September 10, 2019 Workgroup Meeting- Spec Path, PHEP, Spec Pop

9-10-19 Special Pathogens, PHEP, Special Populations Workgroup Meeting

General

Reminder that the Closed POD workshop is September 26.  Formal registration is closed but Jennifer can still add a few attendees, email her for last minute registrations.

The plan for the next meeting includes an infectious disease go team presentation, human personnel assets (WEAVR, MRC, DMAT) presentation, Training and Exercise Planning Workshop, workgroups.  It wiill consume most of work day but we will provide lunch, partners are welcome to come and go.  Looking at November 20, somewhere in the Madison area.

We talked about hosting a communications workshop covering the topics of social media, media relations, Joint Information Systems operations, organizational internal communications (with staff/patients), message mapping.  Partners agreed this is a good topic.

We talked about the opportunity for a healthcare recovery/continuity of operations tabletop exercise, which is strongly suggested in the grant language: Supporting member organizations in defining what their “essential functions” that must be maintained after disruption of normal activities and determining priority for restoration if compromised and determining what the coalition might do to assess and support the maintenance of these functions. Admin/Finance operations, Supply Chain, Shelter in place, staff support and resilience including mental health support.  Suggested to add a 96-hour sustainability plan component.  This is distinct from the business continuity planning workshop offered in April, as we will be more formally exploring how an emergency disrupts healthcare delivery, how we assess essential services and how to prioritize restoring them, and how SCWIHERC can assist this effort.  Targeted audience includes all coalition disciplines.

We also talked about the opportunity for a communications workshop and what our current gaps are that should be addressed by this.  We came up with social media, media relations, Joint Information Systems operations, organizational internal communications (with staff/patients), and message mapping.  There is a vendor used by another region that conducts customized workshops on these topics and this could be an opportunity, especially if we can invite members of the media for a meet and greet to build relationships before incidents happen.  A suggestion was made to include other media outlets (TV/radio/newspaper) outside the Madison market in addition to the Madison market.

Reminder that the Coalition Surge Test will also be an exercise this year.

SCWIHERC scholarship opportunity announcement coming soon.  Public health partners are asked to utilize PHEP funding instead, they will have funding comparable to last year for scholarships.

The goal for all workgroups is to define goals and objectives, nominate a leader, share lessons learned, and make progress on grant requirements relevant to the workgroup.

Special Pathogens Discussion

Grant guidance on this topic:

Educate stakeholders on current policies and practices regarding the type of PPE necessary for various infectious pathogens, and the availability of PPE resources, to include stockpiling considerations, vendor-managed inventories, and the potential for reuse of equipment.

During an infectious disease outbreak, ASPR and CDC require that recipients and HCCs coordinate the following activities to ensure the ability to surge to meet the demands during a highly infectious disease response: Establish a Medical Common Operating Picture, Develop or update plans accordingly, Establish key indicators and EEIs, Provide real-time information sharing, Coordinate public messaging.

Support and promote regional PPE procurement, Equip, train, and provide resources necessary to protect responders, employees, and their families from hazards during response and recovery operations. PPE, MCMs, workplace violence training, psychological first aid training, others.

We discussed the special capabilities of certain organizations in our region related to handling patients with high consequence infectious diseases (HCID).  Nomenclature note:  while these capabilities were built using support and guidance prescribed by the Ebola grant administered through ASPR/HPP, we have updated the preparedness and response activities to encompass all high consequence infectious diseases.

UW Hospital is a category 1 Ebola Treatment Facility.  Their activities and capabilities include the ability to treat up to 2 confirmed HCID/Ebola patients at a time.  They support this through their HCID team which includes representatives from infection control, infectious disease, emergency medicine, and others.  They do quarterly training and a required annual HCID drill with performance measures reported to the feds.

St. Mary’s Madison is a category 2 Assessment Facility. Under ideal circumstances, if public health is alerted to a potential HCID patient, they are directed to St. Mary’s rather than presenting at their preferred hospital or clinic.  Their activities and capabilities include being able to admit and treat a suspected HCID/Ebola patient for up to 72 hours, the window it could take to receive confirmed positive laboratory results for a patient.  If the patient is confirmed positive, they are transferred to a treatment facility, which could include UW Hospital or the regional treatment center, which is the University of Minnesota Medical Center West Bank.  St. Mary’s does quarterly training and a required annual HCID drill with performance measures reported to the feds.

The University of Minnesota Medical Center West Bank is the region’s treatment center (referring to HHS/FEMA regions, not HERC regions) and has greater capacity for HCID patients than UW Hospital.

It is protocol for a confirmed positive patient to be transferred to UMMC West Bank.  Situations that would alter this protocol include if the patient was not stable enough for transfer, terminally ill, or if UMMC West Bank’s HCID unit was full.

Transportation of a confirmed positive HCID patient must be done by agencies that are specially trained and have HCID plans and procedures.  Madison Fire has the capability to transfer within Dane County, and Baraboo EMS has the capability to transfer anywhere within Wisconsin and from anywhere in Wisconsin to UMMC West Bank.

Baraboo EMS has a cache of PPE, two ISO PODS, and procedures for transporting a HCID patient.  There is one medic donning a full PAPR who accompanies the patient (contained in an ISO POD), a driving medic that wears certain PPE, and the ambulance is followed by a chase vehicle with additional supplies that can offer support as needed.  Several medics are trained in these plans and there is a very specific procedure for disinfecting the rig after transport is complete.

We were able to share lessons learned from a recent event wherein a patient with a fever of unknown origin with a positive travel history was transported by ambulance to a local facility and held until HCID was ruled out.  Emphasis was placed on adhering to existing plans for these events, including prescribed communications channels.

The conversation evolved into discussion of how frontline healthcare facilities can be better prepared, and the wide assortment of PPE that is available.  It was suggested that this workgroup follow up in the future with a PPE show and tell, wherein regional partners can view the different types of PPE available and perhaps move toward a goal of having the same PPE throughout the region, potentially giving us power as a region to negotiate pricing.

