EVHC - Eastern Virginia Healthcare Coalition

InputReport Year 2018Last Saved

Report For Eastern Virginia Healthcare Coalition 2018

Description Tuesday, March 13, 2018 at 03:28 PM

Instructions

1. Known risk from seismic maps, crime maps, flood zones, etc. 2. Historical data 3. Manufacturer/vendor statistics

1. Potential for staff death or injury 2. Potential for patient or visitor death or injury

1. Cost to replace 2. Cost to set up temporary replacement 3. Cost to repair

1. Interruption in health care services 2. Harm to facility reputation 3. Staff unable to report to work 4. Patients and visitors unable to reach facility 5. Organization in violation of contractual agreements 6. Imposition of fines and penalties or legal costs 7. Interruption of critical supplies 8. Increased demand for health care services beyond the organization’s normal capability

1. Status of current emergency plans 2. Training status 3. Insurance 4. Availability of backup systems 5. Community resources 6. Redundancy of equipment and systems

1. Types of supplies on hand 2. Volume of supplies on hand 3. Staff availability 4. Coordination with MOB's and clinics 5. Time to marshal an on-scene response 6. Scope of response capability 7. Historical success of response capability

1. Types of agreements with community agencies 2. Coordination with local and state agencies 3. Coordination with proximal health care facilities 4. Coordination with treatment-specific facilities 5. Proximity of fire and law enforcement agencies (response times) 6. Staffing and training of response agencies

Issues to consider for business impact include, but are not limited to:

Issues to consider for internal response capability include, but are not limited to:

Issues to consider for preparedness include, but are not limited to:

Issues to consider for external response capability include, but are not limited to:

A healthcare facility Hazard Vulnerability Analysis (HVA) and risk assessment provides a systematic method to recognize hazards or risks which may affect demand for healthcare services or the ability to provide those services within a community, county, or region. The risks associated with each hazard are analyzed to prioritize planning, mitigation, response and recovery activities. Healthcare facilities perform HVA or Threat and Hazard Identification and Risk Assessments (THIRA) for their individual facilities based on the communities they serve.

Evaluate the risk associated with an event and your organization’s ability to respond to and recover from the event in light of the following:

Issues to consider for human impact include, but are not limited to:

Issues to consider for probability include, but are not limited to:

Issues to consider for property impact include, but are not limited to:

Date Alert Category Alert TypeInternal / External Responder Location Address

Notification Method Point of Contact

Command Center

ActivationPatient Care

Impacts

Business / Operational

ImpactsStructural Impacts

Resource Request

Recovery Plan

Activated AARType of Patient

Injuries Number of Fatalities Top 5 HVA End Date Event Summary

01/25/18 Other Patient Surge Internal Internal Sentara multiple locations Direct Call Patti Montes Yes Yes No No No No No No 01/27/18 All Sentara Hospitals in the Eastern Region were dealing with a capacity crisis. Requested that all Eastern Region Hospitals update their clinical status and bed availability. Sentara used VHASS information to move patients to available beds in the region including movement of patients outside of the Sentara network.

01/17/18 Other Patient Surge Internal Law Enforcement Maryview Medical Center

3636 High Street Portsmouth

Direct Call Spence Campbell No No No No No No No No 01/20/18 Maryview has reached out to the RHCC stating that their Morgue was over capacity RHCC was aware that this had been an ongoing issue for much of the region the last couple of weeks. Maryview has reached out to other ACF's in their system. RHCC is reaching out to BSMMC neighbors to help find space. NMCP reached out and offered 9 spaces in their Morgue

01/12/18 Technological Power Outage Internal Dominion Power St. Francis Nursing Center

4 Ridgeway Parkway Newport News

Other Source Chad Hinnant Not Sure No No No No No No No 01/12/18 VA Dominion Power Electric Service disruption. At approximately 12.30 pm electrical power disruption to the building. No outside assistance was needed for information only. Power restored within 2.5 hrs

01/09/18 Human Patient Surge Internal RHS Maryview Medical Center

3636 High Street Portsmouth

Direct Call Spence Campbell No Yes No No Yes No Unknown No 01/12/18 RHCC contacted for in influx of ICU patients and Healthcare EM requested 8 Heart Monitors. RHCC contacted RHS for assistance. RHS lent Maryview 6. Maryview was Ok with these 6 and requested no additional. Equipment was returned 3 days later.

01/03/18 Natural Inclement Weather Both ALL - Everyone Entire EVHC Region Entire Region News / Media Shawn Metzner Yes Yes Yes Unknown Yes Yes Yes Not Sure Yes Yes 01/09/18 RHCC was alerted to Winter Storm/Blizzard and Extreme Cold moving into the region. Some areas of the EVHC got over a foot of snow and some areas got about 4 inches. Response and short term recovery went on for about 5 days. Biggest issues the RHCC dealt with was non-emergent patient transportation, facility staffing, and some power loss.

11/15/17 Technological HVAC Failure Internal Contractor Consulate Health Care of Norfolk

3900 Llewellyn Avenue Norfolk

Direct Call James Gary Yes No Not Sure No Yes No Not Sure No 11/15/17 LTC Coordinator was contacted about a mechanical failure with boiler. Loss of Heat on Units 2A and 2B. Affecting approximately 100+ residents. Request for Portable Heaters. Contractor arrived and had the issues fixed in just over an hour. Initial concern was long response time of contractor. No RHCC action was taken on moving MMA. Not needed.

11/06/17 Human Workplace Violence / Threat External Internal Security Mary Immaculate 2 Bernardine Dry, Newport News Direct Call Tim Winstansley Not Sure Not Sure Yes No No No No No 11/06/17 RHCC alerted to on Lockdown at contacted Tim WInstansley, Security Head of MIH, informed that theyhad suspicious persons on campus and were trying to locate them again via camera and other means. After about 30 mins Lockdown lifted nothing found.

10/12/17 Human Mass Casualty Incident External LE, Fire and EMS Northeast North Carolina

Pasquotank Correctional Institute, 527 Commerce Dr, Elizabeth City, NC 27909

Other Source Melissa Maxwell, SNGH

Not Sure Not Sure No No No No Yes No 10/12/17 SNGH declared an MCI at 5:11pm for 7 patients arriving via air and ground from a jail riot in Albemarle County North Carolina. All ACF's were requested to update Clinical status. No other needs. Event ended a8:07pm.

08/15/17 Technological Sewer Failure External Utilities and VDH Environmental

Town of Boykins Bryant Avenue Direct Call John Cooke Yes No Unknown No No No Unknown No 08/28/17 This overflow went into the swamp that is around the pump station and then most likely made its way into the Tarrara Creek. The overflow volume was estimateto be around 65,000 gallons. The incident was caused by a mechanical failure of one pump and then an electrical failure of the second pump.

08/04/17 Technological Internal Fire Internal Fire Williamsburg Landing

5700 Williamsburg Landing Dr, Williamsburg,

Direct Call Jon Crews Yes Unknown Unknown Yes No Not Sure Not Sure No 08/04/17 Contained fire in LTC facility at Williamsburg Landing, fire appears to be in one room, but smoke damage is throughout facility. 20 patients affected by incident, buno reported injuries at this time.

07/25/17 Human Active Shooter Internal Public Safety - All Ebby's Garage Williamsburg

535 2nd St, Williamsburg News / Media Mark Rath Yes Not Sure Yes No No No No Yes 8/25//2017 Barricaded active shooter at Ebby's Garage in Williamsburg on 2nd Street. Area business told to shelter in place. One GSW patient transferred to ACF

07/15/17 Technological Internal Fire Internal Public Safety - All Chesapeake Crossing Apartments

1945 Robert Hall Boulevard, Chesapeake

Other Source Shawn Metzner Yes Yes Yes No Yes Yes Yes Not Sure 07/21/17 Fire broke out at 430 am at Chesapeake Crossing assisted living facility, 3 structures on fire, over 150 residence were evacuated. Norfolk General was lead hospital for managing the MCI event, only 6 patients were seen as a result of the fire, divided between Chesapeake Regional and Sentara Norfolk General. MMRS assisted City of Chesapeake with short term sheltering of residents and aid with medication refills due to abandon apartments.

