October 29 – November 4, 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.


 

 

 

1. Northwest Region Healthcare Coalition Monthly Meeting

The next regional coalition meeting is Thursday November 8th at 10:30 am. The meeting will be held using Ring Central’s Regional Coalition conference line. The dial-in information will be sent no later than Tuesday November 6th along with the agenda.

2. Basic Disaster Life Support (BDLS) Training

The Northwest Region will host the Basic Disaster Life Support training December 7, 2018 at the Harrisonburg Rescue Squad, 1700 Reservoir Street. The flyer and registration information is currently being developed and will be distributed to the coalition once the flyer is completed. This course is provided free of charge to the Northwest Region Healthcare Coalition that includes hospitals, healthcare, public health, fire and rescue, and law enforcement. A description of the course can be found here.

 

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 as we add several training events without announcing them in the weekly updates.

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.


 Virginia Hospital & Healthcare Association

Virginia Department of Health

1. 2019 Academy Planning Workgroup Seeks Presentations

The 2019 Public Health and Healthcare Preparedness Academy Planning Workgroup, is soliciting requests for presentations for this years academy. Considering this year’s theme Responding to 21st Century Emerging Threats, please consider submitting an abstract for a session at the 2019 Public Health and Healthcare Preparedness Academy. 

There are five delivery format options:

  1. “Quick hitters”….10 minutes for presentation, 10 minutes for Q&A.(1 Presenter)
  2. 1-hour Panel Discussion (Max. 3 Panelist plus 1 Moderator)
  3. 50-60 minute Breakout Session Presentation (Max. 3 Presenters)
  4. 3-hour Pre or Post Conference Workshop
  5. Poster Presentation

Please submit your submissions NO LATER than close of business Tuesday November 27, 2018 on at: https://www.surveymonkey.com/r/BL5CFYM

After submission of abstracts, a Committee will decide on the finalists for inclusion in the 2019 Public Health and Healthcare Preparedness Academy.  As always, we will be looking to have a variety of topics, representation from each region of the state, and relevance to the theme.   

Selections will be made by Friday, January 4, 2018.  You will be contacted in January if your abstract is selected. 

2. 2019 Public Health and Healthcare Preparedness Academy

The 2019 Public Health and Healthcare Preparedness Academy will be held on March 19-21,2019 at the Founders Inn in Virginia Beach. The theme this year for the Academy is Responding to 21st Century Emerging Threats.

Examples of 21st Century Threats Include:

  • Hurricanes
  • Wildfires
  • Environmental impacts of fracked gas pipelines
  • Civil unrest/terrorism
  • Gun violence
  • Opioid epidemic
  • Emerging biological threats
  • Cybersecurity threats
  • Increasing stress on the social determinants of health (economic insecurity, etc)

3. Ebola Virus & Emerging Infectious Disease Summit

Attention Frontline Hospitals, Assessment Hospitals, and Treatment Hospital staff. 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.
The topics include: 

  • National & State Ebola/HID Updates,
  • Hospital & Regional Exercises,
  • Medical Transport,
  • Waste Management,
  • HID Public Messaging,
  • Laboratory Requirements & Capabilities,
  • Dialogue between Frontline Hospitals with the Assessment & Treatment Hospitals.

This is a free conference and travel reimbursement is authorized and will be paid for through the Ebola/Highly Infectious Disease Grant. Reimbursement details and all rules associated with it have been provided. If you are registered to attend the conference and you have not received the reimbursement details, please contact Ron Clinedinst.

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. As of October 24th, 146 people have registered, so if you or your staff plan to attend, you or they need to register soon.

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.

4. ICS 300 Intermediate ICS for Expanding Incidents

Course: ICS 300 Intermediate ICS for Expanding Incidents
When: Wednesday, November 28 – 1:00 pm-5:00 pm; Thursday & Friday, November 29 & 30, 2018 8:00 am – 4:30 pm 

Where: Central Shenandoah EMS Council : Room Training Room
              2312 W Beverly St., Staunton, Virginia United States 24401

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. Please see this flyer for additional details.

Prerequisites: Successful completion of accredited versions of: (Required) IS 100 and IS 200 – (recommended) IS 700 and IS 800.

Registrationhttps://www.train.org/virginia/course/1014182/live_event  [Train Course # 1014182]


 Assistant Secretary for Preparedness and Response

 

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

Hospital Preparedness Program

 

 

 

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Credit: Centers for Disease Control and Prevention

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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

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Virginia Department of Emergency Management

1. L0103 Planning Emergency Operations and L0102 Science of Disaster

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

2. G191 EOC/ICS Interface

Dates:              December 6, 2018
Times:             8:00 a.m. to 5:00 p.m.
Location:        Orange County Rescue Squad
                        151 Berry Hill Road
                        Orange, VA 22960
Description: The course provides an opportunity for participants to begin developing an ICS/EOC interface for their community.

Target Audience: This course is intended for ICS and EOC personnel. The course reviews ICS and EOC responsibilities and functions and depends heavily on exercises and group discussions to formulate the interface.
Prerequisite: Recommended: IS-100, IS-200 or equivalents

Registration Instructions: Registration will be done electronically via the Commonwealth of Virginia Learning Center at: https://covlc.virginia.gov/. Deadline to register is Dec. 1, 2018.
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.govDeadline to register is December 1, 2018.

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
Tamara.delrosario@vdem.virginia.gov
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. 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.

2. Walmart looks to add health clinics in its parking lots

Walmart stores in several states are transforming extra parking lot space into “town centers,” some of which could include health clinics, according to Business Insider.

