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

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

 

February 2, 2018 Meeting Notes

Link to Adobe Connect Recording

Several links referenced during the meeting are found on our links page.



Meeting attendance:

Hospital Meeting
Bill Ritzer Reedsburg Area Medical Center
Bob Swenarski St. Mary’s Janesville
Brian Allen Southwest Health
Patrick Monckton Southwest Health
Brian Cushman Upland Hills Health
Carmen Luther Reedsburg Area Medical Center
Kathy Dobson Edgerton Hospital
Michele Thrun Edgerton Hospital
Elisa Stott Beaver Dam Community Hospital and Beloit Memorial Hospital
Erin Nichol Watertown Regional Medical Center
Lyle Kratochwill Richland Hospital
Sally Blackbourn Memorial Hospital of Lafayette County
Sam LaMuro Fort Healthcare
Scott Switzer Gundersen Moundview
Sharon Foley Divine Savior Healthcare
Greg Dempsey Fort HealthCare
Paul Hable Fort Healthcare
Stephanie Lehmann SSM Health Madison St. Mary’s
Lynda Brereton SSM Health Madison St. Mary’s
Karen Munt UPH Meriter
Dave Larson VA Madison
Christal Foreyt Gundersen Boscobel
Angie Cohen Grant Regional Health Center
Kyle Schaefer UW Hospital
Lisa Pickarts Sauk Prairie Hospital
Alice Salli Mendota Mental Health
Sharon Warden Mile Bluff Medical Center
Karen Sell Columbus Community Hospital
Jon Erdmann Divine Savior
Steve Haskell UW Health
Casey Farnum UW Health
Mary Austin Monroe Clinic
Tina Strandlie Stoughton Hospital
Barbara Kuska Beloit Health System
Catherine Heimbecher Select Specialty Hospital

 

General Membership Meeting
Alissa Iwanski Ingleside Manor
Allison Davey- Marquette Co Health Dept
Ann Thompson Iowa Co Health Dept
Asa Rowan- Beloit Area Community Health Centers
Carrie Meier Dane County Emergency Mgmt
Charles Tubbs Sr. Dane County Emergency Mgmt
Dennis Tomczyk New Glarus Home
John Pappone Beaver Dam Community Hospital
Julie Gudel SSM Ambulatory Surgery Centers
RoAnn Warden Green County Health Dept
Russ Sprecher St. Clare Meadows Care Center
Suzanne Schreiner Adams County Health Dept
Joe Meagher Dodge County EM
Amy Nehls Dodge County EM
Brittany Bleich Dodge Co/Watertown Public Health
Mike Lohmeier SCHCC
John Rago Baraboo District Ambulance Service
Melissa Paul Advanced Pain Management
Alison Chouinard Rock Co Public Health
Aurielle Smith UW Health
Tanna McKeon Green Co EM
Jane Gervais Adams Co. EM
Kathy Johnson Columbia Co EM
Gail Scott Jefferson County Health Dept
Donna Haugom Jefferson County EM
Cassidy Walsh Sauk Co Health Dept
Susan Lorenz Columbia Co Health Dept
Sue Matye Iowa Co. Health Dept
Dan Williams SCRTAC
Deb Plendl Fresnius Dialysis Center
Bill Ritzer Reedsburg Area Medical Center
Bob Swenarski St. Mary’s Janesville
Brian Allen Southwest Health
Patrick Monckton Southwest Health
Brian Cushman Upland Hills Health
Carmen Luther Reedsburg Area Medical Center
Kathy Dobson Edgerton Hospital
Michele Thrun Edgerton Hospital
Elisa Stott Beaver Dam Community Hospital and Beloit Memorial Hospital
Erin Nichol Watertown Regional Medical Center
Lyle Kratochwill Richland Hospital
Sally Blackbourn Memorial Hospital of Lafayette County
Sam LaMuro Fort Healthcare
Scott Switzer Gundersen Moundview
Sharon Foley Divine Savior Healthcare
Greg Dempsey Fort HealthCare
Paul Hable Fort Healthcare
Stephanie Lehmann SSM Health Madison St. Mary’s
Lynda Brereton SSM Health Madison St. Mary’s
Karen Munt UPH Meriter
Dave Larson VA Madison
Christal Foreyt Gundersen Boscobel
Angie Cohen Grant Regional Health Center
Kyle Schaefer UW Hospital
Lisa Pickarts Sauk Prairie Hospital
Alice Salli Mendota Mental Health
Sharon Warden Mile Bluff Medical Center
Karen Sell Columbus Community Hospital
Jon Erdmann Divine Savior
Steve Haskell UW Health
Casey Farnum UW Health
Mary Austin Monroe Clinic
Tina Strandlie Stoughton Hospital
Barbara Kuska Beloit Health System
Catherine Heimbecher Select Specialty Hospital

October 6, 2017 Meeting Notes

Due to meeting in a new location, audio was not picked up by the Adobe Connect, therefore there is no recording.