06/27/17 Human Bomb Threat Internal Law and Fire Mathews County Social Services -Mathews Health Department

536 Church St, Mathews Other Source Matthew Carpentier Yes No Yes No No No No Not Sure 06/27/17 The call was received by Mathews County Social Services. The caller stated that they were going to "blow them all up". Law enforcement was immediately notified as was Three Rivers EPC as the facility was being evacuated.

06/29/17 Technological Other Internal None Riverside Tappahannock Hospital

618 Hospital Rd, Tappahannock, Direct Call Mark Rath Yes Unknown Yes No Yes Not Sure No No 06/29/17 Water back-up from restroom resulted in water entering power panel leading to some power loss in ER, mainly lighting, patient monitor, and Pyxes. Mark Rath working issue, moving lighting and power cords from RRMC in Newport News to Tappahannock. No action required by Hospitals. EMS NOTE DIVERSION

06/22/17 Technological Hazmat Incident Internal Fire and regional Haz_Mat

Riverside Regional Medical Center

500 J Clyde Morris Blvd, Newport News

Other Source Judy Cooling Yes No Not Sure No No No No Not Sure 06/22/17 A piece of lab equipment in the histology lab malfunctioned, causing xylene, a solvent used to test tissue samples, to be released in the air, according to Riverside spokesperson Peter Glagola. The histology lab was evacuated. Newport News Fire Department and Hazardous Materials team responded to the incident. The amount spilled was "negligible", according to the hospital spokesperson. Hazardous Materials team conducting air monitoring for xylene and the building was ventilated. No patients were affected. The "all-clear" was given shortly after 5:00 p.m. on June 22, according to Newport News Fire spokesperson

04/22/17 Natural Tornado External Public Safety - All Westmoreland County

Various areas in the county Other Source Matthew Carpentier No No Unknown Not Sure No Yes No Yes 05/01/17 Strong winds and a reported tornado impacted power and water services in Colonial Beach Westmoreland County VA. Initial reports indicated a sewage backup - however this was discovered to be a water main. Power was interrupted following downed lines in the area.TRHD EPC established contact with the Westmoreland EOC to verify storm damage, and mitigation efforts. Initiated follow up contact with TRHD EH Manager and provided an updated to the Acting Director. After contacting EH Manager providedassistance to Westmoreland EOC regarding food safety information due to power outage via press release. No request was made by Westmoreland for any additional assistance. TRHD EPC remains on standby to provide additional information if requested.

04/05/17 Natural Inclement Weather External None Eastern and Central Regions

Region Wide News / Media Glenn McBride Yes No No No No No No Yes 04/07/17 The National Weather Services has issued an advisory Hazardous Weather Outlook for Southamptoand Isle of Wight Counties as well as the cities of Norfolk, Portsmouth, Suffolk, Chesapeake and VirginiaBeach. Showers and thunderstorms are expected late tonight. After 3 am, some storms may contain damaging winds and large hail, with isolated tornadoealso possible. Several agencies have initiated storm procedures, alerted personnel in the community, or arhaving pre-storm emergency operations planning meetings. All facilities are encouraged to initiate mitigation measures for known weather issues (flooding, power loss) and to review plans for responsshould an emergency develop.

03/31/17 Natural 'Inclement Weather External None 'Eastern Region Region Wide Other Source Shawn Metzner Yes No No No No No No Yes 03/31/17 Severe Weather moving into the Eastern Region. Severe Thunderstorm Warning - The National Weather Service has at 4:07pm issued a Severe Thunderstorm Warning for Southwestern Southampton County. This line of storms is moving east at 30 mph. HAZARD...Ping pong ball size hail and 60 mph wind gusts. Also a Tornado Watch remains in effect until 1000 PM EDT for northeastern North Carolina and southeastern Virginia.

03/16/17 Technological Power Outage Both Utility - Dominion Williamsburg Landing

5700 Williamsburg Landing Dr, Williamsburg

Other Source Jon Crews Yes No Yes No No Unknown Unknown Not Sure 03/16/17 At 1425 hours IL tower located at 3000 Earls Court and health club located at 3000 The Mall reported power outages. EOC and emergency team have been deployed. At 1431 hours Dominion Power was notified and arrived at 1535 hours. At 1633 hours power was restored to buildings. Dominion Power advised that a damaged power cut switch caused the outage. No medical or other incidents reported during outage. Emergency Team Released at 1640 hours. EOC terminated at 1645 hours.

03/13/17 Natural Inclement Weather External None Statewide Mostly Northern and Western Regions

Other Source Erin Shrader-Amason,

Yes No No No No No No Yes 03/14/17 Beginning this afternoon through Wednesday morning these areas will receive the first significant snowfall of the season. Monitor VHASS event boards for event updates and potential situational reporting.

03/04/17 Technological HVAC Failure Internal None Maryview Med. Cnter- Aston Pavilion

3636 High St, Portsmouth Direct Call Glenn McBride Yes Yes Yes No Yes Unknown Not Sure Not Sure Emergency Coordinator received a call from the MMC Safety Officer at 1655 hrs to report loss of heat in Aston Pavilion. The Pavilion houses infants and their mothers. Safety Officer reports hospital staff will be meeting at 1700 hrs to discuss options. Primary optionis to relocate unit to another area of the hospital. No estimate of patient numbers was available at this time. • Current external temperature in Portsmouth is 47°F. Forecast low for tonight is 29°F. • PHD Coordinator has offered MRC assistance. MMC will advise if they are needed. • NO external evacuation is being mentioned at this time. Patients being located to other area of hospital.

03/01/17 Natural Inclement Weather External None Various Regions in the state

Mostly Western and Eastern Regions

Other Source Bob Cofer Yes No No No No No No Yes 03/02/17 The possibility of severe weather in our area starts about 10:00 AM today and moving eastward and will continue through out the day. There is no need to update your bed status at present. We do want you to keep us updated on your status today weather wise.

01/18/17 Other VIP Situation Both All - Everyone Mostly NoVa Mostly Northern Region Other Source Chris Cook Yes Unknown Unknown Unknown No No Yes Unknown 01/22/17 Presidential Inauguration taking place in the District of Columbia with events planned to span across three days. January 19th; Wreath Laying and Opening Ceremony. January 2oth; Inauguration, Parade, and Gala's. January 21st; Marches and Protests. Several planned protests are expected to take place throughothe District during the 3 day event. Facilities closest to DC should expect higher impacts during the operational period. Patients transported from Inauguraevents will be transported into Virginia if needed, and will be distributed according to the NVHA Regional Hospital Incident Action Plan (IAP). Monitor VHASS during the event and provide Clinical, and Blood Availability in VHASS according to the schedule provided in the NVHA Regional Hospital IAP. Utilize VHASS Patient Tracking to account for patients generated directly from Inaugural events.

01/05/17 Natural Inclement Weather Both All - Everyone Various Regions in the state

Statewide Other Source Erin Shrader-Amason Yes Not Sure Yes Unknown Yes Not Sure Yes Yes 01/10/17 Variety of winter weather occurring across Virginia - Afacilities/regions to update during these events as needed/appropriate. Eastern region received almost 2 feet of snow. Some healthcare facilities sheltered in place. Some had power issues. Some dialysis Centersclosed for a few days. All resolved OK. RHCC was virtual for 72 hours.

01/04/17 Natural Seasonal Influenza Internal Southside Healthcare Facilitates

Most Southside ACF's

Regional Direct Call Glenn McBride Yes Yes Yes No Yes Not Sure Yes Yes 01/06/17 Sentara Princess Anne Hospital is currently holding 2in ED, Inpatient beds full, considering Base-X Deployment to hold additional patients. Sentara Leigh and Virginia Beach (Currently on Stemi Divert) reaching near capacity as well. Immediate need for portable telemetry units, enough to monitor 10 patients. No single event, just a surge of patients city-wide. All Acute Care Facilities update their clinical status and report on availability to share/loan telemetry.

