PREFACE The 2018 Los Angeles County Medical and Health Exercise (LACoMHE) is sponsored by the California Department of Public Health, Los Angeles Department of Health Services and Emergency Medical Services Agency (EMS). This Exercise Plan (ExPlan) was produced with assistance and guidance from the Los Angeles County Medical and Health Exercise Planning Workgroup, comprised of representatives from: AMR Ambulance CARE Ambulance California Association of Health Facilities (CAHF) Community Clinic Association of Los Angeles County (CCALAC) Cedars Medical Center Children’s Hospital Los Angeles City of Long Beach Department of Health and Human Services City of Los Angeles Department of Public Health Garfield Medical Center Henry Mayo Newhall Hospital Huntington Hospital Joint Regional Intelligence Center (JRIC) – Los Angeles Kaiser Permanente - Downey Kaiser Permanente - Sunset Long Beach Memorial Hospital Los Angeles Community Hospital Los Angeles County Department of Mental Health Los Angeles County Emergency Medical Services Agency Los Angeles County Fire Department Los Angeles County Harbor/UCLA Hospital Los Angeles County Department of Public Health McCormick Ambulance PIH Whittier/Downey Providence Holy Cross Medical Center Providence St. Joseph Medical Center Providence Tarzana Medical Center Pomona Valley Hospital Medical Center The ExPlan follows guidelines set forth by the U.S. Federal Emergency Management Agency (FEMA) Homeland Security Exercise and Evaluation Program (HSEEP). The ExPlan gives participating organizations the information to take part in an operations-based full scale exercise (FSE). See [Appendix I] for a listing of agency/event acronyms. [CUSTOMIZING THE EXPLAN] [Throughout the ExPlan, there are opportunities for customization by jurisdiction/organization/facility planners. This document serves as a template guidance document. This ExPlan, and particularly the objectives, schedule, and venue details, should be modified to reflect the unique characteristics of your region and participants. Bracketed text (e.g., [your jurisdiction]) is provided to aid with location-specific customization. These should be removed or modified as appropriate prior to finalizing this document.
HOME HEALTH/HOSPICE (HHH) AGENCY OBJECTIVES OBJECTIVE ONE Maintain situational awareness by gathering and sharing real-time information related to the emergency, and the current state of the health care delivery system through coordination with the Medical and Health Operational Area Coordinator (MHOAC), local Health Care Coalition partners, and the local Emergency Operations Center (EOC). In support of - Health Care Preparedness and Response Capability (HCPRC) - 2: Health Care and Medical Response Coordination OBJECTIVE TWO Initiate shelter in place plan if office is located within geographically affected area. Share status with local healthcare coalition partners as applicable, and inform DHS DOC of decision to shelter in place including any status color change. In support of - Health Care Preparedness and Response Capability - 3: Continuity of Health Care Service Delivery OBJECTIVE Implement and manage medical surge operations through the continued sharing of resources across Health Care Coalition partners and the operational area. In support of - Health Care Preparedness and Response Capability - 4: Medical Surge HOSPITAL OBJECTIVES OBJECTIVE ONE Alert and notify Hospital Command Center (HCC) responders and key service line staff and physicians within [insert timeframe]. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination OBJECTIVE TWO Activate and the Incident Command System (ICS) and HCC within [insert timeframe]. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination
OBJECTIVE THREE Develop an Incident Action Plan (IAP) and conduct [number of] associated meetings (e.g., incident briefing) within the first operational period. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination OBJECTIVE FOUR Implement internal [insert communications strategies such as page, or intercom announcement] within [insert timeframe] for information and incident sharing within the hospital, between [XYZ Location, e.g., Labor Pool, HCC] and [XYZ Location, e.g., Triage Area, Pharmacy]. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination OBJECTIVE FIVE Initiate communication strategies [such as page, email. etc.] within [insert timeframe] between HCCs and the [local operational area / Department Operations Center (DOC) / Emergency Operations Center (EOC)]. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination OBJECTIVE SIX [Insert XYZ position, e.g., Medical Care Branch Director] will document the dispositions of victims through the continuum of care for the entire exercise timeframe, utilizing the appropriate [Insert Patient Tracking Form to be used]. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination OBJECTIVE Assess and report hospital situation status and capability to provide care to [insert agency] within [insert timeframe]. In support of - Health Care Preparedness and Response Capability - 2: Health Care and Medical Response and Recovery Coordination OBJECTIVE EIGHT Activate and implement [name of specific] surge / mass casualty incident plan within [insert timeframe] and deliver timely and efficient care.
