparedness Committee, the Director, staff, ***
***     ******patients and visitors.***
***2.  Meet with the Emergency Preparedness Committee to review your***
***     ******findings.  Brainstorm and seek consensus on an initial set of***
***    ******priorities for program improvement.***
***3.  Develop a draft 3-year “Strategic Process Action Plan,” submit to***
***     ******Committee members.  At next meeting, seek their input and gain***
***     ******their commitment to help.***
***4.  Develop a second draft with their input, and when you are ready,***
***     ******make an appointment to visit and brief the Director on the ***
***     ******proposal.  Seek his/her input, commitment, and guidance.***
***5.  Implement your Process Action Plan through the Emergency***
***     ******Preparedness Committee, Service Chiefs and the Director.***
***     ******Track progress made on priorities/objectives.  Provide feedback.***
***6.  At periodic intervals, report on progress made and current status***
***     ******to the Committee.***
***7.  Annually, revisit priorities, set new goals with Committee.***

## Worksheet B  Emergency Management Program: 

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program: **

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Hazards Vulnerability Analysis***

***Development Phase, VAMC Anywhere ***

***2 Months***

***Minimal***

***A prioritized listing of hazards/risks***
***faced by the facility, used in training.***

***1.  Review current VAMC Hazards Vulnerability Analysis (HVA)***
***     ******with Emergency Preparedness Committee (EP Committee).***
***2.  Contact Local Emergency Management Agency (LEMA) and***
***     ******set up a meeting to discuss local HVA.  Obtain a copy.***
***3.  Contact Area Emergency Manager (AEM) for additional ***
***     ******guidance, references, etc.***
***4.  Develop External Risk Map. Discuss with LEMA representative.***
***5.  Meet with Safety Service to discuss internal hazards.  Brainstorm***
***     ******list of potentials.***
***6.  Develop Internal Risk Map. Discuss with AEM.***
***7.  Meet with the EP Committee, present External/Internal Risk Maps***
***     ******and lists of external and internal hazards.  Discuss which have the***
***    ******highest likelihood of occurring (prioritize lists).  Work through***
***    ******a Shortfall Matrix, discuss impacts of priority hazards.***
***8.  Finalize and file Risk Maps, Priority Hazards Lists, and Shortfall***
***     ******Matrices.  Use in developing training scenarios.***
***9.  Revisit the HVA on an annual basis.  Revise as needed.***

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Resources Identification***
***and Inventory System***

***A regularly updated listing of assets***
***useful in emergencies.***

***1.  Review current VAMC Resource Inventory with Emergency ***
***     ******Preparedness Committee.  Show Guidebook examples.  Decide***
***     ******on content (resource types: human, physical, informational), ***
***     ******format (hand-book, computer file, etc.), and sources (internal,***
***     ******other hospitals, local gov’t, other VAMCs, private sector, etc.).***
***2.  Identify resources which support the critical facility requirements***
***     ******that were used in the “Capability Shortfall Matrix.”  Meet and***
***     ******greet with the resource-providers.  Discuss how to request, cost,***
***     ******capabilities, etc.***
***3.  Using the “Emergency Support Function Matrix”, organize these ***
***     ******resources under the 12 ESFs (transport, supply, commo. etc.).***
***     ******(these lists would then be attachments to each ESF in the Plan).***
***4.  Research/document existing mutual-aid agreements.  Look spec-***
***      ******ifically for what is essential to supporting patient care in-place ***
***      ******with reductions in staff, supplies, and utilities; and relocation ***
***      ******of patients to other facilities (partial or total evacuation).***
***5.  Develop necessary agreements with community agencies.***
***6.  Revisit Resource Inventory on an annual basis.  Revise as needed.     ***
***      ***

***2-4 Weeks***

***Minimal***

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Orientation Briefing***
*** ******for the EP Committee***

***Periodic reports on the progress of***
***CEM program development activities.***

***1.  Take opportunities to meet and greet informally with VAMC***
***     ******personnel regarding comprehensive emergency management.***
***2.  Study the “Program Profile,” “Internal/External Audits,”  Initial***
***     ******Priorities, HVA results and the Resource Inventory and review the***
***     “******Planning Phase” steps (5-8).  Refer to the “How to Make ***
***     ******Effective Briefings” activity.  Develop the CEM Orientation***
***     ******Briefing.  Arrange for the meeting.***
***3.  Conduct the Briefing.  Document reactions and recommendations.***
***      ******Seek commitment from Services on “who can help” in capability***
***      ******building activities (mitigation, preparedness, response & recovery).***
***4.  Contact those who indicated they were interested in being on the***
***     “******planning team.”  Hold a meeting for the team, discussing the***
***      ******Process Action Plan.  Ask for input on strategies for accomplishing***
***      ******the desired end products.  Define roles, delegate responsibilities.***
***5.  Regularly convene the planning team to gather program status***
***      ******information. ***
***6.  Periodically, brief the Emergency Preparedness Committee***
***     ******on status, needs, barriers, etc.***

***2-4 Weeks***

***Minimal***

## Worksheet B  Emergency Management Program:

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Conduct a “First Visit”***
***With Key Services***