11/15/2016 Technological Mass Casualty Incident External Fire, EMS and HeaTidewater Dr. near D Tidewater Drive News / Media Glenn McBride Yes Yes No No No No Unknown Yes 11/15/2016 School bus crash on Tidewater Drive in Norfolk. 10 Injured, 1 driver and 9 students. Some patients delivered to DePaul, others reported to have been taken to SNGH and or CHKD.

10/14/16 Natural Flood Internal Portsmouth Health Department

Swanson Homes, City of Portsmouth

1746 South St, Portsmouth Direct Call Judy Cooling Unknown Yes No Yes Yes Yes Unknown Yes 10/19/16 Swanson Homes, 210 unit apartment complex, in the City of Portsmouth was heavily damaged from flooding associated with Hurricane Mathew. In the most damaged section of the complex, flood waters reacheup to the 4th step to the second floor. Some handicapped/senior units experienced water entering through the rear entrance to a depth of 1 or more inches. Concern is mold growth and rodent control.

10/08/16 Natural Hurricane Both All - Everyone Hampton Roads Regional Other Source Judy Cooling Yes Yes Yes Not Sure No Yes Yes Yes 10/25/17 Hampton Roads area experienced the effects from the remnants of Hurricane Matthew. Power Outages, generator failures, lack of staff at healthcare facilities, EMS issues and sheltering all happened over a 2 weeperiod.

10/06/16 Other Other Internal Healthcare - Riverside Health

Mary Immaculate 2 Bernardine Dr, Newport News Direct Call Shawn Metzner Unknown Yes Unknown No Yes Unknown Unknown No 10/08/16 Mary Immaculate Hospital looking for neighboring hospitals to assist them with open ICU and Telemetry Beds. RHCC assisted locating beds at neighboring hospitals

Data - Eastern Virginia Healthcare Coalition 2018Hazard and Vulnerability Assessment Tool

RISK PROBABILITY HR Mitigation Plan Ranking 2017 HUMANIMPACT

PROPERTYIMPACT

BUSINESSIMPACT

PREPARED-NESS

INTERNALRESPONSE

EXTERNALRESPONSE

* Relative threat Likelihood this will occur

Possibility of dealth or injury

Physical losses and damages

Interuption of services

Preplanning Time, effectiveness, resources

Community/Mutual Aid staff and supplies

SCORE

0 - 100% 0 = N/A1 = Low2 = Moderate3 = High

0 = N/A1 = Low2 = Moderate3 = High



0 = N/A1 = High2 = Moderate3 = Low

0 = N/A1 = High2 = Moderate3 = Low

0 = N/A1 =High2 = Moderate3 = Low

Flood or Storm Surge 31% 2 High 2 3 2 3 2 2Chemical Exposure 10% 1 Moderate 2 1 2 1 2 1Hurricane 50% 3 High 3 3 2 2 3 2Explosion 22% 2 2 1 3 1 2 1Active Shooter 29% 2 2 1 2 2 3 3Tornado 37% 3 Moderate 1 2 3 1 2 2Evacuation 31% 2 1 2 3 3 3 2Civil Unrest 10% 1 1 1 2 2 2 1Fire 27% 2 Low 3 3 2 1 1 2Sewer Failure 10% 1 0 1 2 3 2 1Epidemic 27% 2 Moderate 2 0 2 2 3 3Workplace Violence / Threat 30% 3 2 0 2 2 2 1Bomb Threat 20% 2 0 0 3 3 2 1Communication Failure 8% 1 0 0 1 3 1 2Earthquake 14% 1 Low 1 2 2 3 3 2Gas / Emmissions Leak 18% 2 1 1 1 2 2 1Hazmat Incident 33% 3 2 1 2 2 2 1Supply Chain Shortage / Failure 27% 2 1 0 2 3 3 3Internal Flood 12% 1 1 2 1 2 3 2Shelter in Place 37% 3 0 1 3 1 3 3Temperature Extremes 8% 1 2 0 1 1 1 2Landslide 4% 1 Low 1 1 0 0 0 2Mass Casualty Incident 37% 3 2 0 2 2 3 2Natural Gas Failure 8% 1 1 0 1 2 2 1Power Outage 22% 2 1 1 2 2 2 2Radiation Exposure 13% 1 2 0 2 3 3 2Suspicious Package / Substance 6% 1 1 0 1 1 1 1Water Disruption 12% 1 0 0 2 3 3 3HVAC Failure 22% 2 1 1 2 2 2 2Infectious Diseae Outbreak 20% 2 1 0 1 2 3 2IT System Outage 29% 2 1 1 3 2 3 3Strikes / Labor Action / Work Stoppage 8% 1 0 1 1 1 2 2Forensic Admission 24% 2 1 0 3 2 3 2Transportation Failure 16% 2 1 0 2 1 2 1VIP Situation 9% 1 0 0 1 3 3 1Other

SEVERITY = ( MAGNITUDE - MITGATION )

Event

Summary For - Eastern Virginia Healthcare Coalition 2018

ALERT TYPE OCCURRENCE

Command Center Activation 21Patient Care Impacts 10Business / Operational Impacts 11Structural Impacts 2Resource Request 10Recovery Plan Activated 5AAR 7Total Alert 29

2018 2018TOP 10 HVA RANK OCCURRENCE TOP 10 ACTUAL ALERTS OCCURRENCE HVA RANK

Flood or Storm Surge 1 0 Inclement Weather 5Tornado 2 1 Internal Fire 2Shelter in Place 3 0 Other 2Mass Casualty Incident 4 2 Power Outage 2 16Hazmat Incident 5 1 HVAC Failure 2 17#N/A 6 #N/A Mass Casualty Incident 2 4Evacuation 7 0 Active Shooter 1 9Workplace Violence / Threat 8 1 Bomb Threat 1 18Active Shooter 9 1 Hazmat Incident 1 5IT System Outage 10 0 Tornado 1 2

0

5

10

15

20

2521

10 11

2

10

57

Command Center Activation

Patient Care Impacts

Business / Operational Impacts

Structural Impacts

Resource Request

Recovery Plan Activated

AAR

Emergency Management

Annex II

Annex II

Introduction The Eastern Virginia Healthcare Coalition (EVHC) is a collaboration of health care organizations and providers, public health departments, and community partners working together to care for the community before, during and after an emergency.

The EVHC provides benefits, resources and funding awards to all health care organizations in all the various phases of Emergency Management.

Preparedness The EVHC region covers 26 different jurisdictions in Eastern Virginia. Our Core Membership consists of Hospitals, Public Health, Emergency Medical Services and Emergency Management in each of these jurisdictions. Our Partner Membership includes federal and private health care facilities including but not limited to Long Term Care, Skilled Nursing Care, Ambulatory Care Centers, Community Health Centers, Hospice, Home Health and various volunteer organizations.

The EVHC is governed by a Charter, Bylaws, and Memorandum of Understanding’s (MOU’s) that are overseen by an Executive Council consisting of one representative from each of Core Membership groups. The daily operations of the EVHC are handled by three full time staff members and one part-time staff member. This includes a Regional Health Care Coordinator, Regional Healthcare Coordination Center Manager, Long Term Care/Skilled Nursing Coordinator and an Inventory Management Specialist.

The EHVC holds monthly business meetings and has workgroups that focus on Training and Exercises and Preparedness and Response. All meetings are open to anyone from the Core and Partner Member organizations that have a direct duty or interest in Emergency or Disaster Management.

Additional preparedness activities of the EVHC include conducting healthcare facility site visits, assisting with planning Hazardous Vulnerability Analysis’s (HVA’s) and evaluating health care exercises. Based on information found during these site visits, from the HVA’s, and in exercise After Action Reports/Improvement Plans the EVHC offers quarterly training courses. Basic and Advanced Disaster Life Support, the National Incident Command System, Certified Hospital Emergency Coordinator and the American Burn Life Support are some of the courses that have been offered in the past and will continue to be offered in the future.

