Request for Proposal: Points of Dispensing Functional Exercise and COVID-19 After Action Review

SCWIHERC is seeking proposals for two separate events: a points of dispensing functional exercise and a COVID-19 After Action Review.

If you are interested in submitting an RFP, please see the attached documents and submit proposals electronically to Jennifer Behnke by close of business, July 8, 2020.  Entities wishing to be considered for both exercises should submit separate proposals for each exercise.

Points of Dispensing RFP:

COVID-19 After Action Review RFP:

Infection Control Blog

This page is a pilot project of SCWIHERC and will be used to list all infection control/outbreak notices that SCWIHERC receives, including from the Centers for Disease Control and Prevention.

All notices will be removed after 90 days unless SCWIHERC receives notice that the notice is ongoing.

Please send any feedback or questions to Jennifer Behnke

Ongoing- COVID-19 CDC and WI DHS pages
To receive SCWIHERC updates related to COVID-19, subscribe to our mailing list.

Ongoing- Weekly Respiratory Report from WI DHS

March 5, 2020 Meeting

Join us for our March 5 meeting, see the agenda for details:

Recording available until September 6, 2020: https://transcripts.gotomeeting.com/#/s/67b8068bf4188a54d212fee56709134c0d2a1faef818fe85a53ef4ed29a0922a

Reminders:

See separate trainings list for upcoming trainings.

Please monitor WISCOM HRCRD5 open/clr at all times.  WISCOM should be used to verbalize EMResource/WI Trac alerts for redundancy.

Please remember to submit the MATCH survey for all hospital-based exercises and real events using this link:

We had an in-depth discussion about COVID-19 Preparedness and Response.  WI DHS created a survey to assess the PPE situation for all partners in the state, and this survey data is being shared with federal partners to assess the need to mobilize stockpiles, so please fill out the survey emailed out by Jennifer.  Please find the one best representative in your facility to respond to the survey to avoid conflicting duplicate survey responses.  Feel free to fill out the survey multiple times if the PPE situation in your organization changes.  The SCWIHERC COVID-19 briefings will continue weekly until further notice.

The next portion of the meeting was dedicated to the Coalition Surge Test After Action Review and Facilitated Discussion.  This information can be found in the after action report when available.

The Hospital and Medical Surge workgroups met in the afternoon and discussed surge planning in response to respiratory virus season and COVID-19, as well as MCI readiness.  Three resources were shared by Jennifer:

CDC Mass Casualty Predictor Model

https://hsdl.org/?view&did=24463

Trauma centers: Prepare for mass casualty incidents by understanding the 10 predictable stages of disruption

https://www.trauma-news.com/2016/07/trauma-centers-prepare-mass-casualty-incidents-understanding-10-predictable-stages-disruption/

Strategies for Improved Hospital Response to Mass Casualty Incidents

https://www.cambridge.org/core/services/aop-cambridge-core/content/view/AFA27D8C7A03E987F93BE04CD75FD142/S1935789318000046a.pdf/strategies_for_improved_hospital_response_to_mass_casualty_incidents.pdf

Meeting attendance:

Ashley Buys- UW Health

Jacob Greenberg- UW Health

Mary Crowley- Juneau Co HD

Lisa Herritz- Ho Chunk Nation HD

Laura Kane- UW Health AFCH

Asa Rowan, Community Health Systems

Sheryl Krause- Fort Healthcare

Brenda Koehler-Borchardt- Watertown Regional Medical Ctr

Jeff Kindrai- Grant County HD

Thomas Ellison- UW Health

Joe Meagher- Dodge Co EM

Amy Nehls- Dodge Co EM

Dave Larson0 Madison VA Hospital

Jane Gervais- Adams Co EM

Samantha Marcelain- Gundersen Moundview

Christal Foreyt- Gundersen Boscobel

Joni Marty- Green Co HD

Alison Chouinard- Rock Co HD

DeAnn McAllan- American Red Cross

Mary Tesserdorf- Monroe Clinic

Jodi Moyer- Beloit Health System

Johnny Holt- St. Clare Baraboo

Jon Erdmann- Divine Savior

Sharon Foley- Divine Savior

John Rago- Baraboo EMS

Julie Gorman- Sauk Prairie Healthcare

Abigail Kuehn- Watertown HD

Victoria Parker- Watertown HD

LuAnn Reuter- Prairie Ridge Health

Karen Sell- Prairie Ridge Health

Kyle Schaefer- UW Health

Jeff Ethington- UW Health OPO

Julie Muhle- Marshfield Medical Center Beaver Dam

John Pettey- St. Mary’s Madison

Jennifer Behnke- SCWIHERC

Online:

Dave Kitkowski- St. Clare Baraboo

Tana Buss- UW Health

Emily Kosterman- Waupun Memorial

Sue Matye- Iowa Co HD

Tanna McKeon- Green Co EM

Stephanie Kuschel- MercyHealth Janesville/NIPARC

Jen Boigenzahn- Gundersen

Carol Brown- Rainbow Hospice

Sarah Hughes- PH Madison Dane Co

Kathy Noe-

Sharon Rateike- St. Mary’s Janesville

Patrick Monckton- Southwest Health

Brian Allen- Southwest Health

Erin Hastert- Lafayette Co HD

Angie Cohen- Grant Regional Health Center

November 20, 2019 Meeting

November 20, 2019 Membership Meeting Notes

SCWIHERC Updates:

As of October 23, SCWIHERC is incorporated, now we are seeking nonprofit status to help support our long-term sustainability.