“The Walmart Town Center concept is an exciting approach to how we serve our customers by moving beyond the store’s four walls and reimagining how we use our unique assets — our existing stores and the surrounding land — to transform how customers experience Walmart,” a Walmart spokesperson told Business Insider.

Walmart provides details about a few of the new hubs on a website established for the projects. The Atlanta Business Chronicle reports that Walmart is evaluating whether to add health clinics in some of the new “town centers.”

“We envision a more robust and dynamic shopping experience that combines entertainment venues, curated local food vendors, health and fitness services as well as recreational opportunities in a way that connects and engages with the community,” a Walmart spokesperson told Business Insider.

Walmart has established its position as a one-stop shop, but the retailer may be redefining what that means by surrounding its stores with a variety of complementary tenants, according to the report.

Source: Ayla Ellison of Becker’s Health IT & CIO Report

3. Active shooter exercise offers real-life training at Tomah hospital

Although it was a training exercise, officials at Tomah Memorial Hospital say a full-scale active shooter event held Oct. 18 was very close to what could occur in real life.

Hospital employees, along with Tomah Police Department, Tomah Fire Department, Tomah Area Ambulance Service and Monroe County 911 Communications Center responded to the mock incident just after 9 a.m. that involved a man who entered the hospital’s specialty clinic and began shooting at hospital staff, visitors and patients.

“It went very well; people acted and responded appropriately,” hospital emergency preparedness specialist James Newlun said of the exercise, which resulted in seven fictitious shooting victims, four who were treated for injuries and three casualties, including the shooter who took his own life.

Tomah Police Department Sgt. Chris Weaver said law enforcement was fortunate to have had the opportunity to participate and learn some lessons that can be used in the future.

“We understand that nationally, research has shown that one of the best ways to mitigate loss of life or injury in an active shooter event is to minimize the time it takes for law enforcement to get on scene and either isolate, distract or neutralize the shooter,” Weaver said.

It took police four minutes to make contact with the pretend shooter.

“Our officers did a very good job of the initial response,” Weaver said. “Now we are working on transitioning into being able to secure the scene quicker in an effort to get (emergency medical services) resources to treat injured people.”

The exercise was a follow up to ALICE training completed by hospital staff last spring. ALICE, which stands for “alert, lockdown, inform, counter and evacuate,” is the nation’s first training program for citizens to increase their survival chances and save lives if faced with a violent intruder or active shooter.

More from the article can be found here.

Source: Steve Rundio of The Tomah Journal

4. Complying with the HIPAA Privacy Rule During Emergency Situations

The last thing on healthcare professionals’ minds in emergency situations is complying with the HIPAA Privacy Rule, but it should be a priority.

Emergency situations and natural disasters, such as hurricanes, pandemics, or mass casualties, can quickly overwhelm healthcare systems. The last thing on people’s minds in those situations is complying with the HIPAA Privacy Rule.

Sometimes, but not always, HHS steps in and issues a waiver of some HIPAA requirements. For example, during Hurricane Florence, which ravaged the Carolina coast and produced devastating flooding, HHS Secretary Alex Azar waived sanctions and penalties under certain HIPAA Privacy Rule provisions in the areas affected by the emergency.

As a result, hospitals and other healthcare organizations were given a HIPAA waiver of up to 72 hours from the time they first implemented their disaster protocol.

But not all emergencies come with a reprieve from adherence to the federal law. During crises that do not include a HIPAA waiver, healthcare organizations that do not have a clear understanding of their obligations to patient privacy may risk liabilities and potential penalties for non-compliance.

During an emergency situation, healthcare organizations should seek a balance between disclosing patient information when necessary to respond to an emergency and protecting patient privacy. This balance should be incorporated into a health organization’s emergency preparedness and response plan.  

More from the article can be found here.

Source: Fred Donovan of Health IT Security: xtelligent HEALTHCARE MEDIA

5. Assaults Against ER Physicians and Staff Rising

New research shows a significant increase in emergency department violence, but there are strategies to address the problem. 

Violence against ER physicians is pervasive and increasing, research released this week shows.

In a survey conducted for the American College of Emergency Physicians (ACEP), a majority of the 3,539 doctors polled said they had been the victims of workplace violence recently. About 62% of ER physicians reported being assaulted in the past year, with 24% saying they had been assaulted two to five times.

“The main point is this is a problem that is real, it is increasing, and unfortunately the results of this poll will not surprise any practicing physician,” Vidor Friedman, MD, ACEP president-elect and an ER physician in Florida, said during a press conference Tuesday.

Physicians are not the only emergency department personnel enduring violent encounters, the lead author of the Michigan research said during Tuesday’s press conference.

“Every job title had violence perpetrated against them. What we found is that the time you spend with the patient increases the chance that violence will be perpetrated against you,” said Terry Kowalenko, MD, chair of emergency medicine at Beaumont Hospitals in Dearborn, Michigan.

The ACEP survey features several key findings:

  • 71% of ER physicians reported witnessing an assault at work 
  • 97% of assailants were patients 
  • The most common administrative and security responses to physical assaults were to place a behavioral flag in the patient’s medical chart (28%) or to have the patient arrested (21%) 
  • 27% of ER physicians reported sustaining an injury from a workplace assault 
  • The top five kinds of physical assaults were hit or slap (44%), spit (30%), punch (28%), kick (27%), and scratch (17%) 
  • About 80% of ER physicians reported that workplace violence reduces staff productivity, increases emotional trauma, and extends wait times 
  • The Number One suggestion (49%) to address ER violence was increasing security 
  • 69% of ER physicians reported that workplace violence has increased over the past five years

Source: Christopher Cheney of Health Leaders