The EVHC host’s exercises through-out the year based on threats and risk identified that can or have occurred in the region. The majority of these Exercises involve coalition communication systems and Mobile Medical Assets. All exercises, trainings, site visits and monthly meetings are open to all Core and Partner Members.

Response The EVHC maintains a Regional Healthcare Coordination Center (RHCC) overseen by a full-time RHCC Manager. The RHCC and RHCC Manager are the health care equivalent to a Regional Emergency Operations Center (EOC) and Regional Emergency Manager. During an emergency or disaster, the RHCC supports health care facilities with decision making and resource coordination. The regional RHCC bridges the on-site health care incident command team with the local EOC, specifically with the Emergency Support Function – 8 Medical and Public Health. During a large disaster or a “no-notice” emergency, the RHCC can also request a

Annex II

specific resource immediately from other the five regional Healthcare Coalitions or the State EOC.

The RHCC can coordinate and support health care or “Clinical” resources of

Medical Equipment and Supplies Pharmaceuticals

Staff

Through MOU’s every hospital in the region has agreed to share specific medical equipment with not only all other hospitals but with any other healthcare facility that has a specific need. The EVHC refers to this equipment as Mobile Medical Assets (MMA). The RHCC maintains an MMA Deployment Plan that is used for sharing between facilities during a pre-planned event or during an emergency. A list of MMA that is available through the EVHC RHCC and is listed in the final section of this document. It is important to note that list of MMA is not inclusive of all the MMA that may be shared.

For Non Clinical resource requests, a health care facility will need to contact their local EOC. Examples of Non-Clinical resources include

Food

Annex II

Fuel

Water

The EVHC maintains two fixed facility RHCC’s, one in Chesapeake and one in Newport News and two mobile RHCC’s that are available to travel any healthcare facility in the region. The RHCC Manager is assisted by EVHC Primary On-Call Staff during non-business hours and is available 365 days a year. Each RHCC relies on a minimum of 3 redundant communications systems for both daily and emergency communication.

The RHCC is responsible for consolidating and exchanging situational awareness for the region. The RHCC utilizing several communications systems for this including phones, radios, social media and web-based systems. One of the main communications systems the RHCC relies on is the Virginia Healthcare Alerting and Status System or VHASS.

VHASS is a web-based system that is used primarily to track the status of available health care beds as well as patients that are transferred from the field or residents that are transferred from one health care facility to another during an evacuation. VHASS also tracks healthcare resources on a daily basis specifically available Emergency Department or “MCI Beds” beds and licensed or “Clinical Beds” Other health care resources that can be reported using VHASS include:

Annex II

Critical Care Beds Morgue Space National Disaster Medical System Beds Blood Availability Healthcare Facility Security Status

Facility and Utility Operational Status

The RHCC Manager utilizes VHASS on a daily basis for non-emergency health care situational awareness, communication and resources coordination. All Core and Partner members designate at least one of their staff members to have an account and participate in VHASS during an emergency and at a minimum on a quarterly basis during exercises and bi-monthly communication tests.

Recovery and Business Continuity The EHVC support’s effected health care entities in the post-emergency recovery process by assisting the health care delivery system to restore operations and repatriate patients. The EVHC, along with its government partners (local, state, and federal), can assist its members with the local, state and/or federal process for reimbursement, reconstitution, and resupply.

Additionally, the EVHC may also assist with re-stocking and replacement of any Mobile Medical Assets in the local health care caches that are damaged or used during disaster operations.

The EVHC coordinates resources that can be used for Continuity of Operations such as medical tents, or portable air conditioners. Over the last several years some healthcare facilities in the region have taken advantage of coalition funding to install “quick connects” to their building for portable generators and many hospitals have had water wells installed on their property for non-potable water. These efforts will assist our region after a large disaster. The RHCC ensures that all healthcare facilities are a priority for other utility restoration and continuity and can work with healthcare organizations to locate other vendors or suppliers if their manager supply chain

EVHC RHCC MMA The next section contains a list of Medical Equipment and Supplies that have been placed through-out the region which may be available in an emergency or a disaster by contacting the RHCC at (844) 757-7422.

Annex II

EVHC

Mobile Medical Assets

MOBILE REGIONAL HEALTHCARE COORDINATION CENTERS

Annex II

Mobile Communication Trailers hosted by Riverside Health System and Sentara Health System

Key Features of the 2 Mobile RHCC’s

Amateur Radio BGAN Football Suitcase (Wireless Internet, Phone, SMS Messaging, Voicemail) Coffee Maker External Mounted Camera System Generator or Shore Powered Hand Light Cache Heating and Air Conditioning Laptop Workstations Marine Radio Microwave Portable Radios Printer Refrigerator Satellite Phone Satellite Television VHASS Workstations 800 VHF Radio Weather Station

HAMPTON ROADS MCI BUSES

Annex II

Mass Casualty Evacuation Transport Units hosted by Riverside Health System and Sentara Health System

Key Features of the 2 MCI Buses

Transports 18 Stretcher (Non Ambulatory) Patients Transports 10 Seated (Ambulatory) Patients Transports 2 Medical Attendants EVX5400 Mobile Radio Basic EMS Supplies Trauma Gloves NPA 28F Chest Seal Twin Packs CAT Tourniquets Trauma Dressings Compressed Gauze Combat Gauze Capability/Capacity Equals 11 Ambulances

**There are 8 other Mass Casualty Evacuation Transport Units hosted by various Fire/EMS Departments through-out the EVHC region. Equipment varies in each. Capacity is the same as above.

EVHC BURN KITS

Annex II

Burn Kits hosted by

Hospital City QTY Bon Secours DePaul Medical Center Norfolk 1

Bon Secours Mary Immaculate Medical Center

Newport News 1

Bon Secours Maryview Medical Center Portsmouth 1 Bon Secours Rappahannock General Hospital

Kilmarnock 1

Chesapeake Regional Medical Center Chesapeake 1 Childrens Hospital of the Kings Daughters CHKD

Norfolk 1

Riverside Doctors Hospital Williamsburg Williamsburg 1 Riverside Regional Medical Center Newport News 1 Riverside Shore Memorial Hospital Onancock 1 Riverside Tappahannock Hospital Tappahannock 1 Riverside Walter Reed Hospital Gloucester 1 Sentara CarePlex Hospital Hampton 1 Sentara Leigh Hospital Norfolk 1 Sentara Norfolk General Hospital Norfolk 2 Sentara Obici Hospital Suffolk 1 Sentara Princess Anne Hospital Virginia Beach 1 Sentara Virginia Beach General Hospital Virginia beach 1 Sentara Williamsburg Regional Medical Center

Williamsburg 1

Southampton Memorial Hospital Franklin 1 * Each Burn Kit can care for 10 Severe to Moderate Burn Patients and 20 Minor Burn

Patients

EVHC BURN KITS

Annex II

Each Burn Kit contains the following

Bag, Tall, Kitchen, 13gal, White

Bandages Tubular Net Latex-Free Size 1, 25yds, RL

Bandages Tubular Net Latex-Free Size 10, 25yds, RL

Bandage Tubular Net Latex-Free Size 3, 25yds, RL



Basins, Emisis, Graduated, Kidney Shaped

Caps, Bouffant 21"

Case, Mobile, 50 Gallon

Cloths, Sani, Hb,

Cream, Sulfamylon 8.5%, 4oz

Depressors, Tongue, Junior Size, Sterile, 5.5"