Many other resources were mentioned in the special pathogens discussion, listed here:

National Ebola Training and Education Center courses https://courses.netec.org/

EMS Infectious Disease Handbook https://em-ems.countyofdane.com/documents/pdf/Infection-Control-EMS-Primer-on-ID-7.11.19.pdf

WI DHS MN DPH Joint Ebola Transport Exercise Video https://vimeo.com/329950429/472b98ee2f

CDC PPE Training videos https://www.cdc.gov/vhf/ebola/hcp/ppe-training/comprehensive-ppe-training.html

High Consequence Infectious Disease Toolbox https://www.health.state.mn.us/diseases/hcid/index.html

WI DHS Disease Fact Sheets https://www.dhs.wisconsin.gov/disease/index.htm

UW Health Special Pathogens Team Blog https://spteam.uwhealth.org/

Public Health Emergency Preparedness (PHEP)

We discussed the upcoming Closed POD workshop and how SCWIHERC and the contractor are lending support, but this event will be driven by local public health partners.  The event will start with a presentation on closed POD planning and logistics from Dan Michaels at Public Health Madison and Dane County, and then we will have a panel representing hospitals (Meriter), Universities (UW Madison), and private businesses (West Bend Mutual) as well as WI DHS medical countermeasures.  They have a list of talking points to address including the process for creating their own closed POD plan.  There will be time for Q&A from the audience.  We will then break for lunch and return for a tabletop exercise on an anthrax scenario in the afternoon.  Prior to the workshop, Jennifer will share the registration list, the closed POD template, and the TTX Situation Manual with public health partners for their awareness.  Printed closed POD templates will be available at the workshop for reference, but local public health representatives should be the gatekeepers of the electronic template, so planning is not occurring without local public health awareness.  The situation manual will be available to all partners after the exercise on the SCWIHERC shared drive, so they can use the exercise internally as they see fit.

We explored other opportunities for the PHEP workgroup to work collaboratively.  It was mentioned that local public health is waiting on the state to update the PHEP plan, and the state will look into this.  There was an idea to bring local public health partners together to share information and resources for completing the portions of the PHEP plan that require local customization.  We will bring this idea to Southern WALHDAB for feedback.

Special Populations Discussion

This topic was unfortunately cut short due to the great conversations taking place on the previous topics.

Grant guidance on this topic:

Support HCC members with situational awareness and information technology (IT) tools already in use that can help identify children, seniors, pregnant women, people with disabilities, and others with unique needs.  Support HCC member agencies in developing or augmenting existing response plans for these populations, including mechanisms for family reunification.  Identify potential health care delivery system support for these populations (pre- and post-event) that can prevent stress on hospitals during a medical surge event.  Assess needs and contribute to medical planning that may enable individuals to remain in their residences during certain emergencies. When that is not possible, coordinate with the jurisdiction’s ESF-8 lead agency to support the jurisdiction’s ESF-6 (Mass Care, Emergency Assistance, Housing, and Human Services) lead agency with access to medical care including at shelter sites.  Coordinate with the jurisdiction’s ESF-8 lead agency to assess medical transport needs for these populations.

Jennifer also offered a definition for those with access and functional needs according to FEMA: Children and adults with physical, mobility, sensory, intellectual, developmental, cognitive, or mental health disabilities.  Older adults. People with temporary or chronic health conditions (including taking daily medication).  Women in late stages of pregnancy.  People needing bariatric equipment.  People with limited English proficiency, low literacy, or additional communications needs.  People with very low incomes.  People without access to transportation.  People experiencing homelessness.

In planning for these populations, we talked about the need to engage more partners including home health agencies, aging and disability resource centers, family care organizations, primary care clinics, durable medical equipment companies, and 211.  In the absence of comprehensive planning and up to date information, 211 can be used for just in time resource sharing to identify these populations after an event to connect them with the resources needed.  Additionally, durable medical equipment companies have accurate and comprehensive lists of electricity dependent individuals, including those who have only private insurance, that can be used during emergencies.

Meeting Attendance:

Jeff Kindrai- Grant Co Health Dept

Gail Scott- Jefferson Co Health Dept

Donna Haugom- Jefferson Co EM

Alison Chouinard- Rock Co Health Dept

Kim Cox- WI DHS OPEHC

Sam LaMuro- Fort Healthcare

Brenda Klahn- St. Mary’s Janesville

Steve Haskell- UW Health

Sharon Rateike- St. Mary’s Janesville

Jony Marty- Green County Health Dept

Dave Larson- Madison VA

Anna Robb- Stoughton Hospital

Lynda Brereton- St. Mary’s Madison

Carol Quest- Watertown Health Dept

Kathy Noe- Mile Bluff Medical Ctr

John Rago- Baraboo EMS

Brad Armstrong- Meriter UPH

Nathan Bubenzer- Meriter UPH

Dan Michaels- PHMDC

Ben Eithun- UW Health AFCH

Tom Ellison- UW Health

Christal Foreyt- Gundersen Boscobel

Mike Stephens- UW Health

Juan Cullum- Mercyhealth Janesville

Mike Lohmeier- SCWIHERC/UW Health

Mary Crowley- Juneau Co Health Dept

Dave Kitkowski- St. Clare Baraboo

Alison Hanaman- Edgerton Hospital

Suzanne Schreiner- Adams Co Health Dept

Lisa Herritz- Ho Chunk Nation

John Longo- WI DHS OPEHC

Jennifer Behnke- SCWIHERC

August 27, 2019 Workgroup Meeting- Hospital, Surge, Evac, CMS

8-27-19 Hospital, Surge, Evacuation, CMS Partners Workgroup Meeting

Jennifer gave some reminders for upcoming events: SCWIHERC Closed POD Workshop September 26; Special Pathogens, Public Health Emergency Preparedness, and Special Populations Planning workgroup September 10.

We talked about the opportunity for a healthcare recovery/continuity of operations tabletop exercise, which is strongly suggested in the grant language: Supporting member organizations in defining what their “essential functions” that must be maintained after disruption of normal activities and determining priority for restoration if compromised and determining what the coalition might do to assess and support the maintenance of these functions. Admin/Finance operations, Supply Chain, Shelter in place, staff support and resilience including mental health support.  We talked about how there is some overlap with the business continuity planning workshop we offered in April.  We will pursue planning something like this and are looking for volunteers to participate on the exercise design team.

We also talked about the opportunity for a communications workshop and what our current gaps are that should be addressed by this.  We came up with social media, media relations, Joint Information Systems operations, organizational internal communications (with staff/patients).  There is a vendor used by another region that conducts customized workshops on these topics and this could be an opportunity, especially if we can invite members of the media for a meet and greet to build relationships before incidents happen.  A suggestion was made to include other media outlets (TV/radio/newspaper) outside the Madison market in addition to the Madison market.  We also talked about the Basic PIO course (G290) offered by Wisconsin Emergency Management.  If there is enough demand for this course that exceeds local emergency management agencies’ ability to fund this course, SCWIHERC could potentially fund a course, but partners are encouraged to take advantage of the offerings on the WEM Training Portal.

