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

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 will be available here when it is available in early June.

Resources mentioned at the workshop:

Reunification:

February 1, 2019 Meeting

Meeting slides:

February 1 Meeting Notes

See attached slides

Hospital

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

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

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

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

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

 

Membership

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

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

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

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

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

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

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

-vulnerable populations

-evacuation

-surge

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

-crisis standards of care (facilitated by Doug Hill)

We will also reevaluate other workgroups in the future

-mental health- provide offerings to engage mental health providers

-pediatrics (possibly statewide group instead of regional)

-family assistance center

-critical transportation

Recent conferences were reviewed.  Highlights:

Regional Disaster Health Response System:

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

Alison presented the High Consequence Infectious Disease Toolbox:

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

and the Travel Clinical Assistant:

https://dph.georgia.gov/TravelClinicalAssistant

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

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

 

February 1 Meeting Attendance (H) Indicates Hospital Meeting Attendance

Patty Walgenbach, Waupun Memorial (H)

Tina Strandlie, Stoughton Hospital (H)

Dave Larson, Madison VA (H)

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

Heather Poker, St. Mary’s Madison (H)

Austine Duru, St. Mary’s Madison

Karen Munt, UPH Meriter (H)

Karen Sell, Columbus Community Hospital (H)

Marla Noordhof, Beaver Dam Community Hospital (H)

Sharon Foley, Divine Savior Healthcare (H)

Sam LaMuro, Fort Healthcare (H)

Gail Hanlon, Sauk Prairie Healthcare (H)

Kristy Tremelling, Sauk Prairie Healthcare (H)

Doug Hill, DHS CSC Project Manager (H)

Kyle Schaefer, UW Health (H)

Michael Stephens, UW Health (H)

Casey Farnum, UW Health (H)

Steve Haskell, UW Health (H)

Tom Ellison, UW Health

Jennifer Justus, Mercyhealth Walworth (H)

Carrie Meier, Dane County EM

Gail Scott, Jefferson Co PH

Donna Haugom, Jefferson Co EM

Jon Erdmann, Divine Savior Healthcare (H)

Kathy Johnson, Columbia Co EM

Jane Gervais, Adams Co EM

Sue Matye, Iowa Co PH

Cassidy Walsh, Sauk Co PH

Jessi Phalen, Sauk Co PH

Jim Acker, Watertown FD

Dan Michaels, PH Madison Dane Co

Alison Chouinard, Rock Co PH

Carol Quest, Watertown PH

Mary Crowley, Juneau Co PH

Thera Hawkin, Juneau Co PH

Joe Meagher, Dodge Co EM

RoAnn Warden, Green Co EM

Jeff Kindrai, Grant Co PH

Susan Lorenz, Columbia Co PH

Sarah Mattes, PH Madison Dane Co

Aurielle Smith, WI DHS

Brian Allen- Southwest Health (H)

Alice Salli- Mendota Mental Health (H)

Brian Cushman- Upland Hills Health (H)

Josh Kowalke- Reedsburg Area Ambulance Service

Allison Davey- Marquette Co PH

Bill Ritzer, Reedsburg AMC (H)

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

Brenda Koehler Borchardt- Watertown RMC (H)

Stephanie Alami- Central Wisconsin Center (H)

Brittany Rasmussen- Dodge County PH

Wendi Stitzer- Gundersen Boscobel (H)

Tanna McKeon- Grant County EM

Sean Marquis- Mercyhealth Janesville (H)

December 7, 2018 Meeting

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

Meeting slides:

211 Presentation slides:

December 7 Hospital Meeting Notes

See slides for additional information.

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

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

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

Membership meeting notes

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

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

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

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

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

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

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

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

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

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

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

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

Attendance:

