October 15 – 21, 2018

Click the read more button to find out this week’s information from Centers for Disease Control and Prevention (CDC), Centers for Medicare and Medicaid Services (CMS), Homeland Security, Federal Emergency Management Agency (FEMA), Assistant Secretary for Preparedness and Response (ASPR), Hospital Preparedness Program (HPP), Assistant Secretary for Preparedness and Response Technical Resources, Assistance Center, and Information Exchange (ASPR TRACIE),  Virginia Hospital and Healthcare Association (VHHA), Virginia Department of Health (VDH), Virginia Department of Emergency Management (VDEM), and other miscellaneous sources.




Next Regional coalition meeting is Thursday November 8th at 10:30 am. The meeting will be conducted using Ring Central’s regional coalition conference line. The dial-in information will be sent no later that Tuesday November 6th.

Wow! Our website has reached over 1,500 viewers. Let’s keep it going by informing anyone who has an interest in the Regional Coalition and the information we provide.

To access our website click here. Don’t forget to visit the Events calendar. There you will find training and education opportunities.

We have developed a one page understanding of the regional coalition that can be shared between coalition partners. To view the regional “one-pager” please click here.

Credit: Centers for Disease Control and Prevention


Credit: Centers for Medicare and Medicaid Services

CMS Emergency Preparedness Rule Frequently Asked Questions

The Center for Medicare Services (CMS) has posted five rounds of Frequently Asked Questions pertaining to the Final Rule on Emergency Preparedness. Two previously posted rounds (two and three) were revised June 1, 2017.

CMS Emergency Preparedness Rule Update for Health Systems

CMS Emergency Preparedness Rule Round 1 (October 28, 2016) Frequently Asked Questions

CMS Emergency Preparedness Rule Round 2 (November 2016 – Revised June 1, 2017) Frequently Asked Questions

CMS Emergency Preparedness Rule Round 3 (December 2016 – Revised June 1, 2017) Frequently Asked Questions

CMS Emergency Preparedness Rule Round 4 (January 2017) Frequently Asked Questions

CMS Emergency Preparedness Rule Round 5 (September 2017) Frequently Asked Questions

     U.S. Department of Homeland Security 

Federal Emergency Management Agency

FEMA Leads Massive Whole Community Response Effort for Hurricane Michael Survivors

Release Date: October 15, 2018

​WASHINGTON – Thousands of first responders and volunteers continue working together to save lives, restore power and help survivors affected by Hurricane Michael.

More than 16,000 federal employees, including over 8,000 military personnel have been deployed to support Hurricane Michael response efforts.

Since Michael’s landfall, search and rescue teams from FEMA, the U.S. Coast Guard, National Guard and others, working alongside state responders and volunteers, have completed 110 evacuations, 4,193 rescues/assists, 15,287 shelter in place checks, and 128 animal assists. Structural assessments were completed on 16,827 structures in Florida.

FEMA Disaster Survivor Assistance teams are in Florida helping survivors register for assistance. More than 28,000 individuals and households registered for disaster assistance and are being referred to federal, state or voluntary agencies for assistance.

Click here for more information.

 Assistant Secretary for Preparedness and Response


Assistant Secretary for Preparedness and Response Technical Resource,                                                                                                                             Assistance Center, and Information Exchange

Hospital Preparedness Program




1. The Hospital Preparedness Program: Supporting Emergency Preparedness for the U.S. Healthcare Delivery System

Healthy Nurses Healthy Nation, an American Nurses Association initiative, has highlighted HPP in its latest blog post. Click here to read more about HPP’s emergency preparedness and response efforts and the integral role that nurses play.

With the nation still recovering from Hurricane Florence and wildfires in the west, it is critical that the U.S. health care system be ready. Fortunately, The Hospital Preparedness Program (HPP) prepares the health care system to save lives during emergencies and disasters. Administered by the Department of Health and Human Services Assistant Secretary for Preparedness and Response, HPP is the only source of federal funding for health care delivery system readiness. 

