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preparing hospitals for disasters
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Exercises

Overview

Drills & Exercises

April 2, 2009

Hospitals are required to conduct drills and exercises for accreditation and/or grant requirement(s).

 Examples of these requirements include:

  • The HPP grant may require hospital participation in the annual Statewide Medical Health Exercise.
  • The National Incident Management System Compliance for Healthcare Objective 7 states that NIMS concepts and principles are promoted into all organization-related training and exercises.
  • The Joint Commission in EM03.01.03 requires two emergency response exercises (at least one to include an escalating event where the local community is unable to support the event), and at least one to include participation in a community-wide exercise.
  • The California Code of Regulations 70741 (d) requires disaster plans to be rehearsed at least twice per year. 70743 © requires fire and internal disaster drills shall be held at least quarterly for each shift of hospital personnel and under varied conditions.
  • NFPA 5.14 requires the entity shall evaluate program plans, procedures, and capabilities through periodic reviews, testing, and exercises.
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Exercise Program for Hospitals Checklist

November 7, 2012

This tool was was developed by the CHA Hospital Preparedness Program to assist hospitals in development, implementation and evaluation of their exercises. 

Individual exercises are part of an Exercise and Evaluation Cycle under the hospital’s Emergency Management Program.  These exercises may be isolated within the hospital, or part of a larger community, or even statewide, exercise such as the California Statewide Medical Health Exercise.  It is the intent of the checklist to provide an overview, guidance and resources for hospitals which allows a more coordinated effort and can be tailored to the facility.

  • Download the CHA HPP Exercise Program for Hospitals Checklist

 

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HSEEP Quick Reference Guide

September 16, 2010

This resource was developed by the UC Berkley Center for Infectious Diseases and Emergency Readiness

This quick reference guide provides an overview of the Homeland Security Exercise and Evaluation Program (HSEEP) on the following topics:

  • Download the HSEEP Quick Reference Guide
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Post

Types of Exercises

March 27, 2009

There are seven types of exercises. Exercises are either discussion-based or operations-based.

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Exercise Planning

July 27, 2009

Hospital Hazard Vulnerability Analysis (HVA) assists exercise planners in identifying threats facing the facility. The facility’s HVA provides a list of top scenarios to base future drills and exercises on. Additionally, past After Action Reports and Improvement Plans provide previously identified areas for improvement that can be tested.

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After Action Reporting (AAR)

March 27, 2008

The After Action Report (AAR) captures observations of an exercise and makes recommendations for post-exercise improvements. The AAR is then used to develop Improvement Plans (IP).

In EM 03.01.03, The Joint Commission requires a hospital to assign a designee whose sole responsibility during emergency response exercises is to monitor performance and document deficiencies and opportunities for improvement. Developing an AAR meets the criteria.

  • Read more
  • Homeland Security Exercise and Evaluation Program (HSEEP) website
Post

AHRQ Tool for Evaluating Core Elements of Hospital Drills

March 30, 2009

Hospitals must be prepared to respond to public health emergencies that may create a sudden demand on services. Disaster drills allow hospitals to test response capabilities to these emergencies in real time.

AHRQ has developed this Tool for Evaluating Core Elements of Hospital Drills. This tool can be used by hospitals to identify the most important strengths and weaknesses in disaster drills. The results can be applied to training and drill planning.

  • Read more
  • Go to AHRQ Tool for Evaluating Core Elements of Hospital Drills
Post

FCC Adopts Rule to Allow Hospital Use of Amateur Radios during Disaster Drills

July 16, 2010

Consistent with the blanket waiver request submitted by the American Hospital Association (AHA), the Federal Communication Commission has adopted an order which permits the use of HAM radios during hospital disaster drills. The Commission determined that amateur radio operators play a critical role during disasters and that amateur radio operators should be permitted to participate in disaster drills regardless of whether they are employed by the entity conducting the drill.

The blanket waiver request was filed by AHA in response to The Joint Commission’s requirement that hospitals prepare an emergency operations plan specifying alternative forms of communication to use during emergencies and establishing back-up communications links, including amateur radio stations, if primary communications systems fail.

Due to the adoption of the FCC order, the Commission dismissed AHA’s blanket waiver as moot.

  • Download the FCC's Adopted Order on Use of Amateur Radio in Disaster Drills
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Active Shooter Event Response: Interactive Tabletop Exercise
UCSD Health System

October 31, 2011

Master Scenario Events List

Injects A1 – A6

Injects A8 – 9 1

Injects A8 – 9 2

Patient Role & Actor 1

Patient Role & Actor 2

Patient Role & Actor 3

Patient Role & Actor 4

Static Mannequin Actor

Nature of Exercise Notice 1

Nature of Exercise Notice 2

Disclaimer of Recording

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Training & Exercises

  • Exercises
    • Statewide Medical/Health Exercise
    • Planning an Exercise
    • HAvBED
    • ShakeOut
    • Cal OES State Exercise Program
  • Training
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September 26, 2011
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