Donna Haugom, Jefferson County EM

Gail Scott, Jefferson County Health Dept

Lynda Brereton, St. Mary’s Madison

Sam LaMuro, Fort Healthcare

Asa Rowan, Beloit Area Community Health Center,

Karen Sell, Columbus Community Hospital

Aurielle Smith, UW Health/ WI DHS

Jim Todd, SSM Health at Home

Dave Larson, Madison VA

Karen Munt, Meriter

Nikki Salas, Watertown Reg Med Ctr

Jim Acker, Watertown FD

Marla Noordhof, Beaver Dam Community Hospital

Joni Marty, Green County PH

Sharon Foley, Divine Savior Healthcare

Christal Foreyt, Gundersen Boscobel

Sue Matye, Iowa County Health Dept

David Pluymers, Rock County PH

Barbara Kuska, Beloit Health System

Michael Stephens, UW Health Univ Hospital

Ben Eithun, UW Health AFCH

Casey Farnum, UW Health Univ Hospital

John Rago, Baraboo EMS

Sarah Mattes, Public Health Madison Dane County

Doug Hill, Crisis Standards of Care Coordinator

Kathy Johnson, Columbia County EM

Tanna McKeon, Green County EM

Mike Lohmeier, SCWIHERC Medical Advisor

Jessie Phalen, Sauk County Health Dept

Carol Quest, Watertown Health Dept

Lisa Pickarts, Sauk Prairie Hospital

Jeff Kindrai, Grant County Health Dept

Tina Strandlie, Stoughton Hospital

Tracy Buchman, Stoughton Hospital

Bob Swenarski, St. Mary’s Janesville

Tom Ellison, UW Health Trauma

Joe Meagher, Dodge County EM

Dan Williams, SCRTAC, Madison FD

Steve Haskell, UW Health

Alison Hanaman, Edgerton Hospital

Bill Ritzer, Reedsburg Area Med Ctr

Brian Allen, Southwest Health

Patrick Monckton, Southwest Health

Casi Frie, St. Clare Baraboo

Elisa Stott, Beloit, Beaver Dam, Edgerton

Judy Nowicki, Gundersen Moundview

Lisa Heritz

Sharon Warden, Mile Bluff MC

Abby Sauer, Dodge County PH

Alice Salli, Mendota Mental Health

Allison Davey, Marquette County PH

Erin Hastert- Lafayette Co PH

Kelly Lapp- St. Clare Baraboo

Peter Rabe

Rachel, Beaver Dam Community Hospital

Sally Blackbourn, Memorial Hospital of Lafayette County

Stephanie Alami, Central WI Center

Susan Lorenz, Columbia County PH

Carrie Meier, Dane County EM/EMS

 

 

August 3, 2018 Meeting Notes

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

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

Membership Meeting:

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

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

Walk in items/partner updates:

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

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

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

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

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

Meeting attendees:

Gail Scott, Jefferson Cty Health Dept

Donna Haugom, Jefferson Cty EM

Lynda Brereton, St Mary’s Madison

Heather Poker, St. Mary’s Madison

Paul Hable, Fort Healthcare

Ben Eithun, UW Health

Mike Stephens, UW Health

Karen Munt, Meriter

Barb Kuska, Beloit Health System

Patty Walgenbach, Waupun Memorial

Christal Foreyt, Gundersen Boscobel

Sharon Foley, Divine Savior

Angie Cohen, Grant Regional

Jon Erdmann, Divine Savior

Jeff Jelinek, Sauk Co EM

Bob Swenarski, St. Mary’s Janesville

Tracy Buchman, Stoughton Hospital

Tina Strandlie, Stoughton Hospital

Nikki Salas, Watertown Hospital

Stephanie Alami, Central WI Center

Mary Crowley, Juneau Co Health Dept

Jane Gervais, Adams Co EM

Karen Sell, Columbus Community Hospital

Casey Farnum, UW Health

Dan Michaels, PHMDC

Steve Haskell, UW Health

Claudine McCarthy, DHS OPEHC

Sharon Warden, Mile Bluff Med Ctr

Lisa Pickarts, Sauk Prairie Hospital

Jennifer Justus, Mercy Walworth

Stephanie Kuschel, NIPARC

Sam Nepple, Mercyhealth

Ashley Vickers, Mercy Walworth

Asa Rowan, Community Health Systems of Beloit

Cassidy Walsh, Sauk Co Health Dept

Dave Larson, Madison VA Hospital

Cindy Fraker, Divine Savior

Susan Lorenz, Columbia County HHS

Joe Meagher, Dodge Cty EM

Brittany Bleich, Dodge/Watertown Public Health

John Rago, Baraboo EMS

Tanna McKeon, Green Cty EM

Kathy Johnson, Columbia Cty EM

Bob Bentley, Ingleside Manor

Aurielle Smith, UW Health

Alison Chouinard, Rock Cty Health Dept

RoAnn Warden, Green County Health Dept

Jim Acker, Watertown FD

Mike Lohmeier, SCWIHERC/UW Health

Bill Ritzer, Reedsburg Area Medical Center

Carmen Luther, Reedsburg Area Medical Center

Brian Allen, Southwest Health

Patrick Monckton, Southwest Health

Casi Frie, St Clare Baraboo

Cheryl Meyer, Marquardt Mgmt

Dan Williams, SCRTAC

Elisa Stott, Beaver Dam Community Hospital

Erin Hastert, Lafayette Cty Health Dept

Janene Clark, Dells Delton EMS

Jennifer Johnson, Marquardt Village

Josh Kowalke Reedsburg Area Ambulance Service

Kelly Lapp, St. Clare Baraboo

Lyle Kratochwill, Richland Hospital

Mandy McGowan, UnityPoint at Home

Michelle Hemp, UnityPoint

Sally Blackbourn, Memorial Hospital of Lafayette Cty

Sam LaMuro, Fort Health Care

Sister Faustina, St. Elizabeth Home

Suzanne Schreiner, Adams Cty Health Dept

Coalition Workplan

Workplan items as prescribed by ASPR and the HPP Grant:

-Coalition Surge Test

-Regional Response Plan

-Coalition Assessment Tool

-Biannual Redundant Communications Drill

-Hazard Vulnerability Assessment

June 1, 2018 Meeting Notes

Please review the slides used at the meeting.

Hospital:

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

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

Membership:

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

The membership agreed to adopt the coalition preparedness plan.

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

We shared lessons learned from recent events.

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

Meeting Attendance:

Hospital:

Barb Kuska, Beloit Health System

Bob Swenarski, St. Mary’s Janesville,

Kathy Dobson, Edgerton Hospital

Karen Sell, Columbus Community Hospital

Sam LaMura, Fort Healthcare

Karen Munt, Meriter

Lynda Brereton, St. Mary’s Madison

Tracy Buchman, Stoughton Hospital

Angie Cohen, Grant Regional

Sharon Foley, Divine Savior

Nikki Salas, Watertown

Casey Farnum, UW Health

Mike Stephens, UW Health

Kyle Schaefer, UW Health

Steve Haskell, UW Health

Christal Foreyt, Gundersen Boscobel

Dave Larson, VA Madison

Heather Poker, St. Mary’s Madison

Alice Salli, Mendota Mental Health

Jon Erdmann, Divine Savior,

Mary Austin, Monroe Clinic

Lisa Massen, Gundersen Moundview

Casi Frie, St. Clare Baraboo

Brian Allen, Southwest Health

Membership:

