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Ohio Contagion Functional Exercise Inject Responses – May 8 2014

Disaster Resistant Communities Group LLC www.drc-group.com

Inject Response Report

Ohio Contagion – A Healthcare Coalition Functional Exercise

May 8, 2014

Consolidated


This report contains the inject responses from the Ohio Contagion Functional Exercise. These responses are unedited and are directly exported from the information typed into the ONX System during the exercise. The purpose of this report is to provide documentation for your organization’s records of exact responses captured during the exercise.

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Ohio Contagion - # 005 - H

Southern Ohio Medical Center

Part 1

Based on the outcome of the autopsy identify and list the agencies that will be contacted.

(Note: In listing the identified agency provide 24/7 contact information.)

Part 2

SOMC Incident Commander 740 356-3301

Portsmouth Public Health 740 353-8863

Lawrence Public Health 740 533-4375

Part 3

Using your normal means of communications for such events make contact with at least one of the identified agencies.

Begin the communications with “THIS IS AN EXERCISE” and end the communications with “THIS IS AN EXERCISE”.

Were you able to make contact with at least one of the identified agencies?

Part 4 Yes

Part 5 If the above answer is yes. – Identify the agency you contacted and briefly explain the response from the agency.

Part 6 Portsmouth Health Department

Part 7 If the above answer is no. – Briefly explain why you were unable to make contact with any of the identified agencies.

Part 8

Doctor’s Hospital of Nelsonville

Part 1



Part 2 Athens County Health Dept as the first step on our contact list. Assume that



they will contact other facilities in the areas if needed.

Ask for advice on what signs to look for, any idea on mode of transmission.

Want to know from them: what PPE for our staff, what signs and symptoms to look for, what to tell ED staff to look for (i.e what types of travel questions to ask about, etc.)

Part 3




Part 4 Yes


Part 6 Athens County Health Dept- they are aware of the situation, they will research this and advise immediately.


Part 8

Trinity Medical Center West

Part 1



Part 2 Jefferson County Public Health Department Other area hospitals and nursing homes

Part 3 Using your normal means of communications for such events make contact with at least one of the identified agencies.





Part 4


Part 6


Part 8

O’Bleness Memorial Hospital

Part 1



Part 2 Athens County Health Department 740.592.4431

Part 3




Part 4 Yes


Part 6 Athens County Health Department - acknowledged receipt of results.


Part 8



Adena Pike Medical Center

Part 1



Part 2

County Health Department

740-947-7721 Josh Sherwood

Ohio Department of Health

614-466-3543

Adena Regional Medical Center

740-779-7500 Julie McCray


740-356-8723 Angela Hodge

Part 3




Part 4 Yes


Part 6 Contacted Pike County Health Department and spoke to Josh Sherwood. Health Department in process of contacting all appropriate agencies and begin planning processes.


Part 8



Barnesville Hospital

Part 1



Part 2Belmont County Health Department - 740-695-1202

Monroe County Health Department -

Part 3




Part 4 Yes


Part 6

Belmont County Health Department - Notification of the two deaths received at our facility. No instructions from Public Health at this time.

Lynn Schrumm - BCHD


Part 8

Holzer Medical Center - Gallipolis

Part 1



Part 2 Gallia County Health Department

CDC



EMS Agencies

Ohio Department of Health

Ohio Hospital Association

Part 3




Part 4 Yes


Part 6 Contacted Jenny Henscey at GCHD in their command Center.


Part 8

Belmont Community Hospital

Part 1



Part 2

Belmont County Health Department 740-695-1202

Belmont County Coroner

BCH-Infectious Control 671-1200

Acuity Specialist Services 740-671-2086

Part 3 Using your normal means of communications for such events make contact



with at least one of the identified agencies.



Part 4 Yes


Part 6 Belmont County Health Dept.is notified of the incident


Part 8

Selby General Hospital

Part 1



Part 2 Local Health Dept. Marietta City Health Dept. and Washington County Health Dept. - No response from MARCS radio and telephone.

Part 3




Part 4 No


Part 6




Part 8

Hocking Valley Community Hospital

Part 1



Part 2

Autopsies on our area would be conducted in Franklin County- They would notify the Franklin Co Health Department (614-525-3965) as well as the CDC

ODH- 614-466-3543 Ohio Department of Health

Local Health Department (Hocking County- 740-385-3030- After hours- contact local 911 agency- they have a call schedule and will contact the on call person)

CDC 800-232-4636

The hospital that sent the patient would also need to be notified. We are assuming this patient came from our ED?

Part 3




Part 4 Yes


Part 6 We contacted our local health department and informed them that we received notification of autopsy results and at this time are unsure of what we are dealing with.




Part 8


Part 1



Part 2 The Health Department (Kevin Aston), ODH, CDC, WHO, OHA, OPHCS, & Epidemologists (Josh Sherwood). We are assuming the coroner already knows.

Part 3




Part 4 No


Part 6 The Health Department. We were unable to reach Kevin Aston at the Health Department,


Part 8 TRied office and cell phone, no answer and left message.The Health Department. We were unable to reach Kevin Aston at the Health Department,

East Ohio Regional Hospital

Part 1 Based on the outcome of the autopsy identify and list the agencies that will be



contacted.


Part 2

PATHOLOGY CONTACTS INFECTION CONTROL

INFECTION CONTROL CONTACTS BELMONT COUNTY HEALTH DEPARTMENT AND

ADMINISTRATION.

CONTACT OTHER HOSPITALS FOR SIMILAR PATIENTS

Part 3




Part 4 Yes


Part 6

BELMONT COUNTY HEALTH DEPARTMENT

LEFT MESSAGE TO RETURN CALL.

OHIO DEPARTMENT OF HEALTH CONTACTED DUE TO NO DIRECT CONTACT WITH

BELMONT COUNTY. SIMULATED OUTBREAK NUMBER ASSIGNED AS PER ODH

PROTOCOL. DETAILS WOULD BE REPORTED, LABS, SIGNS AND SYMPTOMS.

THEY WOULD THEN OFFER FURTHER ADVICE.

THIS IS A CLASS A REPORTABLE WHICH SHOULD BE CALLED TO 614-722-7221

Part 7If the above answer is no. – Briefly explain why you were unable to make



contact with any of the identified agencies.

Part 8

Southeastern Ohio Regional Medical Center

Part 1



Part 2 We would call the Guernsey County Health Department the next working day.

Part 3




Part 4 Yes


Part 6

Guernsey Co Health Dept. Took all the usual information including lab reports, travel history, etc. Contacts of person. The Health Dept person will contact local epidemiologist and Dr. Colby director of Health Dept.

We are to notify if more cases presented at hospital.


Part 8

Marietta Memorial Hospital

Part 1





Part 2 local health dept, state health dept, CDC, Infection control at local hospital,

Part 3




Part 4 Yes


Part 6 Local health dept, acknowledged call


Part 8

Coshocton County Memorial Hospital

Part 1



Part 2Local Health Dept., Christy Mosier, 740-295-7373

City Health Dept., 740-622-1736

Part 3




Part 4 Yes




Part 6 Count


Part 8

Genesis Healthcare System

Part 1



Part 2 local health dept.

Part 3



ere you able to make contact with at least one of the identified agencies?

Part 4 Yes


Part 6Local health dept.

Thank you, they have notified the state.


Part 8

Ohio Contagion - # 005 - HD

Meigs County Health Department



Part 1



Part 2

Part 3

Using your normal means of communications for such events make contact with all of the identified agencies.


Were you able to make contact with the entire list of identified agencies?

Part 4 No

Part 5 Identify the agencies you contacted and briefly explain the response from each agency contacted.

Part 6


Part 8 we are a local health department and would not be aware of an autopsy or its outcome

Gallia County Health Department

Part 1



Part 2

If this occurred in Ohio, but not in one of my jurisdictions, ODH would likely notify all LHDs and Hospitals of the unusual death and alert us of signs/symptoms for surveillance. I would then relay this information (though many would be getting it for the second time) to LHD leadership and ICPs at hospitals in my area, asking DONS to share information with other HCPs in their jurisdiction.

Part 3 Using your normal means of communications for such events make contact with all of the identified agencies.

Begin the communications with “THIS IS AN EXERCISE” and end the



communications with “THIS IS AN EXERCISE”.


Part 4 No


Part 6 I


Part 8

Pike County Health Department

Part 1



Part 2

Pike Adena Regional Medical Center- 740-947-2186 Pike County EMA (Butch Simonton)- 740-947-7346, C 740-708-9671 Jennifer Abner (Safety Officer)- 740-977-8296 Neighboring Medical Centers Southern Ohio Medical Center- 740-356-5000, Adena Regional Medical Center- 740-779-7500, Holzer Medical Center Jackson Ohio- 740-288-4625 South Central Ohio Public Health Districts Other Epidemiologists for South Central Ohio Ohio Department of Health 614-466-3543 Regional Health Public Preparedness Coordinator (Debbie Elliott)- 740-974-8001

Part 3




Part 4 Yes




Part 6 Situational Awareness and checking for anomalies in our region.


Part 8

Belmont County Health Department

Part 1



Part 2 Locally, our health department would not be activating any emergency response at this point. Local hospitals would be contacted by our infection control nurse.

Part 3




Part 4 Yes


Part 6 Made contact with Infectious disease section of Barnesville Hospital and Belmont Community Hospital.


Part 8

Morgan County Health Department




contacted.


Part 2 Health Dept, hospital, RCC, SO-EMA, ODH-CDC, EMS, MD's, LE, public transportation, schools, County Commissioners,

Part 3




Part 4 Yes


Part 6 School - wanted more info, SO-EMA-LE - willing to assist, Epi - on standby, Commissioners -


Part 8 MD's - on hold - went to call center

Monroe County Health Department

Part 1



Part 2

Ohio Department of Health, Epidemiologist, CDC. OPHCS alerts to the local HD's.

We will contact our Regional Epidemiologist and ask for guidance on what information there is to share.

Call our local physician's, school nurses, call local EMA, hospitals. Share info on hand-washing and social distancing.




with all of the identified agencies.



Part 4 Yes


Part 6

Regional Epi - gave us info to share with local partners identified. Sent OPHCS alert to loal HD's stating suspect case of unknown origin outbreak, respiratory illness that is communicable.

Schools - Will notify teachers to watch for sick children, send them home, stay home if sick.

EMA - received OPHCS alert, keep him updated on the situation.

Physicians - Will contact us if they see anything suspicious in their offices, will maintain close contact with us for updates.

Hospitals - Unable to reach by phone. Left voicemail with return number to call.

Health Commissioner - keep her updated on situation


Part 8 N/A

Noble County Health Department

Part 1



Part 2 Schools, EMA (Email to first responders), ODH, Vets, Day Care, Local Health Dept., Sheriff's Office, Local Physicians, Police, Hospitals, EPI,



Part 3




Part 4 Yes


Part 6Caldwell Schools & Shenandoah schools aware, ODH said to look for direct instruction from EPI, Dr. Starr and Spencer says thank you, First Responder alert sent out by EMA to include a schools, EMS, Fire, Hospitals, Noble Learning Center says thank you,


Part 8 VET not available as he works only 2 days a week in county

Hocking County Health Department

Part 1



Part 2

Hospital- Hocking Valley

Regional Epi- Tonya McGuire

Outbreak Team

Health Commissioner

Regional PH Coordinator- Debbie Elliot






Part 4


Part 6

Tonya- will notify ODH

HVCH- Autopsy was completed at their facility. Resident of Hocking Co.

Doug- continue to monitor before notifying other HC

Outbreak Team- all members aware

Debbie- notify HVCH & Tonya ( completed


Part 8

Scioto County Health Department

Part 1



Part 2 Josh Sherwood, Cluster Epidemiologist Both Health Commissioners, Chris Smith and Aaron Admas EMA, kim carver Local Hospitals SOMC/KDMC

Part 3




Part 4 Yes




Part 6

Somc: HICS alert assessment and situational assessment, they have internal memos for visiter restriction, 1 point entry through main door, they have turned away symptomatic, looking at surge. Epidemiologist: be on alert and he will be talking to CDC. Smith said he would notify his staff. Scioto county health department notified, they informing Adams and there staff. EMA: has questions about autopsy and wants more info from Ohio Department of Health. Implementing assessment room at EOC. She will make county and city


Part 8

Southeast Regional Coordination Center

Part 1



Part 2 Ohio Department of Health 614-722-7221

Part 3




Part 4 Yes


Part 6


Part 8



Guernsey County Health Department

Part 1



Part 2

Regional Epidemiologists-Amy Murphy (740) 630-1846 and Kristen Baker (740) 297-0085

Kathy McIntire, ICP SEORMC, (740) 439-8166

Dr. Colby, Health Commissioner, (740) 705-1103

Part 3




Part 4 Yes


Part 6

SEORMC-Health Dept. contacted the hospital (Kathy). Hospitals will notify and educate staff about the uncertain illness.

Regional Epidemiologists were notified. Instructed to begin process of producing education materials for public and community stakeholders and their staff in regards to respiratory and illness prevention and caution

Dr. Colby was notified of the current situation


Part 8

Washington County Health Department




contacted.


Part 2

ODH (contact: 740-236-0933)

Epidemiologist: (Contact: 740-630-1836) RCC number: 740-236-6024

Selby General Hospital (Contact: 740-568-2000)

Marietta Mem Hospital (Contact: 740-374-1400)

County Coroner Dr. Leopold (740-374-4283)

Marietta city Health department (740-373-0611)

Washington County EMA Director(373-5613)

Jeff would then contact local fire and ems responders

Part 3




Part 4 Yes


Part 6 1. ODH

1a. Told us to contact the epidemiologist

2. Epidemiologist

2a. Thanks for the information

3. Selby General Hospital

3a. Left a message



4. Marietta Memorial Hospital

4a. Left a message

5.County Coroner dr. Leopold

5a. He notified us

6. Marietta city health

6a. Thanks for the info

7. Jeff Lauer (EMA director)

7a. Said he would contact local emergency responders


Part 8

Coshocton County Health Department

Part 1



Part 2

Hospital notifies HD of a reportable disease. Disease entered on ODRS. Call made to Dr. Redmond, HC

Called Kristen, epi to report communicable disease,

Epi calling ODH

Called hospital-Infectious Disease Nurse-not answer,

Barry Nolan-Emergency Coord.

Called EMA to request ARES to help maintain communication with hospital.

Called DON-Coshocton CO HD







Part 4 No


Part 6

Hospital notifies HD of a reportable disease. Disease entered on ODRS. Call made to Dr. Redmond, HC

Called Kristen, epi to report communicable disease,

Epi calling ODH

Called hospital-Infectious Disease Nurse-not answer,

Barry Nolan-Emergency Coord.

Called EMA to request ARES to help maintain communication with hospital.

Called DON-Coshocton CO HD


Part 8

Vinton County Health Department

Part 1



Part 2 ODH, local hospitals, local epi






Part 4 Yes


Part 6ODH-had other calls from HDs, respiratory infections? social distancing, hand washing, isolation, suggested press release; EPI-keep her posted as information becomes available; Doctors Hospital-inquired about PI; O'Bleness Hospital-thank you


Part 8

Harrison County Health Department

Part 1



Part 2 Notify regional epidemiologist via cell phone directly then begin ODRS data entry

Part 3




Part 4 Yes


Part 6 Regional epidemiologist, Kristen Baker. Was given instructions as to what



further information and timeline requirements should be noted in ODRS and to keep updating the epidemiologists if additional information is available or more cases erupt.


Part 8 n/a


Part 1



Part 2 GCHD GCHD441-2018, Regional EPI 740-645-8325, ODH, state would call CDC, GCHD would notify healthcare providers

Part 3




Part 4 Yes


Part 6 Epis. ODH. GCHD


Part 8

Perry County Health Department

Part 1





Part 2 Local Epidemiologist State Epidemiologist Betty King- Regional PHEP Coordinator

Part 3




Part 4 Yes


Part 6ODH- Stated to contact local Epidemiologist Local Epidemiologist - Focus on Prevention and Control, and to enter information into ODRS Betty King - Currently working on PIO information, within 30 minutes


Part 8

Jackson County Health Department

Part 1



Part 2Local coroner Dr Gregory Hawker, 740-395-8393 ORBIT 614-995-5599, Regional EPI Josh Sherwood 740-710-1865, Medical Director Dr Jill Neff 740-418-4233, HMC-Jackson Bill Pfiefer 740-288-4625, EMA 740-286-5630

Part 3




Part 4 Yes




Part 6 Per B, Pfeifer, form JIC. EMA T. Vance


Part 8 Unable to contact all due to time constraints.

Ross County Health Department

Part 1



Part 2

We do not know the outcome of the autopsy. The findings are not listed, so we cannot answer this well. However, seeing as it is a pandemic scenario we are assuming that the findings point to a communicable disease outbreak. Adena Hospital - 740-779-7568; Va Hospital - 740-773-1141; EMA - 740-773-1700; ODH - 614-466-1390;

Part 3




Part 4 Yes


Part 6Adena and VA Hospitals will inform their physicians and staff to be on the lookout; EMA will contact county EMS with information; ODH will assist as needed, requested situational updates.


Part 8



Muskingum County Health Department

Part 1



Part 2 This hospital response and not HD response

Part 3




Part 4 No


Part 6 Does not apply


Part 8 Does not apply

Jefferson County Health Department

Part 1



Part 2 Coronor would report to local health department, and the Ohio Department of Health. Regional Coordination Center would also be notified. Regional Epidemiologist. Contact hospital and ICP. Entered into ODRS







Part 4 No


Part 6

Regional Epidemiologist, Christin Baker, gave her the information that the cornor called and two people were infected, state that she would contact ODH for us and gave us the outbreak number - 496-5038 and to enter into ODRS for training. Cindy Deavers, RN entered the information into ODRS.

Regional Coordination Center received info that we were advised and we are just watching at this point. The RCC was emailed also as to situation updates.


Part 8 ICP at Trinity didn't answer. Left a message and we will try again later.

Lawrence County Health Department

Part 1



Part 2

Most likely this would be a function of another agency. But once we received notice of the results we would notify our regional epidemiologist, local healthcare providers, school nurses, local hospitals and ER facilities, Local EMA and regional coordinator

Part 3






Part 4 Yes


Part 6

We contacted the regional coordinator, regional epidemiologist, EMA director: We have been notified of a death in Ohio with the following symptoms (headache, seizures, etc) with a sudden onset and subsequent death. Please be aware of these cases and watch for similar cases. All partners asked to be kept informed and the regional epi would continue to monitor OHIO


Part 8

Ohio Contagion - # 007


Part 1

The CDC disseminates a Health Alert Network (HAN) advisory notifying clinicians and health departments in the United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public Health Communication System (OPHCS) advisory containing state specific information.

Identify the title of the individual(s) that will receive the HAN and OPHCS advisories.

Part 2 Health Commissioner, Administrator, Director of Nursing, Environmental Health Director, ERC

Part 3 Will information contained in the HAN and OPHCS be shared with other staff members?

Part 4 Yes

Part 5 Will information contained in the HAN and OPHCS be shared with other agencies and organizations?

Part 6 Yes


https://ophcs.odh.ohio.gov/default.aspx


http://www.bt.cdc.gov/HAN/


Part 7 If the above answer is yes. – Identify who will be responsible for disseminating this information to other staff members and / or other agencies and organizations and how this will be accomplished.

Part 8 D.o.N., ERC

Part 9 If the above answer is no. – Briefly explain why the information contained in the HAN and OPHCS will not be shared at this time.

Part 10


Part 1



Part 2

We have 3 license holders at DHN.

Our Nursing Administrator, Our Safety Officer/Disaster Preparedness Coordinator (who also asssts with IP) and Our Cardiopulmonary Manager.

All alerts are received thru OPHCS by phone, email, and text. This info is forwarded directly and immediately to the Primary Infection Prevention Coordinator. Any significant info is also followed up with a phone call


Part 4 Yes


Part 6 No

Part 7If the above answer is yes. – Identify who will be responsible for






disseminating this information to other staff members and / or other agencies and organizations and how this will be accomplished.

Part 8


Part 10 We had assumed other agencies would be notifying other agencies. However, we need to check on this. Do our nursing homes, doctors offices, etc, get notified by ODH?


Part 1



Part 2 Manager, Infection Prevention Safety/Security Officer


Part 4 Yes


Part 6 Yes


Part 8 Manager, Infection Prevention Communications -Direct Communication







Part 10


Part 1



Part 2Infection Prevention Nurse

Safety Officer


Part 4 Yes


Part 6 Yes


Part 8 Infection Prevention Nurse and Safety Officer will notify others via email.


Part 10







Part 1



Part 2 Everyone in OPHCS roles for our region. - Pike County EMA (Butch Simonton)- 740-947-7346 C- 740-708-9671 Health Alert Network-Pike County Urgent Care and Health Centers Adena Urgent Care 12340 SR 104 Waverly, OH 45690 740.941.5150 Waverly Family Health Center 227 Valleyview Drive Waverly, OH 45690 740.947.7726 Piketon Family Health Center 7777 US 23 Piketon, OH 45661 740.289.3508 Hospitals Adena Regional Medical Center 272 Hospital Road Chillicothe, OH 45601 740.779.7500 Children's Hospital 700 Children's Drive Columbus, OH 43201 614.722.2000 Pike Community Hospital 100 Dawn Lane Waverly, OH 45690 740.947.2186 Southern Ohio Medical Center 1805 27th Street Portsmouth, OH 45662 740.356.5000 Infection Control Nurses Melinda Arrick - Pike Community 100 Dawn Lane Waverly, OH 45690 740.947.6329 Kathy Mullins - SOMC 1805 27th Street Portsmouth, OH 45662 740.356.8180 Julie McCray - Adena 272 Hospital Road Chillicothe, OH 45601 740.779.7500 Physicians Daniel Madsen M.D. 14534 US 23 Waverly, OH 45690 740.947.8602 Smith & Fleischer Pediatrics 12340 SR 104 Waverly, OH 45690 740.941.5236 Harry J. Kittaka M.D. 12340 SR 104 Waverly, OH 45690 740.941.5180 Gary F. Graham M.D. 12340 SR 104 Waverly, OH 45690 740.941-5180 David R. Kessler M.D. 100 Dawn Lane, Suite 4 Waverly, OH 45690 740.947.6490 David E. Roddy M.D. 100 Dawn Lane, Suite 4 Waverly, OH 45690 740.947.7591 Paul Cwikla D.P.M 100 Hilltop Drive Waverly, OH 45690 740.947.2499 Faozan Narvel 227 Valleyview Drive Waverly, OH 45690 740.947.7726 Mohammad Ali M.D. 227 Valleyview Drive Waverly, OH 45690 740.947.7726 D. Charles Griener D.P.M. 307 East Emmitt Avenue Waverly, OH 45690 740.947.2157 Larry E. Griener D.P.M. 307 East Emmitt Avenue Waverly, OH 45690 740.947.2157 Donal Berling M.D. 621 East Fifth Street Waverly, OH 45690 740.941.5290 Daniel Schlie M.D. Piketon Health Clinic Piketon, OH 45661 740.289.3508 John Temponeras M.D. 231 West Emmitt Avenue Waverly, OH 45690 740.947.1516 George Petit M.D. 100 Dawn Lane Waverly, OH 45690 740.947.6511 School Nurses Pauline Blanford, RN - Waverly City 1 Tiger Drive Waverly, OH 45690 740.947.7701 Marjorie Deck, RN - Scioto Valley Local 1414 Piketon Road Piketon, OH 45661 740.289.2254 Shawna Smith, RN - Western Local 7959 St. Rte. 124 Latham, OH 45646 740.493.2514 Autumn Risner, RN - Eastern Local 1170 Tile Mill






Road Beaver, OH 45613 740.226-1544 Gayle Kramer - Principal - Pike Christian 400 Clough Street Waverly, OH 45690 740.947.5700 Miracle City Academy 204 Commercial Boulevard Piketon, OH 45661 740.289.2787 Nursing Homes Bristol Pavillion & Convalescent Center 444 Cherry Street Waverly, OH 45690 740.947.2113 Minford Retirement Center 9641 SR 335 Waverly, OH 45690 740.820.4191 Piketon Nursing Center 300 Overlook Drive Piketon, OH 45661 740.289.4074 Pineview Manor 4136 Germany Road Beaver, OH 45613 740.226.3074 Pleasant Hill Manor 7134 US 23 South Piketon, OH 45661 740.289.2394 Riverside Manor Nursing Home 214 Main Street Piketon, OH 45661 740.289.2129 Mental Health Services Scioto-Paint Valley Mental Health Center 102 Dawn Lane Waverly, OH 45690 740.947.7783 Veterinarians Waverly Veterinary Hospital 12420 SR 104 Waverly, OH 45690 740.947.7020 Ohio Valley Large Animal Services PO Box 88 Stockdale, OH 45683 740.820.8883 Animals Unlimited Veterinary Hospital 640 Mount Zion Road Jackson, OH 45640 740.286.8035 Walnut Hills Veterinary Hospital 969 East Main Street Jackson, OH 45640 740.286.1321 Chillicothe Animal Clinic 1100 Eastern Avenue Chillicothe, OH 45601 740.773.4133 Tharp Animal Health Care Center 391 Marietta Road Chillicothe, OH 45601 740.772.2226 Shawnee Animal Clinic 101 Bierly Road Portsmouth, OH 45662 740.353.5758 Scioto Trail Animal Clinc 2710 Scioto Trail Portsmouth, OH 45662 740.353.2280 Analytical Laboratories Pike Water Inc. 8539 SR 104 Piketon, OH 45661 740.289.4568 Pike Community Hospital 100 Dawn Lane Waverly, OH 45690 740.947.2186 USEC Utility Services, Inc. 3930 US 23 South Piketon, OH 45661 740.897.2331 Adena Urgent Care 12340 SR 104 Waverly, OH 45690 740.941.5100 Coroner Dr. David Kessler 100 Dawn Lane Suite 4 Waverly, OH 45690 740.947.2186 Funeral Homes Botkin Funeral Home 314 East North Street Waverly, OH 45690 740.947.2313 Boyer Funeral Home 125 West 2nd Street Waverly, OH 45690 740.947-2161 Cox Funeral Home 5846 Beaver Pike Beaver, OH 45613 740.226.2492 Howe-Wheeler-Boyer-Hornaback Funeral Home 724 Main Street Piketon, OH 45661 740.289.2411


Part 4 Yes


Part 6 Yes

Part 7If the above answer is yes. – Identify who will be responsible for disseminating this information to other staff members and / or other agencies



and organizations and how this will be accomplished.

Part 8 PIO, using OPHCS and our phone directory as well as our regional coordination communication center and email


Part 10


Part 1



Part 2

Infection Control Preventionist

Nursing Shift Manager

ED Director of Nursing

Emergency Management Team Chair

Community Relations Specialist

Director of Safety Services


Part 4 Yes


Part 6 Yes







Part 8 Each above named person has role for identifying different agencies or individuals


Part 10


Part 1



Part 2JAN HIGHWART

BRAD SIMMS


Part 4 Yes


Part 6 Yes







Part 8 JAN HIGHWART AND OR BRAD SIMMS


Part 10


Part 1



Part 2

John Sebring--EM

Terry Rinkes-

Carolyn Skorich


Part 4 Yes


Part 6 Yes


Part 8Administration/Chief Med Officer/Infetiou Conrol Nurses/ED Physician

County Emergency Management







Part 10


Part 1



Part 2 LHD Leadership, Hospitals, LHD Epidemiologists


Part 4 Yes


Part 6 Yes


Part 8

Though the ODH OPHCS alert will have been received by most if not all of the individuals I forward information to, I would forward the information with an e-mail highlighting key points to LHD leadership in my jurisdiction, ICPs at local hospitals in my area, and request that the information be shared by LHDs with their local HCPs.


Part 10 I am not sure how other scenarios will play out...HCHD has notified me of






unusual autopsy in Hocking County resident and sudden death of her son. I have notified ORBIT and Doug Fisher, Health Commissioner has asked that wait and see ho


Part 1



Part 2

HAN Alerts- Christy Schneider will receive these; She is our Infection Control Nurse

OPHCS Alerts- Jane Shannon, Nursing Supv; Stacey Gabriel, ED Director; Christy Schneider Infection Control Nurse


Part 4 Yes


Part 6 Yes


Part 8 Depending upon the situation and who it could potentially affect, Christy Schneider (IC Nurse) would discuss with our Senior Leadership Team to determine what notification needs to occur and who needs to know. (Lab; front line staff; RT, NS)

Other agencies- Hocking County EMS; HCHD (even though they would already be aware); Physician's Offices;







Part 10


Part 1



Part 2 Medical Director, Health Commissioner, DON, Preparedness Coordinator


Part 4 Yes


Part 6 Yes


Part 8 Preparedness Coordinator, DON


Part 10







Part 1



Part 2

No HAN alerts received by organization.

Infection Control Nurse

Chief Nursing Officer

CEO

Facilities Director


Part 4 Yes


Part 6 No


Part 8 Infection Control Nurse will be responsible to disseminating information. In her absence, Senior Director of Quality and Risk Management or Hospital Supervisor would take over.







Part 10 Assumption is made that the other organizations would receive the alerts.


Part 1



Part 2Darlene Hennis, Infection Control Coordinator HAN and OPHCS; Frank Hamilton, Preparedness Coordinator OPHCS, Deb Louk, Preparedness Coordinator, OPHCS; Keith Murdock, PIO, OPHCS


Part 4 Yes


Part 6 Yes


Part 8

Darlene Hennis, Infection Control Coordinator, will forward the HAN orders. It will be disseminated to ED, Medical Staff, Hospital Staff. Frank Hamilton as the Liason Officer will notify outside organizations in need of the information. The PIO would distribute information to the public as required/requested. The PIO is not present at this time. Email, fax and phone will be utilized to send notifications. If PIO was present he would provide the information via radio, news and social media (Trinity Facebook page).







Part 10


Part 1



Part 2 Director of Infection Prevention, Senior Director of Facilities, Director of Maintenance/Safety Officer, Biomed Manager/Emergency Mgt. Coordinator,


Part 4 Yes


Part 6 Yes


Part 8 Director of IP will send by email or phone call.


Part 10


Part 1 The CDC disseminates a Health Alert Network (HAN) advisory notifying clinicians and health departments in the United States to be on the alert for







patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public Health Communication System (OPHCS) advisory containing state specific information.


Part 2

Emergency Preparedness Cooridnator

Infection Prevention Director

PIO

Director of Safety

Director of Plant Ops/Maint.


Part 4 Yes


Part 6 Yes


Part 8

Gallia/Meigs Healthcare Coalition

Local Nursing Homes

EMS


Part 10






Part 1



Part 2

Lynn Schrum, Infection Control nurse. Health advisory announcements on international travel to Asia, Proper handwashing techniques. Communicating with adjoining counties as well as local hospitals. Infection control nurse would contact local schools on absenteeism. Open up communications with Emergency Management Agency if any patients do arise.


Part 4 Yes


Part 6 Yes


Part 8 Coordination between infection control nurse, PIO, and PHEP coordinator on dissemination of information to staff, local agencies.


Part 10







Part 1



Part 2 Infection Prevention, VP of Patient Care Services, Emergency Manager, Employee Health, Emergency Preparedness, & PIO


Part 4 Yes


Part 6 Yes


Part 8 All Ambulatory Divisions of the hospital, School Nurses (in our region The Health Department received the notification at the same time as the hoispital), hospital physicians


Part 10


Part 1 The CDC disseminates a Health Alert Network (HAN) advisory notifying clinicians and health departments in the United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public








Health Communication System (OPHCS) advisory containing state specific information.