We had a discussion of the history of Medical Reserve Corps groups in our region, because there are none currently active.  It was suggested to have presenters come to talk about different opportunities and groups, including WEAVR, Medical Reserve Corps, and Disaster Medical Assistance Teams.  This is a potential future presentation topic.

Jennifer is working on a patient tracking project with the Office of Preparedness and Emergency Healthcare along with Robert Goodland, region 1 RTAC coordinator.  After an extensive review of previous pilots and current patient tracking procedures in Wisconsin, as well as best practices found in other states, there will be a patient tracking workgroup forming.  We are seeking one hospital and one EMS representative from each HERC region in the state to participate in this workgroup.  Jennifer will share more information about the degree of commitment involved soon.  Any interested parties should reach out to Jennifer.

We had a discussion about the idea of a hospital HazMat/Decon mutual aid team.  Many hospitals, especially on nights and weekends, have lean staffing that would not be able to support a complex decon operation.  Additionally, clinical staff would be needed for patient care and therefore would also be unavailable.  There was a mention of an initiative in another HERC region- the infectious disease mobile go team.  There team has members of multiple hospitals and can deploy to the hospital or into the community to care for a patient with a high consequence infectious disease.  We would like to hear more about this concept and then further discuss the possibility of a similar team trained in both HCID patient care and HazMat decon.

We discussed the SCWIHERC MCI Surge Functional Exercise held on June 19 and the AAR-IP draft that is out for review.  A few improvement items were suggested:

-All situational awareness updates from an incident be communicated by WI Trac update AND by WISCOM radio update.

-Hospital staff need training in triage to manage large numbers of patients that self-present after an incident.  SCWIHERC is currently developing training materials for the SALT Triage Ribbon Initiative, and we will invite local hospitals to participate in this training as well in an effort to unify EMS and hospitals in using the same triage practices.

-Hospitals need to think about perimeter control and patient access points during a mass casualty incident with large numbers of patients.  All EMS transports should come one place, all untriaged patients should come to another access point where they can be separated (incident casualties versus normal unrelated ED traffic), and then casualties can further be triaged and sorted.  Without a plan that addresses these issues, hospitals can very quickly deplete their staffing and resources on “green patients” (walking wounded) before they start receiving the most critically injured patients.

-Prior to a mass shooting in another area, that area cross-credentialed its clinical staff to enable them to work in other facilities.  Jennifer will look into this more as a future discussion/presentation topic.

We discussed the needs of our CMS partners and how better to engage them.  It was noted that they are critical in the continuum of healthcare service delivery, including helping patients to cope with emergencies and disasters so that they don’t decondition and require acute care, thereby surging local hospitals.  Additionally, they can provide assistance in caring for individuals who are expeditiously discharged from hospitals (like during an emergency evacuation).  There are 9 types of “CMS partners” found in Wisconsin (these are agencies affected by the CMS Emergency Preparedness Rule that was enforced starting November 15, 2017): home health agencies, skilled nursing facilities, ambulatory surgery centers, hospices, physical/occupational/speech therapy providers, end stage renal disease (dialysis) providers, federally qualified health centers, intermediate care facilities for individuals with intellectual disabilities, and critical access hospitals.  It was noted that these agencies are often looking for assistance to meet their annual community-based full-scale exercise requirement.  Jennifer noted that a workshop was held in Dane County last year to address this requirement, and we could potentially duplicate this effort for partners throughout the rest of the region.

Finally, we talked about planning logistics of the next workgroup meetings.  Meeting quarterly seems to be a good schedule, and keeping these workgroup topics together makes sense at this time.  We discussed continuing to hold meetings in a central location (Dane County) versus moving the meetings to alternating parts of the region.  Those in attendance at this meeting, including partners traveling from outside Dane County, agreed that holding meetings consistently in a central location was preferred over rotating meeting locations throughout the region.

Meeting Attendees:

Sam LaMuro- Fort Healthcare

Kim Cox- WI DHS OPEHC

Christal Foreyt- Gundersen Boscobel

Tina Strandlie- Stoughton Hospital

Juan Cullum- Mercy Janesville

Bob Swenarski- St. Mary’s Janesville

Cheryl Meyer- Marquardt Home Health

Jodi Moyer- Beloit Health System

Steve Haskell- UW Health

Mike Stephens- UW Health

Nathan Bubenzer- Meriter

Dave Larson- Madison VA

Dan Michaels- Public Health Madison Dane County

Ben Eithun- American Family Children’s Hospital, SCWIHERC Chair

Tom Ellison- UW Health

Alice Salli- Mendota Mental Health Institute, Central Wisconsin Center

Jeff Ethington- UW Organ Procurement Organization

Jennifer Behnke- SCWIHERC Coordinator

Sharon Rateike- St. Mary’s Janesville

Dave Kitkowski- St. Clare Baraboo

Dan Williams- South Central Regional Trauma Advisory Council

Kyle Schaeffer- UW Health

Bill Ritzer- Reedsburg Area Medical Center

Samantha Marcelain- Gundersen Moundview

Mary Crowley- Juneau County Health Department

SCWIHERC Closed POD Workshop

Please join us for our Closed POD Workshop on Thursday, September 26 from 8 AM – 3 PM at the Crowne Plaza in Madison.  Each attendee must register separately.  Register here: https://www.eventbrite.com/e/scwiherc-closed-pod-workshop-registration-66703244199

A printable flyer is available here:

A Point of Dispensing (POD) is a site for mass medication distribution in the event of a public health emergency (such as an infectious disease outbreak, natural disaster, or act of terrorism). A closed POD is closed to the public and is sponsored by an agency to distribute medication to its employees and their families, and potentially the patients they serve. At this workshop, attendees will learn about closed POD planning and be introduced to a template to assist planning efforts. There will be a discussion panel representing healthcare, a university, and private businesses that have created closed POD plans. Attendees will then work with their local public health representatives who will help answer questions and work with attendees on a closed POD scenario during the tabletop exercise. Lunch will be provided.

The event starts promptly at 8:30AM, registration will begin at 7:45 AM

 

June 7, 2019 Meeting

June 7, 2019 Meeting Notes

Meeting slides:

Hospital Meeting:

Reminders and Updates: The Match Survey is due June 30 for any real events or exercises in which your hospital was a primary player/responder.  We use this data to document in kind support because ASPR requires that we match a percentage of our grant funding through in-kind support.  If you have your AAR handy, this should take you less than 10 minutes.

