Evaluation

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Evaluation Exercise

• Susan Belt, MT(ASCP)
• Director, Evaluation Exercise Development
• Phone [phone]
• E-Mail sbelt_at_kdhe.state.ks.us

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Capabilities-Based Planning

• Identify the capabilities needed to prevent,
  protect against, respond to and recover from
  incidents of national significance
• Target Capabilities
• Tasks organized into 37 capabilities
• Led to capabilities-based planning

Model 1 Evolution of Capabilities-Based Planning
Universal Task List
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National Homeland Security Strategy and Health
and Medical Planning
Strategy
Presidential Directives
National Initiatives
State Implementation
KDHE DOH Implementation
National Response Plan (NRP)
Homeland Security Presidential Directive 5
Emergency Support Function 8 Health and Medical
Kansas Response Plan (KRP)
The National Strategy for Homeland Security
National Incident Management System (NIMS)
Biological Incident Annex
National Preparedness Goal
Standard Operating Guides (SOGs) are developed
that detail how the plans will be carried out.
SNS and EOC SOGs have been drafted. Disease
specific checklists will be included in existing
guides.
The following plans will be encompassed in the
KRP Bioterrorism, Smallpox, Strategic National
Stockpile, and Pandemic Influenza.
Homeland Security Presidential Directive 8
National Planning Scenarios
Universal Task List (UTL)
NIMS Training (IS-700) for all public health and
medical personnel with response roles in their
position descriptions (state and local)
Target Capabilities List (TCL)
Kansas NIMS Implementation Plan
PRIORITY Strengthen Medical Surge and Mass
Prophylaxis Capabilities
National Preparedness Guidance
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37 Target Capabilities
Common Planning Communications Citizen
Preparedness and Participation Risk
Management Prevent Mission Area Information
Gathering and Recognition of Indicators
Warnings Intelligence Analysis
Production Intelligence/Information Sharing and
Dissemination Law Enforcement Investigation and
Operations CBRNE Detection Protect Mission
Area Critical Infrastructure Protection
(CIP) Food and Agriculture Safety and
Defense Epidemiological Surveillance and
Investigation Public Health Laboratory
Testing Respond Mission Area Animal Health
Emergency Support Emergency Operations Center
Management Critical Resource Logistics and
Distribution Volunteer Management and
Donations Responder Safety and Health
Respond Mission Area (cont) Public Safety and
Security Response Firefighting
Operations/Support WMD/Hazardous Material
Response and Decontamination Explosive Device
Response Operations On-Site
Incident Management Environmental Health
Citizen Protection Evacuation and/or In-Place
Protection Isolation and Quarantine Urban
Search and Rescue Emergency Public Information
and Warning Triage and Pre-Hospital
Treatment Medical Surge Medical Supplies
Management and Distribution Mass
Prophylaxis Mass Care (Sheltering, Feeding, and
Related Services) Fatality Management Recover
Mission Area Structural Damage and Mitigation
Assessment Restoration of Lifelines Economic
and Community Recovery
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Performance Measurement

• Mission x4
• Target Capability x 37
• Tasks x 1600
• Metrics x 5000
• All activities should tie to these!

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Planning Assumptions

• 10 decrease in funding
• No increase in staff, turnover 28
• Federal grant requirements WILL change
• Exercises for LEPC, JCAHO, etc
• Some tasks dont contribute to understanding of
  preparedness
• Currently written plans

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Performance Measures

• CDC Goals and Measures
• HRSA Goals and Measures
• Pan Flu Goals and Measures
• National Preparedness Goals
• Kansas DHS Investments
• Public Health Essential Services
• Core Public Health Competencies
• Bioterrorism Competencies
• Kansas Response Plan ESF 8 Functions

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CDC Performance Measures

• Currently there are 9 goals and 23 measures.
• Prevention, Detection, Reporting, Investigation,
  Control, Recover, Improve
• CDC has a longer list they are working with for
  more measures.
• (A workgroup is debating each ones merit.)
• Dont monitor the same each period.
• No federal schedule for monitoring.