Part 2 Infection control coordinator


Part 4 Yes


Part 6 Yes


Part 8 Infection control coordinator


Part 10


Part 1



Part 2 Both health departments EMA SOMC








Part 4 Yes


Part 6 Yes


Part 8Joint Information Center ramped up by EMA. Phone Information Line started by Health Departments. EMA: holding EOC assessment meetings, to push info out to staffs. Debbie Elliot regional coordinator notified.


Part 10


Part 1



Part 2

Anna Smith

Joe Duball

Steve Temesvary

ER







Part 4 Yes


Part 6 Yes


Part 8 Anna Smith - ICP


Part 10


Part 1



Part 2 Emily Norris RN ID nurse

Jamie Funk - Fiscal Officer

Douglas Fisher- HC

Kelly Taulbee- RN Director of Nursing






Wendy Hanna- Environmental Health Director

Debbie Elliot- Regional PH Coordinator


Part 4 Yes


Part 6 Yes


Part 8

Doug Fisher HC suggests that Debbie Elliot will open RCC to communicate with other agencies

Emily Norris RN- will be responsible for internal communication with staff & community partners (ex-EMA, Fire, EMS, HVCH)


Part 10


Part 1



Part 2 Medical Director






Health Commissioner

PIOs

DOEH

DON

HOSPITAL ICP

Regional Epi's


Part 4 Yes


Part 6 Yes


Part 8 Adminstrator, Dr. Colby (Health Commissioner), PIO & DON will disseminate this information. Information will be sent via fax, email, HAN, OPHCS and phone


Part 10


Part 1 The CDC disseminates a Health Alert Network (HAN) advisory notifying clinicians and health departments in the United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public





Health Communication System (OPHCS) advisory containing state specific information.


Part 2 EPI, Health Commissioner, Director of Nursing, Assistant Director of Nursing, Director of Environmental Health, PHEP coordinator, Registar, and Deputy Registar


Part 4 Yes


Part 6 Yes


Part 8 Director of Nursing by sending an email


Part 10


Part 1









Part 2

Court Witschey Health Administrator

Barb Piehowicz Director of Nursing

Betty King, Regional Preparedness Coordinator

Angela Lowry, Local Preparedness Coordinator

Jeannie farnsworth, Administrative Assistant

Chasity Mayle Account Clerk and Registrar


Part 4 Yes


Part 6 Yes


Part 8

Barb and Court will conduct a staff meeting for health department employees

Other healh agencies would have recieved their own alerts from HAN and OPHCS

Also we would notify schools, nursing homes, and EMA and functional and special needs categories.


Part 10 Answer was Yes


Part 1 The CDC disseminates a Health Alert Network (HAN) advisory notifying




clinicians and health departments in the United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public Health Communication System (OPHCS) advisory containing state specific information.


Part 2 Administrator, ERC, DONs, Health Commissioners, EH Directors, Hospitals Inf Disease Nurses, PH Nurses


Part 4 Yes


Part 6 Yes


Part 8 Administrators/Health Commissioners, DONs. Information shared with other agencies will come from the PIO.


Part 10


Part 1










Part 2

Katherine Clark-PHN-City

Dr. Wendy Redmond, HC-City

Laura Roberts-DON-City

Steve Lonsinger-DEH-County

Zach Fanning-Sanitarian-County

Christy Mosier- PHEP Coord/PIO-County

Mark Frank-DEH-City


Part 4 No


Part 6 No


Part 8


Part 10 We haven'tt received alert and there is only one case. OPHCS would have already alerted most key partners.


Part 1 The CDC disseminates a Health Alert Network (HAN) advisory notifying




clinicians and health departments in the United States to be on the alert for patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public Health Communication System (OPHCS) advisory containing state specific information.


Part 2Safety Officer

Physicians, Managers, ER staff, registration and other points of entry, clinics,


Part 4 Yes


Part 6 Yes


Part 8 Hospital based clinics, private clinics, emergency squad, first responders, fire dept.


Part 10


Part 1










Part 2 Local Hospitals, Health Department


Part 4 Yes


Part 6 Yes


Part 8

Being a small department the Health Department Administrator would evaluate the information and call a staff meeting of all LHD staff for a briefing. We received a OPHCS alert from the regional epidemiologists regarding the case.


Part 10 n/a


Part 1



Part 2 ERC. Epi, Dir. of Nursing, Dir. of EH, Health Commissioner, PH Nurse, Funeral Homes, Pharmacies, Hospital, Coroner, Nursing homes, Schools,






Daycares.


Part 4 Yes


Part 6 Yes


Part 8 ERC would delegate calls out to available staff members.


Part 10


Part 1



Part 2 Health Departments in The SE Region South Central and Hospital


Part 4 Yes

Part 5Will information contained in the HAN and OPHCS be shared with other






agencies and organizations?

Part 6 Yes


Part 8 Local Agencies


Part 10


Part 1



Part 2Local Health Commissioner Director of Nursing Regional Epidemiologist Public Information Officer Environmental Director PHEP Coordinator EMA Director


Part 4 Yes


Part 6 Yes

Part 7If the above answer is yes. – Identify who will be responsible for






disseminating this information to other staff members and / or other agencies and organizations and how this will be accomplished.

Part 8

Health Commissioner holds a staff meeting, identify next steps for reaching out. Using messages from region. Local staff members to contact other agencies and organizations via phone/ Everbridge Emergency Notification System.


Part 10


Part 1



Part 2 Heath Commissioner, Director of Nursing, ERC, EH Director,


Part 4 Yes


Part 6 Yes


Part 8 Contact regional EPI and Bill Pfeifer (HMC), regional PHEP coordinator, JIC







Part 10


Part 1



Part 2

Linda Masters, Administrator and Robin Groves, PHEP Coordinator.

Both above individuals and Karen Ault, DON; Linda Dick, Health Commissioner; John Shreve, DOE; Phil Keevert, EMA Director.


Part 4 Yes


Part 6 Yes


Part 8

Staff to be notified through general briefing (ICS forms). Linda Masters, Administrator.

Initial assessment to be completed and shared with Betty at the RCC. Carol Hehr to complete and approved by Linda Masters.

Physicians, school nurses, hospitals, EMA - Nursing Staff







Part 10 N/A


Part 1



Part 2Health Commissioner; Director of Nursing; Environmental Health Director; Director of communications; asst. director of nursing; emergency response coordinator.


Part 4 Yes


Part 6 Yes


Part 8 Staff: Division Directors. Other agencies: Directors, PIO, ERC.


Part 10







Part 1



Part 2 Kristen Baker-EPI, Carol Howdyshell-DON, Linda Barker-Infection Dis. Nurse, Corey Hamilton-HC


Part 4 Yes


Part 6 No


Part 8 The appropriate staff members have been notified through the alerting system. We do not know where the cases.


Part 10 We do not know if a case is in our jurisdiction.


Part 1 The CDC disseminates a Health Alert Network (HAN) advisory notifying clinicians and health departments in the United States to be on the alert for







patients with severe respiratory illness and a history of travel to the region of Asia. In addition the Ohio Department of Health has issued a Ohio Public Health Communication System (OPHCS) advisory containing state specific information.


Part 2 Public safety, nursing admin, infection prefention/control.


Part 4 Yes


Part 6 Yes


Part 8 Carla Reed, email


Part 10


Part 1










Part 2

Administrator, Health Commissioners, Environmental Health Director - HAN

Registered Nurses, Environmental Health Director, Rigistrar, Administrative Assistant, PHEP Coordinator, Health Commissioner, Administrators, Local Hospital ICP, Local Hospital Emergency Room, PACS Coordinator, - OPHCS


Part 4 Yes


Part 6 Yes


Part 8 Local Level Nurses will notify the Local Epi teams. The PHEP Coordinator will disseminate information via availble methods of communication to appropriate agencies.


Part 10


Part 1



Part 2 ERC, Medical Directors, Health Commissioner, clinicians, hospitals, Health






department staff including DON, DEH, Infectious disease. EMA director


Part 4 Yes


Part 6 Yes


Part 8 ERC, Infectious disease, or admin - by telephone, fax, email, or other mass communication


Part 10



Part 1

Information contained in the HAN and OPHCS advisories stresses that public and private healthcare providers should begin a unified effort to educate their employees and the general public on measures that can be taken to reduce the spread of the virus.

Describe in detail the community outreach measures that will be implemented at this time.

Part 2 Local EMS, Health Care Clinics, EMA. Share the information from the HAN and OPHCS.

Part 3 Will a Joint Information Center (JIC) and / or Joint Information System (JIS) be established to support the unified community education campaign?



Part 4 No

Part 5 If the above answer is yes. – Describe how a JIC and / or JIS will be established and list the agencies and / or organizations that will be a part of this structure.

Part 6

Part 7

Contact via phone one of the agencies or organizations identified above to discuss their participation in a JIC and / or JIS.


If the above answer is no. – Briefly explain why a JIC and / or JIS will not be used to support a coordinated community education campaign.

Part 8 At this time, more info is necessary and we need to know if a direct threat to the county and its people is apparent.


Part 1



Part 2The local Public Information Officer (Contact with local EMA, contact OhioHealth, update local health department as well as Ohio University, Hocking College and all local school districts.)


Part 4 Yes


Part 6 The local Public Information Officer (Contact with local EMA, contact OhioHealth, update local health department as well as Ohio University,



Hocking College and all local school districts.)

Part 7




Part 8


Part 1



Part 2

PUBLIC RELATIONS SHOULD CONTACT THE BELMONT COUNTY HEALTH DEPARTMENT

FOR A COORIDNATED RESPONSE


Part 4 Yes


Part 6 THRU BELMONT HEALTH DEPARTMENT AND BELMONT COUNTY EMA

Part 7 Contact via phone one of the agencies or organizations identified above to discuss their participation in a JIC and / or JIS.





Part 8


Part 1



Part 2

Opened the County EOC and Joint Information Center at 0920

Community Coalition partners have been notified

County/City Health Department

Red Cross

SE Regional Hospital Partners


Part 4 Yes


Part 6 The JIC is open and coordinated through Scioto EMA. Organization that are part of the county EOC would provide individual PIOs to be part of the JIC.






Part 8


Part 1



Part 2

Would depend on the Pandemic Severity Index contained. We would follow the Summary of the Community Mitigatio Strategy by Pandemic Severiy Table 2

In summary, depends on the leve. Home: Voluntary Isolation, Voluntary Quaranteen,

School: Child social distancing

WOrkplace/Community: Adult Social Distancing, etc

We would put this info out to the public in detail

At work: We would implement the Respiratory/Hygiene-Cough Etiquette posters/practices, ask patients with those symptoms to wear mask, provide PPE for staff, etc.

We would also contact our EMA and see if they could put these public announcement info on Alert Athens County. They may already be doing this via the Health Dept


Part 4 Yes




Part 6 This would not be set up by our organization, but contact with the Health Dept (Crystal) revealed that they would set this up and notify us.

Part 7




Part 8


Part 1



Part 2 Use of media with trained PIO, LE facebook & loud speaker, reverse 911,


Part 4 Yes


Part 6 ODH, EPI, EMA, LE, establish lead PIO



If the above answer is no. – Briefly explain why a JIC and / or JIS will not be



used to support a coordinated community education campaign.

Part 8


Part 1



Part 2

Notify Health Department for larger community outreach.

Follow Hospital Infectious Disease Surge Plan

-Post advisory signs at entry points to the facility.

-Infection Prevention, with the assitance of clinical educators, will develop and send out educational materials for clinical and ancillary staff and providers.

-Send Code email to all staff

-Set up FAQ on Adenanet

-Media release regarding visitor restrictions and precautions

-Social media updates

-Website posting/updates


Part 4 Yes


Part 6 Health Department, area Medical facilities, local government agencies, county EMS



Liaison Officer will establish contact to above agencies.

Part 7




Part 8


Part 1



Part 2

Radio Alerts

TV Alerts

Internal Communication to employees (paper memo, e-mail, online blog)

Social Media


Part 4 No


Part 6

Part 7 Contact via phone one of the agencies or organizations identified above to



discuss their participation in a JIC and / or JIS.



Part 8 The expectation would be for the local EMA or public health department to establish a JIC. Once established, the hospital would be invited to participate in the community outreach campaign.


Part 1



Part 2

Under HICS the PR officer will start communicating with proper news agency. Belmont County

EMA and Belmont County Health Department will be notified.


Part 4 Yes


Part 6 Belmont County Health Department and Belmont County EMA






Part 8 Belmont County Heath Department was contacted. There is a JIC established and Health Departement will be main contact.


Part 1



Part 2 Social media, TV, newspapers, town hall meetings, radio, poster making, LCD sign out front of the local health district.


Part 4 Yes


Part 6 Implement instructions for our communications annex and coordinate with our RHCC (Regional Health Coordination Center)

Part 7




Part 8




Part 1



Part 2 Gallia/Meigs Healthcare Coalition would be notified via email. This group contains EMS, EMA, Nursing Homes, LHD, etc.


Part 4 Yes


Part 6 Hospital, Health Department, EMA

Part 7




Part 8 Spoke to Melissa at GCHD.


Part 1





Part 2

Director of marketing and PR- contact local media and complete a press conference, post on social media including website, develop internal communications for visitors and staff, collaborate with local health, ED would notify EMS


Part 4 Yes


Part 6MMH, Selby general hospital, Parkersburg hospitals, LEPC, health departments, We would work with the local health department and they would establish the JIC

Part 7




Part 8


Part 1



Part 2

Joint Information Center working with Medical Directors and Health commissioners and hospital develop message to inform public of situation and issue basic measures to slow spread of virus. example basic handwahing, self isolation if symptomatic.




Part 4 Yes


Part 6

JIC has already been establish. Our county JIC is run by EMA with support from Health Depratments and hospitals in this situation bringing in local officals as needed and other agencies as needed. JIC is set up at east campus SOMC.

Part 7




Part 8


Part 1



Part 2 We would work in conjunction with the local health department on a joint press release which would contain information on the incident and what the current action steps should be. Personal protective information would be shared with the general public.

HVCH would implement the following: Limiting of visitors; may need to separate patients coming in to the hospital seeking treatment; we would provide masks and gloves in the waiting rooms and encourage those with respiratory symptoms to apply the mask; we would increase the cleaning schedule in the public areas; we would increase the placement of hand



sanitizer;

Staff would need to take precautions and put on their masks. This will protect them from unknowns.

Our local 911 has "reverse 911" that they can use to notify residents of the incident.


Part 4 Yes


Part 6

HVCH; Hocking County Health Department; Hocking County EMA; HCEMS; LE; Logan Fire

With regards to social media- many agencies have a FB page with following; there was discussion regarding one joint message being posted on those agencies' FB pages to get the word out.

Dave Ogg- EMA Director offered to handle the JIC and be the lead at releasing information to the public so that health department and hospital personnel can continue caring for patients without disrupting operations.

Public Health Regional Coordination Center has been activated (per discussion with HCHD)

Part 7




Part 8




Part 1



Part 2

Jennifer Offenberger (PIO)

Dr. Breece/Dr. Galan - ED Medical directors

Misti Spencer

Public Health Department


Part 4 Yes


Part 6

Washington County Health Dept.

Part 7




Part 8


Part 1 Information contained in the HAN and OPHCS advisories stresses that public



and private healthcare providers should begin a unified effort to educate their employees and the general public on measures that can be taken to reduce the spread of the virus.


Part 2 PIO would be in contact with local media outlet at joint information center.


Part 4 Yes


Part 6 TEAM Speak, OPHCS alerts, EMA resources, regional epidemiologist, 911 Code Red (county residents), ODH, Local hospitals.

Contacted EMA, Becky Horne -Contacting local agencies in reference to setting up JIC

Part 7




Part 8


Part 1 Information contained in the HAN and OPHCS advisories stresses that public and private healthcare providers should begin a unified effort to educate their employees and the general public on measures that can be taken to reduce the spread of the virus.




Part 2 Public health education campaign on basic infection prevention measures.


Part 4


Part 6 Not up to me to decide about specifics of JIC but I would be included in preparing information and gathering data for the public.

Part 7




Part 8


Part 1



Part 2 Placed call to Director of Communications she would put something together after discussion with Director of IP and Health Dept. and put on radio, newspaper who distributes to all their affiliate papers, to Caldwelll, Marietta and Zanesville. Also social media, Twitter and Facebook and hospital website. Also request media outlets place on their websites.



Internally share with associates and physician offices local EMS.


Part 4 Yes


Part 6 Guernsey Co EMA.Our Emergency Managment Coordinator is on this committee. Health Dept. We contacted Guernsey Co EMA Director and discussed actions.

Part 7




Part 8


Part 1



Part 2

ICS and an Area Command would be established at the EOC. We would establish a unified message through PIOs.

Message would be released throug a press conference through the media and other social media outlets.




Part 4 Yes


Part 6

We would request the EOC be opened.

Operating at the EOC and involved agencies would include all local health departments and hospitals and the EMA.

Part 7




Part 8 We called Jeff Lauer at the EMA and asked that the EOC be opened for the JIC.


Part 1



Part 2

Public information officer will prepare a statement for the general public on measures that can be taken to reduce the spread of the virus including: Handwashing, Stay home when you are ill, avoid large crowds.

The information will be dissmenated by fax, email, website, and PSA

Part 3Will a Joint Information Center (JIC) and / or Joint Information System (JIS) be



established to support the unified community education campaign?

Part 4 Yes


Part 6 Established by mission request to ODH, local health dept., & EMA to be included

Part 7




Part 8


Part 1



Part 2 Open JIC

Coordination with HVCH, EMA, Fire, EMS, Police, Sheriff- to communicate unified message to public

ODH & CDC representatives

PIO - Doug Fisher will relay unified message

Messages will be relayed to public via newspaper, social media



Messages will be relayed to community partners via email or phone

DON will notify Kathy Kennard- school nurse


Part 4 Yes


Part 6

JIC will be located at EMA-

HD & HVCH & EMA director agree on location

HD is in Incident Command

Part 7




Part 8


Part 1



Part 2 Contact the United Way to implement 211; contact the Red Cross, EMA, Jefferson County Health Department,




Part 4 Yes


Part 6

The JIC will consist of the EMA, United Way, Red Cross, Jefferson County Health Department, Steubenville City Health Department, HAM Radio Operators, 911 Center Operators, EOC, Local Emergency Responders and the hospital liaison officers. The Jefferson County Health Department was contacted for input.

Part 7




Part 8


Part 1



Part 2Activating ERP, local dept established operation center, enter into IC, work with county PIO group and meet regulary to establish messages, completed ICS form 201, notified BOH, update safety officer, establishing hotline, social media




Part 4 Yes


Part 6 county EOC, commissioners, law enforcement, mayor, EMA, hospitals, physician offices, ODH, schools

Part 7




Part 8


Part 1



Part 2 With The Health Department we would issue a press release (PIO's from both organizations) In concert with Robert C. (EMA)


Part 4 Yes




Part 6 We would contact and request the JIC. JCHD, EMA. The Health Department will setup the JIC at the Health Department and notify EMA.

Part 7




Part 8


Part 1



Part 2

Nofity Doctors offices, schools, public

Precautions on spread-Message: wash hands, cover cough, if ill-stay home

Notify Boards of Health to let them know status of situation

Use Code Red to notify public of precautionary measures


Part 4 No


Part 6

Part 7 Contact via phone one of the agencies or organizations identified above to



discuss their participation in a JIC and / or JIS.



Part 8 Incident hasn't expanded encough at this point to require a JIC. County and CIty Health Department coordinating Public Info at this point in time.


Part 1



Part 2

Administrative staff will meet to formulate a clear and concise message that will be disseminated that will be sent to local newspaper, facebook, radio. local tv, incoming health dept. phone message will be used on a dedicated line. At the staff briefing, Annex D (Responder Safety and Health) will be discussed to make staff aware of preventative measures. Annex B ( Emergency Public Information and Warning) will be utilized for information sharing. Annex B (Information Sharing) will be utilized for the realease of information. Our PIO contacted the RCC and we were instructed to look at Annex B for a template that will be used to disseminate a message to the public.


Part 4 Yes


Part 6A JIC will be utilized. Local EMA and SEORMC will be members of the JIC. The EOC will be open at the county administration building and will be used



for the JIC. At this time, the EOC will be on standby. EMA was contacted and the EOC is on stanby in preparation to open the JIC. SEORMC and confimed their participation

Part 7




Part 8


Part 1



Part 2

Within an hour we would appoint a PIO who staff will channel all incoming information to. He/she will compile a press release with pertinent information and give it to the LHD administrator for editing and approval before giving it to the spokesperson


Part 4 Yes


Part 6 EMA, County Commissioners, local hospital, Sheriff's Dept, EMT/Fire Departments, MWCD Law Enforcement agents






Part 8 n/a


Part 1



Part 2 Designate public information officer to prepare public announcement; work together with Health Dept.


Part 4 Yes


Part 6 Utilize PIO representative to establish contact with local county health dept.

Part 7




Part 8




Part 1



Part 2

PIO group meets to identify media outlets, using a common message for employees and the general public. Health Commissioner is spokesperson, PHEP/PIO gathers incoming information/materials, PIO reviews regional message and further develops as needed. Identify roles of employees for distributing information regarding the virus and preventative measures. Focus on physicians and their staff, as to how they handle sick patients and their messages to patients/public.


Part 4 Yes


Part 6 Contact EMA Director and open EOC to help establish a JIC. EMA MRC volunteers EMA's list of supporting agencies

Part 7




Part 8


Part 1 Information contained in the HAN and OPHCS advisories stresses that public and private healthcare providers should begin a unified effort to educate their



employees and the general public on measures that can be taken to reduce the spread of the virus.


Part 2 PIO Officer would be assigned. Radio, newspaper, Online newspaper, Facebook, Twitter, Television, Amish liaison.


Part 4 Yes


Part 6 Hospital, EMA, EMS, Regional epi, Regional ERC, ODH. Direction would come from ODH, likely location HD or 911 center.

Part 7




Part 8


Part 1



Part 2 Email to all HDs and SEC RCC and SE Hosp Coord

Part 3Will a Joint Information Center (JIC) and / or Joint Information System (JIS) be



established to support the unified community education campaign?

Part 4 Yes


Part 6 The RCC is activated as a virtual coordination

Part 7




Part 8


Part 1



Part 2 Will work with local media to inform community; will use social media (website, twitter, facebook) to disseminate information.


Part 4 No


Part 6



Part 7




Part 8It seems too early in the process to come up with a specific safety/health message for the community. However, all community outreach methods will contain a basic message about safety and health precautions.


Part 1



Part 2

Media releases, include facts from official sources. Communicate mode of transmission to public. Provide pubic updates as necessary as info becomes available. Reassure issues are being addressed. Further outreach as information arrives.


Part 4 Yes


Part 6JIC established at county Health Dept, , partnering with HMC, EMA, county PIO, Sheriff Office, other local HAN participants, ODH (state PHEP/SART personnel).


Begin the communications with “THIS IS AN EXERCISE” and end the



communications with “THIS IS AN EXERCISE”.


Part 8


Part 1



Part 2

ICS is implemented. Chart completed by Linda Masters, Incident Commander

Contact RCC to see if a unified message is being crafted to share across the region. A message is currently being drafted.

Social media, webpage, phone hotline, local news channel 6, newspaper, all-call system, flyers home with school children. Message will be unified one so info being distributed is the same throughout the region. Calls to local first responder departments (EMS, Fire, Law) so a fax doesn't sit in a tray. Hand washing posters distributed to local partners.


Part 4 Yes


Part 6JIC is set up regionally and locally. Locally this is done through the EMA. List of local partners who will be included those mentioned above (schools, physicians, law, fire, EMS) and JFS, County Commissioners, media, care centers, transportation, public works.






Part 8


Part 1



Part 2 jic with health dept, muskingum county EMA,


Part 4 Yes


Part 6

Genesis Healthcare System, local government, muskingum cty ema, health dept.

through telephone calls and email.

Contacted health dept in JIC






Part 8


Part 1



Part 2

staying in touch with hospital

calling the EPI-Kristen Baker- Instructed the Linda input the information from OPHCS into ODRS. Kristen will call ODH

Jennifer PIO in the loop

We are not doing any outreach in the public/community at this time. We are preparing a communication to physicians for blast fax.

Preparing for a regional response


Part 4


Part 6






Part 8


Part 1



Part 2

The hospital ICP would disseminate the information to the local physicians that work for Trinity. PIO would disseminate any information on basic facts and social distancing on local TV, Radio and Social Medial. 211 would also be nofied as a resource to call with questions. PHEP Coordinator would contact all local schools.


Part 4 Yes


Part 6 City Health Commissioner will convene at command center or office and invite Hospital Infectiouse Disease Nurse and County Health Department, County School Board, Local News Paper Editor, TV and Radio General Managers

Part 7






Part 8


Part 1



Part 2Provide educational messages to the community through tv, radio and social media to reduce the spread of infection through proper hygiene, handwashing, and sanitizing.


Part 4 Yes


Part 6 Ironton & Lawrence County Health Departments designees and medical directors, EMA director, Local hospital spokesperson,

Part 7




Part 8





Part 1 Will an effort be made to engage community partners in helping to prepare community residents for the unfolding health emergency?

Part 2 No

Part 3

If the above answer is yes. – Prepare a list of potential community partners that could be counted on to help prepare individuals and families. In preparing the list identify a single action in which the identified community partner could assist with.

(Example: Community Partner: Chamber of Commerce / Action: Work with members to ensure they have a basic Continuity of Operations Plan in place so they can remain operational throughout the health emergency to support the needs of the community.)

Part 4

Part 5 If the above answer is no. – Briefly explain why you would not work with community partners to prepare residents for this health emergency.

Part 6 At this point until a clear threat is apparent to our county, we will not take any community efforts



Part 2 Yes

Part 3



Part 4 probably individual calling due lack of central organization




Part 6



Part 2 Yes

Part 3



Part 4

Red Cross: food delivery for isolated cases Health and Human Services: Funds Churches: Disseminate info, food, provide counciling Volunteer Fire Departments: Health and Welfare checks salvation army: feed Medical Reserve Corps: provide medical surge, med logistics


Part 6



Part 2

Part 3





Part 4


Part 6



Part 2 Yes

Part 3



Part 4

All actions will work with members to ensure they have a basic Continuity of Operations Plan in place so they can remain operational throughout the health emergency to support the needs of the community. Pike County EMS Pike County CAC (community action committee) Pike County Sheriff Office Scioto Paint Valley Mental Health Pike County Faith Based Organizations Pike County Hope Clinic Pike County Medical Centers Pike County Chamber of Commerce


Part 6



Part 2 Yes



Part 3



Part 4 Fire and police departments, civic organizations, churches, schools, - Distributing our information and warnings as well as prevention measures.


Part 6



Part 2 Yes

Part 3



Part 4

Dept. of Job and Family Services, GMN, Noble Drug & Alcohol, Schools, Dept. of Developmental Disibilities, Buckeye Hills, EMA, by Facebook & Twitter, Distribute the education fact sheet, & by face to face client contact




Part 6



Part 2 Yes

Part 3



Part 4

JFS-phone bank, staffing to assist manning phone bank and send out messages, special needs listing to access; OU: outreach to students/parents, provide translation services to non-English speakers; Law Enforcement: county, city, OU-sercurity; Athens Co PIO network-coordinate public info messages, mobile radio to dissiminate info; EMA-partner outreach, coordination of resources, Reverse 911 and Everbridge mass notification system, Nixle alert system


Part 6



Part 2 Yes

Part 3 If the above answer is yes. – Prepare a list of potential community partners that could be counted on to help prepare individuals and families. In preparing the list identify a single action in which the identified community partner could assist with.




Part 4

Healthcare facilities, private providers, EMS would share infection control guidelines with families.

PPE Recommedations for healthcare facilities, private providers and EMS.

Printed CDH materials distributed through schools, colleges, restaurants, hotels.

Website and social media populated with the same information.


Part 6



Part 2 Yes

Part 3



Part 4 EMA, County Commissioners, local hospital, Sheriff's Dept, EMT/Fire Departments, MWCD Law Enforcement agents, LHD Health Commissioner


Part 6 n/a





Part 2 Yes

Part 3



Part 4 Established County wide Co Op through EMA will be activated. This will enable county agencies to continue operations as they help HD relay information to public during the health emergency.


Part 6



Part 2 Yes

Part 3



Part 4 Annex A and Annex A1 are used by our department to identify community



partners that can be counted on help prepare individuals and families. Our staff will be briefed on the Annex A and Annex A1. Red Cross and Salvations Army are major players and our identified in the afformentioned Annexes.

Our department was contacted by our EMA. We were notified that in two hours a meeting will take place with community stakeholders at the EOC to determine if the EOC will open and if it does open, who will be in the EOC.


Part 6



Part 2 Yes

Part 3



Part 4 EMA-Code Red notification

Hospital

ARES

ARC

MRC

Schools

County PIO Group



Regional epi,

Surrounding County Health Departments

ODH


Part 6



Part 2 Yes

Part 3



Part 4Sheriff's Department - extra security to assist with panic COOP, Pharmacies COOP, Churches COOP, Red Cross COOP, Schools COOP, MRC COOP, Chamber of Commerce for COOP for private businesses.


Part 6



Part 2 Yes



Part 3



Part 4

EMA opens EOC with supporting agencies Partners: MRC CERT- posters, signs, message with common information goal distributed within communities JIC contacts Everbridge (Emergency Notification System, using landline phone/registered cell phone system)- common message prepared to contact local communities, businesses, utilities


Part 6



Part 2 Yes

Part 3



Part 4 Work with LHDs and Healthcare agencies in developing informative messages


Part 6





Part 2 Yes

Part 3



Part 4

Adena & VA Hospitals - educate patients they are interacting with; EMA- identify community resources, needs, shortages, and work with area EMS; Schools/childcare/daycare - distribute health related messages and education to children and families; Red Cross - prepare for potential outreach to suffering families; JFS and Community action - share education information with clients; senior center - share information with their senior populations; long-term care/nursing homes - share educational information with residents and families.


Part 6



Part 2 Yes

Part 3 If the above answer is yes. – Prepare a list of potential community partners that could be counted on to help prepare individuals and families. In preparing the list identify a single action in which the identified community partner could assist with.

(Example: Community Partner: Chamber of Commerce / Action: Work with members to ensure they have a basic Continuity of Operations Plan in place



so they can remain operational throughout the health emergency to support the needs of the community.)

Part 4

MOU with local churches, local schools, ministerial associations, school nurses, county commissioners, county LEPC, JCEMS, Area Agency on Aging, JCSO, fire personnel, county mayors, Red Cross. Partners used to help reinforce message to public and maintain public order.


Part 6



Part 2 Yes

Part 3



Part 4

Faith based organizations, MRC volunteers, senior centers, schools, mental health, pharmacies, nursing homes, assisted living, physicians.

Copying and distributing public education throughout the community.


Part 6


Part 1Will an effort be made to engage community partners in helping to prepare



community residents for the unfolding health emergency?

Part 2 No

Part 3



Part 4 we will plan to work with agencies once we know more information and if needed.


Part 6 We do not have enough information at this time.



Part 2 Yes

Part 3



Part 4The Red Cross - Public Health Nursing; United Way - Volunteers; Jefferson Behavioral Health - Mental Health Support; Franciscan University - Support Services and Language Interpertation; Local Police Department - Security;



EGCC - Student Nurses; Local Churches - Food Pantry; Salvation Army - Food; CAC - Financial Assistance: Urban Mission - Food and Nursing; 4th Street Clinic - Support and Medical staff.


Part 6



Part 2 Yes

Part 3



Part 4

Schools & Daycares, Faith Based Groups, Red Cross, Area Agency on Aging, Lawrence County Chamber of Commerce, Nursing Homes or other group facilities, pharmacies, civic groups, - central message distribution Faith Based groups to the public and their specific clientele


Part 6



Part 1 Throughout the current health emergency it will be important that all means of communications be used to disseminate important information to the general



public in a timely manner.

Will social media (Facebook, Twitter, etc.) be used?

