2017 ADHS Annual PHEP/HPP All Partners Meeting 2/16/2017 Executive Summary Draft Date: 4/10/17 Final/Approved Date: 5/12/2017 This exercise document was supported in part by the CDC Cooperative Agreement, Catalog of Federal Domestic Assistance (CFDA) 93.069 and the Hospital Preparedness Program (HPP) Grant CFDA 93.889. Its contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC or the Department of Health and Human Services. Page Intentionally Left Blank 2016 ADHS PHEP/HPP Executive Summary All Partners Meeting TABLE OF CONTENTS Workshop Overview ............................................................................................................................... i Workshop Summary ............................................................................................................................. ii Summary of Capabilities ................................................................................................................... 1 HPP Capability 1: Healthcare System Preparedness .......................................................................... 2 PHEP Capability 1: Community Preparedness ...................................................................................... 2 Capabilities – Region Reports/Presentations ................................................................. 3 Objective 1: Discuss how the PHEP and HPP programs in Arizona have progressed over the years ............................................................................................................................................................... 3 Objective 2-4: Discuss- the Funding Opportunity Announcement (FOA) for Budget Period One, grant planning, and grant resources ............................................................................................ 8 Appendix A: Exercise Participants .................................................................................................. A-1 Exercise Participants .................................................................................................................................. 1 Appendix B: Acronyms ............................................................................................................................... B-1 Table of Contents BPHEP ARIZONA DEPARTMENT OF HEALTH SERVICES Homeland Security Exercise and Evaluation Program (HSEEP) 2017 ADHS PHEP/HPP Executive Summary All Partners Meeting WORKSHOP OVERVIEW Exercise Name 2017 ADHS PHEP/HPP All Partners Meeting Exercise Dates 2/16/2017 This annual meeting is a workshop providing updates/information, Scope collaboration, and key priorities and initiatives for the new grant year. Mission Area Prevention PHEP Community Preparedness Capabilities HPP Healthcare System Preparedness • Discuss how the PHEP and HPP programs in Arizona have progressed • Discuss the Funding Opportunity Announcement for Budget Period One Objectives • Discuss grant planning • Discuss grant resources Sponsor Arizona Department of Health Services Participating PHEP and HPP federal, state, tribal, local and non-profit partners. Please see Organizations Appendix A: Exercise Participants for the complete list of organizations. Antonio Hernandez Section Chief, Partner Integration Arizona Department of Health Services Bureau of Public Health Emergency Preparedness 150 North 18th Avenue, Suite 150 Phoenix, Arizona 85007-3237 (602) 763-1774 [email protected] Points of Contact Alyssa Van Story Exercise Coordinator Arizona Department of Health Services Bureau of Public Health Emergency Preparedness 150 North 18th Avenue, Suite 150 Phoenix, AZ 85007-3237 (602) 361-1229 [email protected] Workshop Overview i BPHEP ARIZONA DEPARTMENT OF HEALTH SERVICES Homeland Security Exercise and Evaluation Program (HSEEP) 2017 ADHS PHEP/HPP Executive Summary All Partners Meeting WORKSHOP SUMMARY The 2017 ADHS PHEP/HPP All Partners Meeting had 128 participants from each region, representing healthcare facilities, counties and tribes. This workshop and meeting functions to assist PHEP and HPP partners in identifying gaps from previous years, determining strategies to fill those gaps, collaborating with internal and external coalition partners, and beginning their overall planning process for the upcoming budget period. Attendees received an overview of the strategic framework with information from the Arizona Public Health and Healthcare System Preparedness Strategic Map for 2017 – 2021 describing the following goals: • Align Resources • Promote and Support Public Health and Safety • Make Focused Improvements in Public Health Infrastructure • Maximize Synchronization, Collaboration, and Coordination • Implement Best, Promising, and Evidence-Based Practices The workshop included program updates from regional, tribal, and pediatric coalitions. Sessions were then broken into particular categories to discuss: • BP1 FOA (Funding Opportunity Announcement) Review, Work plan, & Deliverable Document • BP1 Financial Considerations, Budget Tools, & Reporting Structure • BP1 Sub-Recipient Monitoring • Capabilities Planning Guide (CPG) • Training & Exercise Priorities (Regional & State) • Contract Overview • Meeting Schedule 2017-2018 • BP5 Closeout Procedures Workshop Summary ii BPHEP ARIZONA DEPARTMENT OF HEALTH SERVICES Homeland Security Exercise and Evaluation Program (HSEEP) 2017 ADHS PHEP/HPP Executive Summary All Partners Meeting SUMMARY OF CAPABILITIES Aligning exercise objectives and 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 capabilities, and functions for each capability as observed during the exercise and determined by the evaluation team. Table 1. Summary of Capability Performance Capability Objective 1. Discuss how the PHEP and HPP programs in Arizona have progressed over the years 2. Discuss the Funding Opportunity HPP Capability 1: Healthcare System Announcement for Budget Period One Preparedness 3. Discuss grant planning – Capabilities Planning PHEP Capability 1: Community Guide (CPG), Training and Exercise Priorities, Preparedness Contract Overview, and the Meeting Schedule 4. Discuss grant resources The following sections provide an overview of the performance related to each exercise objective and associated capability. Summary of Capabilities 1 BPHEP ARIZONA DEPARTMENT OF HEALTH SERVICES Homeland Security Exercise and Evaluation Program (HSEEP) 2016 ADHS PHEP/HPP Executive Summary All Partners Meeting CAPABILITIES – REGION REPORTS/PRESENTATIONS Objective 1: Discuss how the PHEP and HPP programs in Arizona have progressed over the years HPP Capability 1: Healthcare System Preparedness The regions provided attendees brief overviews about the coalitions’ history including their goals and objectives, membership, and geographic areas of responsibility through presentations and then opened up the floor for questions. The complete presentations can be found on the ADHS website. AzCHER Central The central coalition reports a mixture of significant improvements as well as additional challenges over the years. The current membership is as follows: • Hospitals (60+) • Community health clinics (30+) • Skilled nursing/LTC (120+) • Specialty care (25+) • Surgery Centers (20+) • Community Partners (80+) • In 2016 – 2017 they received funding for and were able to incorporate multiple different resources and additional personnel and programs such as; AzHHA: the coalition fiduciary agent, Chair and Co-Chair salaries, and a coalition Training Coordinator their website is http://www.azchercentral.org. The Central Coalition was the first coalition to do a hazard vulnerability assessment utilizing the Community HVA tool. The region completed their multi-year training and exercise plan that described among other things; two tabletop exercises, two functional exercises, three workshops and one full scale exercise over a three year period. Their emergency planning priorities would mainly be in the areas of medical surge and information sharing. And finally the central region, whose leadership includes that of county public health, described some opportunities for improvement that still need to be addressed such as: Capabilities 2 BPHEP ARIZONA DEPARTMENT OF HEALTH SERVICES Homeland Security Exercise and Evaluation Program (HSEEP) 2016 ADHS PHEP/HPP Executive Summary All Partners Meeting Infrastructure MOU Bylaws Funding Staffing Membership CMS rules Executive engagement Return on Investment (ROI) AzCHER South The southern coalition reports a long history of healthcare response and preparedness dating back to 1998 with the activation of the metropolitan Medical Response System (MMRS). With nine local Tucson hospitals participating the goals included: • Build response to WMD events and capabilities both through Fire, EMS and Hospitals • To integrate mass casualty preparedness and response • Provides a structure for medical incident management • Achieves enhanced mutual aid and regional collaboration (including hospitals) • Enhances regional response capabilities • Complete and maintain requirements for funding from DHS, HRSA and CDC • Hospital collaborative mass casualty response planning This group would develop and grow to become the Arizona Coalition for Healthcare Emergency Response (AzCHER)-Southern Region with participants from healthcare organizations, public safety and public health. Organized as