Next WISCOM roll call will be June 18, so we can do a radio check for our exercise on June 19.  Jennifer will send you a heads up like usual.

We discussed the upcoming SCWIHERC MCI Surge Functional Exercise.  Exercise document packets were available at the meeting for attendees.  Each packet contains the ExPlan, Controller/Evaluator Handbook, the Master Scenario Events List, the Exercise Evaluation Guides, the Player Briefing, the Communications Plan, a facility sign-in sheet, a Regional Medical Coordination map, and a paper patient packet customized for each facility.  The docs will also be emailed out a few days before the exercise, including the communications plan which already needs updates. If you did not attend the meeting in person, Jennifer will mail the packet to you.  The controller evaluator briefing will be June 13 at 9:30, and we will have a briefing the morning of the exercise as well.

We discussed the future of the hospital workgroup.  Hospital members agreed there is still value to the workgroup.  We will include topics like open discussions on hospital-focused lessons learned, regulatory/accreditation compliance, and other topics that come up.

Christal Foreyt discussed the Center for Domestic Preparedness HERT course and talked about opportunities for HAZMAT training and education, and decon team recruitment.  We discussed the opportunity for a HAZMAT mutual aid team when a hospital doesn’t have enough internal staff to do a large scale decon operation.  We also discussed the need for hospitals to be doing decon drills with their local fire departments.  The hospital workgroup will follow up on this topic in the future.

Kyle Schaefer debriefed the SIMCOM 2019 exercise.  Our region did a great job responding to WISCOM roll call as part of SIMCOM, we had the highest response rate of the seven regions in the state.  This roll call included flipping to the encrypted channel, and we learned a few things about how the encrypted channel works.  Kyle and Bill Tyler may follow up with any information learned from the vendors on this.

Membership Meeting

Save the Date:  The SCWIHERC Closed POD (point of dispensing) Workshop will be September 26.  This will have a presentation on closed POD planning and operations, a panel of representatives from healthcare, a university, and a private business talking about their closed PODS including opportunities for Q&A, and a tabletop exercise with local public health reps to help facilities at all stages of the closed POD planning process.

A reminder that the SCWIHERC MCI Surge Functional Exercise is June 19.  There will be many WI Trac alerts that go out that morning, apologies in advance for any alert fatigue.  It should be a great opportunity to illustrate SCWIHERC response operations and the regional medical coordination plan, as well as how WI Trac supports information sharing and situational awareness during an incident.

Doodle Polls will be sent out to determine future dates for workgroup meetings.  Until each meeting establishes its own agenda and meeting schedule, we will lump similarly themed workgroups to make the most of partner’s travel:

Hospital-surge-evacuation-CMS partners

Special pathogens-public health emergency preparedness (PHEP)-special populations planning.

We discussed and clarified portions of the response plan.  ASPR will expect all core disciplines sign off on the plan in the future.

We discussed regional training needs. ASPR places a significant emphasis on training in the new grant, and we have to submit tentative training plans for the year to ASPR by July 31.  We also discussed strategies for improving attendance at trainings, as it is not fiscally responsible to offer trainings that are less than 20% full.  In the future, SCWIHERC may consider subsidizing travel to trainings to assist partners in attending.  A tentative training plan was drafted based on the results of the training needs assessment conducted in late fall/winter 2018, Jennifer will coordinate with other regions to bring these trainings to our region or elsewhere in the state.  See meeting slides for details.

Erica Kane from Emergency Medical Services for Children shared a presentation, including EMSC performance measure data for region 5.  EMSC also has resources available for pediatric patients, such as comfort kits and pediatric prehospital care guides.  Erica can be reached at ekane@chw.org and refer to the slides and their website: https://www.chawisconsin.org/initiatives/emergency-care/emergency-medical-services-for-children/

EMSC Slides

We talked about measles preparedness for anticipated measles cases in the state.  The incident/case response flowchart shared by Public Health Madison Dane County will be distributed by email to the WALHDAB group and public health representatives.  We also discussed getting ahead of taking care of our first responder community and others who may be exposed without adequate PPE.  All questions should be directed to your local public health officer.  The WI DHS Bureau of Communicable Diseases is working on some uniform guidelines and communications resources.  The most up to date information from WI DHS can always be found at https://www.dhs.wisconsin.gov/immunization/measles.htm including guidance at the bottom for public health and healthcare organizations.

Cassidy Walsh gave an introduction to the Inventory Management and Tracking System available to health departments for medical countermeasures tracking.  More information is at https://www.phe.gov/about/sns/Pages/imats.aspx and in this flyer:

We introduced Kim Cox, the new HPP-PHEP program coordinator for WI DHS.  She gave some updates from WI DHS including new staff and some new requirements from our new ASPR HPP Cooperative Agreement that starts July 1, 2019.  Jennifer also shared some new requirements of note to the membership.  See meeting slides for details.

Svea Erlandson, WI DHS State Training and Exercise Coordinator, gave the region an introduction to the Dells-Delton Area Response Exercise Series (DARES) being planned.  This is WEM’s capstone exercise for 2020 (2016 was Miles Paratus, 2018 was Dark Sky).  With this exercise taking place in our region, and its scenarios involving mass casualty incidents, medical surge, family assistance centers, and mass fatality management.  With the unique mix of permanent residents and seasonal visitors to the Dells area, our health partners have a unique opportunity to take advantage of multiple training and exercise opportunities through this series.  Contact Jennifer to see the slides shared on DARES.  Svea can be reached at charlotte.erlandson@dhs.wisconsin.gov

Meeting Attendance:

Jeff Kindrai- Grant County PH

Sam LaMuro- Fort Healthcare

Gail Scott- Jefferson CO PH

Elizabeth Chilsen- Jefferson Co PH

Donna Haugom- Jefferson Co EM

Jim Acker- Watertown Fire

Alison Chouinard- Rock County PH

Asa Rowan- Community Health Systems

Mary Crowley- Juneau Co PH

Mike Lohmeier- SCWIHERC/UW Health

Jeff Ethington- UW Organ and Tissue Donation

Joni Marty- Green Co PH

Tanna McKeon- Green Co EM

Jane Gervais- Adams Co EM

Nathan Bubenzer- Meriter

Erica Kane- EMSC/CHAW

Libby Halma- EMSC/CHAW

Marla Noordhof- Beaver Dam Community Hospital

Doug Voegeli- PH Madison Dane Co

Sharon Warden- Mile Bluff Medical Center

Christal Foreyt- Gunderson Boscobel Hospital and Clinics

Sharon Foley- Divine Savior Healthcare

Angie Cohen- Grant Regional Health Center

Amy Hollis- Monroe Clinic

Jill Lenz- Columbia Co PH

Tracy Buchman- Stoughton Hospital

Tina Strandlie- Stoughton Hospital

Dave Larson- Madison VA

Cassidy Walsh- Sauk Co PH

Joe Meagher- Dodge Co EM

Jennifer Justus- Mercy Walworth

Mandy McGowan- UnityPoint at Home

Karen Sell- Columbus Community Hospital

Juan Cullum- Mercyhealth Janesville

Stephanie Kuschel- NIPARC

Ron Krause- Mercyhealth

Kyle Schaefer- UW Hospital

Mike Stephens- UW Hospital

Steve Haskell- UW Hospital

Ben EIthun- UW Health AFCH

Barb Kuska- Beloit Health System

Lynda Brereton St. Mary’s Madison

Stephanie Lehmann- SSM Health

Bob Swenarski- St. Mary’s Janesville

Jon Erdmann- Divine Savior Healthcare

Tom Eliison- UW Health

Dan Williams- SCRTAC

Bill Brotzman- Badger Prairie Healthcare Center

Kim Cox- WI DHS OPEHC

Svea Erlandson- WI DHS OPEHC

Online:

Alice Salli- Mendota Mental Health

Allison Davey- Marquette Co PH

Bill Ritzer- Reedsburg Area Medical Center

Brian Allen- Southwest Health

Carmen Luther- Reedsburg Area Medical Center

Elisa Stott- Beaver Dam CH, Beloit MH, Edgerton HHS

Lisa Pickarts- Sauk Prairie Hospital

Sally Blackbourn- Memorial Hospital of Lafayette County

Samantha Marcelain- Gundersen Moundview Hospital

Sharon Rateike- St. Mary’s Janesville

Suzanne Schreiner- Adams Co PH

Sean Marquis- Mercyhealth

Safer Prescribing of Opioids after Trauma and Surgery

SCWIHERC, SCRTAC, and many health departments throughout the state were recently awarded funds from the Public Health Crisis Response Grant from CDC to combat the opioid epidemic.  SCWIHERC and SCRTAC pooled our funds to support the development of an opioid prescribing continuing education series called SPOTS, Safer Prescribing of Opioids after Trauma and Surgery.  This series of seven collaborative learning sessions covers various topics on opioid prescribing.

Participants will receive free Opioid CME credit, and may either attend live or view recorded sessions online. Note that if you prescribe controlled substances, Wisconsin’s Medical Examining Board requires that you earn two CME credits on responsible opioid prescribing between 1/1/2018-1/1/2020.

More information and registration: https://www.scwisconsin.org/?page_id=1931

SCWIHERC Family Assistance Center Workshop

The SCWIHERC Family Assistance Center Workshop took place on April 4.  Thank you for attending!

The After Action Report and Improvement Plan is available here:

Resources mentioned at the workshop:

Reunification:

February 1, 2019 Meeting

Meeting slides:

February 1 Meeting Notes

See attached slides

Hospital

Reminders- Match survey link for all hospital centric exercises and real events

WISCOM- The February Roll Call will also include the redundant communications drill (WI Trac alert tells you when roll call is scheduled).  The SIMCOM exercise is in May this year and May Roll Call will be part of that exercise.

Jennifer went over the upcoming coalition surge test and the expectations of all hospitals in the coalition.  Exercise is no notice, but occurs between February 25 and March 8.  After Action Review is March 5, please plan to attend.  See separate CST planning notes in January 24 email from Jennifer.

Jennifer will be reaching out to hospitals seeking their level of desired participation in and expectations for SCWIHERC MCI Surge Exercise.

Based on meeting survey, we will continue hospital discipline meeting, with critical access hospital topics on hospital agenda.

 

Membership

HVA survey went out in email from Jennifer February 1.  Please complete by March 1.

Coalition Surge Test briefing for membership.  Partners may reach out in search of resources during exercise according to their plans.  Injects have been written into exercise to engage public health and emergency management from counties that house evacuating facilities. Whole coalition will see alerts and updates via WI Trac and email.

Doug Hill, DHS Crisis Standards of Care project manager, gave an overview of crisis standards of care and let a discussion about it, see slides.  Please reach out to Doug if you would like to be part of the CSC workgroup.  This will be a complex, multi-year project.

We reviewed the meeting survey results, a summary of which can be found here:

https://www.surveymonkey.com/stories/SM-RV6Y9YG8/

Starting with the new grant year (after July 1), we will hold membership meetings quarterly and combine them with exercises/training opportunities/speakers when possible.  We will also hold discipline specific meetings: hospital, public health, CMS partners.  We will facilitate additional workgroups open to all interested parties:

-pandemics, public health emergency preparedness grant deliverables (combined with public health discipline meeting)

-vulnerable populations

-evacuation

-surge

-patient tracking (facilitated by Jennifer as state patient tracking co-coordinator)

-crisis standards of care (facilitated by Doug Hill)

We will also reevaluate other workgroups in the future

-mental health- provide offerings to engage mental health providers

-pediatrics (possibly statewide group instead of regional)

-family assistance center

-critical transportation

Recent conferences were reviewed.  Highlights:

Regional Disaster Health Response System:

https://www.phe.gov/Preparedness/planning/RDHRS/Pages/default.aspx

Alison presented the High Consequence Infectious Disease Toolbox:

http://www.health.state.mn.us/divs/idepc/dtopics/hcid/

and the Travel Clinical Assistant:

https://dph.georgia.gov/TravelClinicalAssistant

Patty talked about the Association of Healthcare Emergency Preparedness Professionals (AHEPP) conference.  She shared some presentations which are uploaded in the SCWIHERC Google Drive.

Finally, we shared lessons learned from the past few months, focusing on flooding recovery and the recent extreme cold weather.