Part 2 Yes

Part 3 If the above answer is yes. – Describe in detail how social media will be used and identify the limitation of using social media in such an event.

Part 4 The hospital's information will be disseminated via OhioHealth, Ohio University and the County PIOs social media.

Part 5 If the above answer is no. – Briefly explain why social media will not be used.

Part 6

Part 7 Does the local emergency management agency or law enforcement agency utilize a mass notification system such as Nixel or Reverse 911 to keep local residents up-to-date during emergencies?

Part 8 Yes

Part 9 If the above answer is yes. – Briefly describe how such a system will be used during the current health emergency.

Part 10 Everbridge will disseminate information via text and email.

Part 11

If the above answer is unsure. – Contact via phone the local emergency management agency or law enforcement agency to ask if they have such a system and if it could be used during a health emergency.


(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Texting During Emergencies. These videos are too long to view during today’s exercise. Texting During Emergencies) – OPTIONAL


Part 1Throughout the current health emergency it will be important that all means of communications be used to disseminate important information to the general public in a timely manner.


http://www.drc-group.com/project/jitt-testmessaging.html

http://en.wikipedia.org/wiki/Reverse_911

http://www.nixle.com/



Part 2 No


Part 4


Part 6


Part 8 Yes


Part 10 HEALTH DEPT AND EMA WOULD GENERATE MESSAGE AND CONTENT

Part 11





Part 1 Throughout the current health emergency it will be important that all means of communications be used to disseminate important information to the general public in a timely manner.







Part 2 Yes


Part 4for a quick update, facebook will be used, but its limited in who it will reach. Our webpage will also be updated with more concise information as its received.


Part 6


Part 8 Yes


Part 10 Local EMA uses "CODE RED" (a version of reverse 9-1-1) to alert all residents or just select groups of situations.

Part 11





Part 1 Throughout the current health emergency it will be important that all means of communications be used to disseminate important information to the general






public in a timely manner.


Part 2 Yes


Part 4 collaborate with LE and newspaper to use their accounts


Part 6


Part 8 Yes


Part 10 provide info

Part 11





Part 1 Throughout the current health emergency it will be important that all means of communications be used to disseminate important information to the general public in a timely manner.







Part 2 Yes


Part 4 Adena facebook page will be used to update status. Limitations on audience that social media will reach.


Part 6


Part 8 No


Part 10

Part 11












Part 2 Yes


Part 4 Communicate general post on social media. Communicate access to the building. Internal email, Vocera Alert


Part 6


Part 8 Yes


Part 10 Gallia EMA/ Gallia SO/Gallipolis PD all use Nixle. Holzer will begin to push notifications to Holzer App Users.

Part 11





Part 1 Throughout the current health emergency it will be important that all means of






communications be used to disseminate important information to the general public in a timely manner.


Part 2 Yes


Part 4 Base on approval and used by the JIC.


Part 6


Part 8 Unsure


Part 10 Contacted Belmont County EMA to learn that what system they use and its capability. It is referred to as Cde Red.

Part 11










Part 1

Throughout the current health emergency it will be important that all means of communications be used to disseminate important information to the general public in a timely manner.


Part 2 Yes


Part 4

yes, but not by DHN. We contacted Brian Saul at OhioHealth that we opened our Incident Command upon getting a phone call from the Athens County Dept of Health that they had a positive Lab result on Autopsy from a patient at O'Blennes down the road.

Senior Administration not present when notification received. Administrator on Call notified that we were opening EOC and Brian Saul had been notified.


Part 6


Part 8 Yes


Part 10 The Athens County EMA has the Everbridge system, we call it "Alert Athens County"

Part 11 If the above answer is unsure. – Contact via phone the local emergency management agency or law enforcement agency to ask if they have such a system and if it could be used during a health emergency.


(Note: For future reference you may want to access the Just In Time Disaster





Training Library for additional information on the Texting During Emergencies. These videos are too long to view during today’s exercise. Texting During Emergencies) – OPTIONAL


Part 1



Part 2 Yes


Part 4

Facebook postings on factual updates from the JIC and prevention strategies.

Social media will not be used for any patient information updates.


Part 6


Part 8 Yes


Part 10

Reverse 911 is available to community members of the county who have registered for the service.

Information will be shared over Reverse 911 at the discretion of the EMA and/or BCHD along with County 911 Director

Part 11 If the above answer is unsure. – Contact via phone the local emergency management agency or law enforcement agency to ask if they have such a






system and if it could be used during a health emergency.




Part 1



Part 2 Yes


Part 4Frequent updates on face book, tweet, and website. No limitations as to what could be said only limitations regarding those that do not have a form of social media.


Part 6


Part 8 Yes


Part 10 A mass call to everyone in the county can be completed.

Part 11 If the above answer is unsure. – Contact via phone the local emergency management agency or law enforcement agency to ask if they have such a






system and if it could be used during a health emergency.




Part 1



Part 2 Yes


Part 4

Social media will be used to disseminate information to the public. Information will most likely come from the Ohio Department of Health. The limitation would be that not every citizen in pike county will have access to social media or the internet.


Part 6


Part 8 No


Part 10

Part 11 If the above answer is unsure. – Contact via phone the local emergency






management agency or law enforcement agency to ask if they have such a system and if it could be used during a health emergency.




Part 1



Part 2 Yes


Part 4

HVCH, HCHD, HCEMA, HCSO and HCEMS utilize FB on a daily basis. There would need to be ONE unified message released from all agencies at the same time so we are all on the same page. We also could put hospital related information on our own FB page.

There's a "boost up" option with FB ($6.00) that would reach everyone in the 43138 zip code. We could use this feature to notify mass people even if they aren't "friends" of the listd pages.

Many of the TV networks out of Columbus have emergency alerts that get sent out. Many people would receive these as well.


Part 6







Part 8 Yes


Part 10

We do have reverse 911 in our county. The EMA Director would provide 911 with the message that is to be shared with the residents of Hocking County.

The HCSO has Nixel Advisories that the residents of Hocking County can sign up for by going to their webpage.

Part 11





Part 1



Part 2 Yes


Part 4 There will be false information on there. MMH has a facebook page where the correct information on this page.


Part 6





Part 8 Yes


Part 10 Can provide information - refering them to the correct site or sites

Part 11





Part 1



Part 2


Part 4


Part 6







Part 8


Part 10

Part 11





Part 1



Part 2 Yes


Part 4

Will be used to communicate general consistent information such as visitor policy or general information about the event. Anything that would be sent to the media outlets would be displayed in social media

Limitations: access to social media - not full representation of audience. On social media, the ability for the community to comment and possibly create misinformation. There is limited ability with in some of the social media to prevent comment






Limitation: May induce panic. If community seek information -how timely will SOMC be able to answer. SOMC will have to monitor social media

SOMC will coach staff to limit their own use of social media regarding event


Part 6


Part 8 No


Part 10

Part 11





Part 1



Part 2 Yes

Part 3If the above answer is yes. – Describe in detail how social media will be used






and identify the limitation of using social media in such an event.

Part 4 EMA: Facebook, twitter, webpage PCHD: Facebook and twitter KDMC: Facebook, email


Part 6


Part 8 No


Part 10

Part 11





Part 1



Part 2 Yes

Part 3If the above answer is yes. – Describe in detail how social media will be used






and identify the limitation of using social media in such an event.

Part 4

Communications dept would put a release out via Twitter and Facebook and reach out to local media outlets. Ask those to share.

Not reach those who don't partake in social media.


Part 6


Part 8 Yes


Part 10 Utilize Everbridge a type of Reverse 911. Product now is in infancy stage but not many are signed up to receive.

Part 11





Part 1








Part 2 Yes


Part 4 We will distribute the information to our partners to share on Facebook and Twitter


Part 6


Part 8 No


Part 10

Part 11





Part 1








Part 2 Yes


Part 4 Twitter-establish hashtags, Facebook; only authorized PIO/IC can establish messages; Monitoring of social media; Limitations: not everyone has social media, power outages, internet outages; character limitations;


Part 6


Part 8 Yes


Part 10 Working through EOC, emergency messages being routed through JIC at EOC

Part 11












Part 2 Yes


Part 4 Holzer has a Facebook page, internal blog, use our Intranet (Marketing). Limitations may be Intranet failing, limited subscription service


Part 6


Part 8 Yes


Part 10 Through EMA and JIC those decisions woule be made. We have NIXEL, but do not have Reverse 911.

Part 11










Part 1



Part 2 No


Part 4


Part 6 The EMA has a Facebook page; we will leave it up to other agencies


Part 8 Yes


Part 10

Code Red

we have been informed that the code red announcement went out from the city health dept.

Part 11










Part 1



Part 2 Yes


Part 4 Official FB page would be created to disseminate approved information to the public via the JIS


Part 6 n/a


Part 8 Yes


Part 10 Local system is currently under development and would be utilized if available

Part 11










Part 1



Part 2 Yes


Part 4 Facebook linked to ODH website, contact information for the JIC. Utilizing social media without inducing panic.


Part 6


Part 8 Yes


Part 10 Code Red (county residents only). Calling Southeast RCC to validate that we have opened up the EOC. We are in ICS. Contact via phone the local EMA, speaking with Dave Ivan and Becky Horne. Need to activate Code Red.



(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Texting During





Emergencies. These videos are too long to view during today’s exercise. Texting During Emergencies) – OPTIONAL


Part 1



Part 2 Yes


Part 4

Precautions from CDC, ODH and guidelines would be distributed and appropriate information would be released to control rumors and misinformation.

Community containment measures would be announced.

Direct calls through the 211 system.

Limitations: would not serve all populations.


Part 6


Part 8 Yes


Part 10 Rapid Notify would be used to call all residential listed numbers with infection guidelines, and instruction on how to access official online resources, and where to pick up information and supplies.






Limitations: does not contact cell phones and unlisted numbers

Part 11





Part 1



Part 2 Yes


Part 4

We would post initial announcement and updates to Facebook, Twitter and the Web Site. The limitations would be only delivering the information to friends on Facebook and followers on social media. The internet being bogged down from heavy usage could also create a delay.


Part 6


Part 8 Yes

Part 9If the above answer is yes. – Briefly describe how such a system will be used






during the current health emergency.

Part 10 Reverse 911 through EMA is used.

Part 11





Part 1



Part 2 Yes


Part 4The EMA office will be utilize for facebook and twitter

County Health Department has a website only.


Part 6


Part 8 Yes







Part 10 Code Red will be used for inform public of symptoms, minimize contact, self isolation if ill.

Part 11





Part 1



Part 2 Yes


Part 4

One clear, concise message will be placed on facebook and our website by our PIO after review by DON, Health Commissioner, Administrator, DOEH. PIO will be responsible for mainitaining and updating message as incident evolves.

Limitations are that not everyone utilizties facebook (elderly,indigent and special needs population) and there is a lack of phone and internet service in southeastern Ohio.





Part 6


Part 8 Yes


Part 10 A phone call was made to ourr EMA by our Administrator. A system called regroup is used for mass notification. Law enforcement was contacted by Rose Ball (Administrator) and was told they will use Reverse 911.

Part 11





Part 1



Part 2 Yes


Part 4 HD has Facebook & Twitter accounts. Prevention tips, and press release links from CDC will be posted to these accounts.






HD website will also be updated with this information.

Communication with EMA, Police, Sheriff, EMS to ensure unified messages will be posted to their social media accounts as well.

EMA will monitor for false information & will ensure accurate information is being posted.

Coordinate with school system to use their mass communication system(text alerts, automated messages).

Local radio station will be used for broadcasting unified messages about prevention.


Part 6


Part 8 Yes


Part 10 Will communicate with Sheriff to utilize Nixel alerts.

HVCH has implemented Reverse 911.

Part 11










Part 1



Part 2 Yes


Part 4limited to number of friends, website limited to those who access it or have access. It would be updated frequently with news as it occurs, at least several times a day


Part 6


Part 8 Yes


Part 10 NIXEL would alert any subscribers via text, email.

Part 11










Part 1



Part 2 Yes


Part 4

All social media sites will be leveraged and safety and health information will be posted; FAQs; updates on the illness and health department activities; warnings and advisories will be issued on social media; important contact numbers may be posted. Limitations are that not all citizens have access to social media sites.


Part 6


Part 8 Yes


Part 10 County sheriff can issue an emergency alert over the radio to all citizens.



(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Texting During Emergencies. These videos are too long to view during today’s exercise.





Texting During Emergencies) – OPTIONAL


Part 1



Part 2 No


Part 4


Part 6 Social media utilized on local level: staffing inn RCC minimal for exercise


Part 8 Yes


Part 10 Residents alerted via phone by designated zip code

Part 11











Part 1



Part 2 Yes


Part 4

One person will be updating the social media sites, information updates will be approved by PIO prior to release following social media policy. Provide links to other organizations such as ODH, CDC etc. Limitations include: - access to social media - a lot of false information/ability to create excess chaos, rumors


Part 6


Part 8 Yes


Part 10Everbridge emergency notification system will be utilized to contact the public via phone landline or registered cell phone users. Registration information for Everbridge will be included in distributed messaging.










Part 1



Part 2 Yes


Part 4 Facebook and website to communicate same information disseminated in media releases.


Part 6


Part 8 Yes


Part 10 JCSO has Nixel, Facebook and website. JCEMA has Facebook and website.











Part 1



Part 2 Yes


Part 4

facebook and twitter are used by the organization. The county EMA uses facebook to update the public as well.

The social media used by the organization can be updated in real time.


Part 6


Part 8 Yes


Part 10 the county uses everbridge for mass notification. notifications can be sent to mobile devices, email, and land lines.






Part 11





Part 1



Part 2 Yes


Part 4

Continue to share unified and accurate information. Use CDC RSS feed.

Limitations - message doesn't reach everyone (elderly, very young, amish, those unable to contact to facebook). Staff time to monitor facebook and update info and answer questions.


Part 6


Part 8 Yes







Part 10CodeRED is used through the HD to notify all county residents (using 911 database) of pertinent health information. School district, churches and Village also have all call-systems in place and can distribute pre-scripted message through their systems.

Part 11





Part 1



Part 2 Yes


Part 4

to disseminate messages and address any rumors.

Facebook, ZMCHD website

we would include list of symptoms and what we know now.

limitations: 300+ followers and shares, people who do not use techniology.


Part 6

Part 7Does the local emergency management agency or law enforcement agency




utilize a mass notification system such as Nixel or Reverse 911 to keep local residents up-to-date during emergencies?

Part 8 Yes


Part 10Send out a notification message to a target area if needed.

Our system is the Everbridge Notificaiton System

Part 11





Part 1



Part 2 Yes


Part 4

Will put what information we know, just the facts, encourage social distancing, washing hands etc.; Cannot be a complete means of communication because usually only the younger use social media and the older population would not use it. The Jefferson County Health Department has a facebook account and a Web Site and updates will be posted to the Web Site as well. We do not use Twitter.







Part 6


Part 8 Yes


Part 10If we need to contact a certain segment of the population we can do it with reverse 911 and can do mass notification to a certain area and encourage citizens through a press release to contact 211. Utilze the Local School call back systems.

Part 11





Part 1



Part 2 Yes







Part 4

The central message will be posted on the Health Department website, facebook and twitter accounts, these accounts will be monitored for community response and/or false information. The limitation would be that not everyone would not have access to social media. This would be in addition to traditional media such as TV, radio and newspapers


Part 6


Part 8 Unsure


Part 10 currently we do not have this capability, but we have recently obtained funding to do so in the very near future

Part 11




Ohio Contagion - # 013 - H


Part 1 The decision has been made to activate appropriate components of your EOP due to the escalating health emergency.

Will the Hospital Incident Command System (HICS) be utilized to effectively and efficiently manage the response and recovery activities associated with


http://en.wikipedia.org/wiki/Hospital_incident_command_system





the current health emergency?

Part 2 Yes

Part 3

If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various HICS roles that will be staffed for this incident.

(Example: HICS Position: Incident Commander / Responsible Individual: John Harper – Emergency Management Director)

Part 4

IC: BERNIE ALBERTINI

INFECTIOUS DISEASE: JAN HIGHWART

OPERATIONS: DIANE GLAVARIS

LOGISTICS: JOAN ELLEN KRAMER

PLANNING: CHRIS KERWOOD

SAFETY: BRAD SIMMS

Part 5 If the above answer is no. – Briefly explain why HICS will not be used and describe in detail how you will manage this incident.

Part 6

Part 7(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Hospital Incident Command System (HICS). This video is too long to view during today’s exercise. Hospital Incident Command System) – OPTIONAL


Part 1

The decision has been made to activate appropriate components of your EOP due to the escalating health emergency.

Will the Hospital Incident Command System (HICS) be utilized to effectively and efficiently manage the response and recovery activities associated with the current health emergency?

Part 2 Yes

Part 3 If the above answer is yes. – Identify the individuals by name and title that will



http://www.drc-group.com/project/jitt-hics.html



be responsible for fulfilling the various HICS roles that will be staffed for this incident.


Part 4

Incident Commander - Dr. Mark Rothstein Public Information Officer - Sydney Webber Safety Officer - Steve Noftz Liaison Officer -Sydney Webber Medical/Technical Specialist - Mia Damato Operational Section Chief- Lianne Dickerson Planning Chief - Shawn Bail Logistics Chief - Adam Vandyke Finance Chief- Heather Cozart


Part 6



Part 1



Part 2 Yes

Part 3



Part 4 Incident Commander/ Dave Zanni

Safety Officer/Jennifer Abner






Planning Sectin Chief/Amy Robertson

Financial Administration Section Chief/Andrew Bauer

Logistics Section Chief/ Angie Thompson

Operations Coordinator/ Niki Taylor

Liaison Officer/Dan Rase

Public Information Officer/Tina Perko


Part 6



Part 1



Part 2 Yes

Part 3



Part 4 Incident Command - AVP of Nursing - Marsha Rodgers

Safety Officer - Director of Therapy Services - Ron Saunders






PIO - Communications Coordninator - Karrie Davison

Liaison Officer - Director of Safety - Morgan H Saunders

Operations Branch Director - Manager of Nurse Administrators - Matt Hemphill

Logistics Branch Director - Director of Material Management - Ralph Fisher

Administrative Rep/AOC - CNO - Barbara Campfield


Part 6



Part 1



Part 2 Yes

Part 3



Part 4 Incident Commander - David Phillips, CEO

Public Information Officer - Peggy Douglass, Senior Director Community Outreach and Education






Operations - Cindy Touvelle, Chief Nursing Officer

Logistics - Michael Carpenter, Facilities Director

Planning - Paula Butler, Nurse Manager

Medical/Technical Specialist and Liaison- Joann Barylak, Infection Control Nurse


Part 6



Part 1



Part 2 Yes

Part 3



Part 4

Commander Scott Cantley, Public information officer Jen Offenberger, Safety officer Janet Campbel, Medical technical officer Bobbie Howard, Liason officer DeeAnn Gehlauf, Operatons Andy Dick, Planning Susan Knotts, Logistics Kevin Hudson, Finance Jonie Washburn







Part 6



Part 1



Part 2 Yes

Part 3



Part 4

Incident Cmmander - Mike Warden

Logistic chief - Kelly Allen

Safety Officer - Brian Bunner

Operations section cheif - Joe Duvall

Public Relations - Jennifer Offenberger

Planning - Jennifer Osbrorne

Medical/technical specialist - Lauren Dutton

Liaison Officer - Jill Weihl







Part 6



Part 1



Part 2 Yes

Part 3



Part 4 Incident Commander - Justin Clark - Director of Plant Operations

Public Information Officer - Jim Kolar - Manager Of Life Centers

Liasion Officer - Mary Kate Dilts Skaggs - Nursing Director of ED

Safety Officer - Blake Howard - Safety Specialist

Medical Specialist for infection prevention - Kathy Mullins - Infection Control Preventionist

Logistic Chief - Ted Stidham - Manager of Material Management

Communication Unit Leader - John Schaefer - Manager of Telecommunication

Facilities Unit Leader - Carlos Morris - Manager of Maintenance






Planning Chief - Ben Gill - Vice President Support Services

Situation Unit Leader - Karen Whisman - Nursing Shift Manager


Part 6



Part 1



Part 2 Yes

Part 3



Part 4 IC/ Mike Blair/Facility Dir

Safety Officer/John Sebring/EM Director

Operations Section Chief/ Darla Kuri/DON

Planning Section Chief/Terry Rinkes/ED Nurse Manager

Logistic Section Officer/Carolyn Skorich/IC






Financial Section Chief/Serge Gentile/HR


Part 6



Part 1



Part 2 Yes

Part 3



Part 4 Incident Commander- Christy Schneider- Since this is an infectious disease incident it makes sense to put the Infectious Disease Nurse in IC. (HCHD contacted us to set up a unified command with HVCH)

Public Information Officer- Julie Stuck (CEO)

Medical/Technical Specialist- Amy Scarberry- Lab Director

Safety Officer- Janelle Hicks

Liaison Officer- Stacey Gabriel

Planning Section Chief- Nursing Supervisor






Doug Fisher is the IC with HCHD.


Part 6



Part 1



Part 2 Yes

Part 3



Part 4

Incident Commander - Ray Chorey

Safety Officer - James Dykes

PIO - Jeannie Wilson

Liason - Shawn Smith

Medical Technical Specialist - Dr. Conaway/ Cathy McIntire


Part 6








Part 1



Part 2 Yes

Part 3



Part 4

Incident Commander: Sandy Wood CCO/ Public Info Officer- Angie Booth/ Safety Officer- Marcia McGee/ MedTech Specialist: Sandy Nott/ Operations Section Chief/ Marsha Sloan-Helber/Planning Section Chief: Lucia Dean/ Logistics Section Chief: Jeff Handley/ FinanceAdministrtion Section Chief: Shannon Atha


Part 6



Part 1 The decision has been made to activate appropriate components of your EOP due to the escalating health emergency.









Part 2 Yes

Part 3



Part 4

Doug Bennett, Incident Commander

Janet Miller, Public Information Officer

Barry Nolan, Safety Officer

Dr. Little, Med Tech Specialist


Part 6



Part 1



Part 2 Yes








be responsible for fulfilling the various HICS roles that will be staffed for this incident.


Part 4

Rhonda Dailey (VP of Patent Care Services - Incident Commander), Karrie Davidson (Marketing, PIO), Greg Lawless (Radiology Manager - Safety Officer), Susan Moore/Joe Herrick (Employee Health - Liason Officer), Bill Pfeifer (Infection Prevention - Medical/Technical Specialist), Patty Hightower (ED Manager - Operations Section Chief)


Part 6



Part 1



Part 2 Yes

Part 3



Part 4 Zac Crosby, Incident Commander; Frank Hamilton, Liasion Officer, Tom Tsesmelis, Safety Officer, Keith Murdock, PIO, Darlene Hennis, Biological Infectious Disease Medical Specialist, Alayna Heilman, Operations Chief, Cindy Fairclough, Planning Section Chief, John Torok, Logistics Section Chief






and Finance Section Chief, Deb Herdman, Medical/Technical Specialist, Medical Branch Director


Part 6



Part 1



Part 2 Yes

Part 3



Part 4

IC-Shannon Nezbeth, director

Med tech specialist- Carla Reed RN IP

information officer- Holly Voltz, marketing manager

security officer- Eric King, manager public safety

liason officer- Heath Williams


Part 6









Part 1

With guidance from the State’s Department of Health the decision has been made to activate your EOP.

Will the Incident Command System be utilized to effectively and efficiently manage the response to this health emergency?

Part 2 Yes

Part 3

If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various ICS roles that will be staffed for this incident.

(Example: ICS Position: Incident Commander / Responsible Individual: John Harper – Environmental Health Coordinator)

Part 4

IC:Larry Marshall, Health Commissioner; Safety Officer:Steve Swatzel, Enviro Dir.; Liaison: Frank Gorscak, ERC; PIO, Frank Gorscak, ERC; OPS: Courtney Midkiff, Administrator; Plans: Leanne Cunningham, DoN; Fiscal: Sharon Buchanan

Part 5 If the above answer is no. – Briefly explain why ICS will not be used and describe in detail how the health emergency will be managed.

Part 6


Part 1



Part 2 Yes


http://www.fema.gov/emergency/nims/IncidentCommandSystem.shtm

http://www.drc-group.com/library/exercise/cce/CCE-ICS-Chart-01.jpg





Part 3



Part 4IC (Woodward), PIO (Dr. Clark), Liaison (Jenkins), Safety Officer (Jenkins) , OPS (Cain RN) -LOGS (McGrew)-PLANNING (Ms. Mayle) -FINANCE (Commissioners) CHIEFS


Part 6


Part 1



Part 2 Yes

Part 3



Part 4

Josh Sherwood - Incident Commander Linda Murphy- Finance/Administration Section Ryan Williams- Logistics Matt Brewster/Mona Minor- Operations Section Kayla Hartley- Planning Section Paige Danner- Liaison Section Wally Burden- PIO/Safety Section


Part 6


Part 1 With guidance from the State’s Department of Health the decision has been






made to activate your EOP.


Part 2 Yes

Part 3



Part 4

Unified Command: City and County Health Commissioner Public Info Officer: Larry Dale Mullins EMA Medical Director: Dr. Pettit saftey: Lisa Roberts PCHD Nurse Liason: Debbie Fisher Logistic offiers: ema director Operations: Cindy Morrow planning: Melissa Spence Admin: Celeste Tucker


Part 6


Part 1



Part 2 Yes

Part 3



Part 4 ICS commander - Madeline Watson

Operations- Susan Haas

Safety & Logistics - Jim Warren







Planning - Jolene Williamson

PIO- Kirby Moore


Part 6


Part 1



Part 2 Yes

Part 3



Part 4

IC: Health commissioner Dr Crapes; PIO: Beth Ruth; Safety Officer: Patrick McGeary Rs: Liaison Office: Deoretta Mayle, Registrar: Medical Specialist: Sherry Lawson DON RN; Operations Chief: Glenn Thompson, Administrator; Planning Section Chief: Jeremy Phillips ERC: Logistics section Chief: Jack Pepper/Janelle McManis EhD; Finance Section: Wendy Cline/MaryAnn Knapke Fiscal Officers


Part 6


Part 1 With guidance from the State’s Department of Health the decision has been made to activate your EOP.

Will the Incident Command System be utilized to effectively and efficiently






manage the response to this health emergency?

Part 2 Yes

Part 3



Part 4

Court Witschey, Incident Commander

Barb Piehowicz, Operations Chief

Josh Lane, Planning Chief

Jeannie Farnsworth, Finance Chief

Chasity Mayle, Logistics Chief

Rabia Karim, PIO

Bryson Wakeley, Liason Officer

Ken Robinson, Safety Officer


Part 6


Part 1



Part 2

Part 3If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various ICS roles that will be staffed for this incident.







Part 4


Part 6


Part 1



Part 2 Yes

Part 3



Part 4

Dr. George Cholak, Incident Commander

PIO - Robert Sproul

Finance - Ellen Jarrett

Logistics- Tim Hall

Operations - Linda Mehl, Director of Nursing,

Planning - Lynn Schrum, Infection Control Nurse

Safety Officer - Mike Freeman, Director of Environmental Health

Liasion- Deanna Dulesky

Part 5If the above answer is no. – Briefly explain why ICS will not be used and





describe in detail how the health emergency will be managed.

Part 6


Part 1



Part 2 Yes

Part 3



Part 4

ICS-

IC -Dr. Wendy RedmondPIO-Steve LonsingerLogistics-Mark FrankOperations-Zach FanningFinance officer-Linda JamisonPlanning-Laura Roberts


Part 6


Part 1



Part 2 Yes







be responsible for fulfilling the various ICS roles that will be staffed for this incident.


Part 4IC, Dr. Vallee, PIO Dr. Vallee, Jenny Henchey, Op Section Chief - Melissa, Finance Section - LouAnn, Logistics Section Barb, Planning Lou Ann, Safety - Bobbi, Liason - Jenny


Part 6


Part 1



Part 2 Yes

Part 3



Part 4

Incident Commander: Charles Fisher Liaison Officer: Lorna Bower Safety Officer: Rebecca Eberhart, RN Public Information Officer: John Carr (section chiefs) Logistics Sections Chief: Lorna Bower Operations Sections Chief: John Carr Planning Sections Chief: John Carr Financial Sections Chief: Bonnie Snider


Part 6 n/a










Part 2 Yes

Part 3



Part 4Incident commander - Kathy Wakefield, DON; Operations - Michelle Long, ADON; Planning - Ben Avery, Dir. EH; Logistics - Vonda Kern, fiscal. PIO - Rami Yoakum, PIO. Liaison - Daniel Caudill, ERC


Part 6


Part 1



Part 2 Yes

Part 3



Part 4 The RCC is part of the Unified Command across the region in order to provide multi- jurisdiction/agency communications








Part 6


Part 1



Part 2 Yes

Part 3



Part 4

Annex A (Direction and Control) will be followed for our ICS Structure. Staff roles and resposibilities are identified in the plan. Incident Commander will be Dr. Colby (Health Commissioner). PIO will be Stephanie Byerly. We will contact our Sheriff's office concerning safety issures. Safety officer will be the Sheriff's Department. Angie Gray, DON, will be the Planning Section Chief. Logistics Chief will be Randy Shepard, DOEH. Rose Ball, Administrator, will serve as the Liasion Officer. Rose Ball notified Betty King at the RCC that our department is now using ICS structure.


Part 6


Part 1



Part 2 Yes

Part 3 If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various ICS roles that will be staffed for this







incident.


Part 4

IC- Doug Fisher HC

Safety- Doug Fisher HC

PIO- Jamie Funk Fiscal Officer

Operations- Emily Norris RN

Epi Branch Director- Tonya McGuire

Planning- Minchen Vickers - Sanitarian

Logistics- Wendy Hanna-Environmental Health Director

Finance- Jamie Funk


Part 6


Part 1



Part 2 Yes

Part 3



Part 4 IC - Director of Nursing - Cindy Dew Liason Officer - PIO- Director of Health Edu. -RN- Karie Cook Safety Officer - Sanitarian- Cary Bowers Logistics - Environmental Director - Paul Montgomery - Environmental/IT - Sanitarian -





Chad Cook - Supply Division - Supply/Data Entry - Environmental Assistant- Susan Kinney - Traffic/Security - Sanitarian - Cary Bowers Operations - Nursing - Mandy Sherrill - Vaccine Management Division - Nurse- Mandy Sherrill, Christy Wilson - Administrative - MOAA - Christy Wilson Finance - Fiscal Officer - Tina Watkins Planning Section - PHEP Coordinator - David Plummer - Resource Documentation/Education - Health Educators - Debbie Raney, Jenny LaRue, Peggy White As shifts and roles change, MRC-CERT would be activated to fill necessary roles.


Part 6


Part 1



Part 2 Yes

Part 3



Part 4

Linda Masters - Incident Commander

Medical Director - Dr. Ron Williamson

Safety Officer - John Shreve

PIO - April Glotfelty

Operations Chief - Karen Ault

Planning Chief - Carol Hehr

Logistics Chief - Brian Griffin

Finance/Administration - Linda Masters






Part 6


Part 1



Part 2 Yes

Part 3



Part 4IC is Kevin Aston, PIO - Kevin Aston, Liaison - Lindsay King, Safety Office - Gary Radabaugh, Operations Chief - Patrick West, POD strike team leader - Crystal Downard, Planning and Logistics Chief - Lisa Vande Linde, ,


Part 6


Part 1



Part 2 Yes

Part 3 If the above answer is yes. – Identify the individuals by name and title that will be responsible for fulfilling the various ICS roles that will be staffed for this incident.

(Example: ICS Position: Incident Commander / Responsible Individual: John







Harper – Environmental Health Coordinator)

Part 4

PIO-Jennifer Hiestand, Safety Officer-Ann Hollingsworth, IC-Carol Howdyshell, Planning Section-Bev Huth, Logistics-Dedra Parsons, Operations-Denise Greer

HC identified positions and then transfered command to DON.