Drapes, Sheet, Tissue, Sterile, 18"x26",

Dressings, Burn Gauze, 18"x18", 10-ply

Essential Bath Lite Fragrance Free

Gauze, Sponges, 2"x2", 8-ply, Sterile

Gauze, Sponges, 4"x4", 12-ply, Sterile

Gauze, Sterile, 6" Rolls

Gloves, Exam, Non-Sterile, Powder-Free, Vinyl, Large

Gloves, Exam, Non-Sterile, Powder-Free, Vinyl, Medium

Gloves, Exam, Non-Sterile, Powder-Free, Vinyl, Small

Gowns, Iso, Yellow, Med Weight, One Size Fits All

Masks, Procedure, Yellow, w/ Ear Loops

Ointment, Bacitracin, 1oz Tubes

Sanitizers, Hand Gel, Alcohol Based, Pump, 2L

Scissors, Utility, 7.25"

Scrub Brushes, Surgical, Inpregnated with 4% CHG

Silver Sulfadiazine (Silvadene), Cream, 1%, 50gm Jars

Tape, Chemical, PK/5

Tape, Surgical, Durapore (Silk), 2"x10yd

Trays, Suture Removal

EVHC PORTABLE AIR CONDITIONER/HEATER

Annex II

Pediatric Kits hosted by

Hospital City QTY Bon Secours DePaul Medical Center Norfolk 1 Bon Secours Mary Immaculate Medical Center

Newport News 1


Kilmarnock 1


Norfolk 1


Williamsburg 1

Southampton Memorial Hospital Franklin 1


Annex II

Each Pediatric Kit contains 28 equipment packs divided into 7 colored coded pockets

Adjustable Sternal/Iliac needles Baby Blue* and 1 Pedi Blue* manual resuscitator Berman Airways BP Manometers Endotracheal tubes Infant, Child and Small Adult Cuff-Able* BP Cuffs IV catheters IV extension sets Nasogastric tubes Non-rebreathing oxygen masks with tubing Pediatric Scale Small and 1 Large set of Magil Forceps Stylets Suction catheters Vital View Laryngoscope Blade(s)

** Each pocket is based on size of pediatric patient. Each kit can treat at minimum 7 patients depending on injury.


Annex II

Flight 60 Ventilators hosted by


Newport News 2


Kilmarnock 2


Norfolk 2


Williamsburg 2


HT 50 Ventilator Features

12 hours internal battery Trends – display up to 72 hours Extensive alarm system Lung Mechanics including Plateau

Pressure Exhaled volume monitoring Pediatric to adult – 30 ml – 2.2 liter 7” color touch screen 5 programmable pre-sets 12 hours internal battery Trends – display up to 72 hours


Annex II

Whynter Portable AC/Heater Riverside Health System (RHS) and Sentara Health System (SHS) 24 at RHS 24 at SHS Key Features of Air Conditioner/Heaters 14,000 BTU Cooling 13,000 BTU Heating Three operational modes: Air conditioner, fan or dehumidifier Digital remote control Cooling thermostatic control (61°F – 89°F) Heating thermostatic control (61°F – 77°F) 24 hour programmable timer Unit dimensions: 19″ W x 16″ D x 35.5″ H Gross weight: 100 lbs

EVHC PATIENT DECONTAMINATION

Annex II

EVHC Patient Decontamination System hosted by


Newport News 1


Kilmarnock 0


Norfolk 1


Williamsburg 1


EVHC PATIENT DECONTAMINATION

Annex II

Each Decontamination System includes the following

3 Line Decontamination Shelter Catch Basin for gray water Conveyor System for Non-Ambulatory Patients Floor Platform Patient Privacy Kits Two Shower Lines for Ambulatory Patients Personal Protective Equipment for a 6 to 12 person team depending on size of the following Level C Hazardous Material Suits Chemical Boots Inner and Outer Gloves Power Air Purifying Respirators (PAPR’s)Water Bladder for gray water

HOSPITAL CHEMPACKS

Annex II

Base X Tents hosted by


Newport News 1


Kilmarnock 1


Norfolk 1


Williamsburg 1


HOSPITAL CHEMPACKS

Annex II

Each tent comes with the following minimum equipment

3.5 Ton Air Conditioner/HVAC and ducting Light Kit (4 Lights) Generator Tent Anchor Kit Optional Additional Equipment that was purchased by some hospitals Portable Beds/Cots Sink Water Systems (Non- Potable and Gray water) Tripod Lights Crash Carts Power Distribution Kits

HOSPITAL CHEMPACKS

Annex II

HOSPITAL CHEMPACKS

Annex II

HOSPITAL CHEMPACKS

Annex II

HOSPITAL CHEMPACKS

Annex II

HOSPITAL CHEMPACKS

Annex II

CHEMPACKS hosted by following

Virginia Chempack Locations and Primary Points of Contact as of March 2016 Cache Location Address

VDH Eastern Region

Bon Secours Maryview Medical Center

3636 High Street, Portsmouth, VA 23707

Chesapeake Regional Medical Center

736 N. Battlefield BLVD., Chesapeake, VA 23320

Rappahannock General Hospital

101 Harris Drive, Kilmarnock, VA 22482

Sentara Princess Anne 2025 Glenn Mitchell Drive, Virginia Beach, VA 23456 Sentara Norfolk General Hospital

600 Gresham Drive, Norfolk, VA 23507

Sentara Virginia Beach General Hospital

1060 First Colonial Road, Virginia Beach, VA 23454

Sentara Williamsburg Regional Medical Ctr

100 Sentara Circle, Williamsburg, VA 23188

Riverside Regional Medical Center

500 J. Clyde Morris Blvd, Newport News, VA 23606

Riverside Shore Memorial Hospital

9507 Hospital Avenue, Nassawadox, VA 23413

Southampton Memorial Hospital

100 Fairview Drive, Franklin, VA 23851

**Each Chempack holds enough pharmaceutical supplies to initially treat up to 1000 chemically contaminated victims

EASTERN VIRGINIA HEALTHCARE COALITION 1104 Madison Plaza, Suite 201

Chesapeake, VA 23320 757‐963‐0632

Approved by Coalition Members April 5, 2018

CHARTER

MISSION/PURPOSE

The Eastern Virginia Healthcare Coalition (“Coalition”) is a collaboration of healthcare organizations and providers and suppliers, public health departments, Emergency Medical Services (including transport agencies), Emergency Management Agencies and community partners working together to care for the region before, during and after an emergency. The EVHC will provide direct support and liaison to the Virginia Department of Health (VDH) and Virginia Hospital and Healthcare Association (VHHA) in their administration of the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness Program (HPP) Cooperative Agreement. The Eastern Virginia Healthcare Coalition endeavors to develop and promote the emergency preparedness, mitigation, response and recovery capabilities of local healthcare entities by: Strengthening community medical resiliency, surge capacity and capabilities Building relationships and partnerships Developing emergency preparedness, mitigation, response and recovery capability guidelines Facilitating communication, information and resource sharing Maximizing utilization of existing resources Develop and Coordinate training, drills, and exercises Guiding and supporting the function of the Regional Healthcare Coordination Center GEOGRAPHIC BOUNDRIES The Coalition is an inclusive body open to all organizations/entities that provide or support health services within the following 26 jurisdictions of Eastern Virginia who will work collaboratively on emergency preparedness, mitigation, response and recovery activities: Accomack County, Chesapeake, Essex County, Franklin, Gloucester, Hampton, Isle of Wight County, James City County, King and Queen County, King William County, Lancaster County, Matthews County, Middlesex County, Newport News, Norfolk, Northampton County, Northumberland County, Poquoson, Portsmouth, Richmond County, Southampton County, Suffolk, Virginia Beach, Westmoreland County, Williamsburg, and York County. ORGANIZATION/STRUCTURE The Coalition has:

1. A Chair and Vice Chair whose duties are outlined in Section III. 2. An Executive Council to conduct Coalition business as directed by the membership. 3. A Regional Healthcare Coordinator and staff for day to day operations. 4. Membership that includes core and partner organizations and entities. 5. Subcommittees and workgroups as requested and organized by the membership that will

function temporarily or long‐term, as needed. FUNDING The Coalition is a non‐profit organization and receives directed funding for activities, operations and staff through grants from the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) Hospital Preparedness Program (HPP) Cooperative Agreement. The Coalition recognizes the strong need to identify sustainment funding sources.