Barb Kuska, Beloit Health System

Bob Swenarski, St. Mary’s Janesville,

Kathy Dobson, Edgerton Hospital

Karen Sell, Columbus Community Hospital

Sam LaMura, Fort Healthcare

Karen Munt, Meriter

Lynda Brereton, St. Mary’s Madison

Tracy Buchman, Stoughton Hospital

Angie Cohen, Grant Regional

Sharon Foley, Divine Savior

Nikki Salas, Watertown

Casey Farnum, UW Health

Mike Stephens, UW Health

Kyle Schaefer, UW Health

Steve Haskell, UW Health

Christal Foreyt, Gundersen Boscobel

Dave Larson, VA Madison

Heather Poker, St. Mary’s Madison

Alice Salli, Mendota Mental Health

Jon Erdmann, Divine Savior,

Mary Austin, Monroe Clinic

Lisa Massen, Gundersen Moundview

Casi Frie, St. Clare Baraboo

Brian Allen, Southwest Health

John Rago, Baraboo EMS

Aurielle Smith, UW Health

Kathy Johnson, Columbia County EM

Jane Gervais, Adams County EM

Sam Nepple, Mercyhealth

Jeff Kindrai, Grant and Lafayette County PH

Tanna McKeon, Green County EM

Joni Marty, Green County PH

Brittany Bleich, Dodge County/Watertown PH

Sue Matye, Iowa County PH

Carrie Meier, Dane County EM

Ben Eithun, AFCH

Amy Nehls, Dodge County EM

Joe Meagher, Dodge County EM

Catherine Heimbecher, Select Specialty

Frank Barby, Select Specialty

Donna Haugom, Jefferson County EM

Gail Scott, Jefferson County PH

Alison Chouinard, Rock County PH

Charles Tubbs Sr., Dane County EM

Stephanie Kuschel, Mercyhealth/NIPARC

Allison Davey, Marquette County PH

Asa Rowan, BACHC

Dan Williams, SCRTAC

Elisa Stott, Beaver Dam Community Hospital

Holly Nanney, Waupun Memorial Hospital

Patrick Monckton, Southwest Health

Russ Sprecher, St. Clare Meadows

Sally Blackbourn, Memorial Hospital of Lafayette County

Sarah Mattes, PH Madison Dane County

Sean Marquis, Mercyhealth

Sharon Warden, Mile Bluff MC

Stephanie Alami, Central WI Center

Suzanne Schreiner, Adams County PH

 

SCWIHERC Medical Advisor Request for Application

South Central Wisconsin Healthcare Emergency Readiness Coalition (SCWIHERC) is recruiting a medical advisor to serve SCWIHERC as described in the scope of work below.  The contract period for this posting is for July 1, 2018 through June 30, 2019.

The medical advisor contracted per this agreement (contract period of July 1, 2018 through June 30, 2019) will be paid $50,000, divided into twelve equal monthly installments, upon satisfactory performance of the scope of work of this contract.  This contract is considered “at will” and either party may terminate this contract with thirty days’ notice to the other party.

Candidates must be an MD or DO and reside within one of the coalition’s fourteen counties (Adams, Columbia, Dane, Dodge, Grant, Green, Iowa, Jefferson, Juneau, Lafayette, Marquette, Richland, Rock, Sauk, within the state of Wisconsin).

After June 30, 2019, the medical advisor position contract may be renewed annually at the discretion of the SCWIHERC Board of Directors, with compensation level determined annually based on the coalition’s projected and available funding.

All interested candidates seeking to be considered for this position should submit an application containing the following:

  • Curriculum vitae
  • Three references
  • A personal statement that answers the following question: “What is your vision for the relationship between the medical advisor and the South Central Wisconsin Healthcare Emergency Readiness Coalition?” Please limit your response to two pages.

Applications should be submitted electronically to Jennifer Behnke (Jennifer.behnke@dhs.wisconsin.gov) AND Ben Eithun (beithun@uwhealth.org) with the subject “SCWIHERC medical advisor application” by May 29, 2018.

SCOPE OF WORK STATEMENT

The medical advisor provides medical, administrative, technical and policy leadership for their assigned health care emergency readiness coalition (HERC) region and the Wisconsin Department of Health Services (DHS) including the Office of Preparedness and Emergency Health Care (OPEHC). The medical advisor engages physicians in the region to build medical surge capacity and educates partners on the disaster tiers framework for health response. This individual also ensures that planning and response to emergencies and disasters is based on sound ethical principles and consensus guidelines. Finally, the advisor works closely with the HERC coordinator and DHS to complete activities contained in the HERC work plan.

EXPECTATIONS

  • Coordinates with the HERC Coordinator for the implementation of the Regional Work Plan for the contract period.
  • Provides guidance on the development/revision of the HERC Preparedness Plan, Response Plan, and Framework for the HERC’s Regional Medical Coordinating Center as requested.
  • Provides guidance on the development/revision of DHS state-wide emergency plans as requested (transportation, crisis standards of care, patient tracking, etc.).
  • Assists DHS EMS Coordinators or Section Chief with the review of submitted EMS operational plans and treatment protocols as requested.
  • Participates in regional and statewide meetings (in-person or remotely) to include:
    • Regional HERC Board and Membership Meetings (75%)
    • Monthly Statewide HERC Meetings (50%)
    • Quarterly In-person Medical Advisor Meetings (50%)
    • Partner Meetings (Regional Trauma Advisory Council, Emergency Medical Services Board Meetings, and EMS Physician Advisory Committee) (50%)
    • Meets at least monthly with the Healthcare Emergency Readiness Coalition Staff (HERC Coordinator and RTAC Coordinator)

EXERCISES/DRILLS

  • Achieves/maintains understanding of WITRAC and participates in WITRAC drills as requested.
  • Participates in the Coalition Surge Exercise planning discussion involving the evacuation of 20% of the HERC’s staffed acute care beds in order to identify regional gaps and training needs.
  • Assists in the development of the Coalition Surge Tabletop exercise in coordination with the HERC Coordinator and DHS OPEHC staff as requested.
  • Provides technical assistance to regional exercise design teams as requested.
  • Participates in the State WISCOM Drills as requested.