***Initial meetings to discuss roles & ***
***responsibilities in plan development.***

***2-3 Months***

***Minimal***

***1.  Gather all existing VAMC plans that relate to emergency***
***     ******management (VA/DoD Contingency Hospital System, NDMS,***
***     ******Fire, Hazardous Materials, Disaster Plan, etc.).  ***
***2.  Research each Service’s role and responsibility in each.  Develop***
***     ******an overall “Emergency Management Mission Statement” for each***
***     ******Service, along with detailed areas of responsibility (lifted from***
***     ******these various plans).***
***3.  Using the “Service/ESF Matrix,” assign Lead or Support respon-***
***     ******sibility to each Service for each of the 12 Emergency Support ***
***     ******Functions, or ESFs.***
***4.  Design a set of standard questions you will use in the “First Visit” ***
***      ******with Service Chiefs.  ***
***5.  Arrange and conduct these information sharing and gathering ***
***     ******meetings.  Determine Service Chief’s perception of role and ***
***     ******responsibility in mitigation, preparedness, response and recovery.***
***     ******Document any reactions and recommendations.  Brief him/her on***
***     ******future planning steps.  Seek commitment - participation. ***

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Develop the Facility***
***Coordination Plan***

***An organizational strategy which ***
***organizes Services into ESF teams.***

***3-6 Months***

***Minimal***

***1.  Organize all Service information and input into “Service Files.”***
***2.  Study the “Basic Plan and Functional Annex Outline,” and review***
***     ******the Federal Response Plan as an example of the desired format***
***     ******of the Facility Coordination Plan.  ***
***3.  Create a file system for each of the Coordination Plan’s elements.***
***     ******Using the “Service/ESF Matrix,” place the Lead Service files in ***
***     ******the ESF (functional annex).  On a sheet of paper, write down the ***
***     ******Support Services for each ESF.  Include in file.***
***4.  Using the “Functional Annex Template,” and with the Federal ***
***     ******Response Plan as an example, draft each of the 12 Functional***
***     ******Annexes.***
***5.  Study the Incident Command System (ICS) material in Section III***
***     ******of the Emergency Preparedness Guidebook, then read the ICS ***
***     ******application to VA Medical Centers in Section II of the Guidebook.***
***     ******Use this as an example, with the overall policy/responsibility***
***     ******statements found in other VAMC plans to develop a draft of the***
***     ******Basic Plan and VA/DoD Support Annex using the Template.***
***   ******  ******NOTE: Federal Coordinating Centers also complete NDMS Support Annex.***
***6.  Send out drafts of the Coordination Plan to all Service Chiefs.***

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Conduct the “Second Visit”***
***With Key Services***

***Follow-up meetings to ensure ***
***accuracy & to eliminate duplication.***

***2-3 Months***

***Minimal***

***1.  Arrange meetings with each of the Service Chiefs to discuss the***
***     ******first draft of the Facility Coordination Plan.  Document reactions***
***     ******and recommendations.  ******Begin with discussing how their Service’s***
***     “******Emergency Management Mission Statement” and perceived roles and ***
***      ******responsibilities determined which “ESF Team” they either lead or supported.***
***     ******Explain the purpose of the ESFs is to create resource groupings, who coordinate***
***     ******any required support of that type within the ESF group.  Describe the next level***
***     ******of detail is the Standard Operating Procedure, or SOP.  Explain the purpose***
***     ******of the ICS Job Action Sheets:  step-by-step guidance for individuals with ***
***     ******particular roles.  SOPs support significant activities of the ESF, and Checklists***
***     ******support those who have key roles in that activity.  ******Ask the Service Chief***
***    ******what types of activities would require SOPs.  Provide the “SOP***
***    ******Template,” and request he or she develop a draft of SOPs needed.***
***    ******Provide the “Job Action Sheet Template.”  Discuss the overall***
***    ******Medical Center ICS structure, where the ESF fits in, and the ***
***    ******particular ICS positions it fills.***
***2.  With the input of the Service Chiefs on the first draft of the Basic***
***     ******Plan and Functional Annexes, develop the second draft.  ***
***3.  Distribute the second draft, asking for input.***
***4.  Based upon the input received, prepare the third draft.  ***
***5.  Have the Facility Coordination Plan printed and distributed. ***

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Develop/Refine***
***SOPs & Checklists***

***Simplifying taskings for ESFs and individuals.***

***1.  Study the material provided in the Emergency Preparedness***
***     ******Guidebook for suggestions of SOPs and Checklists  (for example,***
***     “******Incident Action Planning is an SOP, and the Job Action Sheets***
***      ******are Checklists, as is the “Capacity Inventory Form,” “EOC***
***      ******Checklist”, etc.***
***2.  Receive the draft SOPs from the Service Chiefs.  Sort them by ESF***
***     ******and review for possible combination, i.e.  if several deal with***
***     “******activating the plan,”  these should be combined. ***
***3.  Develop a list of all SOPs that might be needed to guide***
***     ******implementation of the plan.  Organize this list by ESF, i.e.***
***     ******Direction and Control-related SOPs would attach to the Direction***
***     ******and Control Annex, etc.***
***4.  Develop/refine second drafts of these SOPs.  Distribute to the ***
***     ******Service Chiefs/ESFs they apply to.  Seek input.***
***5.  Revise/refine the ICS Job Action Sheets.  Construct a refined***
***      ******overall ICS organizational chart.***
***6.  Receive input from the Service Chiefs on the draft SOPs.  Prepare***
***     ******the third draft.  Have printed.  Distribute with instructions on where***
***     ******they should be placed within the Facility Coordination Plan.***

