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

Rescue Task Force Training

South Central Healthcare Coalition is pleased to offer Rescue Task Force training to partners in our region, free of charge. Training is provided by Mercyhealth Emergency Medical Services Training Center.

Register Here

Click Here for printable flyer

Course description:

Historically, medical care was not provided to victims until law enforcement secured the scene. This practice is being replaced by Rescue Task Force (RTF), a patient-centric and life-saving approach.

RTF is an aggressive response to an active shooter incident that provides rapid medical treatment at the point of injury to those who are injured. It is a joint response between police, fire and EMS agencies, but can be adapted to any agency, large or small, rural or urban. This training is ideal for front line EMS personnel and law enforcement officers. With basic understanding of language, roles and movements, trained persons will finish the class with a functional understanding and ability to perform this task.

Training will be delivered in five different locations throughout our region.  Class size is limited to 100 students for the lecture component and 50 students for the hands-on component.  Those taking the hands on portion  must also take the lecture portion.  Registration is first come, first served, however, priority registration will be given to first responders for the hands-on component.

Lecture: 8AM-noon
Hands On: 1-5PM
Lunch is on your own.

April 29, Mercyhealth Hospital and Trauma Center, 1000 Mineral Point Ave., Janesville

May 13, Watertown High School, 825 Endeavour Dr., Watertown

May 20, Portage, Divine Savior Healthcare, 2817 New Pinery Rd., Portage

June 3, UW Platteville Markee Student Center, 1 University Plaza, Platteville

June 10, La Follette High School, 702 Pflaum Rd., Madison

 

2016-2017 Microgrant Funding Information

7-1-17 Please note: Due to substantial budget cuts,we are unable to take new microgrant requests at this time.  Please email the SCHCC coordinator with any questions.

All microgrant requests must have a main objective of offering relevant training to partners within SCHCC.  In the spirit of coalition building, we prioritize requests that benefit partners from more than one organization or jurisdiction.​

To apply for a microgrant, please furnish the following information in your request:

1) What is the name of the course/training you would like to offer?

2) Who is the audience served in this training? (Roles? Reps from your organization? Other Jurisdictions?)

3) Where will the training be delivered? (city, organization)

4) What is the total cost, and how much are you requesting from South Central Healthcare Coalition? ​ (Instructor fees, course materials, venue etc)

Our funds expire on June 30, so if selected you would have to have deliver your program by that date.  If you are interested in applying for a microgrant, please send the information specified above to jennifer.behnke@dhs.wisconsin.gov by May 11, 2017.  ALL requests must be received by that date to ensure disbursement.

John Rago – SCWIHERC Vice Chair, EMS

Baraboo District Ambulance Service- Deputy Chief of Emergency Medical Services

jrago@barabooems.com

John has served with Baraboo Ambulance Service for over 20 years and Baraboo Fire Department for over 16 years.

He is licensed Paramedic in the State of Wisconsin and holds a Bachelor of Science Degree in Psychology/Secondary Education from University of Wisconsin – Superior.  He currently serves on several boards including the South Central Regional Trauma Advisory Council and South Central Wisconsin Healthcare Emergency Readiness Coalition.

Sarah Mattes – Public Health

Public Health Madison and Dane County

smattes@publichealthmdc.com

Sarah joined Public Health Madison & Dane County in 2015 as a public health supervisor where she oversees department communications, performance management, and emergency preparedness activities. Previous to that, she spent over 10 years at the University of Wisconsin – Madison supporting local coalitions and health departments in communicating health education and advocacy messages effectively.