Part 6


Part 1



Part 2 Yes

Part 3



Part 4

Shaleeta Smith, Steubenville City Health Department Health Commissioner - IC; Bruce Misselwitz - PIO; Cindy Deavers-Operations; Annette Stewart - Administration Finance; Jack McGuire - Liason and Planning Section; Marc Maragos - Logistics; Tony Pasquarella - Safety Officer; Sheryl Suppa - Registrar


Part 6









Part 2 Yes

Part 3



Part 4

Administrator and Laura Brown R.N. City of Ironton Health Commissioner, Public Information Officer -Steve Harrison and Mayor Rich Blankenship, Liason-Debbie Fisher, Safety Officer-Paul O'Banion R.S. and John McKean R.S, Operations-Eileen Payton R.N. DON, Logistics-Mike Boster EMA Director, Financial-Susan Sharp and Kristen Martin, Planning-Debbie Fisher R.N.


Part 6



Part 1 Identify the various external agencies and organizations that will be notified upon activation of your EOP and your Incident Command Team.

Part 2BELMONT COUNTY HEALTH

BELMONT COUNTY EMA

Part 3 Will you liaison with the County Emergency Operations Center (EOC) when it is activated?

Part 4 Yes





Part 5 If the above answer is yes. – Describe in detail how you will liaison with the County EOC.

Part 6 SEND REPRESENTATIVE TO EOC

Part 7 If the above answer is no. – Briefly explain why you will not liaison with the County EOC.

Part 8



Part 2 OhioHealth Ohio University Athens County PIO Local EMA


Part 4 Yes


Part 6 A staff member from our Communications department will be sent to the County EOC.


Part 8



Part 2 Local EMA, EMS, LE, County Commissioners, Healthcare agencies, doctors, schools. Newspaper, radio and TV stations




Part 4 Yes


Part 6 The HC Liaison will coordinate with the EMA EOC with updates and requests for needed resources.


Part 8



Part 2 AS ABOVE


Part 4 Yes


Part 6 phone, radio, e-mail ENSURE EVERYONE HAS SAME MESSAGE!


Part 8


Part 1Identify the various external agencies and organizations that will be notified



upon activation of your EOP and your Incident Command Team.

Part 2

Follow APMC Emergency Operations Plan:

County Health Department

Emergency Management Association

Law Enforcement

EMS Liaison

Red Cross


Part 4 Yes


Part 6

APMC works with local county and state planning agencies to define the role each provider can play during an emergency. The anticipated role of APMC is to function as a full service medical care facility capable of effectivley treating many levels of injury. Contingency plans are in place to determine when we begin evacuating the hospital in the event that a service or services cannot be maintained for 24 hours.


Part 8



Part 2 Gallia EMA/911 Center



RHCC/OHA

GCHD

HMCJ - Sister Facility


Part 4 Yes


Part 6 The liaison officer will be assigned to the county EOC either in person or by phone.


Part 8



Part 2 Pike County EMA Ohio Department of Health Regional Public Health Preparedness Coordinator South Central Ohio Public Health Districts


Part 4 Yes




Part 6 Liaison officer will collaborate with Pike County EOC as well as interface with local businesses.


Part 8



Part 2

Washinton Co. Health Dept.

Marietta Helath Dept.



Part 4 Yes


Part 6 We will be sending a representive to the office.


Part 8



Part 2 LEPC




Part 4 Yes


Part 6 Appoint the liaison contact individual and remain in contact as needed.


Part 8



Part 2 law, fire, ems, hospitals, health, local government, civic and social agencies, NGOs, Volunteer Organizations, Churchs, Schools


Part 4 Yes


Part 6 Started working with EMA and preEOC with first first notification. Will be operating ICS out of county EOC.


Part 8





Part 2

EMA - Belmont and Monroe

Health Department - Belmont and Monroe

EMS Agencies

Law Enforcement

Schools


Part 4 Yes


Part 6

We would send a representative to the EOC upon request of County EMA.

Phone and e-mail communication would take place during the event.

Recommendation/request for refresher training on EOC activation and individual responsibilities.


Part 8



Part 2

Notify Scioto EMA, Regional Hospital partners, Coaliton partners, Red Cross, Public Health Department




Part 4 Yes


Part 6 SOMC sent staff person to the county EOC to help with the community response and communication back to hospital We have a title called - EMA Medical/Technical Specialist. SOMC will sent PIO to JIC.


Part 8



Part 2 EMA and Health Department


Part 4 Yes


Part 6 Liaison Officer would be person


Part 8





Part 2 EMA; HCHD; HCEMS;


Part 4 Yes


Part 6It is important to have a Liaison at the County EOC who can keep hospital personnel informed as to what is happening throughout the county. This person would sit in the EOC at the county EMA building. Any hospital needs would be requested through this Liaison to EMA.


Part 8



Part 2

Belmont County EMA


Belmont County 911 Center

Wheeling Hospital Admin. on call




Part 4 Yes


Part 6 We would establish communication with Belmont County EOC and assign an individual to be liaison.


Part 8



Part 2 Administrator On Call, OhioHealth Senior Leadership, Athens County Dept of Health, and the Athens County EMA


Part 4 Yes


Part 6

At this time, we may be facing a staffing shortage related to the virus, so may be extremely short-staffed

If possible, we would send a staff person to the EOC to be the DHN representative. However, if this was off-shift, skeleton crew, we may not be able to send a person. If that were the case, our Liaison Officer would work with the EOC to determine how they would like to communicate.




Part 8



Part 2 RCC, ODH, EMA to further disseminate information according to plans


Part 4 Yes


Part 6 One public health representative sitting at the county EOC


Part 8



Part 2 First Responders: law enforcement, EMS, FD; EMA, County Commissioners, Schools/colleges, physician offices, DD


Part 4 Yes

Part 5If the above answer is yes. – Describe in detail how you will liaison with the



County EOC.

Part 6 We would have a rep at all times present at the EOC. Keep in constant communication with DOC to give situational awareness updates.


Part 8



Part 2 EMS, city & county health depts., first responders, Red Cross, EMA


Part 4 Yes


Part 6 Appoint liason officer, Mark Jenei


Part 8



Part 2 Jeff Lauer, EMA



Marietta City Health Department

Belpre City Health Department

Local Law Enforcement and Emergency Responders

Hospitals, Health Care providers


Part 4 Yes


Part 6 A person staffed at the EOC that makes sure information is shared, to ensure the safety of the first responders and public.


Part 8



Part 2


Part 4




Part 6


Part 8 I am serving in regional epi role, just going through information to assist me in participating in exercise with the 8 LHDs in my jurisdiction.



Part 2 Commissioners, and all county agencies, ems, fire, state highway patrol, odot, police,


Part 4 Yes


Part 6 Liaison (LHD) will be in contact with EOC liasion.


Part 8



Part 2 EMA, Jefferson County Health Department, Steubenville City Health Department, United Way, Red Cross, Emergency Responders, EOC

Part 3Will you liaison with the County Emergency Operations Center (EOC) when it



is activated?

Part 4 Yes


Part 6 Frank Hamilton, Liaison Officer would be at the EOC or an alternate would be sent.


Part 8



Part 2 EMA, The Health Department, HMC-G, Barb Campfield, & Jeff Hess


Part 4 No


Part 6


Part 8 We do not have the personnel to send. Our Liason Officer would be available by phone.





Part 2 Sheriff, Hospital, Employees, County commissioners, RCC, 911


Part 4 Yes


Part 6 Phone calls, direct contact, emails, web link sharing.


Part 8



Part 2 EMA, County Commissioners, local hospital, Sheriff's Dept, EMT/Fire Departments, MWCD Law Enforcement agents, HARCATUS for Volunteers


Part 4 Yes


Part 6 County agencies would unite under the county EOC




Part 8 n/a



Part 2 ODH, Adena & VA Hospitals, EMA, local law enforcement, regional public health partners.


Part 4 Yes


Part 6 We will provide a physical presence and supply public health and virus knowledge to assist with response and communications.


Part 8



Part 2Regional PH Coordinator-Betty KingPublic Safety-Sheriff's OfficeEMAODH


Part 4 Yes




Part 6 County Health Department will request from the EMA that the EOC be opened.


Part 8



Part 2 RCC is staffed by PH personnel from across the region


Part 4 Yes


Part 6 Through LHD staff assigned to ESF 8 desk


Part 8



Part 2Liasion officer contacted EMA regarding the opening of the EOC at the County Administration Building. After briefing, EMA recommened opening a full EOC



and she will use a call down list to notify all partners witinin 2 hours. A briefing will be held at noon to determine who will remain at the EOC and to determine if JIC will be activiated within EOC. Rose Ball, will serve as Liasion at EOC for our health department. Equipment taken will include: laptop, MARCS radio, and cell phone to use to communicate with community partners.


Part 4 Yes


Part 6 Rose Ball, will serve as Liasion at EOC for our health department. Equipment taken will include: laptop, MARCS radio, and cell phone to use to communicate with community partners.


Part 8



Part 2 School system

HVCH

EMA, State EMA, CERT

Law Enforcement

EMS

Fire



911

Red Cross

ODH/CDC

Co Commissioners, Elected Officials, City officials


Part 4 Yes


Part 6 The HD will send a representative to the EOC or EMA will send staff to HD to relay/coordinate info between agencies.


Part 8



Part 2 Muskingum cty EMA, health dept.


Part 4 Yes

Part 5If the above answer is yes. – Describe in detail how you will liaison with the



County EOC.

Part 6 Liason officer will go to the county EOC to share information and coordinate with the county.


Part 8



Part 2

Utilizing the EOP for Perry County Health Department, located in PHEP Coordinator's office, and on Shared Folder. Referencing Direction and Control Annex A EOP for Perry County, located at EMA annex H Contact: Law Enforcement Townships Villages Fire/EMS JFS Commissioners Any other Governmental Agencies Regional PHEP Coordinator / ODH EMA MRC-CERT Mental Health Providers Nursing Homes/Doctors/ Health Care Providers


Part 4 Yes


Part 6 Spokesperson from Health Department will be sent to JIC; planner will be at the EOC


Part 8





Part 2 Law Enforcement, RCC, ODH, EMA, County Commissioners, EMS, Health Commissioner and BOH members


Part 4 Yes


Part 6 By landline and/or cell phone (virtually due to limited staff)


Part 8



Part 2

Muskingum County EMA

Board of Health President


Part 4 Yes




Part 6 IC will send a health department rep to the EMA office. PIO will go to the EMA office and open a JIC. PIO will request assistance from EMA to staff the JIC.


Part 8



Part 2 RCC, ODH, JCEMA, JCSO, JCEMS, HMC, private sector help partners


Part 4 Yes


Part 6 Liaison officer with EOC will exchange information and request for resources.


Part 8



Part 2Emergency Management; Polic Department; Fire Department; Local Ambulance Services; Cornors, Local Hospitals; Red Cross; United Way; Jefferson Behavioral Health; Urban Mission; Salvation Army; City Mayor, City Manager, City Council, Jefferson County Commissioners; Jefferson County



and Steubenville City Boards of Health; CAC


Part 4 Yes


Part 6 According to SOP the Health Commissioner or the Administrator will represent us at the EOC and one would remain at the Department Emergency Center.


Part 8



Part 2 EMA, Fire Chiefs, EMS, Law enforcements local healthcare partners St. Mary's, KDMC, OLBH


Part 4 Yes


Part 6 We would send a representative to the EOC to participate.


Part 8





Part 1

Based on current information and your EOP develop an Incident Action Plan (IAP) that focuses on INITIAL RESPONSE ACTIVITIES.

Ensure that all objectives are completed using SMART methodology.

(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Incident Command System – Planning Cycle. These videos are too long to view during today’s exercise. Incident Command System – Planning Cycle) – OPTIONAL

In preparing the IAP list the objectives, identify any resources that will be needed to undertake each listed objective and prepare a timeline for completing each objective.

(Example: Objective: Contact all vendors to determine their ability to continue to provide consumable supplies, equipment and services due to the current health emergency. / Required Resources: Vendor contact list. / Timeline: 2 Hours.)

Part 2 OPEN EOC- NOTIFY MEDICAL STAFF AND EMERGENCY DEPARTMENT

BRIEF HOSPITAL STAFF ON SITUATION AND PROVIDE EDUCATION ON DISEASE AND TRANSMISSION.

EVALUATE SUPPLY OF PPE- CONTACT VENDORS FOR RESTOCK

CONTACT PHARMACY FOR SUPPLY

EVALUATE OPEN BED AND ISOLATION BED CAPABILITY- INSTALL PORTABLE ISOLATION

EQUIPMENT IN AVAILABLE ROOMS.

EVALUATE STAFFING LEVELS

NOTIFY OCCUPATIONAL HEALTH

STOP VISITATION EXCEPT FOR CRITICAL PATIENTS


http://www.drc-group.com/project/jitt-ics-planningcycle.html

http://www.drc-group.com/library/exercise/uu/UU-SMART.pdf

http://www.drc-group.com/library/exercise/formidable/FF-Hurricane-IncidentActionPlan.pdf


INCREASE SECURITY

MEDICAL STAFF TO EVALUATE CURRENT PATIENTS FOR POSSIBLE EARLY DISCHARGE

PREPARE SURGE EQUIPMENT AND SUPPLIES


Part 1






Part 2

Objective: Contact all vendors to determine their ability to continue to provide consumable supplies, equipment and services due to the current health emergency. / Required Resources: Vendor contact list. / Timeline: Immediate Implementation. Objective: Follow Rapid Influx of Contaminated Patients Policy/ Timeline: Immediate Implementation Objective: Enact Code Yellow to handle mass casualties Objective: Designate Clean and Contaminated zones within hospital. / Timeline: Immediate Implementation


Part 1Based on current information and your EOP develop an Incident Action Plan (IAP) that focuses on INITIAL RESPONSE ACTIVITIES.











Part 2

OBJECTIVES: 1. use known means to limit spread of MEV- 2. alert PODs for their potential use 3 alert Health Care facilities of their need to expand their services 4. Alert EMS, 9-1-1, LE, pharmacies and Fire depts. to initiate their emergency plans 5 issue statements to media and social networks. 6 contact ODH with updates utilizing OPHCS


Part 1













Part 2

Contact RFE's to distribute food using PPE within 3 hours. (list of RFE's); Close public schools, daycares, FSO's, churches, bars, theater, library and quarantine nursing homes and implement isolation procedures for NH staff using our call list within 4 hours. Provide PPE guidance to public using media and social media immediately.


Part 1






Part 2 Contact vendors for supplies and food. Contact numbers and lists. Tried to call Seneca Medical and was able to make contact with a Kim.




(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Incident Command System – Planning Cycle. These videos are too long to view during today’s exercise.








Incident Command System – Planning Cycle) – OPTIONAL



Part 2

Objectives

Contain infected people

educate staff/public

Patient census / status

operational incident command updates/meeting - 1 hours

Traditional Beds needed

Prioritize patient assessment - move non infected patients to Pre/post (isolation area)

- Labor Pool

- Demistifier Units

- Paprs, hepafilters

Message to public to not come to hospital for protection of patients/staff












Part 2

Open the full HICS to fulfill all the roles to determine how the hospital will be able to support this problem. All the HICS roles will be assigned within 1 hour. The actions of the roles will be evaluated and reported within 8 hours. Then will determine next steps.














Part 2 Objectives:

1. Activation of the infectious disease influx plan including notification of infection prevention coordinator, CEO, CNO, Emergency Department physician and safety officer.

2. Establish Hospital Incident Command Center

3. Notify key personnel to report to command center (page 3 of policy)

4. Key functions of HICS will be established

5. Determination of appropriate lab diagnostic testing will be established

6. Post exposure care to emergency responders developed

7. Establish communication networks as needed

8. Develop public information means

9. Establish visitor restrictions

10. Cadaver storage

11. Inventory mass casualty items

12. Establish patient triage area

13. Establish potential alternative sites for patient care/triage

Resources:



-APMC conference room

-Temporary coffins

-Body Bags, cots, N95 respirators, blankets, papr units

-Pike County Health Department

-Red Cross

-Local Funeral Homes

-Labor pool

-Nursing homes, local high school gym, life squad building

Timeline:

Items 1-4 established within 15 minutes

Items 5-9: 60 minutes

Item 10 - contact county EOC for cadaver storage process

Items 11-13: 90 minutes












Part 2

Objective 1: Health departments Ensure Planning, funding, staffing is ready for PODs, with in 2 weeks. (Vacine avalibility within a couple months. Objective 2: JIC continue to provide daily info on Prevention and Mitigation of additional case. Objective 3 EMA Ensure Planning, funding, staffing is ready for neighborhood help centers (local points of triage and refer, and basic care), with in 1 weeks. Objective 4: Recommend all businesses and agencies, review continuity of operations planning. example: working from home, ensuring staffing levels, or shutting down temporarily.


Part 1






Part 2 All IAP will follow the Planning P chart. Objective: Tracking finances and logistical needs. Resources: Money, communication procedures, eminent domain. Timeline: Ongoing during entire event. Objectives: Observe health and safety of citizens and partners, health department staff. Objective: Monitor for patient anomalies at county medical centers./Timeline: Ongoing. Resources: Internet/Phone/Fax/Marcs Radio/Communication Tools. Objective: Plan in place for POD site activation for vaccine. Resources: Vaccine, man power, signage, storage, supplies, quarantine for ill Timeline: 6-7 hours. Triage






system timeline: Ongoing. Objective: Communications with south central Ohio public health districts. Resources: Communication systems Timeline: Ongoing Objective: Maintain safety of staff/first responders and their families. Resources: PPE for staff and first responders. Timeline: 1-2 hours Objective: Plan for mass grave/containment of dead. Resources: Body bags, area large enough to store all the corpses, mobile morgue. Timeline: 24-48 hours


Part 1






Part 2

Objective: Contact EMA to ask about appropriate vendors who provide supplies related to emergency

Resources: Sheriffs Dept., Police, Fire

Timeline: 2 hours







Part 1






Part 2

Objective: Contact all vendors to determine their ability to continue to provide consumable supplies, equipment and services due to the current health emergency. Resources- Materials management, Time line- Immediately. Objective- Create isolation areas, Resources- Staff, emergency management, materials, Marketing to communicate to the public regarding where to obtain care, Security, Time line- 4 hours, Objective- Lock down entrances to facilities, Resources- Maintenance, security Time line- 1 hour, Objective- Triage resp patients to a single location, Resources- Security, Law enforcement, public health, LEPC, physician clinics, Time line- 4 hours





In preparing the IAP list the objectives, identify any resources that will be









needed to undertake each listed objective and prepare a timeline for completing each objective.


Part 2

Objective 1: Supplies- need to ensure that we have appropriate amounts on hand (PPE). Would contact Tim Leach to do an inventory of current supplies. Based on that information and the patients that we are seeing, would need to contact Owens and Minor for additional supplies. (2 hours).

Objective 2: Ventilators- contact ODH regarding ventilator cache and the need for additionals. We also have Surevents in the disaster supply trailer that can be utilized for short term (24 hours)

Objective 3: Establishing a specific triage/treatment area- We need to discuss the option of opening an Alternative Care Center. Could work with the Health Department to establish protocols for patients. Would have to consider staffing. We would need to maintain staffing for HVCH as well as assist with staffing the ACC if needed. Could call on the Health Department to activate the Medical Reserve Corp to assist with staffing measures. EMS has offered to utilize the EMS bays as alternative care centers (Which is co-located on the hospital premises). (24 hours)


Part 1











Part 2

Work to confirm adequate staffing and supply inventory levels. - Staff schedules and contact roster, vendor contact information (2-3 hours)

Confirm physician availability and coverage - contact list/schedule/staffing roster - (2/3 hours)


Part 1






Part 2 Objective #1 Mobilize general command staff to Incident Command Board Room. Make HICS branch assisgnments. Identify immediate roles and responsibilities - needs.

Objective #2 Define any internal/external environmental conditions that may affect the mitigation of this incident.

Objective #3 Based upon the scenario define if the hospital has sufficient inventory/staff/availaibility/supplies and equipment available to begin to






address this situation.

Objective #4 Coordinate and communicate all efforts within the JIC/County EOC.


Part 1






Part 2

The epi portion of the IAP would involve enhanced surveillance at all local health care providers, investigation of cases, symptom monitoring of contacts, analysis of case data, reporting to ODH, and assistance with public health education messages to the extent possible















Part 2

Objective: contact managers to determine expected deliveries to limit access points; plan for and ensure availability of supplies. Contact staff for added security and PRN. Post signage for access/no access points

Required Resources: PIO to make contacts with vendor lists and staff lists; Maintenance dept. request signage

Timeline: 1-2 hours


Part 1






Part 2 Perform a situational assessment/awareness for hospital and community







effects of ohio event. Update every 24 hours and as needed.

Perform initial assesment of PPE cache and notify vendor of situationcompleted by end of day 7.

Develop communication plan for internal and external communication by end of day 3

Discuss alternative levels of care with Medical Care Staff by end of day 13

Develop infection control plan and update as needed based upon information from ODH/CDC

Develop plan for cohorting patients affected by event based information from ODH/CDC

Develop plan for managment of staff caring of these patients based information from ODH/CDC

Develop a clinic plan for SOMC staff for illness care

Begin looking at setting up Life Center for close pod for mass vaccination.

Contact vendors for assessment of their ability to fulfill our needs weekly or as situation changes

Develop trigger points for activation of above plans by end of day 13

Social Services staff as a resource

Nurses in Non-traditional roles as a resource

Ethics committee and process as a resource

Coaltion partner as a resource











Part 2

We instituted a code yellow, implemented the HICS structure, and the incident command center. Then we began to identify action steps to obtain resources, equipment and communications. We logged this capturing the following data: The directive, who was given the task, the time that the task was given, the time that we heard back and whether the directive was completed or not.














Part 2

1. Disseminate safety information to all first responders.

Resources: safety information, list of contacts for first responders (Jeff Lauer)

Timeline: 6 hours

2. Communicate timely and appropriate incident status to the public.

Resources: safety information, media contacts, website management access

Timeline: 6 hours

3. Contact all vendors to determine their ability to provide consumable supplies, equipment and services due to the current health emergency.

Resources: inventory list, vendor contact list

Timeline: 6 hours














Part 2 HICS Chart- Summary of Responsibilities1. Incident Commander (Need Scribe)

Organize and direct EOC. Give overall strategic direction for Hospital EOC, incident management, and support activities, including emergency response and recover. Authorize total facility evacuation if warranted.TIME FRAME: Within an hour

2. Public Information OfficerServe as the conduit for information to internal and external stakeholders, including staff, visitors, and families, and the news media, as approved by the Incident Commander.•Designated Media Staging and Briefing•Develop Public Info and Media Messages (ALL APPROVED BY IC)•Staff Messages to update on situation•Assess need to activate Staff “Hotline”•Develop and Disseminate Signage for Staff/Media/Families, etcTIMEFRAME to be determined by Incident Commander, related to information as we receive it, and all Announcements to be approved by Incident Commander. Time Frame variable and ongoing

3. Safety Officer (need scribe)Ensure safety of staff, patients, and visitors, monitor and correct hazardous conditions. Have the authority to halt any operation that poses immediate threat to life and health.•Designate “Entry/Non-Entry” zones (Logistics to implement)•Specify Level of HazMat/PPE Needed for Event•Environmental Safety•Determine Safety/Appropriateness of Evacuation Staging Areas TIMEFRAME: within an hour to make assessment

4. Liaison Officer Function as the Incident Contact person in the EOC for representatives from other agencies (local, county, and/or state EMA. Consider need to deploy Liaison Officer to local EOC.•Communicates needs determined by the Planning Officer (to Local, County, State Agencies, Red Cross, etc)

TIMEFRAME: Ready immediately, contact appropriate agencies



within the hour to determine inter-facility communication, and from there, per joint plan

5. Medical/Technical Specialist-Hosp Admin (scribe)

Maintains Hospital’s capability and services. Advises Incident Commander or Operations Section chief.•Determine extent of continuation of normal hospital operations (i.e. ED, Surgery) •Provide Hospital Resources (staff, supplies, facilities) to Depts and Clinics to continue operations •In-house, departmental needs and support Determine COOP (Continuity of Operations) Will Clinic remain open, or close and re-assign staffing? Physical Therapy, other non essential services? Determine Essential Services:ER to remain open, possible outside Triage and/or Patient Care in outside tents if space needed.

6. Operations Section ChiefDevelop and implement strategy tactics to carry out the objectives established by the Incident Commander. Organize, assign, and supervise Staging, Medical care, Infrastructure, Security, Hazardous Materials, and Business Continuity Branch Resources.•Patient Tracking (i.e. How many casualties received, types of injuries, # hospitalized, discharged, transferred, dead)•Inter-facility transfers•Patient Family Support•Fatality Management •On-going Bed Availability

•Staff Health and Safety•Mental Health for Patients, Families, Staff•Staffing•Staff Prophylaxis•Medications

7. Planning Section Chief

Oversees all Incident-related data gathering and analysis regarding Incident Operations and assigned resources, develop alternatives for tactical operations, conduct planning meetings, and prepare Incident Action Plan (IAP) for each operational period.•Patient Care Capacity•Hospital Overall Status (HICS 251 form, with Maintenance)•Individual Casualty Data (name or physical description, sex, age, address, seriousness of injury, condition.



•Resource Shortages•Resource Allocation (internal and external)•Communicates with other Hospitals, Public Health, EOC•Enlists Liaison Officer with Communication Needs with local, county, state, federal agencies•Personnel Time Tracking Tools –info to HR and Finance Obtain the Disaster Status Report form from departments to see current staffing, and needs. COntact O'Bleness for staffing pool, although they are similar. Temp Agencies, and The Dept of Health has some ability to assist with obtaining staff assistance.Have hospital HICS 251 completed and sent to OhioHealth Senior Administration.

8. Logistics Section ChiefOrganize and direct those operations associated with maintenance of the physical environment and with the provision of human resources, material, and services to support the Incident Activities. Participate in Incident Action Planning Ensures the following Needs Met: •Communications •Information Technology •Employee Health and Well-being •Family Care •Provision of Supplies •Facility Management •Transportation Services •Establishment of Labor Pool •Credentialing of Staff and Volunteers Look at current supply, work with the other areas to determine anticipated need. Contact vendors to assure ongoing deliveries, etc. Also contact Materials Management at OhioHealth and other hospitals in this area. if unable to meet our needs, contact the Athens County EMA (who will be in touch with the Southeast Region to access PODS, etc)

9. Finance/Administration Section ChiefMonitor the utilization of financial assets and the accounting for financial expenditures. Supervise the documentation of expenditures and cost reimbursement activities.

10. Service Branch Director (Maintenance)Organize and manage the services required to maintain the hospital’s communication system, food and water supply for staff, and information technology and systems.



TIMEFRAME FOR ALL: each section to have assessment of their responsibilities within the hour and report back to Incident Commander. From there, timeframes dependant on incoming situations.

All would need contact lists for their specific areas (i.e staff- phone number lists, access to the 21st Century alerting system, hospital phone numbers, external ageny numbeers (ie EMA and Health Dept)


Part 1






Part 2At this juncture we are focusing on public information and warning utilizing approved information as it becomes available because we are unaware of a countermeasure at this time












Training Library for additional information on the Incident Command System – Planning Cycle. These videos are too long to view during today’s exercise. Incident Command System – Planning Cycle) – OPTIONAL



Part 2 RCC does not develop separate IAP it is incorporated into local IAPs. May change according to scale of event/incident


Part 1






Part 2objective: prepare for medical surge in hospitals: Required Resources: additional beds, supplies, facilities, masks, body bags, alternative staff support, MRC, gloves, security, water, food, mental health support, family support; vendor contact list in HAN directory ; objective: community containment: Required resurces: security officers, communication systems;







objective: advanced crisis; Required Resources: JIT training, personnel, mental health professionals, educational resources; objective: preparing/planning for triage Required Resources: blue med tent, supplies, personnel, security, food and water, shelter; operational period 24 hours


Part 1






Part 2

Objective 1 - Within 12 hours Educate and prepare our public health workforce.; Objective 2 - Within 12 hours Educate and prepare our community. Objective 3 - Within 12 hours begin working with local hospital to prepare for mass care needs. Objective 4 - Within 12 hours Inventory PPE and order additional if needed.












Training Library for additional information on the Incident Command System – Planning Cycle. These videos are too long to view during today’s exercise. Incident Command System – Planning Cycle) – OPTIONAL



Part 2

Setting up a primary triage. making sure staffing and supplies are ample. Contacting medical reserve corps for possible staffing at triage. Suggestion to Setting up shelter in place, social distancing, sanitarian inspecting the shelters for proper sanitation, schools. Contact with EOC for medical supplies, PPE, Food and water supplies, cots,







Part 2 Determine hospital preparedness, inventory, beds, masks, flu kits, nutririon,







respiratory supplies, drugs, PPE, O2, ABG - 30 Minutes

Secure facility - Limit access, ED, command post, hospital - need private agency - minimum 48 hours

Ensure employee safety - PPE, education - 30 minutes


Part 1






Part 2

Once we receive notification of the first 2 deaths, we would notify Dr. Vallee would be notified. We would immediately move into active surveillance. Regional EPI and Dir. of Nursing would coordinate with Health Commissioner. Objective: Contact area partners to notify community members of highly contagious disease. Resources - HAN Directory, Timeline - 1 hour Objective: Contact regional partners through OPHCS. Timeline - 1 hour Objective: Notify staff of alert through phone tree. Timeline - 1 hour Objective: Update social media with immediate occurrences and education to prevent transmission. Timeline - immediate


Part 1 Based on current information and your EOP develop an Incident Action Plan (IAP) that focuses on INITIAL RESPONSE ACTIVITIES.











Part 2

1. Lock down hospital within 30 mins, limiting access to employees only.

2. Establish triage location outside facility to limit access.

3. Establish logistic section chief within 1 hour to establish par levels and contact vendors within 30 min.













Part 2

Monitor and increase surveilance using ODRS daily. Daily contact with regional epi and HVCH.

Increase crisis communications with public and community partners by communicating at least during every operational period. Daily representation at JIC.

Prevention education with public every operational period.













Part 2

Contact partners to improve and increase communication with partners including EMA, ARC and hospital, partners in mass fataility (DMORT, funeral homes, and those that have refrigeration trucks).

Work with EMA to set up isolation shelters.

Get sick people to shelters (EMS, School buses)














Part 2


Part 1






Part 2 Time Frame/Operational Period: 12 hours Objective: Contact Epidemiologist for current updates Resources: - Mandy Sherrill contacts Regional Epidemiologist Objective: Obtain/Identify needed supplies for preventative measures Resources: - Utilize Clinic Supply and Equipment Checklist, to assess needs Objective: Update messages to public/ responders (annex B of EOP of PCHD) Resources: - Everbridge, PIO- Karie Cook/ EMA Derek Keylor







Objective: Access Community Containment, Annex C - Support Agencies and Additional Support Resources: Annex C documents Objective: Tina Watkins - Registrar - Reach out to Funeral Directors locally to assess their capabilities and provide current status update, OFDA MRT Resource: Annex Management Plan F Objective: Local EMA contacts State EMA following county plan/protocol. Resource: State Resources become available.


Part 1






Part 2

IAP completed and submitted to RCC.

Resources needed may include: volunteers, security (law enforcement), paper, ink....did I mention VOLUNTEERS




(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Incident Command System –








Planning Cycle. These videos are too long to view during today’s exercise. Incident Command System – Planning Cycle) – OPTIONAL



Part 2

Continue to produce information through the JIC when updates are available. Track disease activity locally, statewide, nationally, worldwide. Promote strategies to limit spread of disease. Coordinate with first responders to provide recommendations, directions and resources. Activate MOU with JCSO for security issues if needed. Preparing for continuity of operations for the health dept and county. Review POD plans.