***2-3 Months***

***Minimal***

## Worksheet B  Emergency Management Program:

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Conduct Training on the***
***Incident Command System***

***An initial orientation on how the***
***Coordination Plan is implemented.***

***1-2 Weeks***

***Minimal***

***NOTE:  Incident Command System (ICS) training and education***
***              ******is a part of the on-going, “full-scope” exercise program***
***              ******discussed in the eleventh step.  In other words, ICS awareness***
***              ******can, and should be conducted before this point in time.  Why***
***              ******it has been scheduled as the ninth step is because now you***
***              ******can effectively demonstrate the link between the “Disaster***
***              ******Plan” and how emergencies can be managed with an ICS***
***              ******designed specifically for your Medical Center (eighth step).***
***1.  Arrange an orientation session for Service Chiefs (“Managers”)***
***     ******to illustrate how the ICS supports Emergency Operating Center ***
***     ******functions.  Use several of your “Priority Hazards” as scenarios.***
***     ******Use the packet of materials in this manual or create your own.***
***     ******Document reactions and recommendations.  Use these ideas in***
***     ******future training sessions.***
***2.  Arrange an orientation session for all employees (“Responders”)***
***     ******to illustrate how the ICS is implemented at the “scene” of an***
***     ******emergency.  Use several of your “Priority Hazards” as scenarios.***
***     ******Use the packet of materials in this manual, or create your own.***
***     ******Document reactions and recommendations.  Use these***
***     ******ideas in future training sessions.***

## Worksheet B  Emergency Management Program:

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC  Anywhere***

***Conduct a Tabletop Exercise***
***for the Management Team***

***An initial orientation on how the ***
***EOC supports response & recovery.***

***NOTE:   Management training and education is a part of the ***
***               ******on-going, “full-scope” exercise program discussed in the***
***               ******eleventh step.  This session was scheduled as step ten***
***               ******because your facility is now coordinating their activities***
***               ******in a new fashion (by ESF).***
***1.  Arrange for an orientation session and tabletop exercise using***
***     ******the Emergency Operating Center, or an area large enough for the***
***    “******Management Team.”  You will need approximately 2-3 hours.***
***2.  Prepare the materials necessary for tabletop (see step eleven).***
***3.  Conduct the orientation session on the Facility Coordination Plan.***
***      ******Use the materials in this manual or create your own.  Using three***
***      ******of the facility’s priority hazards, begin the tabletop by addressing***
***      ******warning, plan activation, assessment, required ESFs, incident***
***      ******action planning, recovery/restoration steps for each hazard.  Ask***
***      “******open-ended” questions, allowing the participants to respond with***
***      ******the appropriate action/decision, based upon their roles in the plan.***
***      ***
***4.  Conduct a critique of the session.  Document reactions and ***
***     ******recommendations.  Use these idaes in future training and in plan***
***     ******revisions/updates.***

***1-2 Weeks***

***Minimal***

## Worksheet B  Emergency Management Program:

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Development Phase, VAMC Anywhere***

***Develop/Maintain a “Full-***
***Scope” Exercise Program***

***An on-going cycle of training for***
***all staff in the facility on the Plan.***

***NOTE:   The on-going, “full-scope” exercise program, discussed***
***               ******here as the eleventh step, begins its use of the new ***
***               “******Coordination” plan.  However, as you moved through the***
***               ******planning process, you have been educating people.  All***
***               ******through the 10 development steps, and now, you must***
***               ******realize that no plan, procedure or agreement is valid***
***               ******unless there is constant communication, training and***
***               ******revision.  For the future, use the base of support you have ***
***               ******built to organize and manage the diverse talents and energy***
***               ******you have in your facility.***

***Minimal***

***Minimal***

## Good Luck !

**3 Year Work Plan For A Single Task/Objective**

**Worksheet B  Emergency Management Program:**

**Year 1**

**Year 2**

**Year 3**

**Quarter**

**Quarter**

**Quarter**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**1**

**2**

**3**

**4**

**Action Steps (Strategies)**

**End Product:**

**Sub-topic (Task): **

**Estimate of Staff Time:**

**Cost:**

***Maintenance Phase, VAMC ___________***

***Maintain the Process and***
***the Coordination Plan***

***An ongoing capability development process***

***Minimal***

***Minimal***

***NOTE:   An finally, in order  to “close the loop,” ideas, reactions,***
***               ******recommendations, lessons learned, new approaches, etc.***
***               ******need to be built into the facility’s coordination plan***
***               ******and on-going, “full-scope” training, education and***
***               ******exercise program.***
***               ***
***              ******The process never ends!***

***Good Luck !***
***And remember what***
***you are doing***
***may save a life.***