After-Action Report/Improvement Plan Template
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After-Action Report/Improvement Plan (AAR/IP) Virtual Community-Based Functional Exercise, November, 2019 Northwest WI Healthcare Emergency Readiness Coalition (HERC) Virtual Community-Based Functional Exercise: “Not Your Typical Pumpkin SPICE” The After-Action Report/Improvement Plan (AAR/IP) aligns exercise objectives with preparedness doctrine to include the National Preparedness Goal and related frameworks and guidance. Exercise information required for preparedness reporting and trend analysis is included; users are encouraged to add additional sections as needed to support their own organizational needs. Exercise Overview Northwest WI Healthcare Emergency Readiness Coalition Page 1 of 135 After-Action Report/Improvement Plan (AAR/IP) Virtual Community-Based Functional Exercise, November, 2019 EXERCISE OVERVIEW “Not Your Typical Pumpkin SPICE” Regional Virtual Exercise Exercise Name Storms, Power, Information, Computers, Evacuation November 7, 2019 A Go To Meeting room was opened at 8:15 a.m. by the Healthcare Emergency Readiness Coalition Coordinator. The Exercise began at 8:30 a.m. and concluded at 11:00 a.m. The Power Point and Exercise Scenarios were sent to registered organization’s points of contact the day before the Exercise Dates exercise. A template for the Executive Summary and Improvement Plan was sent to the points of contact for each organization the day of the exercise. A follow up Participant Feedback Survey link was sent to all participants in the next day. The Exercise was coordinated and controlled through a virtual platform. Partners conducted exercise play at their own facilities or agencies with Scope key leaders and staff. The exercise encouraged functional components such as reaching out to community partners. Mission Area(s) Coordination and Response 1. Emergency Operations Coordination (EOC) (Capability 1: Foundation for Health Care and Medical Readiness) 2. Information Sharing (IS) (Capability 2: Health Care and Medical Core Capabilities Response Coordination) 3. Continuity of Operations (COOP) (Capability 3: Continuity of Healthcare Delivery) 1. Identify roles and responsibilities for emergency response. 2. Coordinate response strategy, resources, and communication within the organization. 3. Organizations and individuals know how Emergency Alerts are received and take appropriate action. 4. Organizations within the community are able to communicate and Objectives share information with one another. 5. Maintain safe and appropriate patient and resident care during a power outage. 6. Identify redundant systems to maintain access to Electronic Medical Records during time of computer failure. 7. Identify triggers for evacuation. Extreme Heat, Information System Outage, Severe Summer Weather, Threat or Hazard Loss of Power, Structural Damage. Exercise Overview Northwest WI Healthcare Emergency Readiness Coalition Page 2 of 135 After-Action Report/Improvement Plan (AAR/IP) Virtual Community-Based Functional Exercise, November, 2019 It is a late fall day with anticipated unseasonably hot temperatures and an enhanced chance of severe storms. Mid-morning there is a sudden loss of internet and internal phone connections due to a cut fiber optic line. In the afternoon, a Severe Thunderstorm Warning is issued for the area. As the Scenario storm moves through the facility losses power due to high winds resulting in trees down and minor structural damage to the front awning. On day two, power has yet to be restored and due to a lack of cooling systems on generator power, the facility leadership needs to consider evacuation. Northwest Wisconsin Healthcare Emergency Readiness Coalition Sponsor (NWWIHERC) Total Number of Participating Agencies: 51 Participating Total Number of Participants: 338 Organizations See Appendix A for list of Participating Agencies. See Appendix B for Participant Feedback. Aimee Wollman Nesseth Coordinator Northwest Wisconsin Healthcare Emergency Readiness Coalition 1003 Prairie Circle Point of Contact Menomonie, WI 54751 [email protected] www.wiherc.org 715-379-6664 Exercise Overview Northwest WI Healthcare Emergency Readiness Coalition Page 3 of 135 Analysis of Core Capabilities ANALYSIS OF CORE CAPABILITIES Aligning exercise objectives and core capabilities provides a consistent taxonomy for evaluation that transcends individual exercises to support preparedness reporting and trend analysis. Table 1 includes the exercise objectives, aligned core capabilities, and performance ratings for each core capability as observed during the exercise and determined by the evaluation team. Performed Performed Unable to Performed with Some with Major be Objective Core Capability without Challenges Challenges Performed Challenges (P) (S) (M) (U) Identify roles Emergency and Operations responsibilitie Coordination S s for (EOC) emergency response. Coordinate Emergency response Operations S strategy, Coordination resources, and (EOC) communicatio n within the organization. Organizations Information and Sharing individuals (IS) know how Emergency S Alerts are received and take appropriate action. Organizations Information within the Sharing community (IS) M are able to communicate and share information with one another. “Not Your Typical Pumpkin SPICE” 2019 Analysis of Core Capabilities Performed Performed Unable to Performed with Some with Major be Objective Core Capability without Challenges Challenges Performed Challenges (P) (S) (M) (U) Maintain safe Continuity of and Operations appropriate (COOP) S patient and resident care during a power outage. Identify Continuity of redundant Operations systems to (COOP) maintain access to S Electronic Medical Records during time of computer failure. Identify Continuity of S triggers for Operations evacuation. (COOP) Table 1. Summary of Core Capability Performance Ratings Definitions: Performed without Challenges (P): The targets and critical tasks associated with the core capability were completed in a manner that achieved the objective(s) and did not negatively impact the performance of other activities. Performance of this activity did not contribute to additional health and/or safety risks for the public or for emergency workers, and it was conducted in accordance with applicable plans, policies, procedures, regulations, and laws. Performed with Some Challenges (S): The targets and critical tasks associated with the core capability were completed in a manner that achieved the objective(s) and did not negatively impact the performance of other activities. Performance of this activity did not contribute to additional health and/or safety risks for the public or for emergency workers, and it was conducted in accordance with applicable plans, policies, procedures, regulations, and laws. However, opportunities to enhance effectiveness and/or efficiency were identified. Performed with Major Challenges (M): The targets and critical tasks associated with the core capability were completed in a manner that achieved the objective(s), but some or all of the following were observed: demonstrated performance had a negative impact on the performance of other activities; contributed to additional health and/or safety risks for the public or for “Not Your Typical Pumpkin SPICE” 2019 Analysis of Core Capabilities emergency workers; and/or was not conducted in accordance with applicable plans, policies, procedures, regulations, and laws. Unable to be Performed (U): The targets and critical tasks associated with the core capability were not performed in a manner that achieved the objective(s). The following sections provide an overview of the performance related to each exercise objective and associated core capability, highlighting strengths and areas for improvement. Objective 1: Identify roles and responsibilities for emergency response. Core Capability: Emergency Operations Coordination (EOC) (Capability 1: Foundation for Health Care and Medical Readiness) Activity 1: Identify roles and responsibilities for Leadership Team or Incident Command. Exercise Strengths The partial capability level can be attributed to the following strengths: Strength 1: Most participating agencies have robust written Emergency Operation Plans. Strength 2: Some participating agencies have previous experience with real events which helped during this exercise with critical thinking and problem solving. Strength 3: Most participating agencies feel their leaders have a good understanding of the Emergency Operations Plan and their roles and responsibilities during an emergency event. Strength 4: Some agencies are part of management companies and have depth in resources, support, and guidance. Strength 5: Most agencies reported good participation from leaders within the agency during this and other emergency exercises and drills. Overall Strength: Analysis: Since the last emergency exercise facilitated by the NWWIHERC, most agencies have more robust Emergency Operation Plans, and have increased the knowledge of the roles and responsibilities of leaders. Exercise: Areas for Improvement The following areas require improvement to achieve the full capability level: “Not Your Typical Pumpkin SPICE” 2019 Analysis of Core Capabilities Area for Improvement 1: Many participating agencies identified the need for ongoing training and education of the Emergency Operations Plan for front line staff and their roles and responsibilities during an emergency. Area for Improvement 2: Some agencies stated the need to better identify leaders in key positions by purchasing Incident Command vests. Area