[Time] Controllers & FSE Staff Check-in for final instructions and a communications check [Location] [Time] Media Briefing [Location] [Time] Very Important Persons (VIP) & Selected FSE Staff VIP Briefing [Location] [Time] All Participants Safety/Player Briefing [Location] [Time] All All participants in starting positions [Location] [Time] All Functional Exercise Starts [Location] [Time] All Functional Exercise Ends [Location] Immediately Following the FSE All Venue Hot Washes Turn in all Participant Feedback Forms [Location] [Time] Controllers & Evaluators Controller/Evaluator Debrief [Location] [Date of Post-Exercise Activities] [Time] Controllers, Evaluators, and Exercise Planning Team members After Action Meeting [Location]
Mobile Medical System Telephone: (866) 940-4401 VMED28 Radio: 155.340mhz CWIRS Radio HAM Radio: (Frequency List available by request) MAC DOC Mobile DOC 1) Telephone: (866) 940-4401 2) ReddiNet 3) HAM (Frequency List available by request) MAC DOC Multiple Casualty Incidents (MCI) VMED28 Radio: 155.340mhz Telephone: (866) 940-4401 ReddiNet HAM Radio: (Frequency List available by request) MAC EMS Providers Hospitals Notifications ReddiNet VMED28 Radio: 155.340mhz Everbridge Fax: MAC: (562) 906-4300; DOC: (562) 944-5248 Telephone: (866) 940-4401 HAM Radio: (Frequency List available by request) Satellite Radio: (866) 290-4975 All Patient Transfers Telephone: (866) 940-4401 Fax: (562) 906-4300 MAC Emergency Communications and Succession Plan for External Partners Incident Notification, Messaging and Assessment Polls Type of Healthcare Facility System Priority Comment Hospitals ReddiNet VMED28: 155.340mHz Everbridge
AAR/IP After Action Report / Improvement Plan AFN Access and Functional ASC Ambulatory Surgery Centers C/E Controller/Evaluator California Health Alert Network CAHF California Association of Health Facilities Cal OES California Governor's Office of Emergency Services Cal OSHA California Division of Occupational Safety and Health CBO Community Based Organization CCLHO California Conference of Local Health Officers CDPH California Department of Public Health CERT Community Emergency Response Team CHA California Hospital Association C/ME Coroner/Medical Examiner CPCA California Primary Care Association CHHS California Health and Human Services Agency DHS Department of Homeland Security DOC Department Operations Center ED Emergency Department EEG Exercise Evaluation Guide EHD Environmental Health Department EMS Emergency Medical Services EMSA Emergency Medical Services Authority EMSAAC Emergency Medical Services Administrators Association of California EOC Emergency Operation Center EOM California Public Health and Medical Emergency Operations Manual EOP Emergency Operations Plan EPO California Department of Public Health Emergency Preparedness Office ETA Estimated Time of Arrival ExPlan Exercise Plan FAC/FIC Family Assistance Center / Family Information Center FBI Federal Bureau of Investigation FE Functional Exercise FEMA Federal Emergency Management Agency FOUO For Official Use Only FSE Full Exercise HAZMAT Hazardous Materials HCC Hospital Command Center HHH Home Health & Hospice Agencies HICS Hospital Incident Command System Health Insurance Portability and Accountability Act HPP Hospital Preparedness Program