The program focuses on preparing the health care system to save lives during emergencies that exceed day-to-day capacity of the health care and emergency response systems. HPP does this by developing and sustaining more than 450 regional health care coalitions (HCCs) that bring diverse and often competitive health care organizations together to prepare for and respond to emergencies. Over 31,000 health care stakeholders nationwide belong to HCCs, including hospitals, trauma centers, and clinics. HPP has a wealth of resources that health care facilities and staff, including nurses, can leverage to build their preparedness and response capabilities.

2. Medical Surge and the Role of Health Clinics

Health clinics (including Federally Qualified Health Centers, Rural Health Clinics and free and charitable clinics) maintain extensive geographic coverage, strong community ties, and have potential to reach medically underserved areas. Because of this, they can play a key stakeholder role in emergency and disaster preparedness and response. ASPR TRACIE conducted this review to learn more about the scope and level of implementation of emergency management activities among health clinics. This one-page fact sheet summarizes findings and recommendations.

 Virginia Hospital & Healthcare Association

Virginia Department of Health

Ebola Virus & Emerging Infectious Disease Summit

Attention Frontline Hospitals, Assessment Hospitals, and Treatment Hospitals. This year’s Ebola Virus & Emerging Infectious Disease Summit will be Monday November 19 from 8:30 am – 4:00 pm with registration beginning at 8:00 am. This year’s summit is focused on Frontline Hospitals and will be held at Winchester Medical Center’s Conference Center in Winchester, VA. This is a free conference and travel reimbursement is authorized and will be paid for through the Ebola/Highly Infectious Disease Grant. More details about the reimbursement process and all rules associated with it will be coming soon.

A flyer was sent in an email to all of the hospital emergency managers. We did not include the flyer here because the registration link is accessible to anyone who views our website, even those who may not be part of the Northwest Region Healthcare Coalition. Please get the word out to the staff who work at any of the 14 Northwest Region hospitals, but especially include those involved in infection prevention.

Because this year’s Ebola Virus & Emerging Infectious Disease Summit is being hosted in our region (for the second year in a row), let’s show everyone how the Northwest Region supports education activities by having a great registration and turn-out for the event.

Virginia Department of Emergency Management

1. L146: Homeland Security Exercise Evaluation Program (HSEEP)

Dates:            October 24-25, 2018

Times:            8:00 a.m. to 5:00 p.m.

Location:      Page County Administration Center, Board Room, 103 South Court St., Luray, Virginia 22835

To Register:  Click here http://covlc.virginia.gov  (last day to register is October 19th)

This 2-day period of instruction is for those individuals that are directly involved in the planning, design and evaluation of training exercises. The intermediate-level course incorporates exercise guidance and best practices from the HSEEP Volumes. It is an interactive course that allows participants to share personal lessons learned and best practices while gaining practical experience. In addition to the instructor-led course presentations, the course includes small group activities, group discussions, and introductions to HSEEP and related initiatives such as supporting technology (e.g., HSEEP Toolkit) and capabilities-based planning (e.g., UTL and TCL). This approach provides participants with hands-on experience that readily translates to real-world exercise responsibilities. Activities include creating exercise documentation, conducting planning conferences and briefings, and practicing exercise evaluation.

Prerequisite: IS 120C (https://training.fema.gov/is/courseoverview.aspx?code=IS-120.c) and FEMA 119-25 (https://training.fema.gov/apply/119-25-2.pdf)

Purpose:  To provide intermediate-level knowledge as well as incorporate exercise guidance and best practices from the HSEEP Volumes to participants

Target Audience: Individuals that are directly involved in the planning, design and evaluation of training exercises

If you need help or have questions, please contact the Help Desk at 804-897-9995, 8-5 M-F or email: LMSHelp@vdem.virginia.gov.

2. L0102 Science of Disaster and L0103 Planning Emergency Operations

The L0102 and L0103 classes have been rescheduled. They are both in the COVLC and ready for you to register! https://covlc.virginia.gov/

L0103 – Planning Emergency Operations

November 13 & 14, 2018

L0102 – Science of Disaster

December 11-13, 2018

The location for both classes is still the same: Spotsylvania Fire & Rescue4804 Bancroft Rd, Fredericksburg, VA 22408(click the link for directions)

NOTE:  Click here to visit the VDEM Training, Education, and Exercise Division webpage.  Contact the HelpDesk at 804-897-9995 or email LMSHelp@vdem.virginia.gov if you have questions about a VDEM course or accessing the Virginia Learning Center

Thank you,

Alexa J. Hussar, MPH, CEM
Virginia Department of Emergency Management
II Disaster Response and Recovery Officer
Cell: 804-624-1100
Email: Alexa.Hussar@vdem.virginia.gov

3. ICS 300 Intermediate ICS for Expanding Incidents

Dates:             January 9-10, 2019

Time:             8:00 a.m. to 6:00 p.m.