Chesapeake, VA 23320 757‐963‐0632


BYLAWS

I. MEMBERSHIP A. Core Organizations

1. Core organization members of the Eastern Virginia Healthcare Coalition are listed in Appendix A. 2. Core organizations sign an Organizational Memorandum of Understanding with the Eastern

Virginia Healthcare Coalition. 3. Core organizations will create and maintain accuracy of an organizational account in the Virginia

Healthcare Alerting and Status System (VHASS). 4. Core organizations appoint one primary and one alternate representative to the Coalition. The

representative will have the authority to represent and speak on behalf of the core organization. 5. Core organization representatives serve term lengths as determined by the sponsoring

organization. 6. Core organization representatives are eligible to fill Executive Council positions. 7. If an individual representing a core organization withdraws from participation, the core

organization will appoint a new representative within 60 days. 8. Individuals may represent more than one core organization, but must clearly be acting in the

interests of each represented core organization independently. 9. A Coalition member’s time during Coalition planning and activities is compensated by their

organization without reimbursement from the Coalition. B. Partner Organizations

1. Partner organization membership to the Eastern Virginia Healthcare Coalition is open to the organization types listed in Appendix B that are located within the Coalition’s geographical boundaries.

2. Partner organizations appoint one primary and one alternate representative to the Coalition. The representative will have the authority to represent and speak on behalf of the partner organization.

3. Partner organization representatives serve term lengths as determined by the sponsoring organization.

C. Invited Guests Collaborating organizations and subject matter experts may attend Coalition meetings and activities and may fully engage in Coalition discussions and other activities, but have no vote. D. Member Responsibilities:

1. Provide representation at Coalition meetings and activities. 2. Participate in collaborative regional preparedness planning. 3. Participate in the development of surge capacity plans, inter‐organizational agreements, and

collaborative emergency response plans. 4. Contribute to meeting Coalition priorities, goals, and contractual deliverables. 5. Respond to regional emergencies and disasters in collaboration with other members. 6. Support the activities and operations of the Regional Healthcare Coordinating Center. 7. Work to implement emergency preparedness and response capability guidelines within the

organization’s activities.


Chesapeake, VA 23320 757‐963‐0632


8. Vote on the members EVHC Leadership E. Membership Roster A current roster of member organizations, including core or partner designation and contact information, will be maintained by the Regional Healthcare Coordinator. A meeting attendance roster of member organizations will also be maintained. F. Changes in Member Representation All changes in member representation must be submitted in writing to the Coalition on a new Organizational Memorandum of Understanding, endorsed by the representative’s organizational senior leadership.

II. MEETINGS and VOTING A. Scheduling Coalition meetings will be scheduled on the first Thursday of each month at 9:00 a.m. Electronic notice and agendas for all meetings shall be transmitted at least 5 working days in advance of the meetings. B. Venue Meetings will be held at locations convenient for members with Web conferencing as an alternative to in‐person attendance at meetings. C. Attendance Meetings may be attended in person, by conference call or by other electronic means. D. Emergency meetings Emergency meetings may be convened at the request of the Coalition Chair provided that electronic notice is given to each member at least 48 hours prior to the proposed meeting stipulating the time, place and objective of the meeting. No business may be transacted at an emergency meeting except that specified in the notice. E. Quorum and Voting No quorum at a Coalition meeting is required for a vote. Simple majority will rule though compromise and collaboration will always be sought. III. LEADERSHIP A. Coalition Chair

1. Election a. The Chair will be elected for a one year term for each calendar year by the core and

partner organization members. b. To be eligible to stand for election the individual will be a representative of a core

organization and have attended 50% of that calendar year’s Coalition meetings. c. The Vice Chair will be placed into nominations for Chair on the agenda of the November

meeting agenda for action and election during the December meeting.


Chesapeake, VA 23320 757‐963‐0632


i. A motion from the floor for additional candidate nominations may be brought up for a vote before the Coalition.

ii. With a passed motion to call for additional nominations, the floor will be opened for additional nominations to the position of Chair.

iii. Only individuals accepting a nomination will be considered for election. iv. A motion to close nominations must be made and passed to officially identify

the individuals nominated for Chair at the December meeting. d. In the event of the unexpected departure, resignation, or removal from office, the Vice

Chair replaces the Chair, subject to a ratification of the Executive Council at their next meeting.

e. Nominations shall be made in a fashion to maintain the multi‐disciplinary, multi‐regional composition of the Coalition.

2. Duties a. Chairs Coalition Meetings. b. Reviews and approves meeting agendas. c. Works closely with the Regional Healthcare Coordinator on current issues concerning

the Coalition. d. Creates an environment that encourages and rewards cooperation, collective problem‐

solving and participative decision‐making. e. Available to the membership for information exchange concerning the Coalition. f. Acts in the general interests of the Coalition and its membership. g. Assumes additional duties from time to time and as appropriate to facilitate the

function of the Coalition. B. Coalition Vice Chair

1. The Vice Chair will be elected for a one year term for each calendar year by the core and partner organization members.

a. Nominations for Vice Chair will be solicited at the November meeting for action and election during the December meeting.

i. A motion from the floor for candidate nominations will be brought up for a vote before the Coalition.

ii. With a passed motion to call for nominations, the floor will be opened for nominations to the position of Vice Chair.

iii. Only individuals accepting a nomination will be considered for election. iv. A motion to close nominations must be made and passed to officially identify

the individuals nominated for Chair at the December meeting. 2. To be eligible to stand for election the individual will be a representative of a core organization

and have attended 50% of that calendar year’s Coalition meetings. 3. The names of individuals nominated for Vice‐Chair will be listed on the December meeting

agenda for elections taking place during the December meeting. 4. Duties are the same as Chair except Vice Chair will not chair Coalition meetings unless Chair is

absent. 5. Acts for the Chair in his/her absence. 6. Nominations shall be made in a fashion to maintain the multi‐disciplinary, multi‐regional

composition of the Coalition.


Chesapeake, VA 23320 757‐963‐0632


C. Regional Healthcare Preparedness Coordinator 1. Hired or contracted by the Virginia Hospital and Healthcare Association. 2. Responsible for management, day to day operations, and administrative support of the

Coalition. 3. Supervise the Regional Healthcare Coordinating Centers (RHCC).

D. Executive Council The Executive Council is comprised of the Chair, Vice‐Chair and one (1) representative from the following membership groups: Southside Hospitals, Peninsula Hospitals, Long Term Care, End Stage Renal Disease, Emergency Management Agency, Emergency Medical Services, and Public Health.

1. Election a. To be eligible to stand for election to the Executive Council a member representative must

have attended two (2) of the last four (4) Coalition meetings. b. Nominations for membership to the Executive Council will occur during the November

meeting. c. The names of individuals nominated for the Executive Council will be listed on the

December meeting agenda for elections taking place during the December meeting. d. In the event of the unexpected departure, resignation, removal from office or any new

vacancies on the Executive Council will be filled as soon as possible by vote of the coalition members.

e. Nominations shall be made in a fashion to maintain the multi‐disciplinary, multi‐regional composition of the Executive Council.

f. Executive Council members will serve for two years, except Chair and Vice chair shall be one year.

g. There is no limit to the number of successive terms an Executive Council member may serve.

2. Duties and Scope of Responsibilities a. Lead the strategic planning process and continued development of the Coalition. b. Provide budgetary oversight and approve budget requests. c. Provide oversight on development of regional and health sector emergency preparedness

plans. d. Provide oversight and approve recommended work‐plans and budget requests of Coalition

subcommittees, workgroups and projects.

F. Conducting Business and Voting 1. A quorum is necessary to conduct official Coalition business at an Executive Council meeting 2. A quorum is 75% of Executive Council members participating in the meeting or vote.

a. If a quorum is not present at a meeting, business will take place under the condition that any motions put forth to a vote will be presented to absent Executive Council members via email, conference call or other electronic means in order to receive a quorum vote. A reasonable amount of time will be allowed for receipt of absentee votes. Votes will be received no more than 5 business days from the date of the meeting. Notice will be sent no later than the next business day following the meeting. Such special votes will only be held if discussion has occurred at a previous meeting. If a quorum is not obtained the motion fails.