 

February 1 Meeting Attendance (H) Indicates Hospital Meeting Attendance

Patty Walgenbach, Waupun Memorial (H)

Tina Strandlie, Stoughton Hospital (H)

Dave Larson, Madison VA (H)

Lynda Brereton, St. Mary’s Madison (H)

Heather Poker, St. Mary’s Madison (H)

Austine Duru, St. Mary’s Madison

Karen Munt, UPH Meriter (H)

Karen Sell, Columbus Community Hospital (H)

Marla Noordhof, Beaver Dam Community Hospital (H)

Sharon Foley, Divine Savior Healthcare (H)

Sam LaMuro, Fort Healthcare (H)

Gail Hanlon, Sauk Prairie Healthcare (H)

Kristy Tremelling, Sauk Prairie Healthcare (H)

Doug Hill, DHS CSC Project Manager (H)

Kyle Schaefer, UW Health (H)

Michael Stephens, UW Health (H)

Casey Farnum, UW Health (H)

Steve Haskell, UW Health (H)

Tom Ellison, UW Health

Jennifer Justus, Mercyhealth Walworth (H)

Carrie Meier, Dane County EM

Gail Scott, Jefferson Co PH

Donna Haugom, Jefferson Co EM

Jon Erdmann, Divine Savior Healthcare (H)

Kathy Johnson, Columbia Co EM

Jane Gervais, Adams Co EM

Sue Matye, Iowa Co PH

Cassidy Walsh, Sauk Co PH

Jessi Phalen, Sauk Co PH

Jim Acker, Watertown FD

Dan Michaels, PH Madison Dane Co

Alison Chouinard, Rock Co PH

Carol Quest, Watertown PH

Mary Crowley, Juneau Co PH

Thera Hawkin, Juneau Co PH

Joe Meagher, Dodge Co EM

RoAnn Warden, Green Co EM

Jeff Kindrai, Grant Co PH

Susan Lorenz, Columbia Co PH

Sarah Mattes, PH Madison Dane Co

Aurielle Smith, WI DHS

Brian Allen- Southwest Health (H)

Alice Salli- Mendota Mental Health (H)

Brian Cushman- Upland Hills Health (H)

Josh Kowalke- Reedsburg Area Ambulance Service

Allison Davey- Marquette Co PH

Bill Ritzer, Reedsburg AMC (H)

Bob Swenarski, St. Mary’s Janesville (H)

Brenda Koehler Borchardt- Watertown RMC (H)

Stephanie Alami- Central Wisconsin Center (H)

Brittany Rasmussen- Dodge County PH

Wendi Stitzer- Gundersen Boscobel (H)

Tanna McKeon- Grant County EM

Sean Marquis- Mercyhealth Janesville (H)

December 7, 2018 Meeting

This meeting could not be recorded due to audio recording limitations.

Meeting slides:

211 Presentation slides:

December 7 Hospital Meeting Notes

See slides for additional information.

Hospital meeting format and frequency: We are looking at changing the structure and frequency of all of our meetings.  We discussed how often we would like to meet, and what we would like to work on.  It was discussed that the hospital group would like to meet no less than quarterly.  We also brainstormed ideas for workgroups to get some work done on important coalition topics, which is summarized in the membership meeting notes below.  Jennifer will distribute a survey to help inform these changes and we will discuss at our next meeting.

The coalition surge test is still a no notice exercise but will be around the same time this year as it was last year (late February/early March). We still need volunteer hospitals to simulate evacuation to meet our evacuation minimum of 444 patients.  We will be adding injects to the exercise to better engage public health and emergency management.

We discussed WI Trac issues with using the wrong event templates (ie using an MCI template to distribute situational awareness updates).  ***Update*** NICU and Labor and Delivery categories have been added to the bed count events in WI Trac, but do not appear on the main dashboard at this time.

Membership meeting notes

Aurielle Smith has resigned from her position as trauma rep effective at the end of 2018.  She will be leaving her position at UW Health to pursue other opportunities.  Karen Munt at Meriter retires from full time status at the end of the year, with a full retirement date in spring.  Good luck to both of these valuable partners in their future endeavors!

There has been very strong interest in the Center for Domestic Preparedness Wisconsin Week trip scheduled for April 28 – May 4, 2019.  There are many more interested parties than available seats, especially in our region.  Anyone filling out the preregistration survey at this point is unlikely to get a seat.  Remember that individuals can apply independently for CDP’s courses year-round.

211 Presentation- See slides. Reach out to Charlene Mouille, with questions or to establish or strengthen your relationship with 211.  cmouille@unitedwaywi.org

Please keep your coalition phone book info up to date.  You received the link for this secured document in an email from Jennifer on November 20.  This link is not publicly available to protect the information.

Emergency Power Facility Assessment Tool Update (EPFAT)- You must download a security certificate to access this website, which is difficult because the needed certificate is found on the website.  Jennifer reached out to US Army Corps of Engineers to explain why this extra step was an additional barrier to sharing this information, and continues to provide feedback on the situation.  If your IT department can install this certificate for you, you can upload your information regarding back up power into EPFAT.  Certificate is found at
https://iase.disa.mil/pki-pke/getting_started/Pages/windows.aspx

The coalition is looking to revamp the meeting structure and schedule for next year after receiving feedback and learning of best practices in other coalitions.  We are looking at only meeting as a large group 1-2x/yr, and having specialized groups meet throughout the year, representing certain disciplines (CMS partners, county jurisdiction like public health and emergency management, etc.).  We are also looking at establishing workgroups that would be led by volunteers within the coalition to make progress on specialized plans and topics.  Ideas for these work groups include evacuation, supply chain, PEDs, pandemic planning, critical transportation, public health emergency preparedness grant deliverables, critical access hospital regulatory requirements, mental health.  Jennifer will develop and distribute a survey to gather input on how partners would like this to look and we will discuss at the February meeting.

SCWIHERC and SCRTAC applied for an opioid minigrant for $40000 and were approved for $35000.  This fund will support prescriber education for surgical patients on appropriate dose quantity and strength of narcotics prescribed based on their situation.  This project is being led by the Surgical Collaborative of Wisconsin.  Once developed, information on how to access this education will be distributed by Jennifer.

Regional Medical Coordination- UW Hospital has formally agreed to act as our regional medical coordinating center.  An MOU is being drafted to formalize this relationship.  We will start looking at borrowing EMS training materials from Dane County (where this procedure has been operational for almost two years) to share with the rest of the region.

Stop the Bleed- We have 15 classroom kits remaining.  Our training has been used so often that it is starting to show signs of wear and tear.  We will be purchasing a larger cache of training materials and will have a set to be permanently housed within each county of the region if they request it.

SCRTAC coordinator Dan Williams gave a presentation on falls prevention and a pilot project being conducted in Northeast Wisconsin, using an application called JotForm.  Review the slides on this information, the Youtube video we viewed is embedded in the slides.  Our next step is to hold a listening session with all involved stakeholders to discuss the best way to develop, use, and process referrals from this project.