Meeting Slides

Coalition Surge Test Slides

Hospital Meeting Notes:

WISCOM Roll Call on September 26 revealed many issues with communications.  Jennifer and Bill Tyler asked to hold more frequent WISCOM roll calls until response rates are better, hospital reps agreed.  WISCOM roll call will go alphabetically by hospital name, Jennifer sent out roll call response log by email on October 5.

Jennifer sent out WI Trac response rates for the first quarter of this fiscal year (July 1 through September 30) on October 5.  At the August meeting, hospital reps set a goal of a 90% response rate for MCI alerts, bed poll alerts, and daily bed counts.

Paul Hable has retired from the SCHCC Board, and we held hospital representative elections.  Jon Erdmann, from Divine Savior Healthcare, was elected as the new hospital representative.

Membership Meeting Notes

We reviewed the area medical coordination center borders within region 5.  We decided to change the borders so that each area’s borders fell on existing county borders, see graphic.

The coalition will be holding workshops in late fall/early winter in each of the four areas outside of Dane County.  We will be using these to discuss different scenarios that impact medical surge and emergency response.  We will be discussing incident command/unified command, communications, partner and discipline roles, procuring and sharing resources, distribution of patients, and other local needs.  We will look at scenarios such as a mass casualty incident, natural disaster with utility failure, healthcare emergency evacuation, pandemic, and decontamination.  We are looking to have reps from each hospital, county health department, and county emergency management at these workshops, as well as 1-2 reps from EMS and long-term care.

The coalition is looking to develop workgroups for pediatric emergency preparedness, and mental and behavioral health emergency preparedness, please contact Jennifer if you would like to participate.

Reminders: The Pediatric Disaster Response and Emergency Preparedness Course is December 5 and 6 in Madison. The December 1 regional meeting is canceled, instead we will be bringing workshops to the four areas as mentioned above.

The Southern Wisconsin Association of Local Health Departments and Boards elected Sue Matye of Iowa County as the new public health rep for the SCHCC, Annie Timmerman of Lafayette County stepped down.

We shared a few lessons learned from recent events.  With the numerous disasters and events that have recently occurred, consider how this affects our local supply chain management when products are made in stricken areas, or when a large event elsewhere depletes national supply.  We also discussed active shooter situations and will share lessons learned when we receive them.

Our coalition surge test discussion was facilitated by Michelle Seitz, the healthcare preparedness program manager for WI Dept. of Health Services see slides above.  Some discussion points to note: EMS and transport agencies will be needed for healthcare evacuation, but they still need to maintain service for 911 calls.  Until we have a more universal form of patient tracking, we could use EMS patient triage tags.  We opted to use WI Trac for alerting from the coalition, including for disciplines other than healthcare, such as public health and emergency management.  County public service alerting portals are the most efficient method for alerting EMS and activating the Mutual Aid Box Alarm System (MABAS).  For region 5 coalition surge test, we will have to evacuate 388 patients to other hospitals.  We decided to evacuate one hospital rather than several smaller hospitals to make the exercise simpler.  On exercise day, we will have to evaluate the open beds in the region and will fill those first, additionally surging other hospitals as needed to place patients.

***Notes*** The coalition surge test is a virtual functional exercise, no real patients will be moved on exercise day.  Per ASPR requirements, we cannot share the exercise date and time, only the two week window in which it will occur. To be counted as a player in the exercise, all hospitals will need to respond to their WI Trac bed poll alert on exercise day, even if they cannot take any patients.  Please direct any coalition surge test questions to Jennifer or Michelle Seitz.