Chesapeake, VA 23320 757‐963‐0632


b. Proxy voting is allowed. Attendance requirements apply to proxy votes. Proxy instructions must be sent to the Coalition Chair in writing prior to the meeting.

IV. SUBCOMMITTEES and OTHER GROUPS The Coalition may establish subcommittees and workgroups to perform such tasks and duties as deemed appropriate by the Coalition. Each subcommittee and workgroup will have a charter to define duties and responsibilities and its Chair will provide progress reports at Coalition meetings. Members are appointed to subcommittees and workgroups as approved by the Coalition Chair and subject to approval of the membership. The following standing workgroups have been established to ensure the operations and activities of the Coalition are maintained:

1. Budget Workgroup 2. Regional Healthcare Coordination Center Workgroup 3. Training and Exercise Workgroup

Outcomes of subcommittees and other groups are ratified by the Executive Council before action. V. AMENDING THE BYLAWS Amendment of these bylaws may be proposed at any meeting of the Coalition. The amendment shall be acted on at the following Executive Council meeting provided a copy of such proposed amendment(s) are distributed at least thirty (30) days in advance of such meeting or fully stated at the first meeting, and attached to the electronic notice for that meeting. A two‐thirds majority vote by the Executive Council is required for the amendment to carry. VI. LEGAL DISCLAIMER Indemnification and Limits of Liability This Charter and Bylaws shall not be interpreted or construed to create an association, joint venture separate legal entity or partnership among the Coalition members or to impose any partnership obligation or liability upon any Coalition member. Further, no Coalition member shall have any undertaking for or on behalf of, or to act as or be an agent or representative of, or to otherwise bind any other Coalition member. No Coalition member shall be required under this Charter to indemnify, hold harmless and defend any other Coalition member from any claim, loss, harm, liability, damage, cost or expense caused by or resulting from the activities of any Coalition officers, employees, or agents acting in bad faith or performing activities beyond the scope of their duties. In the event of any liability, claim, demand, action or proceeding, of whatever kind or nature arising out of participation in a unified health and medical response to an emergency, the Coalition member agrees to indemnify, hold harmless, and defend, to the fullest extent of the law, each Coalition member, whose only involvement in the transaction or occurrence which is the subject of such claim, action, demand, or other proceeding, is the approval of this Charter.


Chesapeake, VA 23320 757‐963‐0632


This Charter and Bylaws shall not supersede any existing mutual aid agreement or agreements. APPROVAL OF CHARTER and BYLAWS: The Charter and Bylaws are adopted by a vote of the Eastern Virginia Healthcare Coalition core organization membership. Date Approved: Chair: _____________________________ (Signature) Name: ____________________________ Vice Chair: _________________________ (Signature) Name: ____________________________

EVHC April 5, 2016


Chesapeake, VA 23320 757‐963‐0632


Appendix A

Eastern Virginia Healthcare Coalition Core Members (As 4/5/2018)

1. Hospitals 2. Religious Nonmedical Health Care Institutions (RNHCIs) 3. Ambulatory Surgical Centers (ASCs) 4. Hospices 5. Psychiatric Residential Treatment Facilities (PRTFs) 6. All‐Inclusive Care for the Elderly (PACE) 7. Transplant Centers 8. Long‐Term Care (LTC) Facilities 9. Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 10. Home Health Agencies (HHAs) 11. Comprehensive Outpatient Rehabilitation Facilities (CORFs) 12. Critical Access Hospitals (CAHs) 13. Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical

Therapy and Speech‐Language Pathology Services 14. Community Mental Health Centers (CMHCs) 15. Organ Procurement Organizations (OPOs) 16. Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 17. End‐Stage Renal Disease (ESRD) Facilities 18. Public Health Departments 19. The Hampton Roads Metropolitan Medical Response Strike Team 20. The Tidewater Emergency Medical Services Council 21. The Peninsula Emergency Medical Services Council 22. Jurisdictional Emergency Management


Chesapeake, VA 23320 757‐963‐0632


Appendix B

Eastern Virginia Healthcare Coalition Partner Members (As of 4/5/2018)

1. Military Treatment Facilities 2. Veterans Administration Health Centers 3. Mental/Behavioral Health Providers 4. Hampton Roads Planning District Commission 5. Private Entities 6. State and Federal Entities 7. Local and State Law Enforcement 8. Public Works 9. Private Organizations 10. Non‐governmental Organizations 11. Volunteer Organizations Active in Disaster (VOAD) 12. Faith‐based Organizations 13. Community‐based Organizations (CBOs) 14. Health Educational Institutions 15. Departments of Human and Social Service

Rev: 07/06/2017 EVHC FY17‐BP1 Training Calendar * Does NOT Include Excercises

Start Date End Date Course Title Instructor(s) Course Location Course City Sponsor

13‐Jul‐17 13‐Jul‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

27‐Jul‐17 27‐Jul‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

10‐Aug‐17 10‐Aug‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

23‐Aug‐17 24‐Aug‐17 ICS‐400: Advanced ICS for Command and General Staff VDEM Instrs Tidewater EMS Council Chesapeake HRMMRS

24‐Aug‐17 24‐Aug‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

14‐Sep‐17 14‐Sep‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

22‐Sep‐17 24‐Sep‐17 ICS‐300: Intermediate ICS for Expanding Incidents VDEM Instrs Eastern Shore Regional Fire Training Center Melfa ESEMS

28‐Sep‐17 28‐Sep‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

12‐Oct‐17 12‐Oct‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

25‐Oct‐17 26‐Oct‐17 ICS‐300: Intermediate ICS for Expanding Incidents VDEM Instrs Tidewater EMS Council Chesapeake HRMMRS

26‐Oct‐17 26‐Oct‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

30‐Oct‐17 1‐Nov‐17 TEEX PER 212 ‐ OPERATIONAL LEVEL RESPONSE TO HAZMAT/WMD TEEX City of Hampton Fire Training Center Hampton HRMMRS/EVHC

4‐Nov‐17 4‐Nov‐17 Mass Casualty Incident Management ‐ I Judy Shuck Tidewater EMS Council Chesapeake HRMMRS

8‐Nov‐17 12‐Nov‐17 Virginia EMS Symposium Misc. Norfolk Waterside Marriott Norfolk Va OEMS

9‐Nov‐17 9‐Nov‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

23‐Nov‐17 23‐Nov‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

6‐Dec‐17 7‐Dec‐17 ICS‐400: Advanced ICS for Command and General Staff VDEM Instrs Tidewater EMS Council Chesapeake HRMMRS

14‐Dec‐17 14‐Dec‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

28‐Dec‐17 28‐Dec‐17 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

July 2017

August 2017

September 2017

October 2017

November 2017

December 2017

1 of 8



11‐Jan‐18 11‐Jan‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

25‐Jan‐18 25‐Jan‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

26‐Jan‐18 26‐Jan‐18 Basic Disaster Life Support ‐ BDLS

Near SW Prep

Coalition/EVHC Western Tidewater HD Suffolk EVHC

3‐Feb‐18 3‐Feb‐18 Mass Casualty Incident Management ‐ I Judy Shuck Tidewater EMS Council Chesapeake HRMMRS

8‐Feb‐18 8‐Feb‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

6‐Feb‐18 8‐Feb‐18 Certified Healthcare Coordinator Course (CHEC) Augusta University Williamsburg Landing Williamsburg EVHC

22‐Feb‐18 22‐Feb‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

8‐Mar‐18 8‐Mar‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

10‐Mar‐18 10‐Mar‐18 Basic Disaster Life Support ‐ BDLS

Near SW Prep

Coalition/EVHC Shore Fire Training Center Melfa EVHC

11‐Mar‐18 11‐Mar‐18 MCIM‐I & II Course Jay Porter/Judy Shuck IOWVRS Smithfield TEMS/HRMMRS

