HPP Capability 4: Medical Surge Capability Objective 2: Respond to a Medical Activity 1. Implement Emergency Department and Inpatient Medical Surge Response Activity 2. Implement Medical Surge Response Hospital Long Term Care Home Health/Hospice Ambulatory Care HPP Exercise Objective 2: Hospitals will transfer admitted inpatient pediatric patients to Tucson Medical Center (TMC) and University Medical Center (UMC). Tucson Medical Center (TMC) and University Medical Center (UMC) will respond to the in pediatric in-patients by transferring them to Maricopa County hospitals. (Note: In this exercise, twenty-five percent of all patients are pediatric patients.) HPP Capability 4: Medical Surge Capability Objective 2: Respond to a Medical Activity 4. Provide Pediatric Care during a Medical Surge Response Hospital HPP Exercise Objective 3: Hospitals will track transferred patients using EMTrack. HPP Capability 2: Health Care and Medical Response Coordination Capability Objective 2: Utilize Information Sharing Procedures and Platforms Activity 3. Utilize Communications Systems and Platforms Hospital Ambulatory Care HPP Exercise Objective 4: Healthcare facilities will utilize the Health Care Incident Command System (HICS) or National Incident Management System (NIMS) aligned incident command system. HPP Capability 1: Foundation for Healthcare and Medical Readiness Capability Objective 4: Train and Prepare the Health Care and Medical Workforce Activity 1: Promote National Incident Management System Implementation Hospital Long Term Care Home Health/Hospice Ambulatory Care Behavioral Health HPP Exercise Objective 5: Local healthcare agencies and facilities will demonstrate their ability to share information with regional medical and healthcare facilities. HPP Capability 2: Health Care and Medical Response Coordination Capability Objective 2: Utilize Information Sharing Procedures and Platforms Hospital Long Term Care Home Health/Hospice Ambulatory Care Behavioral Health
Hospitals did not have enough transportation support to move patients from hospitals to Long Term Care (LTC) or Home Health (HH)/Hospice Additional planning and collaboration is needed hospitals, ESF-8, and SoAZHCC to develop plans for transporting patients Planning Hospitals, SoAZHCC Valenzuela Dan Stanley 10-11-2017 2-11-2018
PHP Exercise Objective 4: Utilize the Arizona Health Alert Network (AzHAN) system to notify the Southern Arizona Health Care Coalition (SoAZHCC) The technical problems in AzHAN system also resulted in difficulties in provision of situational updates by ESF-8 to health care facilities The failure in AzHAN has been corrected. The SoAZHCC Communications Plan provides for the use of Planning SoAZHCC Dan Stanley 10-11-2017 10-13-2017
HPP Exercise Objective 1: Hospitals will practice decompression at 20% of inpatient census. Of the Hospitals only reached out to a small percentage of LTC facilities and HH/Hospice agencies. Continue to exercise decompression within the region, including all health care sectors Exercise Hospital Sector SoAZHCC Dan Stanley 11-02-2017 11-02-2018
20% of patients, 50% will be transferred to Long Term Care, 25% will be transferred to home health, and 25% will be discharged home. Some hospital networks require hospitals to reach out to affiliated LTC and HH/Hospice resources before outsourcing. Additional planning and Develop SoAZHCC to include a centralized system when outsourcing for LTC and HH/Hospice resources. Planning Planning Hospital Sector SoAZHCC Dan Stanley 11-02-2017 03-02-2018
Tucson Medical Center (TMC) and University Medical Center (UMC) will respond to the surge in pediatric in-patients by Some hospitals had challenges in transferring pediatric patients to other hospitals during a medical surge event. Include pediatric patient transfer procedures in future exercises Exercise SoAZHCC Dan Stanley 10-11-2017 10-11-2018
HPP Exercise Objective 3: Hospitals will track transferred patients using EMTrack. ESF-8 did not have full incident view access to EMTrack and could not maintain situational awareness of tracked patients. Arizona Department of Health Services (ADHS) and ESF-8 (SoAZHCC) need to work together to Planning Arizona Department of Health Services SoAZHCC Tim Singleton Dan Stanley 10-13-2017 12-13-2017
Objective Issue/Area for Improvement (AFI) Corrective Action Capability Element Responsible Sector Sector POC Start Date Completion Date HPP Exercise Objective 3 cont’d. Forty-two percent (42%) of Ambulatory Care facilities did not Develop Just in Time training to familiarize staff with patient Training SoAZHCC Dan Stanley 2-13-2017 06-13-2017
HPP Exercise Objective 4: Healthcare facilities will utilize the Health Care Incident Command System (HICS) or other National The Ambulatory Care, Home Health/Hospice, and Behavioral Health sector agencies/networks reported challenges in Exercise activation of incident command systems, within facilities, networks, and the region. Exercise SoAZHCC Dan Stanley 10-13-2017 10-13-2018
regional medical and healthcare facilities. Some health care facilities were not able to provide emergency situational updates to ESF-8. Continue to exercise regional communication platforms and information sharing pathways. Exercise SoAZHCC Dan Stanley 10-11-2017 10-11-2018
Objective for Improvement (AFI) Corrective Action Capability Element Responsible Sector Sector POC Start Date Completion Date HPP Exercise Objective 6. The Behavioral Health Sector will test the Not all behavioral health (BH) agencies have or Continue planning within the BH sector to support Planning BH sector Dan Landers 10-13-2017 2-13-2018
coordination of all Behavioral Health response teams, service request calls and response agency communication related to this exercise. BH was not well integrated into the ESF-8 communication pathway, preventing the BH Emergency Operations Center (EOC) from having Consider strategies for better integration of BH liaison into ESF-8 communications pathways. Planning BH sector Dan Landers 10-13-2017 2-13-2018
Arizona State Veterans Home - Tucson Avalon Southwest Health and Rehabilitation Arroya Gardens Independent and Assisted Living Brookedale - Santa Catalina Brookedale Casas Adobes Post-Acute and Rehabilitation Center Copper Health Oro Valley Devon Gables Foothills Rehab Center Hacienda at the River, The Springs Handmaker of Tucson Haven of Yuma La Canada Care Center Life Care Center of Tucson Mountain View Care Center Park Avenue Healthcare Sabino Canyon Rehabilitation Santa Rita Nursing and Rehab Rosa Care Center Sante Tucson Splendido at Rancho Vista Villa Marie Care Center Tribal Tohono Nation Pascua Yaqui Tribe