Meeting attendees:

Becky Schambow, Southwest Health

Karen Sell, Columbus Community Hospital

Wendi Stitzer, Gundersen Boscobel

Christal Foreyt, Gundersen Boscobel

Casey Farnum, UW Health

Angie Cohen, Grant Regional

Sharon Foley, Divine Savior,

Michele Thrun, Edgerton Hospital

Kathy Dobson, Edgerton Hospital

Nikki Salas, Watertown RMC

Kevin Kennedy, Mercyhealth

Greg Dempsey, Fort HealthCare

Barb Kuska, Beloit Memorial

Jon Erdmann, Divine Savior

Bob Swenarski, SSM Health St. Mary’s Janesville

Dave Larson, VA Hospital Madison

Ben Eithun, UW Health

Kyle Schaefer, UW Health

Rene Mathura, Stoughton Hospital

Karen Munt, Meriter

Alice Salli, Mendota Mental Health

Bill Ritzer, Reedsburg AMC

Brian Cushman, Upland Hills Health

Kelly Lapp, SSM St. Clare Baraboo

Lisa Massen, Moundview Memorial

Lyle Kratochwill, Richland Hospital

Patty Walgenbach, Waupun Memorial,

Stephanie Alami, Central Wisconsin Center

Alison Chouinard, Rock County PH

Brittany Bleich, Dodge County/Watertown PH

Abigail Sauer, Dodge County PH

Alyson Horkan, Juneau County PH

Evan Corbeil, Region 7 HERC

Kate Louther, Madison Dane County PH

Tanna McKeon, Green County EM

Svea Erlandson, WI DHS

Cassidy Walsh, Sauk County PH

Bill Tyler, R5 WISCOM SME

Asa Rowan, Beloit Area Community Health Center

Aurielle Smith, UW Health

Diana Quinn, St. Mary’s Madison

Sue Matye, Iowa County PH

Jeff Kindrai, Grant County PH

Donna Haugom, Jefferson County EM

Jody Langfeldt, Dodge County PH

Gail Scott, Jefferson County PH

Kathy Johnson, Columbia County EM

Marie Darling Ellis, Columbia County EM

Joe Meagher, Dodge County EM

Doug Voegeli, Madison Dane County PH

Carrie Meier, Dane County EM

John Rago, Baraboo EMS

Billee Bayou, WI DHS

Jane Gervais, Adams County PH

RoAnn Warden, Green County PH

Susan Lorenz, Columbia County PH

Suzanne Schreiner, Adams County PH

Paul Hartl, Beaver Dam FD

Mike Lohmeier, SCHCC

February 3, 2017 Membership Meeting Notes

Meeting Notes from February 3

Adobe Connect Recording Archived: https://connect.wisconsin.gov/p8b69q1a3zs/

(If a window pops up and you are asked for your connect.wisconsin.gov credentials, just click cancel. Once the window loads, in the upper left hand corner under filter events uncheck “chat messages” and “slide changes” and you will see each agenda topic bookmarked to make navigating the recording easier. Click on each “collaboration” tab to see the bookmarks.) Also- my apologies, I forgot to start recording until about 5 minutes in, the topics missed in the recording were the WISCOM SME Update and the update on the Wisconsin Hospital Mutual Aid MOU

Hospital

  1. WISCOM Subject Matter Expert (SME) Update: Our SME is Bill Tyler, and by now he has attempted contact with all hospitals in our region. The project takes a two-step approach. First step is technical assessment of equipment done by Bill to make sure it’s working. Second step is training personnel including a WISCOM Champion in each hospital to continue the training program long-term. Bill can be reached at (608)314-6265 or tylerw3212@gmail.com
  2. Update on Wisconsin Hospital Mutual Aid MOU: Once signed, is effective for five years. Blank MOU is included with these notes. 
  3. PAPR update: Grainger is unable to give us a coalition rate for PAPR supplies at this time. PAPR information from December is attached to these notes.
  4. WI Trac Update: Daily bed count update expectation memo was distributed a few weeks ago. Please update your bed counts at least daily. Please respond to MCI alerts (real and drill) within 15 minutes and bed poll alerts (real and drill) within 4 hours. Also, be aware that informational banners may be posted on WI Trac. Please inform Jennifer of any concerns or training needs.
  5. Match Survey Update: this survey is used to collect exercise and real event data from hospitals. The Wisconsin Healthcare Emergency Preparedness Program (WHEPP) uses it to secure federal grant funding from the Assistant Secretary for Preparedness and Response (ASPR). Please fill out this survey for any exercise or real event involving your hospital since July 1, 2016. If you are unsure whether you’ve completed this for an exercise or event already, contact Jennifer. A blank PDF of the survey for gathering data prior to submission is attached. Survey link: https://www.surveygizmo.com/s3/3321278/FY-16-17-WHEPP-Exercise-and-Real-Event-Report-F-02007-01-2017