Part 2

initial response activities:

PIO will create messaging for preventive messaging within the first 4 hours

The Health Department will assign additional roles within ICS structure to facilitate support roles within in two hours.

MARCS radio will be assigned to appropriate staff and follow the Communication Plan within two hours.

The logistics section will contact the Red Cross to obtain the list of shelters activiate the shelters according the MOU agreements with in the first operational period.

IC will activate the COOP and all non-essential services will be suspended within the first 2 hours.












Part 2

Contact all vendors to determine their ability to continue to provide consumable supplies, equipment, and services due to the current health emergency/ required Resources: Vendor Contact list/ Timeline: 2 hours

PHEP Coordinator has contact information, phone bank will be manned to make those calls; Requested EMA determined their available resources and vendors to see what they can provide; 15 minutes to make contact; Time unsure on behalf of EMA according to what is asked for. Will be a joint effort of the EMA and the Jefferson County Health Department.


Part 1






Part 2

Prevention and mitigation of additional cases through continual updates to the community through the JIC. Ensure that POD activities are prepared for, staff and volunteers are prepared, supplies are obtained and required funding and other needed items are ready once vaccines are supplied. Encourage businesses and other agencies to review their continuity of operations plan

Dawn Douglas (dawndouglas)






Part 1






Part 2

Crystal Jones (cjones)

Part 1














Part 2



Part 1Will a concentrated effort be made to ensure your workforce and all agencies and organizations that have a role in supporting the local response to this health emergency are protected, to the greatest extent possible, from contracting the virus.

Part 2 Yes

Part 3 If the above answer is yes for your workforce. – Describe in detail the procedures that will be implemented to protect your workforce.

Part 4

PATIENT ISOLATION

APPRORIATE PPE

VISITOR RESTRICTIONS

Part 5 If the above answer is yes for support agencies. – Briefly describe the procedures that you will encourage support agencies and organizations, that you are working with, to adopt in an effort to protect their workforce.

Part 6REQUEST HEALTH DEPT AND EMA ADVISE LOCAL EMS AGENCIES OF

SITUATION

Part 7 Describe the process of notifying your workforce and support agencies of these procedures and detail how the procedures will be monitored to ensure that they are being followed.

Part 8 RAVE SYSTEM ACTIVATION

HOSPITAL MANAGERS TO BRIEF STAFF BASED ON INFORMATION PROVIDED.

HOSPITAL MANAGERS TO MONITOR STAFF TO ASSURE COMPLIANCE



AND TO RE-EDUCATE AS NECESSARY.

INFECTION CONTROL TO PERFORM ON SITE MONITORING OF PATIENT CARE AREAS.

Part 9 If the above answer is no. – Explain why you will not engage in protecting your workforce and the workforce of various support agencies and organizations.

Part 10



Part 2 Yes


Part 4team meeting to describe situation, safety concerns and preparations and prevention measures. equipment and device updates concerning their operational status.


Part 6team meeting to describe situation, safety concerns and preparations and prevention measures. equipment and device updates concerning their operational status.




Part 8 1 code red alert 2 direct phone calls 3 face-to-face 4 site visits 5 MARCS Radio 6 Email 7 Social Media


Part 10



Part 2 Yes


Part 4 Provide appropriate PPE for staff


Part 6 Provide PPE for EMS, AND PROVIDE CORRECT INFO on how to don PPE.


Part 8 as above


Part 10





Part 2 Yes


Part 4 SUBJECT: CODE YELLOW- MASS CASUALTY POLICY: Establish general hospital guidelines for a CODE YELLOW disaster and to define roles in the event that the Emergency Operations Plan for Athens County is activated. Definitions/Statements: • Disaster- a situation involving multiple victims or a situation that has the potential to cause disruption of business that may require additional hospital personnel to handle the situation. • Athens County Emergency Operations Plan- activation will occur upon the occurrence or threat of a major emergency that threatens Athens County. • Hospital Incident Command Center (HICC) - will be initiated in the event of a disaster. Only the positions necessary for the specific situation will be filled. The Job Action Sheets within HICS will be utilized to outline the roll of each position. PROCEDURE: 1. The decision to call a CODE YELLOW, the level of response needed, and key physicians and other personnel required will be made by the CNO, the ED Director, the Safety Officer, Nursing Supervisor or the Administrator on Call. Initial key physicians and departments to be notified will be determined by the disaster situation and level of response. 2. The party initiating the Code Yellow will: a. Notify the switchboard operator b. Initiate calls according to the Major Disaster Call List c. Establish triage area d. Initiate Hospital Incident Command Center (HICC) 3. The Switchboard Operator will: a. Announce over public address system “Attention all associates, a Code Yellow is now in effect.” b. Follow switchboard operator instructions in the Major Disaster Call List c. Refer all calls from the media and families to Public Relations 4. The Emergency Department will: a. Assign an ED clerk to manage Disaster Victim/Patient Tracking, HICS (Hospital Incident Command System) form 254. Form located in the Emergency Operations Center Cart. b. Establish a Treatment Area Supervisor who will: i. Formulate a triage team consisting of 1 physician, 1 RN, 1 aide or runner, and 1 recorder ii. Initiate and supervise the patient triage process utilizing the established team iii. Assure treatment of casualties according to triage categories and manage treatment area(s) iv. Ensure a controlled patient discharge process v. Supervise morgue service vi. Organize secondary triage team as additional personnel arrive. The triage team will consist of 1 physician, 1 RN, 1 aide or runner, and 1 recorder vii. Assigns physicians and associates to ED exam rooms c. Establish Triage Unit Leader who will: i.



Obtain pre-numbered paper document packets that include triage tag, nursing documentation forms, medication administration record, physician documentation forms, consent form, identification bracelet/armband, belongings bag, and order sheet ii. A set of documents will accompany each patient iii. Patient’s unable to identify themselves will be identified by the number located on their accompanying documents iv. Armbands included in the document packet will be placed on the patient v. Place patients triaged at ESI level 1 and 2 in emergency department beds vi. Escort patients triaged at ESI level 3, 4, and 5 to the minor treatment area located in Outpatient Surgery area d. Assign Med/Surg clerk to assist ED clerk with the management of the Disaster Victim/Patient Tracking, HICS form 254 e. Assign other associates, RN/EDT, to patient care i. Place valuables in belongings bag ii. Requisition laboratory and radiologic orders as needed iii. Place laboratory and radiologic results with chart iv. Document appropriately on pre-numbered patient record 5. Associates will: a. If on duty: i. Remain in their departments and await further instructions ii. Return all patients to their rooms as soon as reasonably possible iii. Suspend routine procedures and prepare for the emergency situation iv. Ask visitors to remain in the area until further notice. If the decision is made by individual units for visitors to leave the area, visitors should be asked to vacate the hospital premises v. Assure functioning of elevators before use b. Follow specific personnel/department procedures/actions: i. Senior Leadership associates will report to the administration conference room and establish the Hospital Incident Command Center in LL012 or administration according to the Hospital Incident Command System (HICS) ii. Department Managers/Clinical Coordinators will: 1. Establish number of associates to ensure department function and notify Incident Commander or Section Chief of associates that can be available for the labor pool 2. Assign associate to close doors to patient rooms and request visitors or family with patient to remain in case of patient discharge 3. Round with physicians to discharge patients iii. Respiratory Therapy associate will report to the ED with an airway management bag, the stress lab crash cart and defibrillator, the stress lab drug box, and a portable oxygen tank iv. Central Service associate(s) will periodically verify well stocked ED supplies, sterilize equipment as it is used to ensure availability, dispense/deliver supplies as needed to all areas v. Environmental Services associate(s) will distribute linens as necessary, obtain additional linen, report to labor pool vi. Laboratory associate will report to the ED. Remaining lab associates will process laboratory testing. A clerk should be appointed to answer phones at the lab front desk vii. IS associates will stand by to manage computer and/or telephone operation problems viii. Med/Surg clerk will report to the ED to assist ED clerk with management of Disaster Victim/ Patient Tracking, HICS form 254 ix. Safety Security Officer will: 1. Take radio to Hospital Command Center (HCC) 2. Place signs for traffic regulation 3. Assign associates to secure building, to control pedestrian and vehicular traffic, and assist as necessary 4. Place signs to identify HCC



and other key locations 5. Determine transportation needs in the event of evacuation and contact Athens City School Superintendent and/or Appalachian Behavioral Health Care for assistance x. Volunteer Resources associate will: 1. Contact Labor Pool to determine volunteer resources needed 2. Call in designated number of volunteers with instructions to report to the labor pool for assignment 3. Establish and coordinate child/elder care services for employees in lower level 008-010 as directed by the Incident Commander or section chief xi. Administrative Assistant will: 1. Notify local emergency medical service units of possible transfers 2. Notify local funeral homes xii. Unassigned department associates will report to the labor pool for assignment c. If off duty: i. Be notified in accordance with the established departmental emergency call-in procedures as instructed by the Incident Command Staff ii. Possess hospital identification badge to gain entry into hospital iii. Report to labor pool upon arriving to hospital 6. The party initiating the Code Yellow will fulfill the role of Incident Commander until more qualified personnel arrive to assume the role. 7. The Incident Commander will: a. Report to the Incident Command Center b. Implement Surge Plan I or Surge Plan II as indicated c. Assign HICS positions and distribute Job Action Sheets d. Direct all media inquiries to the Public Information Officer e. Notify or delegate the notification of the local Emergency Management Association (EMA) 8. Emergency Locations: a. Incident Command Center will be located in the administrative conference room or LL012. b. Immediate and Delayed Treatment unit will be the ED for victims/patients triaged at ESI level 1 and 2 c. Minor Treatment Unit will be located in the Outpatient Surgery area for victims/patients triaged at ESI level 3, 4, and 5 d. Morgue will be located in hallway between Radiology and Surgery e. Overflow patients from ED will be located in the Outpatient Surgery area f. Family waiting area will be located in the Cornwell Center waiting area g. If the Cornwell Center space is insufficient, Appalachian Behavioral Health can be contacted to set up an overflow family waiting area h. Media personnel will be escorted to the Castrop Center lobby i. Designated locations may be subject to change based on event. Changes will be determined by the Incident Commander or section chief 9. Child/Elder care issues could be created when associates are called to report for a disaster. If the child/elder cannot be left alone or there is no one available to care for the child/elder, the associate may bring the child/elder to the hospital. An area for child/elder care will be designated to lower level 008-010 by the Incident Commander or Section Chief. 10. In the event of activation of the Athens County Emergency Operations Center (EOC), the activities of disaster response can be coordinated with the hospital by the EOC




Part 6 The hospital would share the Rapid Influx of Contaminated Patient and Code Yellow policies with outside agencies.


Part 8

Workforce would be educated at the beginning of each shift regarding our Rapid Influx and Code Yellow policy. Safety/Security and all other hospital staff will be responsible for ensuring that proper procedures are being followed.


Part 10



Part 2 Yes


Part 4 Coordinated effort from the Gallia County Health Department, Holzer, and the Gallia County EMA would be operational.


Part 6

Part 7Describe the process of notifying your workforce and support agencies of these procedures and detail how the procedures will be monitored to ensure



that they are being followed.

Part 8 Social Media, Phone Trees, Vocera, local TV, email, radio, newspaper, etc. Communication will be approved by the IC and distributed by the PIO group. All Communication would be reviewed by JIC.


Part 10



Part 2 Yes


Part 4 PPE, education/for staff and patients, phsycological support. Off site triage site. Signage to restrict access. Implement phone triage.


Part 6

consistant public health message




Part 8 communication thru email, memos, telephone, facebook


Part 10



Part 2 Yes


Part 4 Provide PPE, check all of our negative pressure rooms, check our stocks. Ensure that supplies available. Investigate off site place to isolate.


Part 6 Provide PPE and education.


Part 8 Email and other coommunication methods. Direct observation by leadership.




Part 10



Part 2 Yes


Part 4Encourage sick employees to stay home. Review info on how to slow spread of virus. JIC will be providing daily public info, monitoring social media, and responding to rumors.;


Part 6 JIC will provide messaging to support agencies.


Part 8 Messaging will be provided from the JIC. Situational Awareness templates are available for use. Limited staff for follow up.


Part 10


Part 1Will a concentrated effort be made to ensure your workforce and all agencies and organizations that have a role in supporting the local response to this health emergency are protected, to the greatest extent possible, from



contracting the virus.

Part 2 Yes


Part 4 Strict isolation, place for staff members to stay


Part 6 Provide PPE, Provide education


Part 8 Phone tree to notify staff, Use social media, E-mail, Text, Management will monitor appropriate use of PPE


Part 10



Part 2 Yes




Part 4

Safety officer works with logistics chief to establish resources for protection measures and post exposure care for workforce. Infection prevetion will communicate to staff and providers on the type of precautions that must be taken. Precautions and necessary PPE will be established at the point of entry to the facility. Utilize neagtive pressure isolation room if necessary. Staff and providers must wear an N95 respirator or wear a PAPR. Infection prevention will assure rthat hospital approved disinfectatnts are effective against te agent. Infection prevention will consult with the Director of Environmental services to assure that cleaning procedures and waste/linen removal are appropriate and based on guidance from public health authorities,.


Part 6 Liaison officer will contact support agencies regarding the plan to protect workforce. Encourage other agencies to use the same precautions that we will utilize to protect our staff as outlined in Infectious Disease Surge Policy.


Part 8

Code email for internal staff with link to Infectious Diease Surge Policy

Liaison office will contact support agencies.

Establish perimeter around hospital to control entry.


Part 10


Part 1Will a concentrated effort be made to ensure your workforce and all agencies



and organizations that have a role in supporting the local response to this health emergency are protected, to the greatest extent possible, from contracting the virus.

Part 2 Yes


Part 4 See previous objective.


Part 6 Send information to supporting agencies on PPE required to prevent or reduce chances of acquiring the virus.


Part 8 Through the chamber of commerce, fax/phone, signage, social media, tv, newspapers. Logistics officer will monitor all information.


Part 10



Part 2 Yes

Part 3If the above answer is yes for your workforce. – Describe in detail the



procedures that will be implemented to protect your workforce.

Part 4Tent set up on premises to triage clients and information to the public, practice good hand-washing, avoid crowds, stay home, and provide clients with personal protection equipment. Safety officer has evaluated triage area and approved


Part 6 Practice good hand-washing, avoid crowds, stay home, and provide clients with personal protection equipment


Part 8 Fax, email, website, facebook, twitter. Safety officer will be evaluating agencies and reporting back


Part 10



Part 2 Yes




Part 4

Workforce- everyone is fitted anually for a N95 mask. We also have extra masks as needed. (1000 currently on hand- there is a process in place to rotate stock so they are not outdated). We also have isolation gowns and gloves on hand. Our supply of gowns however may need increased. There is concern that we run out of gowns for day to day operations, therefore with an incident of this magnitude, having enough gowns may be an issue.


Part 6 We currently do not have a plan to provide support agencies with the PPE they would need to operate during an event such as this.


Part 8

The IC Nurse and Materials Director would be in constant contact regarding supply status. PPE would be inventoried early on and ordered ASAP as to not have delays in getting the appropriate supplies delivered.

Department Directors and Nursing Supervisors would monitor for compliance in using the PPE appropriately. Anyone expected of exposure would be isolated in order to prevent further transmission.


Part 10



Part 2 Yes




Part 4

Workforce will be provided with all necessary PPE and inventory resources and education regarding the mitigation of this contagion incident.

Notification of any necessary outside resource agencies that will have any direct responsiblity or contact with victims of this contagion incident.

That would include Acuity Specialty Hosptial services - Hospital within Hospital of Host hospital of Belmont Community Hospital.


Part 6

All support agencies will abide by the hospital's infection control policies and procedures as it relates to this contagion incident.

All support agencies will work through and support the HICS that has been activated.


Part 8

Under the direction of the House supervisor/Infection Control Nurse suppport agencies will be educated on proper policy and procedure of this hospital.

Assistve staff will be present with them during this contagion incident.


Part 10


Part 1Will a concentrated effort be made to ensure your workforce and all agencies and organizations that have a role in supporting the local response to this health emergency are protected, to the greatest extent possible, from



contracting the virus.

Part 2 Yes


Part 4

Education

PPE

Increased Handwashing

Adequate Rest

Limitation of Exposure

Review of policies


Part 6

Education

PPE

Increased Handwashing

Adequate Rest

Limitation of Exposure

Review of policies


Part 8 Normal Communications - overhead paging - Code Activation - verbal



direction - paper memos -

e-mail


Part 10



Part 2 Yes


Part 4 Once guidance came from CDC, we would be following that guidance. In the interim, we would use existing guidance on infection prevention


Part 6 Provision of education and guidance


Part 8 ICS Safety Officer


Part 10





Part 2 Yes


Part 4 PPE made available to all personnel; manage access points; masks for incoming patients & notify EMS to use masks, PPE; education for workforce as necessary


Part 6 Establish that clinics are using appropriate PPE; ensure that symptomatic patients are identified and communications are established with clinics


Part 8Utilize email, attach copies of policies and procedures

Managers assigned to monitor staff on following procedures


Part 10


Part 1Will a concentrated effort be made to ensure your workforce and all agencies



and organizations that have a role in supporting the local response to this health emergency are protected, to the greatest extent possible, from contracting the virus.

Part 2 Yes


Part 4

We stopped visitation at both campuses, set up HazMat tents, shut down air intake to facilities, cancelled outpatient visits and cancelled elective procedures. Staff currently not on will not be called in. Took inventory of PPE and made those resources available. The 96 inventory assessed and items began being used. Security is at communications staging area. 10% of current staff have been allocated to the labor pool. Vendor access is limited to the outside receiving area. Employees and labor pool have been notified of signs and symptoms to begin self monitoring.


Part 6 They were called and notified. We will work closely with those previously mentioned and provide information as appropriate and applicable.


Part 8

We called the code, sent out an email of signs and symptoms for self-monitoring. We would work with managers to enforce this. Internally we would monitor with our own management staff. Externally we would go through our liaison officer and communication with outside agencies.


Part 10





Part 2 Yes


Part 4

Staff clinic to manage illness

PPE

Education

Plan for cohorting/isolation

Plan for mass vaccination

Communication plan

Vendor Assessment for supply management

Allocation of caches


Part 6

Coaltion assets

Regional hospital assets

Education, Communication, Directions to community and partners about hand washing, respiratory etiquette, shelter in place


Part 8Developed a communication plan internally and the Scioto EOC has



developed a communication plan for community and response partners. Communication plan discussed early. Monitoring would be done by direct observation. Report gaps with workforce to direct supervison. Direct surpervisor will work with employee health/workforce development departments. Report gaps in procedures with support agencies to public health.


Part 10



Part 2 Yes


Part 4

Determine the mode of transmission- it was Contact, but appears to be airborne possibly, so we would implement Droplet and Contact Isolation.

Provide PPE to staff

Hand Hygiene

Educate Patients and Staff about Voluntary Isolation- patients stay home if sick, employees NOT to report to work if sick.

Educate about Respirator Hygiene/Cough Etiquette (Patients and Staff)

Increased Social Distance

Signage to ask patients to wear mask if symptomatic




Part 6

Share all of the above informaton support agencies

Spply PPE to those in need (ie Supply Delivery poeople, etc)

Isolate ill patient areas from common spaces, designate "safe" access/entry locations for deliveries and non-patient care access to the hospital


Part 8

Type info up into poster/handout form, put at entrances. Education Packets for all staff, contact EMA to develop public service announcements on the "Alert Athens County" notification system

Contact Health Dept and EMS to see what they are already doing and coordinate efforts.

Use our 21st Century Notification system with information and periodic updates.


Part 10



Part 2 Yes




Part 4 Social distancing, review of universal precautions with staff, distribution of PPE to staff


Part 6 We would make an SNS request for PPE for the support organizations and agencies


Part 8Utilize the EOC to coordinate a meeting to disseminate the training and precautions updates and delegate the enforcement of universal precautions and safety measures to their individual departments


Part 10 n/a



Part 2 Yes


Part 4proper PPE (gloves, masks, eye goggles) from safety officer, education on situation, use all universal precautions when dealing with anyone you come into contact with, JIT training, personal hygiene, hand washing, mental health, continuous updates for workforce




Part 6 All above procedures apply to other support agencies. External resources to deal with specialized care issues.


Part 8 Website, email, direct conferencing, established emergency procedures, social media, employee crisis hotline


Part 10



Part 2 Yes


Part 4 Dissemination of PPE drafted by the PIO to all personnel through the EOC.

Wear a mask

Wash your hands

Avoid touching others



Stay home if you are sick

Avoid large crowds

Clean and disinfect objects and surfaces that may be contaminated

Be aware of the following symptoms: coughing, fever, headaches, weakness, and fatigue. Contact your local physician if you notice any of these symptoms.


Part 6

Wear a mask

Wash your hands

Avoid touching others

Stay home if you are sick

Avoid large crowds

Clean and disinfect objects and surfaces that may be contaminated

Be aware of the following symptoms: coughing, fever, headaches, weakness, and fatigue. Contact your local physician if you notice any of these symptoms.


Part 8

Through staff meetings for our agency. Shared through other agencies through the EOC.

Stress firmly to the predetermined safety principles to other agencies.




Part 10



Part 2 Yes


Part 4 PPE, Protective work force have HEPA masks for volunteers at the triage shelter.


Part 6 Proper protective equipment, correct handwashing, social distancing, covering your cough,


Part 8 Utilize the PIO at the JIC. Phone notification tree. Notifying support agencies as well.




Part 10



Part 2 Yes


Part 4 Education, PPE, provide security, & limit access


Part 6 We would discuss PPE education, orient to the facility, Rapid Response from vendors


Part 8 email, non-employee orientation packet, blog, posters, MARCS radio


Part 10


Part 1Will a concentrated effort be made to ensure your workforce and all agencies and organizations that have a role in supporting the local response to this



health emergency are protected, to the greatest extent possible, from contracting the virus.

Part 2 Yes


Part 4PPE will be made available to all workforce (if possible); educate all workforce nad possible responders to personal hygiene and safety practices as they relate to communicable disease/


Part 6Again, PPE will be used of available. All workforce and responders will be educated on proper hygiene and safety precautions related to commicable diseases.


Part 8

Public health nurses will be responsible for education and training of workforce and of partnering agencies. Procedures will be monitored via the ICS system, with reports to the incident commander. Monitoring of partner agencies will be the responsibility of each supporting agency.


Part 10





Part 2 Yes


Part 4 Annex D: Responder Safety and Health is implemented


Part 6 Message template sent to LHDs and SEC RCC describing protective measures


Part 8 Email, and OPHCS messages, press release


Part 10



Part 2 Yes


Part 4 All staff have kits containing PPE's . Hygiene would be exercised. Limit direct contact.

Part 5If the above answer is yes for support agencies. – Briefly describe the



procedures that you will encourage support agencies and organizations, that you are working with, to adopt in an effort to protect their workforce.

Part 6 Public education regarding hygiene and PPE's


Part 8 Call down lists and email. Follow up via email and text, direct visual observations


Part 10



Part 2 Yes


Part 4

provide proper PPE according to CDC/ health dept. N95, face masks, contact precautions etc,

Notification via everbridge to staff.


Part 6 instruct them to follow CDC guidelines for PPE.




Part 8 everbridge, email,


Part 10



Part 2 Yes


Part 4 Limiting access to agencies.


Part 6

Continuity of operations plan- essential services.

Use of proper PPE.

Basic prevention messages.




Part 8

Staff will be utilized for outbreak instead of typical duties.

Daily briefings - education by safety officer.

EOC.


Part 10



Part 2 Yes


Part 4

Red bags/bio disposal for waste. Masks, gloves, gowns, hand hygiene, reminders via signage. Posted description of symptoms so that workers can watch for own symptoms.

Sign in-sign out for employees/workers.

note- We access to a local supplier with gloves on a short term basis.


Part 6Encourage the use of masks, gloves, gowns, hand hygiene, reminders via signage. Posted description of symptoms so that workers can watch for own symptoms. Maker sure they have fact sheets and other educational info given to general public.

Part 7Describe the process of notifying your workforce and support agencies of



these procedures and detail how the procedures will be monitored to ensure that they are being followed.

Part 8 Phone, fax, MARCS radio, ARES will be used to communicate and monitor support agencies. Shelter inspections forms will be used by sanitarians to ensure procedures are being followed at shelter sites.


Part 10



Part 2 Yes


Part 4 Annex D: Responder Safety and Health plan will be utilized and followed to ensure our workforce and supporting roles from our local response teams will be protected.


Part 6 Our health department will educate support agencies on infection control measures and proper PPE. (Annex D; Responder Safety and Health). Written information is available to be faxed, emailed, etc.





Part 8 Annex F contains all the contact iformation for our outside support agencies. Guernsey County resource support list will be followed to notify our outside supporting agencies.


Part 10



Part 2 Yes


Part 4

Refer to Responder Health and Safety Plan, Annex D of EOP of PCHD (Designated Safety Officer - Sanitarian - Cary Bowers) - Identify hazards and vulnerability - Risks and Response Activities *Provide Personal Protective Equipment & Hazard Education *Provide vaccine as available, Annex H of EOP of PCHD


Part 6

- Identify hazards and vulnerability - Risks and Response Activities *Provide Personal Protective Equipment & Hazard Education *Provide vaccine as available, Annex H of EOP of PCHD *PPE recommended, skin, respiratory, (gloves, masks,)





Part 8 Utilize Everbridge emergency notification system, Annex B of EOP of PCHD to reach workforce and support agencies. PIO monitors communications


Part 10



Part 2 Yes


Part 4 Health and safety plan for first responders will be implemented and incorporate information from official sources, utilize appropriate resources.


Part 6 Universal precautions and social distancing.


Part 8Communication will be done through EOC, JIC, and established communication channels. New protective procedures will be adopted as new working standards and monitored thru agencies' hierarchies.

Part 9If the above answer is no. – Explain why you will not engage in protecting



your workforce and the workforce of various support agencies and organizations.

Part 10



Part 2 Yes


Part 4

Reinforce hygeine measures, mre's, PPE (N95's, gloves) continue with staff briefings, enforce social distancing, mental health on standby, security as available, consider staff working from home (place contact numbers for all those who can work from home on phone line - staff can give pre-scripted, up-to-date info from anywhere), consider working shifts.


Part 6 Implementation of prevention and control measures, use of PPE, option of working from home


Part 8 Use call-tree for internal staff, fax info to local partners with all recommendations. We will not monitor for compliance, it's not possible with our limited staff.

Part 9If the above answer is no. – Explain why you will not engage in protecting



your workforce and the workforce of various support agencies and organizations.

Part 10



Part 2 Yes


Part 4

Annex D

Personal protective equipment

vest and IDs for staff to be identified.

for staff food, water, rest breaks and stress assessment.

secondary transmission prevention among staff (separating the staff who have been in the buidling and those who are out in the field.

Employee emergency contact cards available

Just in time training for universal precautionsand refresher of the exposure plan


Part 6 same as above

sharing information through the PIO Communication plan

Part 7Describe the process of notifying your workforce and support agencies of



these procedures and detail how the procedures will be monitored to ensure that they are being followed.

Part 8

Safety Officer will monitor, the check in process will include information for all responders on scene. Status will be report to the command staff at time intervals throughout the incident.

Follow the communication plan and report through the MARCS radios at a set time schedule that was announced the befinning of the shift.


Part 10



Part 2 Yes


Part 4Convening and meeting with representatives of hosptals and public health and ema personnel; Safety Officer will make sure there is an ample supply and all staff are protected properly. Keep social distancing. If employee is sick must stay home.


Part 6 Notify them to wear gloves, mask, face mask, and proper hand washing at least 20 seconds. Keep social Distancing, Stay home if you are sick we will reference the just in time training catalogue.




Part 8 Notify employees either in person or by department call down list. Safety Officer will brief all employees.


Part 10



Part 2 Yes


Part 4PPE will be provided for response staff, they will be given priority vaccination, keep staff informed of updates and safety related information, staff will be educated on symptoms and told not to report if they are ill


Part 6 Support agencies will be provided with similar information for their own workforce


Part 8 Information will be provided through various channels such as fax, telephone,



in person etc. During this period we would not be able monitor the agencies, but would encourage them to use a safety officer to ensure compliance


Part 10



Part 2


Part 4


Part 6


Part 8


Part 10





Part 2


Part 4


Part 6


Part 8


Part 10



Part 1

As the health emergency continues to worsen and your focus turns almost exclusively to meeting the needs of area residents due to the emergency it will be important to identify those Mission Essential Functions (MEF) that will need to be maintained.

Prepare a list of your MEFs:

Part 2 SUPPLIES



STAFF

DRUGS

FOOD

Part 3 Will the general public be notified that certain services will be suspended until conditions improve?

Part 4 Yes

Part 5 If the above answer is yes. – Describe in detail how the public will be informed of the decision to scale back on certain services.

Part 6

PUBLIC RELATIONS TO PREPARE AND COMMUNICATE WITH ALL LOCAL MEDIA OUTLETS

Part 7 If the above answer is no. – Briefly explain why the public will not be informed.

Part 8

Part 9 Describe how cutting certain services will impact the general public.

Part 10

ELECTIVE PROCEDURES WILL BE ON HOLD

ELECTIVE TESTING WILL BE ON HOLD

PHYSICIAN OFFICES MAY BE CLOSED

Part 11 Will scaling back on certain services have a negative impact on your emergency response and coordination capabilities?

Part 12 No



Part 13 If the above answer is yes. – Describe in detail how your emergency response and coordination capabilities will be affected.

Part 14


Part 1



Part 2Life Saving Functions Only.

Pallative Care


Part 4 Yes


Part 6 Informed via Social Media, Press Conference, Radio, Web site, TV, etc.


Part 8


Part 10


Part 12 Yes




Part 14 With only a few nurses, services will be extremly minimal.


Part 1



Part 2 Emergency Services Pharmacy Radiology Birth Center Laboratory


Part 4 Yes


Part 6 All local agencies will be notified as well as a media release. (County PIO and Ohio University)


Part 8


Part 10 Casualties from non-infectious causes (heart attack, trauma, etc.) will increase.


Part 12 No




Part 14


Part 1



Part 2 Provide pertinent info, distributing PPE, death certificates, ODRS reporting,


Part 4 Yes


Part 6 media and social media, reverse 911, signage


Part 8


Part 10 some anger and some fear will arise


Part 12 No




Part 14


Part 1



Part 2Emergency surgery, Basic emergency department care, Food service, House keeping, Communications, Contact center, Maintenance, Imaging, Lab, Resp therapy, Pharmacy,


Part 4 Yes


Part 6 Social media, Reverse 911, web site, press conference, Contact center calls,


Part 8


Part 10 Postpones routine care, decreases exposure, create panic, Progression of chronic illness,


Part 12 No




Part 14


Part 1



Part 2Police, Fire, EMS Hospital Emergency Rooms Public Utilities Grocery/Food, ICS staff, Incident response staff and volunteers, supplies for in place sheltering, gas stations.


Part 4 Yes


Part 6 JIC will notify schools, church services, non essential government agenices, non essential businesses, public gatherings


Part 8


Part 10 economic impact to local businesses. Child care for essential workers


Part 12 No




Part 14


Part 1



Part 2

No Surgeries - cancel all

Cancel all outpatient services

Staff is unable to leave / make schedule for sleeping-eating


Part 4 Yes


Part 6 communication - message from JIS


Part 8


Part 10 Delay in treatment




Part 12 No


Part 14


Part 1



Part 2This will be a process of the EMA and we would assist them. The hospital would limit visitation, and cancel elective procedures, send non essential staff home and take only emergent patients not displaying symptoms. Only accept what we can care for, put emergency plans in place.