Two recent Ebola-related exercises were conducted in our region.  St. Mary’s Madison, Baraboo EMS, and Public Health Madison Dane County shared lessons learned from their Joint WI/MN Ebola Transport Full Scale Exercise, and UW Health shared lessons learned from their Special Pathogens Response Full Scale Exercise.

We did not have a lot of time to discuss lessons learned from real events, but will resume the conversation in February.

Attendance:

Donna Haugom, Jefferson County EM

Gail Scott, Jefferson County Health Dept

Lynda Brereton, St. Mary’s Madison

Sam LaMuro, Fort Healthcare

Asa Rowan, Beloit Area Community Health Center,

Karen Sell, Columbus Community Hospital

Aurielle Smith, UW Health/ WI DHS

Jim Todd, SSM Health at Home

Dave Larson, Madison VA

Karen Munt, Meriter

Nikki Salas, Watertown Reg Med Ctr

Jim Acker, Watertown FD

Marla Noordhof, Beaver Dam Community Hospital

Joni Marty, Green County PH

Sharon Foley, Divine Savior Healthcare

Christal Foreyt, Gundersen Boscobel

Sue Matye, Iowa County Health Dept

David Pluymers, Rock County PH

Barbara Kuska, Beloit Health System

Michael Stephens, UW Health Univ Hospital

Ben Eithun, UW Health AFCH

Casey Farnum, UW Health Univ Hospital

John Rago, Baraboo EMS

Sarah Mattes, Public Health Madison Dane County

Doug Hill, Crisis Standards of Care Coordinator

Kathy Johnson, Columbia County EM

Tanna McKeon, Green County EM

Mike Lohmeier, SCWIHERC Medical Advisor

Jessie Phalen, Sauk County Health Dept

Carol Quest, Watertown Health Dept

Lisa Pickarts, Sauk Prairie Hospital

Jeff Kindrai, Grant County Health Dept

Tina Strandlie, Stoughton Hospital

Tracy Buchman, Stoughton Hospital

Bob Swenarski, St. Mary’s Janesville

Tom Ellison, UW Health Trauma

Joe Meagher, Dodge County EM

Dan Williams, SCRTAC, Madison FD

Steve Haskell, UW Health

Alison Hanaman, Edgerton Hospital

Bill Ritzer, Reedsburg Area Med Ctr

Brian Allen, Southwest Health

Patrick Monckton, Southwest Health

Casi Frie, St. Clare Baraboo

Elisa Stott, Beloit, Beaver Dam, Edgerton

Judy Nowicki, Gundersen Moundview

Lisa Heritz

Sharon Warden, Mile Bluff MC

Abby Sauer, Dodge County PH

Alice Salli, Mendota Mental Health

Allison Davey, Marquette County PH

Erin Hastert- Lafayette Co PH

Kelly Lapp- St. Clare Baraboo

Peter Rabe

Rachel, Beaver Dam Community Hospital

Sally Blackbourn, Memorial Hospital of Lafayette County

Stephanie Alami, Central WI Center

Susan Lorenz, Columbia County PH

Carrie Meier, Dane County EM/EMS

 

 

August 3, 2018 Meeting Notes

This meeting was not recorded due to audio/visual limitations.
Meeting slides:

Notes from August 3 meeting
Hospital Meeting:
Requirements for drilling WI Trac (bed counts and MCI counts) are no longer in the grant, therefore WIHERC (formally WHEPP) has stopped requiring them and scheduling them. The consensus among the group was to keep doing them at the same intervals as we previously had.
We talked about the SCWIHERC MCI Surge full scale exercise. The exercise will be held in June 2019, exact date to be determined. This is a coalition-based exercise that focuses on how we respond to MCIs as a region, and may not cover every aspect of every facility’s surge or emergency operations plan. Hospitals are not required to participate, but participating hospitals must provide an internal controller/evaluator. The exercise will focus on medical surge and regional medical coordination from the point of secondary triage in the field through hospital placement, and will look at resource sharing and communication plans/protocols. The SCWIHERC hospital group will be involved in exercise planning at hospital meetings, but Jennifer is also looking for volunteers to be on the exercise design team.

Membership Meeting:

Jennifer introduced two new members of our Board, Aurielle Smith (UW Health) representing Trauma and Jim Acker (Watertown Fire) representing EMS.

Claudine McCarthy from the DHS Office of Preparedness and Emergency Health Care gave a presentation on the HPP grant, capabilities, and coalition workplan.  More info can be found at

Walk in items/partner updates:

The Cybersecurity TTX will be held on September 27 at Madison Turners Hall, 3001 S Stoughton Rd.

We found out we have fewer closed POD sites in our region than we thought.  We identified a need to update our closed POD plans, and a workshop/exercise to explore the new closed POD template available to public health, similar to the one recently delivered in region 7.

With the recent outbreak of coagulopathy related to synthetic cannabinoids tainted with brodifacoum, Americares is an organization that is providing no cost vitamin K tablets (the standard treatment/antidote to brodifacoum poisoning).  Please share this information with your clinicians and pharmacies.

We shared lessons learned from recent events.  Please make it a priority to respond to WI Trac alerts requesting your resources.  In two recent events, WI Trac response has been inadequate and this lack of information created uncertainty when responding to the incident.

We broke into small groups and did some strategic planning for the coalition, which will be used for future planning.

Meeting attendees:

Gail Scott, Jefferson Cty Health Dept

Donna Haugom, Jefferson Cty EM

Lynda Brereton, St Mary’s Madison

Heather Poker, St. Mary’s Madison

Paul Hable, Fort Healthcare

Ben Eithun, UW Health

Mike Stephens, UW Health

Karen Munt, Meriter

Barb Kuska, Beloit Health System

Patty Walgenbach, Waupun Memorial

Christal Foreyt, Gundersen Boscobel

Sharon Foley, Divine Savior

Angie Cohen, Grant Regional

Jon Erdmann, Divine Savior

Jeff Jelinek, Sauk Co EM

Bob Swenarski, St. Mary’s Janesville

Tracy Buchman, Stoughton Hospital

Tina Strandlie, Stoughton Hospital

Nikki Salas, Watertown Hospital

Stephanie Alami, Central WI Center

Mary Crowley, Juneau Co Health Dept

Jane Gervais, Adams Co EM

Karen Sell, Columbus Community Hospital

Casey Farnum, UW Health

Dan Michaels, PHMDC

Steve Haskell, UW Health

Claudine McCarthy, DHS OPEHC

Sharon Warden, Mile Bluff Med Ctr

Lisa Pickarts, Sauk Prairie Hospital

Jennifer Justus, Mercy Walworth

Stephanie Kuschel, NIPARC

Sam Nepple, Mercyhealth

Ashley Vickers, Mercy Walworth

Asa Rowan, Community Health Systems of Beloit

Cassidy Walsh, Sauk Co Health Dept

Dave Larson, Madison VA Hospital

Cindy Fraker, Divine Savior

Susan Lorenz, Columbia County HHS

Joe Meagher, Dodge Cty EM

Brittany Bleich, Dodge/Watertown Public Health

John Rago, Baraboo EMS

Tanna McKeon, Green Cty EM

Kathy Johnson, Columbia Cty EM

Bob Bentley, Ingleside Manor

Aurielle Smith, UW Health

Alison Chouinard, Rock Cty Health Dept

RoAnn Warden, Green County Health Dept

Jim Acker, Watertown FD

Mike Lohmeier, SCWIHERC/UW Health

Bill Ritzer, Reedsburg Area Medical Center

Carmen Luther, Reedsburg Area Medical Center

Brian Allen, Southwest Health

Patrick Monckton, Southwest Health

Casi Frie, St Clare Baraboo

Cheryl Meyer, Marquardt Mgmt

Dan Williams, SCRTAC

Elisa Stott, Beaver Dam Community Hospital

Erin Hastert, Lafayette Cty Health Dept

Janene Clark, Dells Delton EMS

Jennifer Johnson, Marquardt Village

Josh Kowalke Reedsburg Area Ambulance Service

Kelly Lapp, St. Clare Baraboo

Lyle Kratochwill, Richland Hospital

Mandy McGowan, UnityPoint at Home

Michelle Hemp, UnityPoint

Sally Blackbourn, Memorial Hospital of Lafayette Cty

Sam LaMuro, Fort Health Care

Sister Faustina, St. Elizabeth Home

Suzanne Schreiner, Adams Cty Health Dept

Coalition Workplan

Workplan items as prescribed by ASPR and the HPP Grant:

-Coalition Surge Test

-Regional Response Plan

-Coalition Assessment Tool

-Biannual Redundant Communications Drill

-Hazard Vulnerability Assessment

June 1, 2018 Meeting Notes

Please review the slides used at the meeting.

Hospital:

It was decided to continue doing WISCOM roll call on a monthly basis.

Bob Swenarski, St. Mary’s Janesville, was elected as the newest hospital representative on the SCWIHERC Board.

Membership:

Tanna McKeon is our newest emergency management rep on the SCWIHERC Board.

The membership agreed to adopt the coalition preparedness plan.

We discussed how the coalition would like to handle resource sharing requests, after some discussion the consensus was to use the ICS 213 RR form and to build an electronic version of that form into WI Trac.

We shared lessons learned from recent events.

We did not get to strategic planning but will do at our next meeting in August.

Meeting Attendance:

Hospital:

Barb Kuska, Beloit Health System

Bob Swenarski, St. Mary’s Janesville,

Kathy Dobson, Edgerton Hospital

Karen Sell, Columbus Community Hospital

Sam LaMura, Fort Healthcare

Karen Munt, Meriter

Lynda Brereton, St. Mary’s Madison

Tracy Buchman, Stoughton Hospital

Angie Cohen, Grant Regional

Sharon Foley, Divine Savior

Nikki Salas, Watertown

Casey Farnum, UW Health

Mike Stephens, UW Health

Kyle Schaefer, UW Health

Steve Haskell, UW Health

Christal Foreyt, Gundersen Boscobel

Dave Larson, VA Madison

Heather Poker, St. Mary’s Madison

Alice Salli, Mendota Mental Health

Jon Erdmann, Divine Savior,

Mary Austin, Monroe Clinic

Lisa Massen, Gundersen Moundview

Casi Frie, St. Clare Baraboo

Brian Allen, Southwest Health

Membership:

Barb Kuska, Beloit Health System

Bob Swenarski, St. Mary’s Janesville,

Kathy Dobson, Edgerton Hospital

Karen Sell, Columbus Community Hospital

Sam LaMura, Fort Healthcare

Karen Munt, Meriter

Lynda Brereton, St. Mary’s Madison

Tracy Buchman, Stoughton Hospital

Angie Cohen, Grant Regional

Sharon Foley, Divine Savior

Nikki Salas, Watertown

Casey Farnum, UW Health

Mike Stephens, UW Health

Kyle Schaefer, UW Health

Steve Haskell, UW Health

Christal Foreyt, Gundersen Boscobel

Dave Larson, VA Madison

Heather Poker, St. Mary’s Madison

Alice Salli, Mendota Mental Health

Jon Erdmann, Divine Savior,

Mary Austin, Monroe Clinic

Lisa Massen, Gundersen Moundview

Casi Frie, St. Clare Baraboo

Brian Allen, Southwest Health

John Rago, Baraboo EMS

Aurielle Smith, UW Health

Kathy Johnson, Columbia County EM

Jane Gervais, Adams County EM

Sam Nepple, Mercyhealth

Jeff Kindrai, Grant and Lafayette County PH

Tanna McKeon, Green County EM

Joni Marty, Green County PH

Brittany Bleich, Dodge County/Watertown PH

Sue Matye, Iowa County PH

Carrie Meier, Dane County EM

Ben Eithun, AFCH

Amy Nehls, Dodge County EM

Joe Meagher, Dodge County EM

Catherine Heimbecher, Select Specialty

Frank Barby, Select Specialty

Donna Haugom, Jefferson County EM

Gail Scott, Jefferson County PH

Alison Chouinard, Rock County PH

Charles Tubbs Sr., Dane County EM

Stephanie Kuschel, Mercyhealth/NIPARC

Allison Davey, Marquette County PH

Asa Rowan, BACHC

Dan Williams, SCRTAC

Elisa Stott, Beaver Dam Community Hospital

Holly Nanney, Waupun Memorial Hospital

Patrick Monckton, Southwest Health

Russ Sprecher, St. Clare Meadows

Sally Blackbourn, Memorial Hospital of Lafayette County

Sarah Mattes, PH Madison Dane County

Sean Marquis, Mercyhealth

Sharon Warden, Mile Bluff MC

Stephanie Alami, Central WI Center

Suzanne Schreiner, Adams County PH