General Membership

  1. Regional Evacuation Tabletop Exercise: Thursday, April 6, 2017, location TBD in Madison. Please see exercise flyer for details (not attached, coming in a separate email). Please share exercise flyer with your partners, we would like to see participation from hospitals, EMS, emergency management, public health, trauma, long-term care, clinics, law enforcement, fire, etc. The exercise registration link is embedded in the flyer, please have every individual attending register to ensure adequate venue size and food. Please reference Adobe Connect session link for exercise specifics. A separate Doodle poll will go out to help us in selecting a week in May to designate as evacuation functional/full-scale exercise week for partners who want to do this exercise in their facility.
  2. We had a presentation from Steve Kirschbaum at Swedish American Health System, talking about the evacuation exercise they did this fall. We had several requests for Steve to share the contents of their evacuation kits, and Karen Munt of UPH Meriter also shared the contents of their evacuation kits, both are detailed in this document. Our SCHCC Chair, Marisa Bartlett also talked about her experiences at the healthcare coalition level in helping with the response at St. John’s in Joplin, MO after the tornado hit in 2011. We then broke into small groups to discuss what we should integrate into our exercises and regional response plans. Some themes: Transportation, patient tracking, including fire depts. and law enforcement, regional medical coordination, knowing your partners for mutual aid, communication between all partners, knowing your local assets.
  3. Regional hazard vulnerability assessment (HVA) update: Jennifer presented the regional HVA from last year, which was a leaner assessment than we need to do this year. The Board will work on the HVA document and then share with the coalition for input prior to submitting to WHEPP. We will use the HVA data collected last year to inform this year’s results.
  4. Jennifer and Doug Voegeli (SCHCC Executive Board and Public Health Madison Dane County) attended the MESH Healthcare Coalition Conference and shared some thoughts and insights from that. See Adobe Connect recording for specifics.
  5. Training Updates:
    1. The coalition still has 27 DQE seats for decontamination training and/or facility evacuation training. Please contact Jennifer if interested.
    2. Please send us any microgrant training requests you might have. Include What- Which training would you like to offer? Who- Who is the audience served in this training? Where- What kind of venue is needed and in what area of the region? How much- what is the approximate cost of the training?
    3. Update on WHEPP Week at Center for Domestic Preparedness in Anniston, AL, August 27-September 2, 2017 (dates include travel): Please email Jennifer expressing your interest by Friday, February 24. Include your name, email, title, agency, and which course you are interested in (rank preference if more than one). Starting in April, watch for emails from Tracey Froiland, Region 6 coordinator, who will help you get registered with CDP and start arranging your travel. In the meantime, secure permission from your employer to attend, and work on course prerequisites. Courses offered are Healthcare Leadership for Mass Casualty Incidents (HCL), Hospital Emergency Response Team with Train the Trainer (HERT), Emergency Medical Operations for CBRNE Incidents. https://cdp.dhs.gov/find-training/courses
    4. WHEPP is exploring using carryover grant funding to fund the following courses throughout the state: Hospital Incident Command System (HICS), Certified Hospital Emergency Coordinator (CHEC), Basic and Advanced Disaster Life Support (BDLS/ADLS), Trauma Outcomes and Performance Improvement Course (TOPIC). Not all courses will necessarily be available in our region but many are expected to be scheduled somewhere in the state. Jennifer will share more information as it becomes available.
  6. CMS Final Rule: 17 sectors of healthcare that receive Medicare payments are required to comply by November 16, 2017. We invite members of these sectors into the coalition, please share coalition information about meetings, trainings, and exercises with your partners in these sectors. https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertEmergPrep/Emergency-Prep-Rule.html
  7. Announcements: We are working on overhauling the SCHCC website into a useful tool for all partners. Please be patient with us, expected completion date of April. Training opportunities: Active Shooter Conference in Fond du Lac February 22-23, open to first responders only please. Also, Governor’s Conference on Emergency Management is March 8-9 in Wisconsin Dells, more info: https://wigcot.eventsair.com/QuickEventWebsitePortal/2017gcwem/wem17

