November 26 – December 2, 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. Next Northwest Region Healthcare Coalition Monthly Meeting

The next regional coalition meeting is Thursday January 10th at 10:30 am. The meeting will be our quarterly in-person meeting. The location has not been determined yet, but we will post it here and let everyone know once we have secured the location.

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 is available and registration information is available. Please contact Matt Cronin, Exercise and Training Specialist to receive the flyer and registration details. This course is provided free of charge to the Northwest Region Healthcare Coalition which includes hospitals, healthcare, public health, fire and rescue, and law enforcement.

The flyer with registration information can be found hereWe have three people registered so far leaving us with 27 seats still available. If we do not have more registrations we will be forced to cancel this class.


Wow! Our website has reached over 1,600 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 (ONLY ONE DAY LEFT TO SUBMIT ABSTRACTS)

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:

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.

The Northwest Region will reimburse attendees who are employed by the partners located within the region. For additional information, please contact Matt Cronin, Exercise and Training Specialist, Northwest Region Healthcare Coalition.

The Founders Inn has started accepting reservations for rooms. The link to book a room can be found hereYou may also call 757-366-5700 to book reservations under this group. The Founders Inn and Spa is officially a Hilton Hotel! Our new name is The Founders Inn and Spa, Tapestry Collection by Hilton. If you are Hilton Honors members you can use your  Hilton Honors Points to stay at the hotel. If you are not a member, you  can join here.
Group Name: Virginia Public Health and Healthcare Preparedness Academy
Arrival Date: 18-Mar-2019
Departure Date: 22-Mar-2019
Group code:  VPH

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. 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.

Registration  [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




HHS ASPR CIP Bulletin: November 19 Shooting at Mercy Hospital, Chicago

Monday’s tragic shooting at Chicago’s Mercy Hospital reminds us of the risks hospitals face every day as open facilities in our communities. There have been at least 5 shootings in or near medical facilities this year. The unfortunate reality is that all hospitals and communities are vulnerable. 

While we can’t predict such an event, we can improve our awareness. It is critical for you to prepare your facility and staff as thoroughly as possible for the threat of an active shooter through your emergency response planning.

To help you improve your facility’s preparedness, we want to remind you of ASPR TRACIE’s Topic Collection on Explosions and Mass Shooting TRACIE.  The tools include resources on Active Shooter Response including the 2017 SCC “Active Shooter Planning and Response in a Healthcare Setting” document.

If you have additional questions or ideas for additional resources that can help you keep your employees safer from the threat of an active shooter, please e-mail us at

Credit: Centers for Disease Control and Prevention

COCA Call – Hepatitis A Outbreaks in Multiple States: CDC Recommendations and Guidance

Hepatitis A is a highly contagious, vaccine-preventable, viral disease spread via a fecal-oral route or by exposure to contaminated food or water. Hepatitis A rates have declined substantially in the United States since the introduction of the hepatitis A vaccine in 1996.

During this COCA call, subject matter experts from CDC will discuss vaccination to stop these outbreaks and current CDC recommendations for the hepatitis A vaccine.


  • Describe the epidemiology of the current hepatitis A outbreaks occurring in multiple states
  • Discuss the ongoing transmission of hepatitis A among high-risk populations
  • Review the indications of hepatitis A vaccination and use of hepatitis A vaccine in contacts as post-exposure prophylaxis
  • Discuss how to coordinate with local and state health departments on understanding hepatitis A in local jurisdictions

Date: Thursday, November 29, 2018

Time: 2:00-3:00 P.M. ET

A few minutes before the webinar begins, please click the link below to join the webinar:

Or iPhone one-tap:

US: +16468769923,,477320593#  or +16699006833,,477320593#

Or Telephone:

US: +1 646 876 9923  or +1 669 900 6833

Webinar ID: 477 320 593

The recordings (audio, slides, and transcript) for this call will be posted on the webpage a week after the COCA Call.

Free Continuing Education (CE) is available for most COCA Calls. Please see below for instructions on how to receive CE.

