May 17, 2023 Membership Meeting


Recording link and passcode: See email from Jennifer on May 20.
Hospital:
We discussed how hospitals should prepare for the Medical Response and Surge Exercise on June 14. The scenario will give each hospital a 20% surge of paper patients based on the bed survey responses. The premise of the exercise is that hospitals will then look at their real census and staffing on exercise day, and move through their paper patient surge to determine how many patients they can make room for, how many current admissions where they can expedite discharge, and whether they have enough supplies to care for the paper patients in this scenario. Please consider inviting your local EMS, interfacility transport, public health department, and emergency management reps to your hospital command center during the exercise. There will be a hotwash immediately after the conclusion of the exercise, and we will also talk more in-depth at our June Hospital Forum meeting (June 20 at noon) about how hospitals responded and overall themes, strengths, and areas for improvement.
Reminder that hospitals are asked to complete the MATCH survey to report their in-kind efforts on exercises and real events. These survey responses help the Hospital Preparedness Program meet our 10% grant matching requirement from the feds. Deadline for survey completion for this grant year is June 30 (we will ask again for activities starting July 1 next year). MATCH survey link: https://www.surveygizmo.com/s3/3321278/WHEPP-Exercise-and-Real-Event-Report-F-02007-06-2022
ABLS continues to be a hassle, without warning we learned ABA changed learning platforms about 6 weeks ago, current course progress was lost if the course wasn’t finished at that time, and users cannot find where to access the course on the new platform. Jennifer sent out an email on May 8 to all users on her master registration list requesting that they attempt to log in and find the course, and if it is not there, to reach out to ABLS (ABLS@ameriburn.org) to put in a support ticket. Users should do this before they attempt to resume the course, to be sure the course is actually there when they need it! Related to the Burn Surge Plan- don’t forget to share/post the burn plan activation one-pager so your staff know when and how to activate the burn plan. Link:
We reviewed the poorer than usual EMResource response rates, especially to mass casualty incident type events. Typically two root causes: training is needed to show staff how to do it correctly, or alerts are not getting to the staff tasked with responding. Remember that notification methods include text message (to personal or pass around phones), email, and voice alerts (robodial that can also go to a landline). Group expressed an interest in continued reminders to keep addressing the problem, Jennifer will also compile response rates and share soon. Remember that the success of the RMCC, and more importantly better patient outcomes, are supported when hospitals respond. This is the only way for the field to understand your current capabilities based on your current staffing and patient loads!
Membership:
Medical Response and Surge Exercise: Two specific injects written into exercise to engage local public health and emergency management. Please join your hospital command center in person so you can learn from each other and learn what you can offer each other in this scenario. Even if you cannot be there in person, your hospitals (or the exercise controllers) will reach out to you during the exercise for support on these injects. Please discuss with your staff how you would respond to these injects and add that to feedback survey or email to Jennifer.

SCWIHERC will be doing annual review of plans, making updates, and requesting documentation that your organization received our plans via DocuSign in Junem completion requested by June 30. This is an annual federal requirement that HERCs must meet to show the feds that we pr ovided these plans to our partners, your completion of the DocuSign is our official documentation for this requirement.

Several opportunities remain from now until June 30: Flyers for all are attached.
Media Relations Workshop June 1, 11 seats remain

Active Shooter Incident Management Basic for First Responders June 6 or 7, 60 seats remain

CMS Virtual Exercise June 21, room for 100 more organizations! Please continue to target and share this with long-term care facilities, hospices, home health agencies, ambulatory surgery centers, outpatient physical/occupational therapy providers, end stage renal disease (dialysis) providers, federally qualified health centers, rural health centers, and intermediate care facilities for individuals with intellectual disabilities. This exercise is customized to these audiences to help test their emergency operations plan, communication plan, and help them satisfy an exercise requirement!

Mark Paulson, WI DHS Radiation Protection Section Manager, joined us to give a presentation on their office and the support and resources offered. Refer to recording and remember that these resources can be reached 24/7 at 608-258-0099 (WI DHS emergency line).

