February 11 – 17, 2019

The Northwest Region Healthcare Coalition meeting is this Thursday February 14th beginning at 10:30 am.

When joining, please click the hyperlink first so we can identify all attendees allowing us to accurately list each person’s name in the meeting minutes.

Join from PC, Mac, iOS or Android: https://meetings.ringcentral.com/j/1484088427 or you can join using the dial-in information below

or Telephone:
Dial: 1-773-231-9225 (US Toll)
Meeting ID: 148 408 8427
or iPhone one-tap (US Toll):  1(773)2319226,,1484088427# 


We have finalized the schedules for the Basic Disaster Life Support (BDLS), Advanced Disaster Life Support (ADLS), and Certified Hospital Emergency Coordinators (CHEC) courses. The BDLS course is April 3, 2019, the ADLS course is April 4 -5, 2019, and the Basic and Advanced CHEC course is May 22-24, 2019. The training will be held at Harrisonburg Rescue Squad. Once we receive the flyer, we will post it in our Events calendar located on our website. The flyers will have all of the information you need about the courses and how to register with the exception of the access code to complete the registration. If you are interested in attending any or all of these courses, you will need to contact Matt Cronin so that you can receive the access code to register. This prevents unauthorized attendees from registering. The course is free to all Northwest Region Healthcare Coalition members and partners. Please check back often for this and all of our educational offerings.


Wow a new milestone! Our website has reached over 2,000 viewers. Let’s keep it going by informing anyone who has an interest in the Northwest Region Coalition and the information we provide.

Click here to access our website. 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. Please click here to view the regional “one-pager”.

 Virginia Hospital & Healthcare Association

Virginia Department of Health

1. Virginia Department of Health Weekly Influenza Activity Report

To view the weekly report, click here. This link will be provided each week until we are no longer in flu season for the 2018-2019 reporting period. To view the map of the US for the influenza summary, click here.

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. Please click here for the flyer.

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)

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 is sold out of room. However, beginning Wednesday, February 6th, a block of rooms are being held at the Virginia Beach-Norfolk Hotel & Conference Center at the per diem rate of $99 on the nights of March 18,19, 20 and 21, 2019. The hotel is about 5 miles or 10 minutes away. Rooms can be booked by calling (757) 499-4400 (direct) or (800) 567-3856 (toll free) or 800-465-4329 (worldwide number) and asking for “Preparedness Academy.” Reservations must be made on or before February 25, 2019 for this rate. If you are unable to attend, you room reservation must be cancelled 72 hours in advance to avoid being charged. If you are unable to attend and you do not cancel before the 72 hour cutoff, the regional coalition will not pay for your charges. You can also check with Founders Inn (757) 366-5700 to see an anyone has canceled and if a room is available. If so, please use the Group Code VPH. 


Many of the attendees have booked rooms but not yet registered to attend the Academy/ Field Epi Seminar. Please go into TRAIN and register so we can have enough seats, materials, etc. https://va.train.org    

  • Public Health and Healthcare Preparedness Academy Course ID:1082071 (March 19-20)
  • VDH: Field Epidemiology Seminar 2019 (In Person) / Course ID: 1079541   (March 21)
  • VDH: Field Epidemiology Seminar 2019 (via Webinar) / Course ID:1079543   (March 21)

 Assistant Secretary for Preparedness and Response


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

Hospital Preparedness Program



2019 Preparedness Summit: Registration Open and Travel Letter Available

The 2019 Preparedness Summit hosted by NACCHO is scheduled for March 26-29, 2019, in St. Louis, Missouri. The theme of this year’s event is “Preparedness Summit 2019: The Evolving Threat Environment”. Early bird registration rates are available on the summit’s website until February 8, 2019.

The annual preparedness summit is a required cooperative agreement activity. The use of HPP and PHEP funds to cover the travel expenses of HPP and PHEP staff attending this meeting is an allowable expense. Please find attached the 2019 Preparedness Summit Recipient Travel Letter.

The annual HPP-PHEP recipient meeting will be held at 9:00 AM ET on Monday, March 25, 2019, the day before the summit opens. The agenda for the daylong meeting is still under development.


Credit: Centers for Disease Control and Prevention

From January 1 to 31, 2019, 79 individual cases of measles have been confirmed in 10 states.

The states that have reported cases to CDC are California, Colorado, Connecticut, Georgia, Illinois, New Jersey, New York, Oregon, Texas, and Washington.

Measles can be prevented with measles-containing vaccine, which is primarily administered as the combination measles-mumps-rubella (MMR) vaccine. The combination measles-mumps-rubella-varicella (MMRV) vaccine can be used for children aged 12 months through 12 years for protection against measles, mumps, rubella and varicella. Single-antigen measles vaccine is not available.

One dose of MMR vaccine is approximately 93% effective at preventing measles; two doses are approximately 97% effective. Almost everyone who does not respond to the measles component of the first dose of MMR vaccine at age 12 months or older will respond to the second dose. Therefore, the second dose of MMR is administered to address primary vaccine failure.

Vaccine Recommendations


CDC recommends routine childhood immunization for MMR vaccine starting with the first dose at 12 through 15 months of age, and the second dose at 4 through 6 years of age or at least 28 days following the first dose.