Credit: Centers for Medicare and Medicaid Services


         U.S. Department of Homeland Security 

Federal Emergency Management Agency


Virginia Department of Emergency Management

1. L0103 Planning Emergency Operations and L0102 Science of Disaster

The L0102 classes have been rescheduled. They are both in the COVLC and ready for you to register!

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 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: 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
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: 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 to Offer Mental Health Services in Pilot Program

Beacon Health Options, a clinical mental health and substance use disorder management company in Boston, aims to bring affordable mental healthcare to patients across the U.S. through a new partnership with Walmart, The Boston Globe reports.

Beacon opened its first retail health clinic in a Carrollton, Texas-based Walmart and plans to open more locations nationwide to increase patients’ access to mental health services.

The clinic, which has been operational for roughly one week, is staffed by one licensed social worker and offers treatment for anxiety, depression, grief and relationship issues, among other stressors. Patients can walk in to request an appointment, or sign up online or over the phone. If the clinic becomes busy, patients also have the option to speak to other Beacon care professionals remotely by Skype or other services, the report states.

Russell Petrella, PhD, president and CEO of Beacon Health Options, told The Boston Globe the clinic has a sliding-fee schedule for patients without insurance and is in the process of getting approved for Medicaid reimbursement in Texas. The company created subsidiary Beacon Care Services to operate the retail clinics.

The rest of the article can be found here.

Source: Alyssa Rege of Becker’s Hospital Review

3. Russian Hackers Impersonate U.S. Officials in Cyber Attack Scheme

On November 14, 2018, a Russian hacking group known as APT29 or Cozy Bear, sent out emails impersonating State Department public affairs specialist Susan Stevenson.  The email included a malicious document, claiming to be from State Department official Heather Nauert.  The end goal of the attack was for users to ignorantly download the document, which would install malware.  The malware installation would give the Russian hackers a wide range of access to the user’s IT network. 

The email was distributed to various targets, including military agencies, law enforcement, defense contractors, and media and pharmaceutical companies.  Additional information identifying which branches, contractors, or companies are not being disclosed at this time.  Officials are also opting not to disclose how much damage resulted because of this attack.  

Although various resources have confirmed APT29 is linked to the Russian Foreign Intelligence Service, Russian officials have adamantly denied any involvement with APT29 or any other cyber attacks targeting the U.S. 

Source: Kayla Elliott of Tech Talk

4. Hazardous Pharmaceuticals Management Rule may be Imminent

After years of discussion and debate, editing and rewriting, the Environmental Protection Agency’s (EPA) latest attempt to manage hazardous pharmaceuticals maybe be close to publication as a final rule.

If published, the rule joins other new standards and regulations targeting employee and patient safety  during the use and handling of hazardous pharmaceuticals. It’s also expected to have significant impact on hospitals and other healthcare organizations.

Consultants and others in the pharmaceutical industry say the EPA is expected any day now to post its final version a rule for the “Management Standards for Hazardous Waste Pharmaceuticals” that was first proposed in September 2015. However, at press time, the rule was still not posted in the Federal Register.

The rule amends regulations under the Resource Conservation and Recovery Act to create a new class for hazardous waste pharmaceuticals. The rule has been through review by the Office of Management and Budget and was released back to the EPA in mid-October, according to the OMB’s online dashboard of regulatory reviews.

Unlike rules for CMS, which is generally required by law under the Social Security Act to publish final rules within three years, the EPA is under no such requirement. A previous rule on hazardous waste pharmaceuticals that was proposed in 2009 —  and roundly criticized as not strong enough in certain areas — languished until it was finally withdrawn and replaced with the “Management Standards for Hazardous Waste Pharmaceuticals” proposal.

The new proposal received wider support, although many companies and organizations were concerned that some requirements were either unnecessary or covered by other regulations, such as those in the Department of Transportation overseeing the transport of hazardous materials.

The rest of the article can be found here.

Source: A.J. Plunkett of Patient Safety & Quality Healthcare (PSQH)