Regional Medical Coordination

Under guidance from the Assistant Secretary for Preparedness and Response, healthcare coalitions across the nation have been tasked with taking a more proactive role to support the healthcare sector during emergencies and disasters.  Previously, our role has largely been preparedness, and now we are tasked with creating a regional response plan, also known as regional medical coordination.  The general concept is that when the scope of an incident, whether it is occurring internally or externally to a healthcare organization, overwhelms an individual organization, the healthcare coalition is able to provide support in the form of coordination, communication, and mutual aid from other agencies that can provide assistance.  All responses start locally, but when local efforts are overwhelmed, we can use a tiered response approach to escalate an incident and bring in additional assistance.  The healthcare coalition is the tier between a local organization or jurisdiction and the state.

 

 

 

 

Regional medical coordination does not replace or usurp individual facility emergency operations plans or local jurisdiction emergency response plans, but rather compliments them to support the safety and continuity of care of the patients in our region before, during, and after emergencies and disasters.  This includes the entire spectrum of the patient population, from acute care, subacute care, long-term care, and hospice, to the population living independently but otherwise utilizing home health, ambulatory care, or public health services.  Well-executed regional medical coordination efforts have the capability to help improve outcomes for everyone affected by emergencies and disasters.

There are many types of events that can threaten the healthcare sector, but a good all-hazards regional medical coordination plan should work no matter the incident or number of people affected.  For what types of incidents should we prepare and be capable of responding?  Unfortunately, well-documented events in recent history have shown us.  The events of September 11, 2001, Hurricane Katrina, the H1N1 influenza pandemic, the Joplin, Missouri tornado, the Boston Marathon bombing, Ebola, numerous mass shooting events, Hurricanes Harvey, Irma, and Maria, and many other events all have something to teach us about how to improve our coordination efforts and response plans to better protect the health of everyone affected by these events.

So how do we accomplish this task on a regional level?  South Central Wisconsin Healthcare Emergency Readiness Coalition, also known as WIHERC Region 5, is home to 1.1 million people and includes 14 counties, 32 hospitals, 89 long-term care facilities, 158 emergency medical service agencies, and numerous other healthcare partners.  Given the size and diversity of our region, SCWIHERC leadership decided to break our region into smaller areas, each led by an Area Medical Coordinating Center (AMCC), to allow for more input and local control.  Should an area become overwhelmed during a healthcare emergency response, the whole region, led by a regional medical coordinating center (RMCC), can be activated to assist.

The next steps of our regional medical coordination plan development include defining what roles the area medical coordinating centers, regional medical coordinating center, coalition partners, and coalition staff have in coordinating, communicating, and providing assistance.  This information will inform the draft regional response plan.

 

 

 

Health Sector Emergency Preparedness

The Center for Domestic Preparedness is bringing the Health Sector Emergency Preparedness Course to Wisconsin!  This course is FREE and is being offered in Weston and Onalaska. Lunch will be provided.

You MUST have a FEMA student ID number to register. Register at https://cdp.dhs.gov/apply and enter the FEMA course number listed in the “Do you have a promo code?” field. Please register as soon as possible.

 

Region 4:

November 28, 8AM-5PM

FEMA course number: 18N-0248 HSEP

Stoney Creek Inn
3060 S Kinney Coulee Rd
Onalaska, WI 54650

Region 2:

November 30, 8AM-5PM

FEMA course number: 18N-0249 HSEP

Dale’s Weston Lanes
5902 Schofield Ave, Weston, WI
Weston, WI 54476

 

 

 

Course Purpose. The purpose of this course is to provide healthcare providers and suppliers with training in achieving the four core emergency preparedness elements outlined in the September 2016 Center for Medicare and Medicaid Services (CMS) Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Rule.

Course Scope. The one-day, 8 hour course is intended to assist healthcare providers and suppliers in achieving the four core emergency preparedness elements outlined in the September 2016 CMS Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers Rule. The course provides instruction, guided discussion, best practice tools, and resources for the conduct of a risk assessment; the development of an emergency plan; the development of associated policies and procedures; the creation of a communications plan; and the training and testing of the plans, policies, and procedures.

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