22‐Mar‐18 22‐Mar‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

24‐Mar‐18 24‐Mar‐18 MCIM‐I Course Judy Shuck Tidewater EMS Council Chesapeake HRMMRS

EVHC

12‐Apr‐18 12‐Apr‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

17‐Apr‐18 18‐Apr‐18 Advanced Disaster Life Support

Near SW Prep

Coalition/EVHC Virginia Beach Fire Training Center Eastern Region EVHC

26‐Apr‐18 26‐Apr‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region

EVHC

10‐May‐18 10‐May‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

15‐May‐18 17‐May‐18 Hospital Emergency Response Team (HERT) Training CDP/Sentara RN Riverside Medical College Newport News EVHC

24‐May‐18 24‐May‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

April 2018

May 2018

January 2018

February 2018

March 2018

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2‐Jun‐18 2‐Jun‐18 Mass Casualty Incident Management ‐ I Judy Shuck Tidewater EMS Council Chesapeake HRMMRS

12‐Jun‐18 12‐Jun‐18 Highly Infec ous Disease Training ‐ TEEX PER 320 ‐ Personal Protec v TEEX Sentara Princess Anne Hospital (SPAH) VB SPAH

14‐Jun‐18 14‐Jun‐18 Highly Infectious Disease Training ‐ TEEX PER 320 ‐ Personal Protect TEEX Mary Immaculate Hosp. Newport News MIH

14‐Jun‐18 14‐Jun‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

28‐Jun‐18 28‐Jun‐18 HEART Directed NET Ira & Paul Swartz Over‐the‐Air (Frequency 147.300) Eastern Region EVHC

June 2018

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Rev: 07/06/2017 EVHC FY17‐BP1 Exercise Calendar * Does NOT Include Training

Start Date End Date Test, Drill or Exercise Name

Exercise Director /

Primary Staff Support Exercise Location Exercise City Sponsor

TBD TBD Regional Healthcare Communications Test Shawn Metzner NA NA EVHC

07‐Jul‐17 07‐Jul‐17 Hurricane Exercise ??? Sentara Princess Anne Hospital Virginia beach Sentara


08‐Aug‐17 08‐Aug‐17 Fresenius Hurricane TTX McBride TEMS Hampton Roands Fresenius

10‐Aug‐17 10‐Aug‐17 Naval Air Station Oceana Pre‐Air Show MCI Full Scale Exercise John Heistand, ITO Naval Air Station Oceana Virginia Beach CINC / NAVAIR / NASO


15‐Aug‐17 15‐Aug‐17 Fresenius Hurricane TTX Glenn McBride TEMS Hampton Roands EVHC

25‐Aug‐17 25‐Aug‐17 Naval Medical Center Portsmouth MCI Full Scale Exercise Barton Allen Naval Medical Center Portsmouth Portsmouth CINC / BUMED / NMCP



23‐Sep‐17 23‐Sep‐17 Flu Ex '17 & Ponit‐Of‐Dispensing Full Scale Exercise Respective VDH District

Emergency Planners

Various Locations Various VDH


25‐Sep‐17 25‐Sep‐17 Hospice Hurricane TTX Glenn McBride TEMS Chesapeake EVHC


17‐Oct‐17 17‐Oct‐17 Eastern Shore Annual Dispensing Exercise JJ Justis Onley Community Health Center Onley VDH

19‐Oct‐17 19‐Oct‐17 Southeast Shake Out Drill Judy Shuck Various Various EVHC

24‐Oct‐17 24‐Oct‐17 Interim Home Healthcare Hurricane TTX Glenn McBride Interim Home Health Newport News Interim

25‐Oct‐17 25‐Oct‐17 Amedysis Home Healthcare Hurricane TTX Glenn McBride Amedysis Home Health Williamsburg Amedysis

26‐Oct‐17 26‐Oct‐17

Norfolk Naval Shipyard‐Sentara Norfolk General Hospital Radiation

Drill NNSY / Blake Turner

Norfolk Naval Shipyard & Sentara Norfolk

General Hospital

CINC/NAVSEA‐08 &

Sentara


30‐Oct‐17 30‐Oct‐17 Active Shooter Exercise Chris Roberts Sentara Virginia Beach General Hospital Virginia Beach Sentara

30‐Oct‐17 30‐Oct‐17 VMASC Active Shooter Full Scale Exercise ??? Virginia Modeling & Simulation Center Suffolk ???

02‐Nov‐17 02‐Nov‐07 Coalition Surge Test TTX ‐ Acute Care Hospitals Judy Shuck Tidewater EMS Council Chesapeake EVHC

03‐Nov‐17 03‐Nov‐17

Sentara Health System Long Term Care Facility Evauation Tabletop

Exercise Patti Montes Various Various Sentara

03‐Nov‐17 03‐Nov‐17 Regional Healthcare Communications Test ‐ VHASS Event Board Shawn Metzner RHCC Various EVHC

July 2017

August 2017

September 2017

October 2017

November 2017

4 of 8



Exercise Director /

Primary Staff Support Exercise Location Exercise City Sponsor17‐Nov‐17 17‐Nov‐17 Sentara Albermarle Evacuation Exercise Patti Montes Sentara Albermarle Hospital Elizabeth City, NC Sentara

22‐Nov‐17 22‐Nov‐17 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

01‐Dec‐17 01‐Dec‐17 Regional Healthcare Communications Test ‐ VHASS Patient Tracking Shawn Metzner RHCC Various EVHC

21‐Dec‐17 21‐Dec‐17 Coalition Surge Test TTX ‐ Long Term Care Facilities Judy Shuck Tidewater EMS Council Chesapeake EVHC

29‐Dec‐17 29‐Dec‐17 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

December 2017

5 of 8



Exercise Director /


05‐Jan‐18 05‐Jan‐18 Regional Healthcare Communications Test Phone/Fax Shawn Metzner RHCC Various EVHC

21‐Jan‐18 21‐Jan‐18

Operation Tsunami Simulated Emergency Test (Amateur Rdio ‐

HEART) Ira & Paula Schwrtz Various HEART Facilities Various

26‐Jan‐18 26‐Jan‐18 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

02‐Feb‐18 02‐Feb‐18 Regional Healthcare Communications Test ‐ VHASS Status Boards Shawn Metzner RHCC Various EVHC

23‐Feb‐18 23‐Feb‐18 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

02‐Mar‐18 02‐Mar‐18 Regional Healthcare Communications Test ‐ VHASS Event Board Shawn Metzner RHCC Various EVHC

20‐Mar‐18 20‐Mar‐18 2018 Statewide Tornado Exercise Judy Shuck Various Various EVHC

23‐Mar‐18 23‐Mar‐18 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

06‐Apr‐18 06‐Apr‐18 Access & Funcional Needs Sheltering Exercise Jenny Redick TBD Norfolk EVHC

06‐Apr‐18 06‐Apr‐18 Regional Healthcare Communications Test ‐ VHASS Patient Tracking Shawn Metzner RHCC Various EVHC

27‐Apr‐18 27‐Apr‐18 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

30‐Apr‐18 11‐May‐18 Vigilant Guard Glenn McBride Various Various VANG/FEMA/VDEM

04‐May‐18 04‐May‐18 Regional Healthcare Communications Test ‐ GotoMeeting Shawn Metzner RHCC Various EVHC

May 2018

January 2018

February 2018

March 2018

April 2018

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Exercise Director /


25‐May‐18 25‐May‐18 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

01‐Jun‐18 01‐Jun‐18 Regional Healthcare Communications Test ‐ SAT Phone Shawn Metzner RHCC Various EVHC

29‐Jun‐18 29‐Jun‐18 Regional Healthcare Communications Test ‐ Area Wide Radio Shawn Metzner RHCC Various EVHC

June 2018

7 of 8

Documents

EVHC - Eastern Virginia Healthcare Coalition