Attendance for February 3 SCHCC Meeting:
Hospital:
Marisa Bartlett UW Health
Karen Munt, UPH Meriter
Benjamin Geppi, Beaver Dam Community Hospital, Stoughton Hospital
Paul Hable, Fort Health Care
Karen Sell, Columbus Community Hospital
Sheryl Rucker, Edgerton Hospital
Becky Schambow, Southwest Health
Wendi Stitzer, Gundersen Boscobel
Angie Cohen, Grant Regional Health Center
Bob Swenarski, SSM Health St. Mary’s Janesville
Jon Erdmann, Divine Savior Portage
Lisa Pickarts, Sauk Prairie Healthcare
Kevin Kennedy, Mercy Health Walworth
Nicole Salas Watertown Regional Medical Center
Brenda Koehler-Borchardt, Watertown Regional Medical Center
Lynda Brereton, St. Mary’s Madison
Barb Kuska, Beloit Memorial Hospital
Kristen Audet, UW Health
Bill Ritzer, Reedsburg Area Medical Center
Brian Cushman, Upland Hills Health
Kelly Lapp, St. Clare Baraboo
Lyle Kratochwill, Richland Hospital
Mary Austin, Monroe Clinic
Mary Crowley, Mile Bluff Medical Center
Patty Walgenbach, Waupun Memorial
Bobbie Vossekuil, Waupun Memorial
Sally Blackbourn, Memorial Hospital Lafayette County
General Membership:
Billee Bayou, DHS/DPH/OPEHC
Brenda Borchardt, Watertown Regional Medical Center
Nikki Salas, Watertown Regional Medical Center
Lynda Brereton, St. Mary’s Madison
Karen Munt, UPH Meriter
Benjamin Geppi, Beaver Dam Community Hospital, Stoughton Hospital
Barb Kuska, Beloit Memorial Hospital
Asa Rowan, Beloit Area Community Health
Tanna McKeon, Green Co. EM
Joni Marty, Green Co. PH
Kevin Kennedy, Mercy Health Walworth
Karen Sell, Columbus Community Hospital
Paul Hable, Fort Health Care
Angie Cohen, Grant Regional Health Center
Becky Schambow, Southwest Health Platteville
Wendi Stitzer, Gundersen Boscobel
Bob Swenarski, St. Mary’s Janesville
Jon Erdmann, Divine Savior Portage
Alison Chounard, Rock County PH
Jeff Kindrai, Grant County PH
Doug Voegeli, Madison Dane County PH
Stanek, Richland County PH
Sue Matye Iowa County PH
Annie Timmerman, Lafayette County PH
Carol Quest, Watertown PH
Michael Lohmeier, SCHCC medical advisor
Donna Haugom, Jefferson County EM
Gail Scott, Jefferson County PH
Cassidy Walsh, Sauk County PH
Sarah Grosshuesch, Adams County PH
Lee Bartinek, Adams County PH
John Rago, Baraboo EMS
Dan Williams, SCRTAC
Sheryl Rucker, Edgerton Hospital
Tristen Jordan, Madison Dane County PH
Marisa Bartlett, UW Health
Kristen Audet, UW Health
Joe Meagher, Dodge County EM
Bill Ritzer, Reedsburg Area Medical Center
Brian Cushman, Upland Hills Health
Kelly Lapp, St. Clare Baraboo
Lyle Kratochwill, Richland Hospital
Mary Austin, Monroe Clinic
Mary Crowley, Mile Bluff Medical Center
Patty Walgenbach, Waupun Memorial
Bobbie Vossekuil, Waupun Memorial
Jane Gervais, Adams County EM
Jayme Schenk, Marquette County EM
Ryan Avery, American Red Cross
Sancee Siebold, Rock County PH
Tana Buss, UW Health
Carrie Meier, Dane County EM
Tina Sullivan, Juneau County PH