Part 4 Yes


Part 6 Communications in same process described earlier.


Part 8


Part 10 It will instill fear and panic. They will increase calls to physician. Will need to include education on process.




Part 12 No


Part 14


Part 1



Part 2

Maintain Emergency Department Services

Request to vendor to supply secondary water sources.

Full activation of Hospital EOP.

Take steps to provide staffing needs. Make call to public health to request Medical Reserve Corps.


Part 4 Yes


Part 6

Media Outlets

Social Media

Phone calls




Part 8


Part 10 any essential services will be maintained. only impact should be an inconvenience to community.


Part 12 No


Part 14


Part 1



Part 2

*monitor local disease progression (ODRS) *monitor Meigs HD personnel and staffing situation *Maintain preparations for MEV-1 Vaccinations whenever vaccine is available. *search a means to keep WIC functional and minimize clients to exposure *search a means to keep Vital Statistics functional with minimal exposure


Part 4 Yes

Part 5If the above answer is yes. – Describe in detail how the public will be



informed of the decision to scale back on certain services.

Part 6 *TV and radio PSA Notices *Newspaper PSA and articles *Website update *Facebook updates *Code Red (thru the EMA) to county wide residences


Part 8


Part 10 *Environmental services will be suspended *Community health programs will be suspen


Part 12


Part 14


Part 1



Part 2 Vital Stats, Admin/Finance, Environmental, Nursing and Clinical Services, PHEP,


Part 4 Yes




Part 6 PSA, website, facebook, twitter, signage on entrances


Part 8


Part 10 Non-essential services will not be provided to public


Part 12 Yes


Part 14 We will have limited care provided to essential services as defined by EOP


Part 1



Part 2Quarentine anyone that currently exhibits the known symptoms. Set up alternative care sites and quarentine area to prepare for influx of patients. Maintain continuous contact with other agencies for additional instruction. Continue to protect the workforce and uninfected public.




Part 4 Yes


Part 6 Public information release via news media, social network, website.


Part 8


Part 10 Access to routine medical needs or other emergent needs unassociated with the current disaster will be extremely limited or potentially unavailable.


Part 12 Yes


Part 14 Patients will be unable to get needed emergency services due to influx of patients and having limited labor pool.


Part 1





Part 2Halt all non essential services and ensure all previous objectives are being met, monitor staff and staff families, continue communication with Ohio Department of Health and South Central Public Health Departments / RCC.


Part 4 Yes


Part 6 Social Media, newspapers, posters, tv, LED sign, and radio.


Part 8


Part 10This will prolong services, for example food inspections, septic inspections, housing conditions, birth/death certificates, public health clinic/ immunization services.


Part 12 No


Part 14


Part 1





Part 2

For regional epidemiologists, MEF would include continued surveillance of serious infectious diseases along with follow up, investigation of outbreaks that pose a serious public health threat, surveillance, investigation, contact monitoring, and reporting with regards to this illness, relaying information to LHDs and ICPs regarding lab services, specimen collection and shipping, infection prevention, and other directives. Coordinating specimen shipment if necessary. Assisting with public health information.


Part 4 No


Part 6


Part 8 General public is not aware of the services epis provide and would not realize impact.


Part 10

Outbreaks and cases of infectious disease that do not have a major public health impact will not be investigated and normal reporting/follow up not carried out. With no education, prophy, and other public health actions, disease incidence could increase. Statistics related to infectious disease over time would be impacted.


Part 12


Part 14




Part 1



Part 2

ED/Lab/Respiratory/Radiology/Food and Nutrition/Housekeeping/Pharmacy

Will need to continue to provide service to patients presenting to the hospital- both worried well as well as actual sick. The above services are critical to continued hospital operations.

All other services would stop at this point- no surgeries (unless emergent), no Out-patient testing, no visitors would be allowed. We would need to go in to "lock down" status to eliminate excessive and unnecessary foot traffic.


Part 4 Yes


Part 6

We can post on our hospital web page, facebook page, local radio, Logan Daily News webpage. Channel 2 through the local Time Warner cable provider. We can use the electronic billboard at the loca Citizens Bank (which is on the corner of 664 and Hunter St as you are coming into the hospital). Phone calls would be made. We could advise 911 of the lock down situation and utilize reverse 911 as needed.


Part 8


Part 10Those patients who have routine labwork would need to reschedule or go



elsewhere. Emergent surgeries would be performed but elective surgeries would be rescheduled.


Part 12 No


Part 14


Part 1



Part 2

1. Communication with public safety agencies and JIC to notify the public with important health and safety instructions with the goal reduce public panic and mayhem.

2. Attempt to maintain essential hospital functions, such as emergency medicine, infectious disease consultation and critical care functions.

3. Working within the county EOC, the hospital needs to establish par levels of clinical and essential inventory levels to continue daily operations.

4. Inform and notify immediate family, staff and essential personnel on the status of this complex disease and treatment modalities, based upon recommendations from the hospital and our state and federal agencies [i.e, CDC; Ohio Health Department; OSHA].


Part 4 Yes





Part 6 Notification to Belmont Co. EOC of the status of patient delivery. A referral will also be made to the county 911 system for public safety service response.


Part 8


Part 10 Cutting services will deny the availablity or needs of those infected with the contagion at this facility may require transfer to another facility for treatment and will also affect any other persons with non-contagion illnesses.


Part 12 No


Part 14


Part 1



Part 2

At this point all we can do is continue to warn and inform the public and prepare for countermeasure distribution when available. Additionally we would be in contact with our response partners and stakeholders in the county ie: hospitals and clinics and LTC facilities and schools




Part 4 Yes


Part 6 PIO will release approved messages from the IC and JIC


Part 8 n/a


Part 10By concentrating our efforts on the major problem we hope to minimize the impact a discontinuation of nonessential services would have on the general public


Part 12 No


Part 14


Part 1



Part 2 Emergency Services including Urgent Care Centers



Emergency surgeries

Environmental Services

Nutritional Services

Pharmacy

Laundry

Nursing Care departments

Lab

Radiology

Respiratory Services

Plant operations

Security

Material Management

Telecommunications

Community Relation - PIO

Medical Staff

Infection control

Social Services


Part 4 Yes




Part 6 Via communication plan to include social media, media outlets, JICL


Part 8


Part 10 Non emergent care will be delayed - example diagnostic testing, elective surgery


Part 12 No


Part 14


Part 1



Part 2

Cancelled elective/outpatient procedures, home health to phone triage all patients, continue to care for patients currently in the hospital, segregate incoming patients and relocating the patients currently in-house to other areas of the hospital.


Part 4 Yes




Part 6

Through phone, radio, tv, web site and social media. Signs would be at the entrances to the hospital. Security would be used to utilize this. Patients scheduled for elective/outpatient procedures would be called and notified not to come in.


Part 8


Part 10Cutting services limits the exposure to the virus. All life threatening procedures, such as, dialysis treatments would be completed at a remote location taking the same precautions as the hospital.


Part 12 No


Part 14


Part 1



Part 2 staff safety, information dissemination to public, vital statistics, mass casualities, provide PPE to general public




Part 4 Yes


Part 6 all non essential services are suspended; JIC will inform the public via social media, hotline, papers, news media, radios, routine press conferences,


Part 8


Part 10 general day to day operations will not exist, everything delayed to later date, delay in childhood immunizations may result in increased disease in the future, food service inspections delays


Part 12 Yes


Part 14 prioritze the level of importance of each event, have limited response/delayed; will be providing information vs services comprehensively


Part 1 As the health emergency continues to worsen and your focus turns almost exclusively to meeting the needs of area residents due to the emergency it will be important to identify those Mission Essential Functions (MEF) that will



need to be maintained.


Part 2 Maintain birth/death certficates, triage at shelters, fiscal management recording


Part 4 Yes


Part 6 PIO at JIC as well as social media. Code Red


Part 8


Part 10 Routine immunizations will be suspended, family planning services, standard permits as well as routine inspections, routine physicals, STD testing, several grant services suspended


Part 12 No


Part 14




Part 1



Part 2 For the RCC: Provide Conf Call, TeamSpeak, Radio and phone support


Part 4 Yes


Part 6 Press release, social media


Part 8


Part 10


Part 12 No


Part 14







Part 2 Home Healthcare Services; vital statistics; infectious disease investigations; WIC services; some environmental services.


Part 4 Yes


Part 6 Local media; social media; perhaps a 24-hour public call-in line.


Part 8


Part 10 Maintaining essential services will mitigate the impact on our citizens.


Part 12 No


Part 14


Part 1 As the health emergency continues to worsen and your focus turns almost exclusively to meeting the needs of area residents due to the emergency it will be important to identify those Mission Essential Functions (MEF) that will need to be maintained.




Part 2

Rabies

Vital Statistics

Infectious disease surveilance

WIC- mail coupons

Water samples- case by case basis


Part 4 Yes


Part 6 JIC

Social media- website, facebook, twitter


Part 8


Part 10

Delaying of immunizations would put children at risk for other ID

Delays in housing developments due to permits, etc


Part 12 No




Part 14


Part 1



Part 2

Put hospital on Lock Down, open up acute care center, set up central triage center outside emergency dept. to limit access. Establish rotating12 hour shifts for staff, set up area for staff to have down time. Contact EMA for additional needed staff. Contact local company for makeshift morgue. Maintenance to ensure operation of negative air flow rooms & set up additional rooms


Part 4 Yes


Part 6The hospital is on lockdown and we will be dealing with symptomatic patients only at this time. We will be re-allocating personnel and services to deal with the outbreak. Please continue to keep up with public announcements as we learn more about the current situation.


Part 8




Part 10

Focusing all efforts to control pandemic, have public contact primary physician for instructions.

Establish phone center to field public questions


Part 12 Yes


Part 14


Part 1



Part 2 birth and death certificates, immunization PODs, Infectious disease surveillance, monitor nuisance complaints, education about the disease,


Part 4 Yes


Part 6 social media, website, media, LED sign, posters. outgoing phone message.


Part 8




Part 10 no construction requiring sewage, no food inspections, women's health clinics would be reduced.


Part 12 No


Part 14


Part 1



Part 2

Patient Care Supplies, Isolation Needs, Food and Water, Utilities, Medicine (Pharmacy Needs) STAFF.

Nurses on Strike: We would utilize all willing to work, Supervisors and Managers to work in staffing role. Move patients out if able to discharge. Contact OhioHealth and the Health Dept to express need for staffing. Temp Agencies? Physicians willing to work in direct patient care role?

Temporary Privileges? Consider. Work through EOC to determine process. Hocking College Nursing Students? OU Nursing Students? Determine through EOC what needed to use visitors appropriately


Part 4 Yes




Part 6

We would communicate with OhioHealth regarding all Public Announcements as that is our system requirement. Our Public Information Officer would be the one to deliver the final statements, but DHN Administration would determine the content.

Means of Communication: Radio, TV, HAM, Alert Athens County.


Part 8


Part 10

We would be curtailing non-essential services (all non-emergent Lab, Radiology,Cardio, Physical Therapy)

All elective Surgical/Endoscopic Procedures cancelle

Close the DHN Clinic- reassign staff to MedSurg and ED.

ED remain open but more staff, establish additonal triage areas and isolation areas

Inmpact long-term may be significant for patients with serious chronic medical conditions. Need to develop plan to manage those type patients (possibly in their homes)


Part 12 No


Part 14 DHN is Critical Access Hospital so we do not serve Traumas and serious medical conditions are usually transferred. Patients in multi-system failure are not kept at DHN as a routine.




Part 1



Part 2 Emergency services, dietary, Code Yellow, respiratory, environmental services, security


Part 4 Yes


Part 6 Phones, radio, television, signs


Part 8


Part 10 Inconvenience, panic, fear


Part 12 No


Part 14




Part 1



Part 2

1. critical care, vents.

2. food service, and water supply

3. IP nursing units.

4. laundry

5. surgery

6. OB/LD

7. medical supplies including PPE

8. Environmental services

9.


Part 4 Yes


Part 6 radio, TV, social media, mass notification systems,


Part 8




Part 10

elective surgery will be discontinued.

all therapies will be disc.

only emergent life


Part 12


Part 14


Part 1



Part 2

Vital Statistics

Disease Survellience

PIO and social media management

Representation at the EOC


Part 4 Yes





Part 6 News media, social media would be notified that disease survellience and vital stats are ongoing at the health department and all other operations have been suspended in order to focus on the emergency at hand.


Part 8


Part 10

childhood immnizations will be suspended.

Driver's license renewals that need birth certs will not be possible

Regular health inspections will be suspended so construction, loans, would be impacted.


Part 12 No


Part 14


Part 1



Part 2 Health Department Essential Functions: -Front desk communication still



available Nursing • Immunizations • Preventative and Primary Health Services • Epidemiology and Public Health Surveillance Environmental Health • Solid Waste Vital Statistics • Birth/Death Records Public Health Preparedness • Emergency Response Plan Maintenance/Review/Implementation Other • IT Functions • Facility Maintenance • Financial Management


Part 4 Yes


Part 6 All social media and website Front desk answering phone calls Everbridge communication system Local media, newspaper, roll around TV channel


Part 8


Part 10 Minimal impact to general public on most of the cut services. Increased risk on what the cut services provided, i.e. food borne illness/outbreak


Part 12 No


Part 14







Part 2 Our mef's will be: vital stats, communicable disease reporting, environmental health support, nursing support staff, clerical support staff


Part 4 Yes


Part 6 Family planning clinics will cancelled. Tv, radio, newspaper, social media will be used as the medium to inform the public of what services are suspended or closed.


Part 8


Part 10 It will be an inconvience to the public temporarily at the time but over the long run safety and infection control preside over suspendes services of our agency.


Part 12 No


Part 14




Part 1



Part 2

Refering to COOP Plan-A1

Public info concerning incident

Fiscal

Vital Statistics

Public health nursing and environmental health that affect human health


Part 4 Yes


Part 6 Media, signage, Code Red, social media-EMA facebook page, CCHD website


Part 8


Part 10 Public will have to wait on birth certificates, routine vaccination, permits and licences, routine inspections.

Part 11Will scaling back on certain services have a negative impact on your



emergency response and coordination capabilities?

Part 12 No


Part 14 It will free up other office staff to help with response.


Part 1



Part 2 Monitoring and investigating disease activity, communicating with the public and our partners, preparing to mass dispense.


Part 4 Yes


Part 6 Press briefing outlining what services will continue during emergency via Nixel, Facebook, etc.


Part 8


Part 10 Brief lack of services will have an impact, extended cessation of services such as Vitals (death and births) sever impact on public health.




Part 12 No


Part 14


Part 1



Part 2 Maintain vital statistics, track expenses, prevention & education, infectious disease reporting, epi ssurveillance/investigation, rabies (if animal bite), coordination with RCC and local partners, obtaining volunteers


Part 4 Yes


Part 6 CodeRED, social media, news outlets, other all-call systems, website, hot-line message, signage on HD doors, mail WIC coupons to participants (if allowed by state)


Part 8




Part 10 They'll need to wait for septic/well permits, general immunizations, and other non-essential services.


Part 12 No


Part 14


Part 1



Part 2

essential of functions-ODH mandated services

ODRS, Board Management, Vital Stats, Telephone operator, pay-role, Public Relations, monitoring and securing staffs, accounts payable and recieveable, environmental food service, plumbing back-flow res and comm. and sewage

excel spreadsheet:mandates continuity of op. everything with a 1 rating


Part 4 Yes


Part 6 Website, FB and local news media and signage




Part 8


Part 10

the limited services will keep them home

protect the public from exposure


Part 12 No


Part 14


Part 1



Part 2

Registrars works with coronor for death certificates and burial; Disease Surveillance and sanitary conditions, continue public education on social distancing; maintain PPE's and safety and stress levels of staff and provide assistance as needed. Disseminating information via phone banks and identify quarintine; infectiouse disease survelliance. Close down all non essential business facilities and social gathering points




Part 4 Yes


Part 6 TV, Radio, signs, social media, reverse calling, 211, phone bank.


Part 8


Part 10 Don't feel the services being cut back will matter at this time.


Part 12 No


Part 14


Part 1



Part 2 Utilities, Garbage, sewage, clean potable water, public safety, special needs and high risk populations, gas stations and banks




Part 4 Yes


Part 6Nonessential services will be temporarily discontinued or scaled back as needed, the public will be notified through the same channels as other incident related information


Part 8


Part 10 panic, hoarding and increased criminal activity


Part 12 Yes


Part 14 Lack of staffing will hinder emergency response capabilities in all areas,



Part 1

Throughout the region concerned residents have been inundating local healthcare providers with phone calls asking for guidance as to what actions should be taken to protect themselves and their families.

Will a multi-agency Information Hotline be established on the local level to provide information to area residents?

Part 2 Yes

Part 3 If the above answer is yes. – Describe in detail how a multi-agency Information



Hotline will be set-up, managed and promoted.

(Note: If necessary call one or several partner agencies or organizations to discuss how this will be accomplished.)

Part 4

BELMONT COUNTY HEALTH DEPARTMENT AND EMERGENCY MANAGEMENT WILL

BE REQUESTED TO FULFILL THIS OBJECTIVE

Part 5 Identify all agencies and / or organizations that will be involved in supporting this multi-agency Information Hotline.

Part 6 AS DESCRIBED

Part 7 If the above answer is no. – Briefly explain why such an information system will not be established.

Part 8

Part 9

(Note: A resource that can be used to support your local Information Hotline is 2-1-1 Ohio.)

(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the 2-1-1 Operations. This video is too long to view during today’s exercise. 2-1-1 Operations) – OPTIONAL


Part 1



Part 2 No

Part 3

If the above answer is yes. – Describe in detail how a multi-agency Information Hotline will be set-up, managed and promoted.



http://www.drc-group.com/project/jitt-211.html

http://www.referweb.net/ohio/


Part 4


Part 6


Part 8 Comes from local Health Department. Not a decision by hospital

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 The Health Department will establish and maintain the hotline.


Part 6 Hospitals, health departments, EMA, Ohio University






Part 8

Part 9




Part 1



Part 2 No

Part 3



Part 4


Part 6


Part 8 We will have a recording with info and who to call for more assistance

Part 9 (Note: A resource that can be used to support your local Information Hotline is 2-1-1 Ohio.)







Training Library for additional information on the 2-1-1 Operations. This video is too long to view during today’s exercise. 2-1-1 Operations) – OPTIONAL


Part 1



Part 2 Yes

Part 3



Part 4 Implement LEPC guidelines, Offer additional staffing resources,


Part 6 LEPC, local police, health department, Emergency management director, MMH, Selby, EMS, Red cross,


Part 8

Part 9




Part 1 Throughout the region concerned residents have been inundating local healthcare providers with phone calls asking for guidance as to what actions






should be taken to protect themselves and their families.


Part 2

Part 3



Part 4 Public Healthline number


Part 6 Marietta/washington county health department


Part 8

Part 9




Part 1



Part 2 Yes








Part 4Portsmouth Health Department and Scioto County Health Department have planning in place to utilize present phone systems to provide a 40 man system.


Part 6 Both health departments. The ema, and hospitals may provide support if needed.


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 Local EMA located at the County Building would be where hotline is located.






Part 6 We would set it up regionally through our EOC and it would be staffed by them. Locally epidemiologist is in Marietta and they would provide resources for this.


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 The EMA has the ability to set-up a hot-line and will be managed by the MRC list and will be promoted through facebook, twitter, website, and PSA






Part 6 EMA, LHD, & MRC


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4

Health department would be responsible for establishing the Hotline.

Hospital switchboard would have Hotline information to provide to individuals making the request.

establish automated recording on hospital main-line to provide any information on the event.


Part 6 EMAHospital





Public Health


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 *using Code Red (one way from EMA and health to citizens) *utilizing HD VoIP phones to establish incoming emergency phone lines


Part 6 HD EMA LE Healthcare EMA Fire


Part 8





Part 9




Part 1



Part 2

Part 3



Part 4


Part 6


Part 8

Part 9




Part 1 Throughout the region concerned residents have been inundating local







healthcare providers with phone calls asking for guidance as to what actions should be taken to protect themselves and their families.


Part 2 Yes

Part 3



Part 4 JIC establish hotline and distribute via social media, news media, radio, etc


Part 6

Local Health Department

Law Enforcement

Health Care Providers

Scioto Paint Valley Mental Health

Ohio Department of Heatlh

EMA

Phone company

2-1-1 Ohio


Part 8








Part 1



Part 2 Yes

Part 3



Part 4 Multi agency information will be set up at JIC.


Part 6Ohio Department of Health, Local Health Department, Phone Companies, SPVMHC (Scioto Paint Valley Mental Health Center), EMA Office, Local Sheriff Office.


Part 8

Part 9












Part 2 Yes

Part 3



Part 4 Communications will be directed by the JIC through established, coordinated media outlets. County residents may subscribe to the Belmont Co. EOC mass notification system.


Part 6


Belmont Co. EMA

Belmont Co. Health Department

Local and Regional Hospitals and County Health Departments.


Part 8

Part 9











Part 2 No

Part 3



Part 4


Part 6


Part 8We currently don't have the capability to establish a hotline. We contacted the Health Department and they don't have the capability to do it either. We would have to defer to the EMA office for guidance on a hotline. If one cannot be set up, we could utilize reverse 911 or rely on Facebook.

Part 9




Part 1



Part 2 Yes





Part 3



Part 4 We have the means to contract with an external communication service to provide phone bank services


Part 6EMA, County Commissioners, local hospital, Sheriff's Dept, EMT/Fire Departments, MWCD Law Enforcement agents, Local School Districts, RCC, Health Commisioner


Part 8 n/a

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 We would work with other local agencies to develop a singular response.






Part 6 Jefferson County Health Department, Steubenville City Health Department, United Way, Red Cross, Emergency Responders, JIC


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 Initiated and maintained according to local protocols


Part 6 LHDs and support agencies






Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 Through the State health department, and WHO.


Part 6 Hospitals, health departments, EMA, CDC, ODH, ODOT, Law enforcement Agencies,


Part 8


(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the 2-1-1 Operations. This video






is too long to view during today’s exercise. 2-1-1 Operations) – OPTIONAL


Part 1



Part 2 Yes

Part 3



Part 4 Setup by Scioto County EOC


Part 6 EOC Response partner


Part 8

Part 9












Part 2 Yes

Part 3



Part 4 Utilize PIO network, multi agency established group, EOC utilizing JIC to promote information hotline set up through JFS


Part 6 JFS, PIO network, JIC, first responders, local print media, ODH, local radio media, local business signs, local health depts, ohio univ, healthcare facilities, mental health


Part 8

Part 9




Part 1







Part 2 No

Part 3



Part 4


Part 6


Part 8 We have not established that capability as far as I know.

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 Establlish through city health dept.






Part 6 City health dept., county health dept., CCMH, first responders, EMA, Ares


Part 8

Part 9




Part 1



Part 2 No

Part 3



Part 4


Part 6






Part 8

No means to set up hotline locally.

Public will be directed to other means of information- CDC, ODH, etc.

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 Contacted the Health Depart to ask about setting up the hotline, we were informed that the Athens EOC would do this task.


Part 6 to be determined by the EOC. We would not be the coordinator of this task.


Part 8

Part 9 (Note: A resource that can be used to support your local Information Hotline is





2-1-1 Ohio.)



Part 1



Part 2 Yes

Part 3



Part 4 Holzer has a hotline that would be initiated . Attempted to call Holzer


Part 6 area partners that have been listed before


Part 8

Part 9













Part 2 Yes

Part 3



Part 4 EMA to handle


Part 6


Part 8

Part 9




Part 1



Part 2 Yes








Part 4 a message will be set up through 211 to provide instructions to callers.


Part 6 genesis, united way, ema, red cross, health dept.


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 The 2-1-1 call center would be established and direct all call through it.

We can also direct calls to the ODH website.






Part 6 All local health departments, healthcare providers, law enforcement, pharmacies, Red Cross, first responder agencies, and media


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 It will not be established at the health department. It will be established at the EOC in the JIC.


Part 6 This will be determined by the participants in the EOC.






Part 8

Part 9




Part 1



Part 2 No

Part 3



Part 4


Part 6


Part 8 At this time we do not have a hotline established.










Part 1



Part 2 Yes

Part 3



Part 4County and City Health would come up with a unfied message and one hotline. SIgns and symptoms would be posted. Unmanned hotline. No messages will be able to be left at this point. Hotline will be promoted-media, Code Red, EMA facebook.


Part 6 City and county health, epi, hospital.


Part 8

Part 9









Part 1



Part 2 Yes

Part 3



Part 4

Access the EMA resources by contacting the EOC to set up a hot-line, volunteers to take phone calls, promoted through PIO, utilizing all previously stated outlets (social media, Everbridge, etc.) 2-1-1 would be an additional asset to utilize.


Part 6 EOC supporting agencies


Part 8

Part 9




Part 1







Part 2 No

Part 3



Part 4


Part 6


Part 8 We don't have the capablity at this time and we can't answer for all other agencies.

Part 9




Part 1



Part 2 Yes

Part 3







Part 4 Employees will be manning the phones with updated information. Organized through the JIC.


Part 6

All the agencies that are at the EMA office will be providing the information for the hotline. Media and Social media will help promote the messages.

United Way's 2-1-1


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4 Phone banks at local and county health departments, 211, PIO will provide guidance in scripts from the templates in our plans, and update regulary or as needed.






Part 6 local media; local radio; EMA; first responders; health department; hospital PIO; police, police dispatchers; 911, 211


Part 8

Part 9




Part 1



Part 2 Yes

Part 3



Part 4A collaboration of agencies would develop a scripted message and a dedicated line could be set up for this purpose of providing information to the public.


Part 6 MRC, EMA, Health Dept with direction from the regional coordinator and reg. epi






Part 8

Part 9





Part 1

Looting has become widespread and the safety of staff at your facility has become a very important issue.

Does your plan include using local law enforcement to provide security for your facility and your employees during the current health emergency?

Part 2 Yes

Part 3 If the above answer is yes. – Describe in detail the arrangements that are in place with local law enforcement to provide security at your location.

Part 4 Our administrator is a Commissioned Officer, and we would use local police.

Part 5

Call the local law enforcement agency that you have arrangements with. Explain the current conditions based on the exercise and ask if they would be able to provide security at your location.


If the above answer is no. – Briefly explain how you will maintain a safe work environment for your staff and protect your facility from looting.

Part 6


Part 1 Looting has become widespread and the safety of staff at your facility has





become a very important issue.


Part 2 Yes


Part 4Planning is already in place for the Portsmouth city police to provide security at the EOC, and the health dpeartments, hopsitals, Pods and neighood help centers.

Part 5




Part 6


Part 1



Part 2 Yes


Part 4 Contacting the Sherrifs office through the MARCS radio for security at the local health dept.

Part 5 Call the local law enforcement agency that you have arrangements with. Explain the current conditions based on the exercise and ask if they would be



able to provide security at your location.



Part 6


Part 1



Part 2 Yes


Part 4 local sheriff and pomeroy police will provide security when requested. OHP provides backup.

Part 5




Part 6


Part 1





Part 2


Part 4

Part 5




Part 6


Part 1



Part 2 Yes


Part 4 MOUs with local Sheriff department has been established. Local health department is also covered with security teams.

Part 5




Part 6




Part 1



Part 2 Yes


Part 4 Security could be requested from the EOC and law enforcement will make a concerted effort to make security services available when possible

Part 5




Part 6 n/a


Part 1



Part 2 Yes


Part 4 Security officer will coordinate with local law enforcement as needed (according to Annex A: Emergency Operations Coordination.

Part 5 Call the local law enforcement agency that you have arrangements with. Explain the current conditions based on the exercise and ask if they would be



able to provide security at your location.



Part 6


Part 1



Part 2 Yes


Part 4 established MOUs with local sheriff, PD

Part 5




Part 6


Part 1





Part 2 Yes


Part 4 Sheriff's office will be on site at triage shelter. Sheriff at local health department as well. May use retired police personnel.

Part 5




Part 6


Part 1



Part 2 No


Part 4

Part 5






Part 6

If we feel it is necessary we will contact local law and request assistance. However, local law will be short-staffed due to illness and call-ins, as well as stretched to prevent and respond to crime and the looting you mentioned above.


Part 1



Part 2 Yes


Part 4 Already established per county EOP.

EMA director will notify law enforcement to request security services.

Part 5




Part 6


Part 1



Part 2 Yes

Part 3If the above answer is yes. – Describe in detail the arrangements that are in



place with local law enforcement to provide security at your location.

Part 4 We have an agreement with URG for our POD, and the county sheriff would provide additional security

Part 5




Part 6


Part 1



Part 2 Yes


Part 4 State Highway Patrol and Sheriff's Office was contacted to provide security for our facility. Security was confirmed.

Part 5




Part 6




Part 1



Part 2 Yes


Part 4 JCSO MOU.

Part 5




Part 6


Part 1



Part 2 Yes


Part 4 An agreement is defined in our Emergency Response Plan but during a severe emergency security to our department will more than likely not be their priority. A request may be made to our EMA for law enforcement and security.

Part 5 Call the local law enforcement agency that you have arrangements with.



Explain the current conditions based on the exercise and ask if they would be able to provide security at your location.



Part 6


Part 1



Part 2 Yes


Part 4 Security will be provided as available.

Part 5




Part 6 Doors will be locked and staff will be working from home.


Part 1 Looting has become widespread and the safety of staff at your facility has become a very important issue.

Does your plan include using local law enforcement to provide security for



your facility and your employees during the current health emergency?

Part 2 Yes


Part 4 Law enforcement is part of the EOP of Perry County under rules and responsibilities of local law enforcement. EOC contacted to request security

Part 5




Part 6


Part 1



Part 2 Yes


Part 4Local law enforcement expected to be overwhelmed but are addressed in plans. EMA may be contacted to request National Guard. County Health Department has security systems includes panic alarm and room alarms to protect medical supplies. Volunteers with security vests will also be utilized.

Part 5 Call the local law enforcement agency that you have arrangements with. Explain the current conditions based on the exercise and ask if they would be able to provide security at your location.





Part 6


Part 1



Part 2 No


Part 4

Part 5




Part 6

Call law enforcement/EMA. County Maintenance-lock down and lockable door, and possible move to the second floor.

Community Containment Annex C page 9.


Part 1





Part 2 Yes


Part 4 MOU's in our plan with state, county and local law enforcement agencies to provide security to us in that time.

Part 5




Part 6


Part 1



Part 2


Part 4

Part 5






Part 6


Part 1



Part 2


Part 4

Part 5




Part 6



Part 1

As conditions continue to worsen throughout the region it will be vital to maintain a system of sharing information among all agencies and organizations involved in responding to the emergency even as some of the normal communications systems breakdown.

Based on current conditions and your EOP identify the Essential Elements of Information that will need to be communicated on an on-going basis.

Part 2 NUMBER OF AFFECTED PATIENTS

NUMBER OF DECEASED PATIENTS AND MORGUE OPERATIONS



BED AVAILABILITY

SUPPLY AVAILABILITY AND DRUGS

STAFFING LEVELS

Part 3 Describe in detail all available means for sharing information with other agencies and organizations.

Part 4 PHONE, FAX, E-MAIL, HAM RADIO

Part 5 Prepare a list of all governmental agencies and non-governmental organizations that you will share Essential Elements of Information.

Part 6

BELMONT COUNTY HEALTH

BELMONT COUNTY EMA

OTHER LOCAL HOSPITALS


Part 1



Part 2 Services Open,Precautions of first responders and communication to public of what they need to do.


Part 4 MARCS, OPHCS, Email, in person.

Part 5Prepare a list of all governmental agencies and non-governmental



organizations that you will share Essential Elements of Information.