Location:       Madison Fire Station, 1223 North Main ST, Madison, VA 22727

Description:   This 18-hour classroom course is designed for front-line personnel with supervisory responsibilities to serve in a command or general staff position. The three-day curriculum includes instruction in general principles associated with incident command, along with various tabletop exercises that allow students to put this knowledge to practical use.

Prerequisites: Applicants must document completion of all of the following prerequisites to be considered for enrollment. Successful completion of accredited versions of: (Required) IS 100 and IS 200 – (recommended) IS 700 and IS 800.

Please email certificates to:

Tamara Del Rosario
Academic Support Technician
Phone: 804-897-9676

Registration:  Registration is OPEN and will remain open until January 4, 2019.  To register, log-in to the Commonwealth of Virginia Learn Center: https://covlc.virginia.gov/.    When searching for this course in the VLC, use this keyword:  ICS 300.  Be sure to select the ICS 300 (11) option from the list.  If you need assistance, please contact the Help Desk at 804-897-9995.

4. L0101 Foundations of Emergency Management

Applications are now being accepted for the upcoming L0101 Foundations of Emergency Management course. This two-week course is the first of five in the EM Basic Academy program.  This course is highly recommended for new as well as experienced members of the emergency management community as it provides a comprehensive view of the profession’s core functions, policies, and goals.  To this end, this course is required for all VDEM staff.  Click here for more information and the application packet. 

Dates: Week 1: February 4-8, 2019

Location: McConnell Public Safety and Transportation Operations Center, 4890 Alliance Drive, Fairfax, VA  22030

Dates: Week 2: March 4-8, 2019

Location: Virginia Department of Emergency Management, 10501 Trade Court, N. Chesterfield, VA 23236

Please submit your completed application by November 16th.  If you have questions, please contact Candice Crockett.

Candice Crockett
Interim Academic Support Coordinator
Training, Education and Exercise Division
Virginia Department of Emergency Management
10501 Trade Court
Richmond, VA 23236
(804) 897-9780 office
(804) 385-7487 cell

1. Hurricane Michael Requires Hospitals and Other Healthcare Organizations to Evacuate

Hospitals, Assisted Living Facilities, and Nursing Homes in Florida and Georgia Suffer Damage

Two more hospitals in Florida said they planned to evacuate following the hurricane, which came ashore Wednesday, bringing to nine the number of Florida hospitals shut down by the storm.

In addition to the hospitals, five nursing homes and 15 assisted-living facilities said they had closed, according to Florida’s Agency for Health Care Administration Another six nursing homes also planned to evacuate as of mid-afternoon.

The Georgia Emergency Management & Homeland Security Agency said Hurricane Michael left 20 hospitals and 15 nursing homes in the state on generator power and that it was conducting preliminary damage assessments.

Credit: Melanie Evans

PANAMA CITY — Bay Medical Center Sacred Heart began the orderly evacuation of more than 200 patients to hospitals outside the area affected by Hurricane Michael early Thursday morning.

“We were aware last night that an evacuation was going to take place from Panama City, said Pensacola Sacred Heart Hospital spokesman Mike Burke. So we geared up last night to prepare for this. To accommodate the evacuated patients, the hospital asked Pensacola area residents with minor injuries and illnesses to check in to Sacred Heart’s Urgent Care Centers or visit other primary care providers in the community to avoid inundating Sacred Heart’s emergency department. We have two urgent care centers in the area, there’s primary care doctors, clinics within Walgreen’s stores, Burke said. So there are other options for people with less serious illnesses.”

Credit: Kevin Robinson, Pensacola News Journal

ABC News — Gulf Coast Regional Medical Center also announces it is evacuating 130 patients. 