We then proceeded through the tabletop exercise on a radiation injury scenario (SitMan link: ). This is here for your organization if you would like to review this scenario internally with your staff and leadership. https://drive.google.com/file/d/1W4BTeB51-XwBKA8e6L2PPiSjJ7tyoqjg/view?usp=share_link

Other helpful resources:

Radiation Emergency Assistance Center/Training Site: https://orise.orau.gov/reacts/index.html

WI DHS web page that links to a lot of the resources below and some WI specific guides: https://www.dhs.wisconsin.gov/radiation/protection/index.htm
Radiological Dispersal Device (RDD) Response Guidance Planning for the First 100 Minutes: Video and link to guidance https://www.dhs.gov/publication/st-frg-rdd-response-guidance-planning-first-100-minutes
First 100 minute guidance https://www.dhs.gov/sites/default/files/publications/nustl_rdd-responseplanningguidance-public_28oct2021-508-revised.pdf
CDC Population Monitoring and Reception Centers: https://www.cdc.gov/nceh/radiation/emergencies/populationmonitoring.htm?msclkid=79e6b5b7d14411ec9ad290c77bf9f899
Guide to operating shelter during a radiation emergency: https://www.emergency.cdc.gov/radiation/pdf/operating-public-shelters.pdf
Points of Dispensing to Community Rection center planning toolkit: https://www.cdc.gov/nceh/radiation/emergencies/pdf/POD_to_CRC_Planning_Tool-508.pdf
Video and job aid for screening people for external contamination: https://www.cdc.gov/nceh/radiation/emergencies/screeningvideos/index.htm
Just in time training resources and quick reference guides for clinical staff: https://orise.orau.gov/resources/reacts/references.html

Radiation Injury Treatment Network: https://ritn.net/

ASPR TRACIE: https://asprtracie.hhs.gov/technical-resources/32/radiological-and-nuclear/27

Some strengths and areas of improvement from our discussion will be captured and shared in a brief after action report and improvement plan in the next few weeks.

Next meeting in new grant year yet to be scheduled, but likely in September, watch email!
Meeting attendance:
Lisa Herritz- Ho Chunk Nation
Jim Abitz- Southwest Health
Angie Cohen- Grant Regional
Steve Haskell- UW Health
Belle Koch- Sauk Prairie
Jodi Moyer- Beloit Health System
Matt Christian- Marshfield Medical Center Beaver Dam
Nathan Bubenzer- Meriter UPH
Lyle Kratochwill- Richland Hospital
Carmen Luther- Reedsburg AMC
Diana Quinn- SSM Health
Chad Atkinson- Mercyhealth
Christal Foreyt- Gundersen Boscobel
Dave Larson- Madison VA
Paige Heinke- SSM Health
Colleen Wilson- Waupun Memorial
Mike Hall- Monroe Hospital
Carol Quest- Watertown PH
Eric Anderson- Dane County EM/EMS
Dave Kitkowski- St. Clare Baraboo
Joe Meagher- Dodge County EM
Sharon Rateike- St. Mary’s Janesville
Lisa Peters- Gundersen Moundview
Tom Ellison- UW Health
Tammy Kingery- Gundersen Moundview
Leanne Seifert- Watertown RMC
Carmen Carpenter- Iowa County PH
Brent Skiba- Watertown RMC
Mike Stephens- Fort Health Care
Loni Hefner- Access Community Health Centes
Samroz Jakvani- Jefferson County PH
Hannah Sedlacek- Adams County HHS
Victoria Parker- Watertown PH
Matt Bartol- Dodge County EM/PH
Erin Hastert- Lafayette County PH
Kimberley Spurgeon- Family La Clinica
Lynn Skatrud- Green County PH
Michael Niles- Rock County PH
Jeff Kindrai- Grant County PH
Stacy Blakemore- Sauk Co EM
Gary Ziegler- Green County EM
Josh Kowalke- Reedsburg Area Ambulance
Roman Mullen- Dodge County PH
Carol Brown- Rainbow Hospice
Lisa Schweitzer- SSM Health
Sarah Jensen- Marquette County PH
Mark Paulson- WI DHS
Aurielle Smith- Public Health Madison and Dane County, SCWIHERC
Mike Lohmeier- SCWIHERC and UW Health
Dan Williams- SCRTAC
Jennifer Behnke- SCWIHERC