Our spring tabletop exercise topic is healthcare system recovery. The scenario will be written to engage all core partners: hospitals, public health, EMS, emergency management, and other healthcare providers. Tentative dates are April 14-16. We need exercise design team members, please let Jennifer know if you are interested in being on the design team.

The coalition surge test will be taking place again in late winter. We need to simulate evacuation of 430 patients to meet our 20% surge threshold required by our grant. If you are interested in volunteering to be an evacuating hospital, please let Jennifer know. If we do not have enough volunteers, we will ask hospitals directly to meet our federal requirements.

A training matrix was distributed listing all upcoming trainings for the remainder of the grant year. That information is summarized here: http://www.scwiherc.org/category/training/http://www.scwiherc.org/category/training/
CORRECTION: the training matrix had an error, the PER 211: Medical Management of CBRNE Incidents is May 18-19, NOT May 17.

Tracey Froiland, Fox Valley HERC Coordinator, presented on their Infectious Disease Go-Team. They pioneered this novel concept of forming a team to care for high consequence infectious disease patients in their home using telemedicine. This specially-trained team can also support caring for these patients in a hospital setting. See their promotional video for more info: https://www.youtube.com/watch?v=L4O3ZWkJgJ8
Tracey’s slides will be available in the SCWIHERC shared drive soon.

We had several partners present on different organizations that provide human personnel assets used in response. Presentation highlights:

WEAVR- Wisconsin Emergency Assistance Volunteer Registry: https://weavrwi.org/
Individual registry- Wisconsin’s ESAR-VHP. A database of individuals who can support the health needs of an incident. Pre-registered individuals have been vetted through a background check and credential verification. Individuals who are registered in WEAVR and deployed through a WEAVR request during a federal or state declared emergency are offered liability protection through Wisconsin Statute 257. The state is seeking clarification from the Office of Legal Counsel on whether this liability protection is available in the absence of federal or state declaration.
Registration in WEAVR is not a commitment to serve in any emergency. Please encourage your staff and partners to register!

MRC- Medical Reserve Corps. Brenda Lutz-Hanson presented on the Region 4 MRC and the purpose, mission, and sustaining of MRCs in Wisconsin. The entry point for MRCs in Wisconsin is registering in WEAVR and selecting the affiliation with an MRC. Currently, Region 5 (SCWIHERC’s region) has no active MRCs. Managing an MRC is often, but not always, done by local health departments. There is some work involved, but federal grant dollars may be available to support this effort. Contact Jennifer for more information.

DMAT- Wisconsin’s Disaster Medical Assistance Team. Patty Scanlin presented on this asset. They deploy outside of Wisconsin to assist medical operations after disasters and for large, planned events such as presidential funerals or inaugurations. They have field hospital capabilities. DMAT personnel are vetted by the federal process that takes 1-2 years and train on personal time, but are paid during deployment. Deployment notice may be as short as 12-24 hours, and deployments can last from 10-14 days.

American Red Cross- Connie Miley spoke about the volunteer capabilities and opportunities with American Red Cross. They often support sheltering and mass care operations all over the state and country.

Team Rubicon- Jodi Moyer spoke the mission and capabilities of Team Rubicon. They deploy nationally and focus on debris cleanup but have other capabilities. They are a veteran founded organization and 75% of their volunteer force is veterans. They are supported by donations from individuals and companies, and receive no payments by individuals impacted by disasters.

A question came up about requesting and utilizing any of these resources. It is strongly recommended that all requests are made through local emergency management. This helps ensure that those affected receive the most appropriate resource for their needs, and also may have reimbursement ramifications if federal or state funding is available for incident response and/or recovery.

Svea Erlandson, WI DHS Training and Exercise Coordinator, facilitated our Training and Exercise Planning Workshop in the afternoon. We reviewed data from the training needs assessment survey, and then had a productive conversation about developing training priorities and how to support these with available trainings. The three training priorities identified included Ensuring the Continuity of Healthcare Service Delivery, Catastrophic Event Preparedness for the Health Sector, and Health Emergency Management Orientation for partners in Wisconsin. These priorities will guide trainings offered in the July 1, 2020 to June 30, 2021 grant year.

Our meeting concluded with discussion on special populations and triaging the most important needs according to life safety priorities.

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.

Based on this guidance and definition, the group identified these most urgent life safety priorities:

Electricity dependent individuals- how to find them before the incident, how to empower them to prepare for a power outage, how to care for them during a power outage, and how to partner with other groups to support these three capabilities. This includes home health, durable medical equipment suppliers, primary care providers.