Credit: Enjoli Francis and Eric M. Strauss

Hurricane Michael Forces Nursing Home, Hospital Evacuations — More than 30 health-care facilities had to be evacuated as Hurricane Michael damaged buildings and knocked out electricity in the Panhandle, state emergency management officials said Friday. Also, an estimated 1,600 residents had been evacuated or were in the process of being evacuated from 14 nursing homes, according to the Florida Health Care Association, a statewide nursing-home group. Ten nursing homes were evacuated before Michael hit, while evacuations began after the storm at the other four facilities.

Credit: News Service of Florida

Fresenius, DaVita Dialysis Centers Open Doors After Hurricane Michael

In the wake of Hurricane Michael, the two largest dialysis companies in the country have opened their doors to all patients seeking treatment in the affected areas of the southeastern U.S., regardless of their typical provider.

Both Fresenius Medical Care and DaVita Kidney Care have deployed power generators, additional medication, and water and fuel tankers to the region to keep their clinics up and running, and the companies have been contacting individual patients to make sure they get treatment.

Credit: Conor Hale

SNFs Warned After Hurricane Michael: No Excuses

For the facilities that remained open, the pressure is on to maintain adequate cooling. By June 1, senior care facilities were required to have generators and other equipment to keep indoor temperatures below 81 degrees and to maintain power for 96 hours after an outage. Around 75% of the state’s 684 nursing homes, however, had applied for and received an extension on the new requirement in recent months.  

In the 35 counties threatened by the storm, about half of the area’s more than 400 nursing homes had not met the deadline to install or set up new generators, the Agency for Health Care Administration reported. Many had been given extensions. 

Credit: Conor Hale

Officials Declare Public Health Emergency in Georgia Following Hurricane Michael

ATLANTA — Health officials have declared a public health emergency for the state of Georgia in the aftermath of Hurricane Michael.

The declaration from Secretary of Health and Human Services Alex Azar follows President Trump’s emergency declaration for the state. It gives the healthcare providers and suppliers greater flexibility in meeting emergency health needs. Azar declared a public health emergency in Florida Tuesday.

Credit: Adrianne Haney

CMS Takes Steps to Help with Hurricane Michael Emergency Response

The Centers for Medicare & Medicaid Services (CMS) today announced steps taken by the agency to support Florida in response to Hurricane Michael. Yesterday, Health and Human Services Secretary Alex Azar declared a public health emergency (PHE) in Florida. With the PHE in effect, CMS has taken several actions to provide immediate relief to those impacted by the hurricane. The actions will include temporarily waiving or modifying certain Medicare, Medicaid, and Children’s Health Insurance Program (CHIP) requirements; creating special enrollment opportunities for individuals to access healthcare immediately; and taking steps to ensure dialysis patients obtain critical life-saving services.

Credit: The Centers for Medicare & Medicare Services

2. New Emergency Management Checklist Aims to help Organizations Post-Disaster

The Joint Commission has published a new Emergency Management Health Care Environment Checklist to help health care organizations as they navigate the reopening of a facility following a disaster. The checklist — developed by an internal Joint Commission workgroup — stems from a request by the U.S. Department of Health & Human Services’ Office of the Assistant Secretary for Preparedness and Response (ASPR).

The checklist aligns with Joint Commission Emergency Management (EM) standards, covers both clinical and environmental issues, and addresses post-disaster elements of critical importance for a health care organization to address before reopening.

View the checklist, which is also posted on The Joint Commission’s EM portal. (Contact: James Kendig, jkendig@jointcommission.org

3. Memorandum of Understanding

We are pleased to announce that the Northwest Region Healthcare Coalition has begun receiving requests to sign a Memorandum of Understanding (MOU) between the coalition and non-hospital facilities. The MOU is designed for healthcare facilities that are not classified as an Acute Care or Critical Access hospital, and it is good for five (5) years before it will need to be renewed. If your your organizations resides with the Northwest Region and has not signed the MOU, you can contact either the Regional Coordinator or the Medically Vulnerable Populations Coordinator to find out more details. We are expanding our outreach to healthcare agencies within the region as a way of offering assistance to you and your organization. We ask for everyone’s help to spread the word by talking with your colleagues about the Northwest Region Healthcare Coalition. You can contact us by clicking the Contact Us tab on our website.