Part 6 GCHD, EMA, ODH, OHA, EMS, 911 Center


Part 1



Part 2 Capacity Mortality Rates Census Staffing Resources/Supply Shortages


Part 4 Email Phone Text MARCS Radio OHTRAC


Part 6 OhioHealth EMA Health Department OhioHealth Area Hospitals Ohio University


Part 1



Part 2 Bed capacity, Supply status, Number of deaths, Number of cases treating, Status of care locations, Education to public,




Part 4 Social media, OPHCS, Phones, Faxes, E-mail, Web site, MARCS,


Part 6 OHA, CDC, FEMA, regional health department, Red cross, State health department, Vendors,


Part 1



Part 2 Respiratory etiquette, PPE, hand washing, any and all non-pharmaceutical interventions...and do not seek healthcare unless really needed.


Part 4 media and social media, phones, MARCS, e-mail


Part 6 mayor's, commissioner's, fire, LE,


Part 1



Part 2 Situational awareness current recommendation's hotline for more info

Part 3Describe in detail all available means for sharing information with other



agencies and organizations.

Part 4 marcs cellphone, email, phone, fax, runners, voip, meetings, ophcs


Part 6 health departments, ema, hospitals, city and county governmental agencies, red cross, ems, law, fire


Part 1



Part 2

Number of victoms - Patients/fatailities

Food and water supplies

general supplies

Medical supplies


Part 4

MARC's radios

Telephones

email


Part 6Washinting/Marietta Health Departments

EOC




Part 1



Part 2 Where to find food, anything new on how to treat, what to do if a person dies, where to get supplies, how to get staff, where to get gas, where to get water.


Part 4 Same communications as before. Marcs radio.


Part 6 EMA has a list. Health Departments, Red Cross, Hospitals, Nursing Homes, HH agencies, Public Officials, Funeral Homes


Part 1



Part 2

Patient Tracking

Inventory Tracking/Supply Availability

Staffing




Part 4

Telephone

MARCS Radio

911 Radios

Social Media

E-mail

Cell Phones


Part 6

Public Health - County and State

EMA - County and State

CDC

WHO


Part 1



Part 2 Continuing to notify public of where food and water is located


Part 4 fax, email, website, facebook, twitter, MARCs,




Part 6 DJFS, Sheriffs Dept. Police, EMA, ODH, Physicians, CDC,


Part 1



Part 2

Capacity to care for patients

Supplies on hand

Bed availability

deceased tracking management

Resource needs

Communication with Regional Hospital Coordination Center for shortages

Alternate means of meeting essential utility needs

Continuous communiation of HICS staff and contact numbers


Part 4

Marcs Radios

Surge net

Ohiotrac

Email

Phone\fax




Part 6 Law Enforcement, Ohio Hospital Association, Ohio Department of Heatlh, EMA Directors, Local hospital emergency coordinators, Local Heatlh Department, CDC, Red Cross, Scioto Valley Mental Heatlh, Community Action


Part 1



Part 2 If our county is affected, any loss of life from virus, available resources, any criminal activity, communication with the hospital and other medical providers.


Part 4 MARCS radios, email, phone/fax, and liaison officer.


Part 6 HAN alert list, hospital, EMA, regional coordination center preparedness coordinator, red cross liaison, salvation army, faith based organizations.


Part 1



Part 2 From an epi standpoint, essential elements of information include current status of virus circulation locally, reports of hospitalized and pediatric mortality to assess severity of illness, ensuring receipt of guidance from CDC/ODH and



assistance with implementing guidance


Part 4 E-mail, fax, telephone, regular mail, social media- communications may be impacted by situation


Part 6 Hospital ICPS, LHDs, local HCPs through LHDs, school nurses through LHDs


Part 1



Part 2 sit rep with *number of current victims *number of fatalies *ongoing preparations -facilities -resources -personnel *update on vaccine info


Part 4 email MARCS OPHCS Telephone *face-to face


Part 6 ODH, LEMA, LEPC, County Commissioners, LE, EMS, Mayors Health Care providers, Funeral Directors


Part 1 As conditions continue to worsen throughout the region it will be vital to maintain a system of sharing information among all agencies and organizations involved in responding to the emergency even as some of the normal communications systems breakdown.




Part 2

Status of contagion and treatment.

Constant assessment related to availability of supplies/staff necessary to continue operations.


Part 4 JIC; Hospital appointed PR personnel; Communication systems consisting of land line phone, cell phone, portable radios, Ohio Marcs radio, Computer - email.


Part 6

1. Homeland Security

2. CDC, OSHA, EPA

3. Ohio Department of Health

4. Local police departments, health departments and EMAs.

5. Local public safety commission and response agencies [i.e., Fire Dept/Police Depts.]

6. Red Cross/Central Blood Banks

7. Salvation Army

8. Local churches, schools, community centers [i.e., shelters]

9. Local vendors/store/pharmacies - essential supplies for hospital and community

10. Local funeral homes


Part 1 As conditions continue to worsen throughout the region it will be vital to



maintain a system of sharing information among all agencies and organizations involved in responding to the emergency even as some of the normal communications systems breakdown.


Part 2 We will communicate availability of resources and staff. We will report patients/staff who show signs and symptoms and those who have expired.


Part 4 Phone, HAM radio, computer, MARCS radio, telephone.


Part 6 Jefferson County Health Department, Steubenville City Health Department, United Way, Red Cross, Emergency Responders and the JIC


Part 1



Part 2 1. PPE needs- constant inventory of supplies on hand.

2. Staffing needs- where are we currently; do we need additional help?

3. Patient volumes- how many patients have we seen with similar symptoms; how many have died; what are we doing with them once they die?

4. Biohazard disposal- how are we to dispose of used/contaminated items; where would we store them once our current space is gone; can we get additional pick up times?

5. Do residents need to continue to remain in their homes; at what point would we lift the lock down?



6. Where do we stand with consumables- food, water, etc. If roads are shut down how can we get the supplies we need.

7. Hospital security issues- we don't have our own security. Do we need assistance from the National Guard to keep us safe?

8. Communicate any resource needs to our Regional Hospital Coordination Centers- however if this is regional, every hospital in SEO will be asking for assistance.


Part 4

MARCS radio

HAM radio operators

Hi-band radio (VHF)

Phone

Email

OPHCS/HAN alerts

Radio (Sam FM)

TV (Time Warner)

Social Media

Text messaging (mass text)

Develop an online webpage to post continued information (insert a link to multiple county/ agency current websites)


Part 6 EMA; EMS; HCHD; Logan Fire; Logan PD; HCSO; EPA; American Red Cross; 911; Local Nursing Homes; Physician Offices; Logan-Hocking Schools;




Part 1



Part 2 Recent developments and information regarding the disease. Updating PIO releases as needed, conduct regularly scheduled meetings


Part 4 email, OPHCS, phones, cellular devices, MARCS radios, fax, curriers, information sharing with RCC and all local partners and stakeholders


Part 6EMA, County Commissioners, local hospital, Sheriff's Dept, EMT/Fire Departments, MWCD Law Enforcement agents, school districts, LTC facilities, RCC


Part 1



Part 2 Where to access care

What services are open and available

SOMC Staff information

SOMC staff and community situation analysis update



Supply managment update


Part 4

MARCS radio

email

texting

EMA liasion

EOC meeting and briefing

phone

media outlet

Social media


Part 6

Scioto and Lawrence EOC

Southeast Ohio Regional Hospital Coordinators

All information to state will be funneled through EMA/EOC

JIC in place throughout event


Part 1





Part 2 signs/symptoms, hygeine, social distancing, caring for ill, when to seek med attn, identify those at most risk, disease movement, progress of vaccine


Part 4 phone, email, marcs radio, voip phone, hotline, website, radio, newspaper, face to face, social media, reverse 911, cell phone messaging


Part 6 all agencies involved in JIC and EOC, schools, hospitals, local health providers, radio, FD, law, first responders, newspapers,


Part 1



Part 2 Safety and health education and advice; updates on current situation; isolation and quarantine advice; updates on medications/vaccine.


Part 4 Telephones, fax, email, MARCS radio, in-person, through media/social media.


Part 6 County Commissioners, City government, JFS, Community Action, EMA. Hospitals/healthcare providers, local media.




Part 1



Part 2 case definition, lab confirmation, specimen collection guidelines, PPE recommendations, infection control guidelines, I


Part 4 email, team speak, MARCS radio, fax, landline


Part 6 LHDs, SEC RCC and Ohio Hospital Association, Ohio Department of Health


Part 1



Part 2 Number of patients currently seeing, supplies levels, staffing levels, vaccine availability, establishing patient mortality timeline,


Part 4 Ares, Marks, email, telephone, OPHCS




Part 6 EMA, Health dept., CDC, WHO


Part 1



Part 2 Through social media, HAM radios with ODH, CDC, and WHO organizations on status of developing the vaccine.


Part 4 HAM radios, social media


Part 6 CDC, ODH, WHO, local health departments,


Part 1



Part 2 Number of Cases/ # of Deaths

Scope of Services being provided by DHN

Staffing



Supply situation- if need exceeds supply, SNS may eventually be implemented, but that would be driven by the EOC

Our Needs.

Ongoing Commucation/Updates for Staff

Ongoing Communication/Updates for Patients (based on direction of the EOC)

Ongoing Updates to SurgeNet and OhTrac


Part 4

Land Lines/ Cell Phones

Internet/email

HAM Radio (we do not presently have this capability)

MARCS Radio

Fax

21 Century Alerting System

OPHCS Alerts/Communication


Part 6

OhioHealth

Assuming the EOC is still coordination this, just them. They would communicate with all the Government Agencies.

If not, EMA, Health Deptment, other Local Hospitals

Southeast Ohio Regional Disaster Preparedness Coordinator- make contact and determine if they want one-to-one communication as well (but that is usually thru EMA)




Part 1



Part 2 Status update, internal/external inventory, linen, mortuary services, patient locations


Part 4 OH Track, MARCS, HAM radio, vocera, cell phones, email, land line phones, OPHCS, other hospitals


Part 6 OHA, ODH, JCHD, EMA, coroner, sheriff, EMS, JPD, CDC, homeland security


Part 1



Part 2

Limit contacts.

Prevention messages.

Home emergency plans.

Length of emergency unknown.

Part 3Describe in detail all available means for sharing information with other



agencies and organizations.

Part 4

Social media

Radio

MARCS radios


Part 6

Elected officials

Large industries

All EOC agencies

Churches- prayer chains


Part 1



Part 2 updates of situations, changes in command, availability of immunizations, food and water distribution,


Part 4 direct contact, phone, email, MARCS, Social media, website, media, OPHCS, HAM radio


Part 6 Previously listed agencies




Part 1



Part 2 available bed information, staffing shortages, location of triage centers, supply shortages, number of available vents,


Part 4 phone, email, ophcs, surgenet, MARCS, everbridge, confernce calls,


Part 6 county ema, health dept, CDC, red cross, state.


Part 1



Part 2

Press Release cotinued to be repeated via regular and social media outlets. Rumor and misinformation management.

Inform public the vaccine is in development but not yet available.

Reinforce the personal safety messages.

Keeping updated on mass grave management, how the virus is spreading and any new symptoms reported.




Part 4

Email

Cellular

Landlines

MARCS Radios

Runners


Part 6

Local health departments

Hospitals and health care provider

EMS, fire departments

Pharmacies

Law enforcement

Red Cross

Volunteers, RSVP

Local government

EMA

Social Services

Media

Funeral Directors

Special Needs Agencies

ODH




Part 1



Part 2Periodic press briefings and press releases providing factual information from official sources, reinforce protective strategies citizens can take, reassure to maintain civil obedience.


Part 4 Use of WebEOC, make use of all modes of communication.


Part 6 All partners previously identified and any other stakeholders.


Part 1



Part 2

Jeff Paden, of Guernsey County Sheriff's Dept. responded to our request to provide security at our department. Two law enforcement employess will be sent.Public will be updated on infection control practices via a status update. We will update them on fatalities, the status of vaccine and possible number of infected.




Part 4 Social media, TV, newspaper, website


Part 6 Annex F: Table 1-Cambridge Guernsey County Support Agency Resource List will be used to identify essential elements


Part 1



Part 2 Status updates of health dept response, continue public health education through all media outlets, services being offered and those placed on hold.


Part 4 Fax, phone, email, text, MARCS, OPHCS


Part 6Hospitals, media, physicians, law enforcement, fire, EMS, funeral home, long term care, assisted living, care centers, pharmacies, schools (if open), senior center, clinics, board members, county commissioners, medical director, RCC, ODH, EMA, Epi, health commissioner, churches, public works


Part 1 As conditions continue to worsen throughout the region it will be vital to maintain a system of sharing information among all agencies and organizations involved in responding to the emergency even as some of the



normal communications systems breakdown.


Part 2 Areas where people are affected. Where to put sick people and dead ones. What resources are available and any additonal ones needed.


Part 4 OPHCS, MARCS, ARES, Phone, fax, e-mail,


Part 6

regional PH coordinatorMRCregional epi

Govt-EMALaw enforcement

Non Govt-HospitalARCREACTFire department


Part 1





Part 2 Reported cases/deaths with similar symptoms Where to report to if you have symptoms Resource information, food, water, PPE, medical needs


Part 4information shared through EOC, JIC, OPCHS, MARCS radios Regional Epidemiologist Hourly/as needed briefings/updates by PIO Media release for record keeping as updates are released by PIO


Part 6 All supporting agencies involved in the EOC Local points of contact i.e. Fire stations, mayors, townships, etc.


Part 1



Part 2

We would be located at the EMA. All the agencies will be providing the information.

We will be sharing warning, road closures, news briefings, incident command briefings.

Regional/State Coordination situational and status updates


Part 4

page 23 of Annex B-1:

Phone, Fax, email, OPHCS and MARCS

media

Part 5Prepare a list of all governmental agencies and non-governmental



organizations that you will share Essential Elements of Information.

Part 6 Mental Health, home health, hospice, nursing homes, child care, assisted living, schools, churches, physicians those present at the EMA, business professionals, senior center, media, pharmacies, Genesis Healthcare System, medical facilities, special populations agencies.


Part 1



Part 2 Number of deaths; number of suspected cases; probability of vaccine


Part 4 email, texting, phone, faxing ,MARCS radio, TEAM Speak, skype, amature radios, internet, social media, PSA's


Part 6 Health, Police, Medical, human services, city and county administration, fire and police departments, EMA, Red Cross, churches; cornors office, nursing homes, special needs populations; superintendants;


Part 1 As conditions continue to worsen throughout the region it will be vital to maintain a system of sharing information among all agencies and organizations involved in responding to the emergency even as some of the normal communications systems breakdown.

Based on current conditions and your EOP identify the Essential Elements of



Information that will need to be communicated on an on-going basis.

Part 2


Part 4


Part 6


Part 1



Part 2


Part 4


Part 6



Part 1 By this time it is apparent that you will need to reassess your capabilities to



assist area residents during this health emergency.

Based on your EOP and the fact that available resources continue to dwindle, with no outside help in sight, develop an Incident Action Plan (IAP) that focuses on how you will continue to coordinate your response to this crisis.

In preparing the IAP list the objectives, identify any resources that will be needed to undertake each listed objective and list the expected timeline to complete each objective.

(Example: Objective: Conduct an inventory of available consumable supplies to assess how long the current inventory will last. / Required Resources: Access to all supplies. / Timeline: 2 Hours.)

Part 2

DEPLOY PODS (25 PATIENT ) TWO ARE AVAILABLE (THIS IS A 3 DAY SUPPLY MAXIMUM)

PPE: 72 HOURS

DRUGS:72 HOURS

SUPPLIES: 72 HOURS


Part 1

By this time it is apparent that you will need to reassess your capabilities to assist area residents during this health emergency.




Part 2 Rationing food for staff, supplies are focused to the ED for patient care. Facility is on its own for all supplies. No vendors are able to help. Below PAR levels.




Part 1





Part 2 Objective: Reiterate that people need to isolate themselves at home. Objective: Inventory supplies Objective: Evaluate staffing/resources


Part 1





Part 2 The objective above is it.


Part 1 By this time it is apparent that you will need to reassess your capabilities to assist area residents during this health emergency.






Part 2

Objective: Conduct an inventory of available consumable supplies to assess how long the current inventory will last. / Required Resources: Access to all supplies. / Timeline- 2 hours and repeat every 8 hours, Objective- Assess staff capability, Resources- Management report on number of staff, Time line- Every 8 hours,


Part 1





Part 2

Objective -

Food and water inventory, medical equipment, medications

request SNS supplies



Based on your EOP and the fact that available resources continue to dwindle, with no outside help in sight, develop an Incident Action Plan (IAP) that



focuses on how you will continue to coordinate your response to this crisis.



Part 2

Objective 1: Get current assessment of local food shortages, especially, hospital, nursing homes, and jails. with in 4 hours. Objective 2: Active mass casualty of annex of EOP. Temporary morgues to be set up within 2 days. Objective 3: Provide law enforcement protection and distribution of incoming food supplies.


Part 1





Part 2

Self preservation

medical and food supply rationing

would continue to monitor capabilities of the hospital and staff

At this stage of the event, our organization would no longer be able to support any additional community needs.




Part 1





Part 2 The EMA has been notified to request food, water, and basic medical supplies


Part 1





Part 2Conduct an inventory within 2 hours, begin rationing, keep community agencies aware of our limitations. Reassess staffing, determine need to discontinue all services other than ICU and ED, lab, security, increase security ask for help from National Guard. Convene ethics consults via phone.








Part 2


Part 1





Part 2

IAP Objectives: *Close HD Building *All available HD Personnel with HS Internet to take their VoIP phones home for communications to and from the HD (maintain the HD phone line from home). .Monitor from home situation information Maintain Contact with Meigs JOC/JIC








Part 2

1. Objective: Inventory existing resources (staff/supplies)

Resources: Planning section chief

Timeline: 60 minutes

2. Objective: Determine services that we can safely provide

Resource: management team


3. Objective: Adjust operations based on available resources to maintain safety of workforce

Resource: HICS, management team


4. Objective: Communicate with regional partners on capabilities

Resource: phone, email, marcs





In preparing the IAP list the objectives, identify any resources that will be needed to undertake each listed objective and list the expected timeline to



complete each objective.


Part 2

Objective: Conduct an inventory of available consumable supplies / PPE to assess how long the current inventory will last. / Required Resources: Access to all supplies. / Timeline: 2 Hours Objective: Monitor for any cases in the county / Resources: Internet connection and computer / Timeline: Ongoing Objective: Consider alternative sources for food and equipment / Resources: Schools, nursing homes, grocery stores. / Timeline: 1 day Objective: Maintain safety and order within the community. / Resources: Local law enforcement, subcontract with local security agencies. / Timeline: Ongoing.


Part 1





Part 2Continue to update information disseminated to the public regularly including information translated for non-English speaking populations and contacting the local Amish communities via their Bishops








Part 2

1. Inventory current supply status- At this point we would need to utilize supplies in order to do the most good for the most people (Utilitarianism). (2 hours)

2. Staffing- what do we need to do with them; do we bring more in and expose- do we just keep the ones here that are already here and provide them with a recovery area- OP Surgery. (2 hours)

3. Establish a morgue area- mass fatality plan would be instituted. Our current overflow morgue area is our Materials building. Inventory of body bags. (2 hours)


Part 1





Part 2

objective: information dissemination; required resources: PIO/spokesperson, JIC; TIMELINE: ongoing/as needed objective: inventory: required resources: access to all supplies TIMELINE: 3 days objective: mass fatality; required resources: body bags, coordination, personnel, record keeping TIMELINE: ongoing/as needed




Part 1





Part 2

Objective #1: Reassess current situation of all resources/supplies/staff.

Action: The hospital will re-evaluate and scribe incident command forms #201 and #202 to assess any needed changes.

Resources: Equipment, food, water, fuel, electricity, essential function capabilites [generator]. Reassess form #251 - all essential functions checked

Supplies: Operation Section Chief will notify managers and staff to evaluate current inventory levels of clinical and operational supplies [i.e., PPE, cleaning supplies, laundry, linens]

Personnel/Staff: Planning Section Chief will consult the Incident Commander to assess for current personnel levels and personnel needed over the next 24 - 48 hours and what can be done to add or delete staff as indicated.





(Example: Objective: Conduct an inventory of available consumable supplies to assess how long the current inventory will last. / Required Resources:



Access to all supplies. / Timeline: 2 Hours.)

Part 2

Assess if we are out of supplies and try to obtain supplies through the SNS. With the volume of requests through the SNS we would hope to obtain the supplies within 24 hours. We would also contact all supply vendors for supplies and local farmers to check food supplies. MOUs would be assessed to attempt to use staff from other organizations. We would evaluate the existing resources for clean water. Use media to solicit for local volunteers with a medical background.


Part 1





Part 2

Maintain security of ground, building, and staff/patients ongoing

Maintain mission essentials functions ongoing

Establish protocol for implementing altered standard of care (subgroup of ethics committee) by day 21

Assess mortuary supplies by day 21

Develop ration of food, cleaning and supplies, etc by day 21

Staffing resources will continue to be a problem








Part 2 RCC operates under LHD IAPs


Part 1





Part 2

Objective 1 - within 12 hours continue to educate and make aware, and prepare workforce with knowledge and safety advice; Objective 2 - Within 12 hours continue to educate public and offer health and safety advice. Object 3 - within 12 hours inventory PPE and request additional PPE if possible.








Part 2

Objective: Inventory available PPE, staff, supplies, beds, utilities

Required Resources: Various department managers

Timeline: 2 hours


Part 1





Part 2

At this point, as a Critical Access Hospital, our role will have to scale back to that of a "Triage Station" solely. We would have to discontinue regular patient care services and Swing program. We could triage, stabilize, and transport patients to other patient care areas.

We would concentrate on maintaining staff to perform these limited services. We would perform the same staffing needs as described earlier

Supplies: we would continue to monitor availability and need, work to procure needed supplies.




Part 1





Part 2 Objective to maintain the status of healthy people. Air drops by NationalGuard throughout to provide people in place with water and food.


Part 1





Part 2

Continue isolation/prevention messages daily.

Continue crisis communication with partners and public daily at JIC.









Part 2

Reassess the O2, food supply, army cots, secondary cot supply (EMA), employee health status, timeline for discharge - 1 hour


Part 1





Part 2

inventory of all supplies, 2.5 hours.

decision about altered standards of care to limit the use valuable resources.









Part 2

Objective: Safety of our staff - resources - volunteer security officers - 1/2 day Objective: Food and water for our staff - empty freezers and and pantries at home to share. Use water jugs as needed. Timeline 1/2 day Objective: Continue to provide essential services - timeline - ongoing Objective: Schedule essential services so that the public would be best served in a safe and timely manner. Timeline - ongoing


Part 1





Part 2 1. Continued disease survelliance

Resources: internet access and human resourcs

Timeline: 4 hours

2. Vital Stats continue processing death records



Resources: Internet access, and human resources

Timeline: 4 hours

3. Continue to distribute appropriate information to the public and media

Resources: internet access and human resources, paper

Timeline: 4 hours


Part 1





Part 2Assemble our partners and come up with one inventory of resources and decide (with EOC) how to make best use of them, request additional resources regionally and from ODH and SNS.









Part 2

Continue to maintain day to day operations. Annex A1 will be followed to maintain day to day operations. Continous....no timeline.

Safety of employees and first responders. Annex D will be followed to ensure the safety of our employees and first responders. No timeline. Safety will be followed on an on going basis.

We will assess agency inventory which will be limited. Gloves and masks will be a priority along with hand sanitizers. Inventory will be assessed within 2 hours.

Public information will still be an objective to the best of our ability. This will be on-going and continuous.


Part 1





Part 2

IAP completed and submitted to RCC.

Resources needed: computers, staff, volunteers, internet access, phone service









Part 2Call EMA to assist with food shortage

Put info on hotline directing people where to get food and essential supplies.


Part 1





Part 2

Objective: Inventory/Prioritize what resources are available currently, specific needs Resource: County Mass Casualty Plan, EOC coordination of what is available Objective: Establish a place to house excess sick patients Resources: Schools, County Mass Casualty Plan Objective: Establish a place to put the deceased Resource: Seimer's Distributing, Funeral Homes if availability exists Resource: County Engineer or ODOT, for excavating









Part 2

Evaluate the staff and resources availablity to see if we can maintain operations within 2 hours.

Activiate the MRC immediately

Provide just in time training to assure the essential functions are provided, this will be ongoing.

Re-evaluate the esstential services within one hour of the staff and resouces inventory.

Social distancing, immediate and ongoing

referenced: Resource Management Annex F


Part 1







Part 2

Conduct an inventory of available consumable supplies to assess how long the current inventory will last/ required Resources: Access to all supplies/timeline: 2 hours

Medical Supplies, how long current inventory will last/ Access to all medical supplies/ timeline: 1 h

Monitor water supply/ Logistics Chief/ 3 hours

Monitor fuel supply/Logistics Chief/3 hours

Monitor food supply/Logistics Chief/3

establish unified comand system with other surrounding counties and west virginia/Required Resources: email/phone contact/ 8 hours


Part 1





Part 2Inventory available resources within the community and encourage rationing with the public through assistance with constant contact with the EMA director . Continue to educate the public regarding health and safety



Part 1One of the principals of protecting employees during the current health emergency is Social Distancing. Will you implement a Virtual Emergency Operations Center (VEOC) as you continue to coordinate your response



activities?

Part 2 No

Part 3 If the above answer is yes. – Describe in detail how this will be implemented.

Part 4

Part 5 If the above answer is no. – Briefly explain why such a system will not be implemented.

Part 6 MINIMAL STAFFING IN EOC

Part 7 If the above answer is unsure. – Conduct a brief discussion regarding the possibility of how such a system could be established and managed.


Part 1One of the principals of protecting employees during the current health emergency is Social Distancing. Will you implement a Virtual Emergency Operations Center (VEOC) as you continue to coordinate your response activities?

Part 2 No


Part 4


Part 6 Difficult in the area we are in to run a virtual EOC.






Part 2 Unsure


Part 4


Part 6




Part 2 No


Part 4


Part 6 We do not have the resources needed. We would maintain PPE at OPS center and practice social distancing.






Part 2 Unsure


Part 4


Part 6




Part 2 Yes


Part 4 conference call


Part 6

Part 7If the above answer is unsure. – Conduct a brief discussion regarding the



possibility of how such a system could be established and managed.



Part 2 No


Part 4


Part 6 a small group of people will continue to man the physical eoc. People that are symptomatic will be excluded.




Part 2 Unsure


Part 4


Part 6






Part 2


Part 4


Part 6




Part 2 No


Part 4




Part 6 Not available




Part 2 Yes


Part 4

Can be set up through VPN and right now Sr Mgt and some others have access. Others would be granted access as needed.

Have ability to do conference calls.


Part 6




Part 2 No




Part 4


Part 6 Capability exists but not fully developed.




Part 2 Unsure


Part 4


Part 6




Part 2 Yes




Part 4establish home work environment at homes with Broad band internet. take VoIP Phones home to maintain HD Phone lines monitor by home/work laptops disease info. communicate with JOC/JIC with cell phones/MARCS radios


Part 6




Part 2 No


Part 4


Part 6

We currently do not have the capability to institute such system. If people had iPhones/iPad you could face time however not everyone has an iPhone.






Part 2 Unsure


Part 4


Part 6




Part 2 Yes


Part 4 Skype, face time, voip, internet, radio, marcs,


Part 6






Part 2 Yes


Part 4 A virtual emergency operations center would be placed on the website.


Part 6




Part 2 Unsure


Part 4


Part 6






Part 2 Yes


Part 4 Activate the Regional Coordination Center


Part 6




Part 2 Unsure


Part 4


Part 6






Part 2 Yes


Part 4 The virtual emergency operations center will be relocated to The Belmont Community Health Center.


Part 6




Part 2 Yes


Part 4 Close down a campus clinic, utilizing that space as an emergency operations center




Part 6




Part 2 No


Part 4


Part 6

We have not webcams, or video-conferencing.

And even if we could get that capability, our staff and community do not have the capability to receive.

This is a rural community with limited cell phone and communication abilities. Many staff do not even have a computer, or know how to work one. Very few have this ability.




Part 2 Yes




Part 4 Implemented through Web EOC.


Part 6




Part 2 Yes


Part 4 Vocera, texting, telephone, 2 way communication


Part 6



Part 1One of the principals of protecting employees during the current health emergency is Social Distancing. Will you implement a Virtual Emergency Operations Center (VEOC) as you continue to coordinate your response



activities?

Part 2 No


Part 4


Part 6 Physical presence will be maintained at EOC.

Input will be accepted from offsite personnel.




Part 2 Yes


Part 4 conference calls, webex, igenesis,


Part 6






Part 2 Yes


Part 4 As needed, staff could participate via email or phone.


Part 6




Part 2 Yes


Part 4Dependant upon continued internet access.

Employees can communicate via email, landline, cell from home.


Part 6






Part 2 No


Part 4


Part 6 Not available.




Part 2 No


Part 4




Part 6 We do not have the technology in our department at this time. We look forward to support from ODH to provide this technology to us in the future so that all health departments and agencies can communicate this way.




Part 2 Yes


Part 4 This was aready implemented. Virtual is done through phone, text, email and radio communications


Part 6




Part 2 No




Part 4


Part 6 Lack resources to conduct a virtual EOC




Part 2 Yes


Part 4As long as power is available, people will remotely access information and coordination when addressing the emergency. MARCS radios, OPHCS, Cell phones, video conferencing IC will activate the VEOC


Part 6






Part 2 Yes


Part 4

We will work with the EMA to gain log in for VEOC and IT department.

Assigned Personnel will have the access.

All staff have access of email from remote locations.


Part 6




Part 2 No


Part 4


Part 6 Because of small staff to begin with. Might do virtual go to meeting with neighboring counties but not enough staff to do it on a local level.






Part 2


Part 4


Part 6




Part 2


Part 4


Part 6






Part 2 Unsure


Part 4


Part 6




Part 1

By day 22 you have exhausted your supplies of N-95 masks and other consumable Personal Protection Equipment (PPE). Due to the magnitude of the health crisis additional supplies of N-95 masks and other PPE are simply not available.

Describe in detail how you will manage without the most basic of PPE.

Part 2SURGICAL MASKS WITH FREQUENT CHANGES

UTILIZE PAPRS WITH FREQUENT DISINFECTION


Part 1 By day 22 you have exhausted your supplies of N-95 masks and other consumable Personal Protection Equipment (PPE). Due to the magnitude of the health crisis additional supplies of N-95 masks and other PPE are simply



not available.


Part 2 Utilze Towels, PAPRS, Surgical Masks,


Part 1



Part 2 Staff will be looking to reuse and/or repurpose any supplies possible. Continue discussions with EMA for SNS support.


Part 1



Part 2 shelter in place, isolation, etc


Part 1



Part 2 Try to clean what you have, attempt to find alternative methods to provide PPE, hand washing


Part 1 By day 22 you have exhausted your supplies of N-95 masks and other consumable Personal Protection Equipment (PPE). Due to the magnitude of the health crisis additional supplies of N-95 masks and other PPE are simply



not available.


Part 2 Utilize any available items such as dust masks and full coverage clothing. Ensure isolation and non contact whenever possible.


Part 1



Part 2Use sheets/pillowcases to make masks

increase washing hands


Part 1



Part 2PAPRs - if filters are still available.

Comfort care would be focus for our hospital at this stage of the event.


Part 1



Part 2 As long as I have internet access and electricity, I can work from home


Part 1 By day 22 you have exhausted your supplies of N-95 masks and other



consumable Personal Protection Equipment (PPE). Due to the magnitude of the health crisis additional supplies of N-95 masks and other PPE are simply not available.


Part 2 Only critical and high risk will be given PPE


Part 1



Part 2 Reuse those that still have them. Limit caregivers. Use cloths, tie things around face, use gloves, launder gowns, own uniforms, use good hand hygiene and cough etiquette.