December 2, 2016 Membership Meeting Notes

Hospital
1) Marisa shared information about the Versa-Flow trade in program with the hospitals, this program has been extended through December 31 so if you didn’t have a chance to register yet you may still do so. The information was distributed in an email from Jennifer on December 2.
2) Marisa is working on negotiating a coalition rate for PAPR supplies. More to come.
3) The Blank Wisconsin Hospital Mutual Aid MOU is attached for those hospitals that have not signed it and sent it back to Jennifer yet.
4) A few years back, WHEPP furnished many hospitals with a decontamination tent and hot water heater. A question was raised about what the current responsibility was for the hospitals that accepted them. The MOU in place at distribution has expired so there are no current obligations. However, in many regions hospitals are still using theirs and paying for maintenance and upkeep, since it is an OSHA requirement to be able to decontaminate a certain number of people per hour.
5) We had a discussion about whether we wanted to keep holding a hospital meeting prior to the general membership meeting. A majority voted in favor of preserving the hospital meeting, since it is the only meeting for hospitals in our region, while other disciplines have their own meetings (trauma has RTAC, public health has WALHDAB etc.)

General Membership
6) Tim Halbach joined us from the National Weather Service to talk about winter weather hazards and alerting. His slides are attached, and the video can be viewed at http://videos.med.wisc.edu/videoInfo.php?videoid=71803 . There are some issues towards the end of the video because the conference line was tied up by hold music, but Tim does go on to answer some important questions. The National Weather Service has an email distribution list for important weather events. Please email timothy.j.halbach@noaa.gov to have your name added to this list or if you have any other questions related to his presentation or weather hazards.
7) We discussed the SCHCC Training and Exercise Needs Survey. The tabletop exercise this year will have a training on emergency healthcare evacuation. We’re still honing in on partner needs for active shooter training. The Pediatric Disaster Response and Emergency Preparedness course through FEMA will be offered in the region between December 4-10, 2017, unless the course administrators have a cancellation and can offer it sooner. We talked about needing more training on aggression management and nonviolent crisis intervention (NCI). Three partners from the region were certified as NCI trainers last year, but per the Crisis Prevention Institute they are not allowed to share this information outside of their employers.
8) There will be a week reserved for the Wisconsin Healthcare Emergency Preparedness Program partners at the Center for Domestic Preparedness in Anniston, AL, from August 27-September 2, 2017. There are about 20 slots open for our region for three different courses. More information will be coming as it becomes available.
a. Healthcare Leadership for Mass Casualty Incidents (HCL) (9 slots)
b. Hospital Emergency Response Team with Train the Trainer (HERT) (6 slots)
c. Emergency Medical Operations for CBRNE Incidents (6 slots)

9) Marisa explained the regional exercise concept this year. We will be focusing on healthcare evacuation. There will be a training, discussion, and tabletop exercise on healthcare evacuation. Our facilitator will provide generic evacuation exercise templates to share with all partners, which partners can then take back to their organizations, customize as needed, and conduct a functional/full-scale exercise if desired. We will then gather lessons learned and write those into our regional exercise AAR. Our goal is to have the tabletop in April, designate a week in early May for partners to do their on-site functional/full-scale exercises, and collect information needed for our regional AAR by mid-May.
10) Jennifer reviewed the new WI Trac dashboards. Our goal is to have the bed counts updated on WI Trac at least daily. This will become important as we move forward with regional medical coordination and as EMS becomes more reliant on WI Trac for decisions about patient transport. Jennifer will be drafting a formal letter to share with hospital administrators emphasizing the importance of daily bed updates in WI Trac.
11) WHEPP is working on an informational packet for the CMS Final Rule for Emergency Preparedness. This is also an opportunity for us to offer trainings within the region.
12) Microgrant funding this year will be used to fund trainings within the region. This is an efficient use of funding and follows the state and national healthcare coalition trend of building systems instead of buying stuff. Priority will be given to trainings that also benefit partners outside the requesting agency. To submit a microgrant funding request, please submit the following information to Jennifer by email, and she will forward onto the Board for review.
a. What- Which training would you like to offer?
b. Who- Who is the audience served in this training?
c. Where- What kind of venue is needed and in what area of the region?
d. How much- what is the approximate cost of the training?

13) We are working on live streaming future meetings so attendees can still see visual content accompanying the meeting.
14) It came to my attention that the Ebola exercise AAR from May might not have been distributed to the whole coalition, so it is attached.
Future Meetings:
Feb 3, 2017 – General Membership 9:30-11:30
Apr 7, 2017 – General Membership 9:30-11:30
Jun 2, 2017 – General Membership 9:30-11:30