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Example Performance Measures

• Goal 2 Detection and Reporting Time to
  initiate an epi investigation of an event that
  may be of urgent public health consequence.
• Goal 6 Control Percent of key health partners
  who are notified when electric power grid, etc
  are unavailable.
• Goal 7 Recover Time to issue guidance to the
  public after an event.

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How will these be measured???
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Strategic Planning

• Environmental Analysis 5 forces
• Additional Entities, Consumers, Providers, Threat
  of Substitutes, Rivalry
• Gap Analysis
• Statewide Exercises
• HSEEP Compliance
• NIMS Compliance
• Electronic Options
• Centralized Calendar

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CPHP Exercise Plans

• Additional template tabletop exercises
• Tuberculosis, smallpox, SNS arrival, etc
• Template functional exercises
• Including plan activation, ICS, epi investigation
• Template evaluator forms for each exercise
• Including new forms for PODs
• Strategic plan with future exercise objectives
  already plotted for future grant years
• AAR / Evaluation classes
• Program for direct assistance for exercises

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CPHP Exercise Priorities

• Worker Health and Safety
• Volunteer Management
• Triage Pre-hospital Treatment
• Fatality Management
• Emergency Public Information

• Interoperable Communications
• Mass Prophylaxis
• Medical Surge
• Isolation and Quarantine
• Epidemiology Lab
• Medical Supplies Management

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Deliverables Format

• By Target Capability /Task
• Participation in state designed /conducted
• Evaluation forms provided
• AAR templates provided
• Participation in local designed/conducted
• TA provided according to terms
• AARs must address original task list by date
  certain

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Evaluation and AAR Reporting for Health Care
Exercises

• Topeka Aug 28 Sept 28
• Salina Aug 30 Sept 26
• Wichita Aug 31 Oct 26
• Pittsburg Sept 10
• Chanute Sept 14
• Hays Oct 22
• Garden City Oct (date TBD)

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2008 Schedule

• January 17 Hot Shot / Packing Shipping Drill
• March 25 State FBI TTX
• March 26 State JIC FE
• April 16 State DOC Drill DOC TTX
• June 10-12 Project VP3 (Statewide FSE)
• July 29 RSS Drill
• August 6-8 CHEMPAK Seminar
• October 21 Decon Drill 1
• October 22 Decon Drill 2
• October 23 Decon Drill 3

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2009 Schedule

• January 27 Triage TTX 1
• January 28 Triage TTX 2
• January 29 Triage TTX 3
• March 23-27 Medical Surge Drill / Epi via
  WebEOC
• May 5 Mass Fatality TTX 1
• May 6 Mass Fatality TTX 2
• May 7 Mass Fatality TTX 3
• July 14 Alternate Care Site Seminar
• September 14 State EOC Drill
• September 22 Tanker of Terror 1
• September 23 Tanker of Terror 2
• September 24 - Tanker of Terror 3
• November 17 RSS Drill
• December 1-3 Alternate Care Site Drill /
  Community Containment

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2010 Schedule

• January 27 Electronic Triage TTX 1
• January 28 Electronic Triage TTX 2
• January 29 Electronic Triage TTX 3
• March 23-25 WebEOC Drill/ Epidemiology
  Electronic TTX
• April 20 RSS Drill
• June 15 STATPAK / Hot Shot Drill
• July 15 - State EOC TTX
• July 15 DOC Drill
• August 3-5 Federal Flavor of the Day TTX
• October 25-29 Oktoberfest IIThe Nightmare
  Continues FSE

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Box Drills

• Box patients move through the full-scale to
  test supply levels and protocols such as
  decontamination and triage.
• KDHE will purchase triage tags, boxes, general
  PPE, etc but were..
• Looking for expired supplies
• Looking for pharmaceutical boxes
• Looking for suggestions

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Questions?

• Susan Belt, MT(ASCP)Director, Evaluation and
  Exercise DevelopmentKDHE, Center for Public
  Health Preparedness
• Phone [phone]Blackberry
  785-217-3499E-Mail sbelt_at_kdhe.state.ks.us