Part 1



Part 2Health department employees will have to create social distancing and isolate themselves within the health department. Implementation of virtual technology to create communication between various parties.


Part 1



Part 2Communicate the situation with staff and patient care will continue on a



volunteer basis only due to the inability to provide safe precautions for staff. Non patient care personnel will continue to service as resources allow.


Part 1



Part 2 social distancing, quarantine, isolation, covering face, hygiene, request to local EMA for additional PPE, prioritize who receives PPE


Part 1



Part 2

Since we are working from home, the five of us left living will be avoiding all physical contact with ANYONE. So a lack of N-95 respirators or other PPE will have little affect on us. When we receive future supplies and personnel we will then pursue physical duties


Part 1



Part 2When supplies become limited staff will be informed of the unlikely possibility of replenishment and rationing of remaining supplies shall be implemented. When supplies are exhausted a discontinuation of services will be instated.







Part 2

We would function as long as we possibly could. Survival of the fittest at this point. If we could no longer provide services to the residents, we would road block the entrances to eliminate any further residents from coming in the doors. We could continue to to provide public messages via social media and our website with instructions on how to proceed (and hopefully receive treatment).


Part 1



Part 2Designate PPE per patient and reuse the PPE in the room, as needed. Prioritize use of supplies with most at risk and positive patients. Surgical gowns and masks could be used as PPE.


Part 1



Part 2 Without PPE we will continue to practice good hygiene (handwashing, etc.) but even without PPE we will do what it is our job to do.


Part 1





Part 2At the onset of the incident contact other LHDs to see if they have PPE they can share, after regional assets are investigated send information to ODH to determine if state or SNS resources will be needed


Part 1



Part 2 The plan would be to utilize the re-chargeable PAPRs and surgical masks.


Part 1



Part 2

Continue cohort patients -

Plant operation engineering to manage airflow

Use of cloth such as pillow cases over mouth

PAPR use for direct patient care


Part 1



Part 2 Utilize Pappers, extreme handwashing and bleaching of rooms, utilize housekeeping to laundrer re-usable gowns, etc.




Part 1



Part 2 Improvise non-disposable masks and washing, re-using them in a secured location.


Part 1



Part 2 Notify EMA we are maxed out on equipment and shelter in place


Part 1



Part 2

We would communicate this to our EOC. At this point, we would anticipate that the EMA would be coordinating supply sharing at the local level. And if this was depleted, would escalate this to the State level. If that, too, was inadequate, we expect that the SNS would be utilized. If so, we would fill out the requisition form and send to the EMA, or EOC, or wherever we were advised.

While we waited, We could use PAPRs (we have 6), and we could use re-useable Latex gloves.

All we could do would be provide comfort care, but with this we could do that.







Part 2

Continue hand washing, limiting contacts, etc.

Use any masks that are available only for those who are symptomatic to prevent the spread of disease.


Part 1



Part 2 increase distances, basic masks,


Part 1



Part 2 limit contact, use alternate ppe's, encourage more social distancing. more soap and water,


Part 1



Part 2 Emphasize social distancing, restrict public gatherings (church, movies, etc.)




Part 1



Part 2

Social distancing. Self imposed quarantine

Give advice on making your own PPE out of commonly available items. Basic hygeine guidelines.

No large crowds, no touching your face, etc.


Part 1



Part 2We are going to call our surrounding counties to check inventory. Our MOU allows us to share available resources with our SE partners. We will put in a request through the EOC for supplies. PPE is vital during this extreme of an emergency. Without, services are severely limited.


Part 1



Part 2 Staff are working from home, continue enforcing universal precautions.


Part 1 By day 22 you have exhausted your supplies of N-95 masks and other consumable Personal Protection Equipment (PPE). Due to the magnitude of



the health crisis additional supplies of N-95 masks and other PPE are simply not available.


Part 2

Take care of your own responders first. Basic-wash hands, cover your cough, stay home if you're sick. We will communicate with public-self isolation plus same message -Basic-wash hands, cover your cough, stay home if your sick. We will communicate with public-self isolation plus same message as for our own responders.

We also called Regional RCC to request supplies if available.


Part 1



Part 2 Social distancing Set up of VEOC Messaging for preventative measures still available


Part 1



Part 2

Annex D Responder Safety

Not addressed in the plan.

We would suspend services until there is regional, State or Federal assistance is available.


Part 1 By day 22 you have exhausted your supplies of N-95 masks and other consumable Personal Protection Equipment (PPE). Due to the magnitude of



the health crisis additional supplies of N-95 masks and other PPE are simply not available.


Part 2 Use other alternative measures for respiratory such as surgical mask, bandanas, coffee filters,


Part 1



Part 2We will use other masks that are available to use and provide staff training on how best to protect themselves including additional clothing, alternative proactive measures etc..



Part 1

A significant impact on your ability to continue to provide services and coordinate emergency operations is the extreme shortage of staff and management reporting to work.

Will you utilize volunteers from community and faith based organizations to help maintain services and coordinate emergency operations?

Part 2 Yes

Part 3 If the above answer is yes. – Describe in detail the process you will use in recruiting and managing these volunteers.

Part 4

REQUEST VOLUNTEER ASSISTANCE THRU BELMONT COUNTY EMERGENCY MANAGEMENT

Part 5 Prepare a list of the activities that could be filled by volunteers.



(Example: Activity: Command Center Support Staff)

Part 6

REGISTRATION

BASIC CARE

PATIENT TRANSPORT

SUPPLY DELIVERY

FOOD PREPARATION

HOUSEKEEPING

Part 7

Prepare a list of potential organizations that may be able to support your operations.

(Example: Organization: Amateur Radio – Can provide back-up communications when normal communications systems fail.)

Part 8

AMATEUR RADIO

EMA

LOCAL LAW ENFORCEMENT

Part 9 If the above answer is no. – Explain in detail why you will not utilize volunteers during the current health emergency.

Part 10

Part 11(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Volunteers in Healthcare. This video is too long to view during today’s exercise. Volunteers in Healthcare) – OPTIONAL


Part 1




http://www.drc-group.com/project/jitt-vih.html



Part 2 Yes


Part 4 We would prior to the nursing, these would be using volunteer resources as much as possible. At this point, they would not be able to help due to our geographic region.

Part 5Prepare a list of the activities that could be filled by volunteers.


Part 6 Scribes, Transport, Food Service, Environmental Services, Support(Plant Ops).

Part 7



Part 8 ARES, Red Cross


Part 10



Part 1







Part 2 No


Part 4



Part 6

Part 7



Part 8


Part 10With depleted resources and limited staffing, the amount of services being provided are decreased. This would also increase the likelihood of bringing in contaminated people.



Part 1



Part 2 Yes






Part 4 Follow our credentialing policy



Part 6 food service, house keeping, traffic control, communications, comfort the dying,

Part 7



Part 8 churches, schools, Red cross, civic organizations, nursing schools,


Part 10



Part 1



Part 2 Yes






Part 4 Utilize current call down lists.



Part 6 answering phones, filling vacant government positions,

Part 7



Part 8 MRC, HAM radio club, ODOT, County transit


Part 10



Part 1



Part 2 Yes


Part 4 Volunteers are managed by the Volunteer Reception Center.







Part 6 Wellness checks, Security, neighborhood watch, provide provide palliative care.

Part 7



Part 8 Red Cross, Salvation Army, Rotary, Churches, MRC, CERT.


Part 10



Part 1



Part 2 Yes


Part 4will check for the symtoms before the volunteers will enter building

education once approved



Part 6





cleaning

laundry

answer phones

cook

Part 7



Part 8Amateur Radio operators

EOC


Part 10



Part 1



Part 2 No


Part 4







Part 6

Part 7



Part 8


Part 10 The organization has taken the approach that due to the unique environment of the hospital, it is not feasible to utilize volunteer health providers and support staffing.



Part 1



Part 2 No


Part 4







Part 6

Part 7



Part 8


Part 10 Not applicable to my position- each LHD would be deciding individually and I would support their efforts as I am able



Part 1



Part 2 Yes


Part 4 MOU's are in place with Faith Baptist Church, Center Free Methodist Church, Kennonsburg UMC, and MRC through Ohio Responds. Also Lutheran Social Services







Part 6 Distibuting supplies, assisting in transporting the dead

Part 7



Part 8 Through EMA - Faith Baptist Church, Center Free Methodist Church, Kennonsburg UMC, and MRC through Ohio Responds. Also Lutheran Social Services


Part 10



Part 1



Part 2 Yes


Part 4 We would let the red cross handle this,.







Part 6 What ever they could do, ie. radio communicaitons, security, information, assist with ADLs, transportation, runners,

Part 7



Part 8 Amatuer Radio, Local churchs, Amish for horses, funeral homes, schools, womens group, civic organizations, local government agencies


Part 10



Part 1



Part 2 No


Part 4







Part 6

Part 7



Part 8


Part 10 No ability to control volunteers actions. Potential for increased risk of transmission.



Part 1



Part 2 Yes


Part 4 MRC, Citizens Corps contacted through email, text; activate volunteer reception center







Part 6 answer phones, record keeping support, clerical support

Part 7



Part 8 Red Cross, local service organiations, churches, faith community


Part 10



Part 1



Part 2 No


Part 4Due to the lack of PPE and the continuing spread of the virus the situation would have to be evaluated at that time as to the utilization of staff and volunteers







Part 6

Part 7



Part 8


Part 10

Due to the lack of PPE we can not ensure the volunteers health and safety and don't want to contribute to the spreading of the disease. However we would consider alternatives such as volunteers manning phone banks from their own homes.



Part 1



Part 2 Yes


Part 4The local health department will implement a plan to assess the KSA's of the appropriate people and their role. We would also use our MRC policy and procedure manual.







Part 6 Clerical duties, dissemination of supplies, security.

Part 7



Part 8

Organization: Amateur Radio – Can provide back-up communications when normal communications systems fail. Organization: National Guard- Security Organization: American Red Cross- Shelter/Food/Supplies Organization: Pike County Airport- Vaccination/Supply dispersal.


Part 10



Part 1



Part 2 No


Part 4







Part 6

Part 7



Part 8


Part 10

There are only 4 HD people left, the county is decimated. no one is available in this situation for any means of help. Meigs County Population was 23000 it is now 8000 after the onset of the disease and panicked evacuation of people. we need help from the outside, we have received no OPHCS Comms and the JOC is active but quiet.



Part 1



Part 2 Yes


Part 4 We would use volunteers if possible, however, we feel it is unlikely that there would be any in the situation that is being described.







Part 6 Answering phones.

Part 7



Part 8 Red Cross. Salvation Army.


Part 10



Part 1



Part 2 Yes


Part 4 We have a policy on utilizing volunteers as well as credentialing non-hospital staff to assist during emergency operation procedures. We have an active CERT team in our county which can be requested through the county EMA.







Part 6

Man the entrances of the hospital

Transport patients (we would provide them with PPE if we had it available)

Answering phones

Take notes of the incident for use in IAP

Meal delivery

Staff the Family Care Unit and Employee Health and Well Being Unit

Part 7



Part 8

HAM Radio

CERT

Radio Stations

Medical Reserve Corp

American Red Cross

National Guard

School Systems (perhaps for food supplies if schools are closed- providing they haven't been looted)

EMS


Part 10

Part 11(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Volunteers in Healthcare.



This video is too long to view during today’s exercise. Volunteers in Healthcare) – OPTIONAL


Part 1



Part 2 Yes


Part 4 We would have a headquarters for volunteers to be screened and credentialed. Recruiting would be done through media and social media.



Part 6 transport, food service delivery, medical experts to provide patient care, security and communications

Part 7



Part 8 Red Cross, United Way, Diocese and other local churches, Prime Time, Universities, RSVP,


Part 10

Part 11(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Volunteers in Healthcare. This video is too long to view during today’s exercise. Volunteers in






Healthcare) – OPTIONAL


Part 1



Part 2 Yes


Part 4 The hospital will utilize "Just In Time Training".



Part 6

1. Meal preparation/Dietary services.

2. Clerical support.

3. Patient sitters.

4. Laundry/Housekeeping services.

5. Messenger

Part 7



Part 8

1. Salvation Army

2. Church organizations and local service clubs/organizations.

3. Red Cross






Part 10



Part 1



Part 2 No


Part 4



Part 6

Part 7



Part 8






Part 10 At 1105 notified by EOC no volunteers available. Scioto County utilizes volunteer reception center for volunteers.



Part 1



Part 2 Yes


Part 4 Volunteers are recruited on local level. There is a regional MOU between 21 counties to share resources



Part 6 assist with set up dispensing operations, handing out PPE, just-in-time-training, set-up and operation of volunteer reception center

Part 7



Part 8 RSVP, CERT


Part 10







Part 1



Part 2 Yes


Part 4

Put out public service announcement, refer to policy on credentialing and screening.

Utilize current volunteers



Part 6 Registration, cooks, laundry, any non-clinical duties

Part 7



Part 8 Ares, EMA, Marks radios


Part 10







Part 1



Part 2 No


Part 4 There is no more PPE and shelter in place



Part 6

Part 7



Part 8


Part 10 No PPE's for protection

Part 11(Note: For future reference you may want to access the Just In Time Disaster Training Library for additional information on the Volunteers in Healthcare.





This video is too long to view during today’s exercise. Volunteers in Healthcare) – OPTIONAL


Part 1



Part 2 Yes


Part 4 Recruit volunteers through offering them support services such as food, water, medical supplies.



Part 6

Shelter management

Check vital signs, documentation of deceased, general maintenance, preparation of food

Part 7



Part 8 Church, fraternal, veteran's organizations, boy scouts, 4-H groups, local farmers,


Part 10







Part 1



Part 2 Yes


Part 4

CERT members - list provided by EMA.



Part 6

Liasons

Answering telephones

Resource allocation

Part 7



Part 8 CERT

Amateur Radio





VOAD

Red Cross

Volunteers of America

MRC


Part 10



Part 1



Part 2 Yes


Part 4

I do not know the exact process, but would defer to the Incident Commander. We would request advice from the EOC. we are aware that there is a "emergency Privileges" process, and legal requirements to utilize volunteers, and nursing staff from other hospitals/states.

We would find out what the requirements were, and move forward.



Part 6 Feed patients, change linens, cook, work under the supervision of





Housekeeping and Purchasing (cleaning and delivering supplies)

They could assist clerical duties.

Part 7



Part 8

American Red Cross, Rotary, Lions Club, VFWs, Elks and Eagles, Churches, Schools/Colleges,

Amatuer Radio to set up HAM


Part 10



Part 1



Part 2 Yes


Part 4 Initiate MRC volunteers first, accept walk in volunteers and provide just in time training after determining that they are qualified to work







Part 6 routing calls, directing traffic, basic security, clerical assistance , errand running,

Part 7



Part 8 MRC, HAM Radio, faith based organizations, Red Cross, Fraternal organizations


Part 10



Part 1



Part 2 Yes


Part 4

utilize volunteers under direction of skilled staff.

use any skills that volunteers have that could be helpful in the situation.

any means to get volunteers, tv, radio, word of mouth, social media







Part 6 transporting patients, basic care, ADL assistance, vital signs, food preperation and distribution, housekeeping roles.

Part 7



Part 8 local churches, nursing schools, school food service, grocery stores, fuel stations,


Part 10



Part 1



Part 2 Yes


Part 4 Procedure in place to deal with volunteers, request from JCEMA for MRC and CERT.







Part 6 Retired nurses can aid nursing dept, others can perform administrative duties

Part 7



Part 8 MRC, CERT, ARES, Red Cross, and OSRT


Part 10



Part 1



Part 2 No


Part 4



Part 6





Part 7



Part 8


Part 10 We are operating via a VEOC and just maintaining disease survellience and vital stats and public information.



Part 1



Part 2 Yes


Part 4 This will be accomplished in coordination with EMA



Part 6 Registration, answering phones, copying, distributing documents,

Part 7 Prepare a list of potential organizations that may be able to support your





operations.


Part 8Volunteer resource list will be obtained through our EMA.


Part 10



Part 1



Part 2 No


Part 4



Part 6Previously volunteers were used to disseminate information, at this point HD employees are working from home. Volunteers can not receive JIT training at this point. With social distancing implemented - recruitment is near impossible and unsafe.





Part 7



Part 8 This was previously listed.


Part 10 See above



Part 1



Part 2 Yes


Part 4 We have already been working with ARC, MRC, ARES, REACT. We would also request EMA to request VOAD.



Part 6 Food distribution, MRC-distribute anti-virals, answer phones, clerical, household services, runners.





Part 7



Part 8 ARC, MRC, ARES, REACT. We would also request EMA to request VOAD.


Part 10



Part 1



Part 2 Yes


Part 4 At this point we have recruited anyone that is available to help.



Part 6 Answering phones Distribution of basic messaging Updating social media Supporting staff and Employees

Part 7 Prepare a list of potential organizations that may be able to support your operations.






Part 8 MRC-CERT Red Cross Churches/Faith Based Amateur Radio Media


Part 10



Part 1



Part 2 Yes


Part 4

MRC recruits and ongoing

The volunteer reception center, just in time training

Annex F- screening and trainings



Part 6 answer phones, runners, data entry, medical if qualified or start to provide again when PPE is available, HAM Radios,

work with EMA volunteers





help call center and death data

Part 7



Part 8American Red Cross-food services

Amateur Radio


Part 10



Part 1



Part 2 No


Part 4



Part 6





Part 7



Part 8


Part 10We do not have a functioning volunteer organization in this county we will contact other agencies to see if they have available volunteers to help. We are currently developing MRC or Like organization through the local health care coalition at this time.



Part 1



Part 2 Yes


Part 4 We will utilize the ohio responds system as well as a volunteer reception center.



Part 6 answer phones, pass out rations, safety functions,





Part 7



Part 8 Faith based org., MRC, community volunteer org., HAM radio personnel


Part 10




Part 1

As conditions continue to improve the decision has been made to begin returning to normal operations.

Based on your EOP develop an Incident Action Plan (IAP) that focuses on objectives associated with DEMOBILIZING your response activities.


(Example: Objective: Inform all agencies and organizations with which you have been coordinating with of your plans to return to normal operations. / Required Resources: Agency / organization contact list. / Timeline: 1 Hour.)

Part 2 CONDUCT SUPPLY AND DRUG INVENTORY AND RE-STOCK AS POSSIBLE

EVALUATE STAFF AVAILABLITY AND HEALTH

DETERMINE TIMELINE TO RESUME PROVIDING ALL SERVICES





PUBLIC RELATIONS TO ADVISE MEDIA OF HOSPITAL STATUS

ASSURE HOSPITAL IS CLEANED THOROUGHLY

REMOVE PORTABLE ISOLATION EQUIPMENT

STAND DOWN EOC


Part 1





Part 2 Settle with Nurses, Restock of supplies, Bring up operations with ED first and maybe Urgent Care. Timeframes will be created. Press Releases will be sent out. Looting review for damage. Estimates on the dollars will be created.


Part 1 As conditions continue to improve the decision has been made to begin returning to normal operations.



(Example: Objective: Inform all agencies and organizations with which you have been coordinating with of your plans to return to normal operations. /



Required Resources: Agency / organization contact list. / Timeline: 1 Hour.)

Part 2 same as above


Part 1





Part 2

Objective: Inform all agencies and organizations with which you have been coordinating with of your plans to return to normal operations. / Required Resources: Agency / organization contact list. / Timeline: 1 Hour.) Objecitve- Contact vendors for resupply, Resources- Materials Management, Time line- 4 hours, Objective- Reassess staffing, Resources- Management report, Time line- Every 8 hours


Part 1





Part 2 objective: incident command chiefs launch incident demobilization plans and system recovery. timeline: one to two days. objective: restock supplies. contact national suppliers. obtain timelines for obtaining supplies. timeline: variable



Objective: work with counter parts within the health system. Determine which hospitals can handle cases. Objectives: work with government for disaster funding for assistance with rebuilding the infrastructure. Objective: manage community expectations via communication of availability of services. timelines are variable on availability of other institutions. objective: inventory of available staff. objective: after action debriefing for involved staff.


Part 1





Part 2

Objectives: JIC continue to provide public info. Objective 2: Compile costs of disaster within one week. Objective 3: Start closing PODS and Neighborhood Help Centers as need drops. Objective 4: Prepare planning with in 2 days to identify issues with mass casultiy temporary morgues. Objective 5: Conduct final debrifings within one week. Objective 6: Provide mental health resources as people return to normal.


Part 1







Part 2

Objectives

clean hospital - One month

restock supplies - work with vendors

communicate re-opening - Jennifer Offenberger (PIO)

returning borowed equipment - 1 week

Restore services in phases

Mental health help for staff


Part 1





Part 2





(Example: Objective: Inform all agencies and organizations with which you have been coordinating with of your plans to return to normal operations. /



Required Resources: Agency / organization contact list. / Timeline: 1 Hour.)

Part 2

Supply Assessment and Replenishment - Inventory counts and vendor contacts - 6-8 hours

Staffing evaluations - availability and certifications of staff still willing to come to work. - Days to Weeks

Grief Counseling - As long as needed.

Medical Clearance for staff - Days to Weeks

Financial Assessment and Capability of providing ongoing services. Days to Weeks


Part 1





Part 2

Objective: To inform agencies and organizations that you can resume normal operations

Resources: Following demobilization plan

Timeline: 24 hours








Part 2

Tear down temporary operations, go back to HICs and what we need to resume operations.

Clean, sanitize, evaluate resources staff,supplies, physicians, food, water, other utilites, reestablish communications, contact all of our community partners, secure any temporary or volunteer staff.


Part 1





Part 2 Mental health







needed to undertake each listed objective and list the expected timeline to complete each objective.


Part 2

objective: inform public and partners of decreasing inc of disease required resources: public/partner list TIME LINE: 2 days objective: record keeping for potential reimbursement required resources: forms, staff TIME LINE:10 days objective: damage assessment/reassembling work units required resources: None TIMELINE: 1 week; objective: enter into recovery phase, required resources: information, contacts, funding TIMELINE: 2-3 weeks


Part 1





Part 2

First we would assess the living and have human resources provide a report. Evaluate available resources including staff. A house-wide inventory would be completed. The hospital's financial position would also be assessed. Gradual resumption of services would begin upon receipt of necessary supplies. This plan would be communicated to the public via the tv, radio, computer and social media.



Based on your EOP develop an Incident Action Plan (IAP) that focuses on



objectives associated with DEMOBILIZING your response activities.



Part 2Inform all county agencies that we are returning to normal operations and decreasing the frequency of the planned meetings, address staffing losses, address tactical responses with partners and stakeholders,


Part 1





Part 2

1. Response efforts will be terminated as a combined effort between the Incident Commander, the CEO/Designee, and any other agencies as deemed necessary. (1 hour)

2. Assessment of the current status of the hospital will be conducted. Focus will be on supplies, staffing, and additional resources. We would need to evaluate loss of hospital personnel and the impact that would have on future operations. (1 day)

3. Notify other response agencies of demobilization of hospital ICS and attempt to return to normal operations. (1 hour)

4. Financial Impact- would need to assess the financial impact sustained during such an event. Research potential for financial assistance from the federal government. (2 days)




Part 1





Part 2

Objective: Communicate with our HAN, local and regional partners to update on back to normal order from event. / Required Resources: Communications supplies / Timeline: 3 Days Objective: Returning of resources borrowed. / Required Resources: Excel Spreadsheet and Communication supplies. / Timeline: Until completed Objective: Restoring to full normal services at health department / Required Resources: Employees, Vendors, Inventory. / Timeline: 6 months to 1 year. Objective: Employee payroll and payment to vendors and reimbursement to other services rendered. / Required Resources: Data from incident, restore data, banking. / Timeline: 6-9 months.


Part 1





Part 2

IAP Objectives: *return to HD physical building *establish communications with ODH, LEMA Local political leaders. Assess local HD Needs, personnel, equipment, meds,etc follow LHD COOP/Recovery Plan *contact ODH/LEMA for resource acquisition




Part 1





Part 2

1. Objective: Inventory staffing in previous areas of operations to establish the capacity to resume services

Resources: Management team

Timeline: 1 week

2. Objective: Determine capacity of services that we will be able to resume.

Resources: Management Team

Timeline: 1 week

3. Objective: Determine ability to restock supplies

Resources: Suppliers/vendors

Timeline: 1 week

4. Objective: Communicate timeline to staff, local agencies and community on the intent to resume services

Resources: PIO, social media, news media, radio

Timeline: 2 days




Part 1





Part 2

Perform comprehensive resource assessment to include people, materials, plant operations equipment, terminal cleaning needs, etc. by day 150

Assess services to bring on line and prioritize by day 160

Develop a plan for systematic restoration of services by day 160

Assess financial losses during public health emergency by day 150

Assess financial support at state and federal level ongoing


Part 1





Part 2 Notify agencies and partners that the RCC is ceasing emergency operations and will resume normal activities




Part 1





Part 2

Through cleaning of facility (3 days)

Restock (up to 6 months)

Notify outside agencies, employee wellfare


Part 1





Part 2 Objective #1: Evaluate the status of all staff.

Action: Involve Human Resources. Timeline: On-going

Objective #2: Evaluate current status of all remaining resources.

Action: Essential resources [water, fuel, food & electricity] will be evaluated.



Timeline: 24-48 hours

Objective #3: Evaluate the inventory of all supplies and equipment. Timeframe: 24-48 hours

Action: Immediate notification of all vendors.

Objective #4: Ensure of the structural integrity of the building.

Action: Assess the structure, contents, safety and environmental concerns in the building. Timeframe: 24-48 hrs


Part 1





Part 2

Objective: contact EMA & public health regarding scale back; restock supplies; sterilize facility

Resources: National stockpile for general supplies & PPE, cleaning supplies; normal vendors

Timeline: 7-14 days







needed to undertake each listed objective and list the expected timeline to complete each objective.


Part 2 Evaluate the situation on a daily basis. Slowly demobilize as needed by closing the pods one at a time. Begin to implement routine services again with priority being vaccinations.


Part 1





Part 2

Notify EOC agencies of returning to normal activities.

Continue disease surveilance daily

Coordination between HD, HVCH, EMA to discuss deactivation of resources. Timeline dependent on vaccine efficacy.








Part 2

Assess Current Status: Utilities, Facilities (any building repairs needed?) Supplies (are vendors back up to running at full capability?), Staff (how many available, what skill mix) determine what we need to get back to normal-may take several days to weeks

Determine what community needs from us first: Vaccination Clinic site first? to be directed by the Health Department. TIMELINE TBD by Health Dept

Once Health Dept determines we are free to resume our services:

Determine what Services we will be begin to offer first:

ED- begin to provide Triage and Transport at first, building as everything above available, begin to add on regular services. TIMELINE may be weeks, dependant on supplies/staffing

Lab/Radiology/Cardio- limited number to serve the ED only at this time, until ED begins to offer more. see above

MedSurg- Open once ED is full service, they can open for Acute. As conditions improve, we can add Swing. TIMELINE DEPENDANT ON ED going to full operation (probably weeks)

Clinic: Discussion as to where this would be optimal. May be high priority to get patients with long-term chronic conditions seen. Possibly when ED opens for regular services. TIMELINE: weeks to months.

Surgeries/Endoscopies- when the rest of the hospital is at full service. TIMELINE: Months to years



Based on your EOP develop an Incident Action Plan (IAP) that focuses on



objectives associated with DEMOBILIZING your response activities.



Part 2

notify local agencies of the hospital's plan to return to normal operations. 2 hours

full inventory of all supplies that remain, and estimate supplies needed to resume normal operations. 8 hours

full list of employees that remain, list of viable candidates for replacements. 2 days

contact all vendors to assess how long it will take to obtain supplies 4 hours


Part 1





Part 2

Objective - return to regular office hours as Dr. Vallee sees fit - timeline - 2 days Objective - restock supplies as possible - timeline - as available. Objective - document all resources and events for ICS compliance - 1 week Objective - resume non-essential functions - 1 day Objective - continue public information on all available media sources - 1 day Objective - decommission volunteers - 2 day




Part 1





Part 2

Annex A1 (Continuity of Operations) will be followed to move forward with demobilizing. Timeline-on going

We will follow Annex A: Direction and Control to reassess who (staff not deceased) is available and roles they will now be placed in. Timeline-2 hours

Outside agencies will be updated on our plans and timeline for our services to return. Timeline-2 hours.

The EOC and JIC will be demobilized according to EMA protocols.


Part 1





Part 2 After the previously identified MEF are no longer critical, phase in normal functions as appropriate, Release of volunteers, contact partners that we have begun demobilization procedures as state of emergency has been lifted.



Follow our demobilization plan. Replenish stock of supplies used during event.


Part 1





Part 2 With the assumption that we are demobilizing PODS:

0. Ensure physical building is secure from looters, squatters

resources: law enforcement, replacement doors, locks, windows as needed

timeline: 1 hour (or more to fix any damage to building)

1. PODS are inspected and decontaminated, returned to normal

resources: human resources, cleaning supplies

timeline: 2 hours

2. Contacting ODH to determine how to return unused vaccines.

Resources: Contact list

Timeline: 1 hour

3. Bring local health department services back up according to order of priority and available resources.

resources: Human resources, departmental supplies

Timeline: A year to never, depending on budgets



4. Contact behavioral health services to access mental health services

resources: mental health contacts

Timeline: 1 hour (for contacting)


Part 1





Part 2

Shut down emergency phone line

Phase out shelters

Start dismissing volunteers

Return resources/supplies

Dispose of infected waste.





(Example: Objective: Inform all agencies and organizations with which you



have been coordinating with of your plans to return to normal operations. / Required Resources: Agency / organization contact list. / Timeline: 1 Hour.)

Part 2

IAP forms completed and faxed to RCC.

Resources needed: staff, volunteers, activation of 21 county MOU to support services, mental health MOU


Part 1





Part 2

Objective: Bring in Critical Incident Stress Debriefing Team Resource: EOP of Perry County/EMA Objective: Provide outreach crisis counseling Resource: EOP of PCHD Objective: Debriefing and Defusing internally Resource: EOP of PCHD Objective: Provide education for responders and caregivers Resource: EOP of PCHD Objective: Administrative and Logistics recording/reporting Resource: EOP of PCHD Objective: EMA follows deactivation of EOC's EOP of Perry County -includes releasing of resource information Resource: EOP of Perry County Objective: Hotwash after event, to make sure all needs were/are met and activities completed Resource: meeting area, staff and participants Objective: After Action Report Resource: Staff and participants, meeting area,









Part 2

Inform all agencies and organizations with which we have been coordinating with of our plans to return to normal operationswith in 1 hour.

Need to assess the staff return to work availablity immediate by using the department call down list.

Need to assess status of resources, purchase and delivery status.

Immediately assess the building safety

After Action Reports and documentation of timesheet, items that were purchase will be turned in to the appropriate departments as documentation is completed.

The first day back, IC will call a meeting to debrief staff.


Part 1





Part 2 Notify all participating agencies that we are beginning demobilization/ organization contact list/ 1 hour

Take inventory of what staff and supplies we have left/ Access to staff and inventory/ 2 hours

Determine in what order we should restore services base on priority/ Coop



plan/ 3 hours

assign duties to comand staff for restitution of services/ available staffing/ 2 days

Develop an after action report and improvement plan for a real world incident / ICS, NIMS references/ 1 month

Debrief staff and call in MOU with Jefferson Behavioral for Stress debriefing of the staff/ MOU/ 2 months

Decide when to lift bans on social distancing/ media, PIO/2 hours


Part 1





Part 2

Pods will be closed, unused vaccine or medications will be returned via state protocols. Partners and staff will be notified that demobilization is occurring,, mental health services will be recruited and provided to workers, volunteers, and others involved in the incident. Documentation and records will be maintained. Staff and volunteers will debriefed as needed.


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