Individuals with unreliable transportation options- planning for those who need transportation assistance for their medical appointments, and for those who don’t have the transportation means to evacuate when a community evacuation is ordered.

Individuals on medications for medical conditions- helping these individuals maintain an adequate supply of medications before an incident so they don’t run during an incident when normal suppliers may be disrupted, or if they cannot travel to refill meds. This includes working with other healthcare providers to share this message with vulnerable patients.

Supporting Home Health Agency Continuity of Operations- recognizing that HHAs are critical to keeping individuals with various conditions healthy and able to live at home, we will look for ways to support HHA continuity of operations so they can continue to do what they do every day even after a large or disruptive incident.

Meals on Wheels- supporting these agencies that meet the basic dietary needs of vulnerable individuals on a daily basis so that they can continue this important mission even after incidents.

Supporting better communications for these special populations, including the English as a second language community and those with low literacy levels. Not only translating written materials and having sufficient interpreter services available for every step of preparedness, response, and recovery, but also utilizing multiple channels of information dissemination. This can include traditional media channels like television, radio, and print, but also cultural and faith-based organizations that serve a role in gathering and outreach to these individuals and groups.

Important partners to engage in supporting these important missions can include local human services agencies, primary care organizations, home health agencies, long-term care organizations, Aging and Disability Resource Centers, WIC (Women, Infants, and Children) nutrition programs, 211 and United Way, and cultural and faith-based organizations.
The next steps proposed by the group include inviting representatives from these important partners to a round-table discussion to more thoroughly explore how we can work with these partners to promote preparedness, and support response and recovery efforts for these special populations.

Meeting Attendance:

Bob Swenarski- St. Mary’s Janesville
Juan Cullum- Mercyhealth Janesville
Jodie Molitor- Sauk County Health Dept
Alice Salli- Mendota Mental Health
Mary Crowley- Juneau County Health Dept
Lisa Herritz- Ho-Chunk Nation Health Dept
Asa Rowan- Community Health Systems Beloit
Gail Scott- Jefferson County Health Dept
Samantha LaMuro- Fort Healthcare
Mike Hall- Monroe Clinic
Kelly Pederson- St. Mary’s Madison
Nikki Salas- Watertown Regional Med Ctr
Brenda Koehler Borchardt- Watertown Regional Med Ctr
Marie-Noel Sandoval- Rock County Health Dept
Douglas MacFarlane- Crossroads Care Center of Mayville
Tina Strandlie- Stoughton Hospital
Christal Foreyt- Gundersen Boscobel Hospital and Clinics
Josh Kowalke- Reedsburg Ambulance
Jill Lenz- Columbia County Health Dept
Susan Lorenz- Columbia County Health Dept
Mike Lohmeier- SCWIHERC Medical Advisor
Carrie Meier- Dane County Emergency Mgmt
Connie Miley- American Red Cross
Jon Erdmann- Divine Savior Healthcare
John Longo- WI DHS OPEHC
Tracey Froiland- FVHERC
Mike Stephens- UW Health
Sarah Mattes- Public Health Madison Dane County
Steve Haskell- UW Health
Patricia Scanlin- UW Health TAC, WI DMAT
Sharon Foley- Divine Savior Healthcare
Alison Chouinard- Rock County Health Dept
Julie Muhle- Beaver Dam Marshfield Medical Center
Marla Noordhof- Beaver Dam Marshfield Medical Center
Abbey Kuehn- Watertown Health Dept.
Sarah Stewart- Watertown Health Dept
Dan Michaels- Public Health Madison and Dane County
Dave Larson- Madison VA Hospital
Joe Meagher- Dodge County Emergency Mgmt
Jodi Moyer- Beloit Health System
Nathan Bubenzer- Meriter UnityPoint Health
Sue Matye- Iowa County Health Dept
Karen Sell- Prairie Ridge Health Columbus
Amy Hollis- Monroe Clinic
Svea Erlandson- WI DHS OPEHC
Brenda Lutz-Hanson- La Crosse County Health Dept
Jeff Ethington- UW Health OPO
Jennifer Behnke- SCWIHERC

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

Our Closed POD Workshop took place on September 26, thank you for making it a successful event!  The after action report can be found here:

If  you are looking for any of the resources presented at the workshop, or would like to begin planning our organization’s closed POD, please reach out to your local health department:

Adams County                           608-339-4505

Columbia County                     608-742-9227

Dodge County                           920-386-3670

Grant County                             608-723-6416

Green County                            608-328-9390

Iowa County                               608-930-9870

Jefferson County                     920-674-7275

Juneau County                          608-847-9373

Lafayette County                     608-776-4895

Madison/Dane County          608-266-4821

Marquette County                  608-297-3135

Richland County                       608-647-8821

Rock County                               608-757-5440

Sauk County                               608-355-3290

Watertown (City)                     920-262-8090

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.

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