Students at post-high school educational institutions

Students at post-high school educational institutions without evidence of measles immunity need two doses of MMR vaccine, with the second dose administered no earlier than 28 days after the first dose.


People who are born during or after 1957 who do not have evidence of immunity against measles should get at least one dose of MMR vaccine.

International travelers

People 6 months of age or older who will be traveling internationally should be protected against measles. Before travelling internationally,

  • Infants 6 through 11 months of age should receive one dose of MMR vaccine.
  • Children 12 months of age or older should have documentation of two doses of MMR vaccine (the first dose of MMR vaccine should be administered at age 12 months or older; the second dose no earlier than 28 days after the first dose).
  • Teenagers and adults born during or after 1957 without evidence of immunity against measles should have documentation of two doses of MMR vaccine, with the second dose administered no earlier than 28 days after the first dose.

For more information, see measles vaccination recommendations.

Credit: U.S. Food & Drug


Credit: Centers for Medicare and Medicaid Services


         U.S. Department of Homeland Security 

Federal Emergency Management Agency


Virginia Department of Emergency Management

1. G556 Damage Assessment Course

Dates: February 27, 2019
Times: 8:00 a.m. to 5:00 p.m.
Location:Zehmer Hall on UVA Grounds (Rooms C/D)
104 Midmont Ln.
Charlottesville, VA 22903

The purpose of this course is to build local capacity for damage assessment by enabling you to develop or refine a damage assessment program for your community. In this course, you will acquire the knowledge and skills needed to be able to conduct efficient and effective damage assessments in order to save lives, protect property and the environment, and to begin the process of recovery and mitigation.

Click here to view the Course Announcement Flyer and for details, prerequisites, and registration details.
Deadline to register is February 22, 2019.
This 1 day course is designed to enable the direction of emergency response personnel and resources to the most appropriate areas and help identify the need for additional resources during an emergency or disaster.

Target Audience: This course is for state and local officials who are responsible for assessing, collecting, and reporting damages during and after any event that causes damage of private, public, and critical infrastructure.

2. Grant Writing Training

Henrico County Division of Fire and Grant Writing USA will present a two-day grants workshop in Henrico, April 18-19, 2019. In this class you’ll learn how to find grants and write winning grant proposals. This training is applicable to grant seekers across all disciplines.
Multi-enrollment discounts and discounts for Grant Writing USA returning alumni are available. Tuition payment is not required at the time of enrollment. Tuition is $455 and includes everything: two days of terrific instruction, workbook, and access to our Alumni Forum that’s packed full of tools, helpful discussions and more than 200 sample grant proposals.

More information including learning objectives, class location, graduate testimonials and online registration can be found here.

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. American Well: Use Telemedicine to avoid measles exposure

Telemedicine is a promising care avenue for parents and patients concerned about measles  to get help without exposing others, American Well Vice President of Clinical Innovations Sylvia Romm, MD, wrote in a LinkedIn post.

The best defense against measles is the MMR vaccination, meaning individuals who are not vaccinated must try to avoid exposure. That’s particularly hard as states across the U.S. battle measles outbreaks. Washington state announced a public health emergency, with 26 measles cases confirmed, Dr. Romm notes.

“The Washington State Department of Public Health also advises anyone who has been exposed to measles and/or believes they have symptoms of measles to call their healthcare provider before visiting the medical office or emergency room,” she writes, adding that a better option is telemedicine, because it reduces the risk of infecting others.

“Although the final diagnosis needs to be done through a lab study, physicians can do a lot remotely. They can review a patient’s health history and discuss symptoms, leveraging their extensive training to visually examine patients for characteristic signs of measles,” Dr. Romm writes. “Most importantly, they can give individuals a detailed plan about how best to get help quickly without endangering others.”

With technology, she concludes, it’s easier for patients to get fast and convenient expert medical advice in a way that keeps everyone safe.
Click here to read the complete post on LinkedIn.
Source: Julie Spitzer of Becker’s Health IT & CIO Report

3. Nearly 100 children dead as world’s 2nd-largest Ebola outbreak surpasses 800 cases

Health officials have raised alarm over the high number of children infected.

The second-largest, second-deadliest Ebola outbreak in history has claimed the lives of nearly 100 children. At least 97 children, 65 of whom were younger than 5 years old, have died from Ebola virus disease in the eastern Democratic Republic of the Congo since the outbreak was declared there Aug. 1, according to a press release from Save the Children, a charity supporting the fight against the current epidemic.

A total of 811 people have reported symptoms of hemorrhagic fever in the country’s northeastern provinces of North Kivu and Ituri. Among those cases, 750 have tested positive for Ebola, which causes an often-fatal type of hemorrhagic fever, according to Sunday night’s bulletin from the country’s health ministry.

Click here to continue reading the report.
Source: Morgan Winsor of ABCNews

4. A Day Like No Other: A Case Study of the Las Vega Mass Shooting

A Day Like No Other is a special report from the Nevada Hospital Association of one of the worst mass-casualty incidents to occur in our nation’s history: the shooting in Las Vegas on Oct. 1, 2017. This case study is not an after-action document, but instead a consolidated discussion of events, actions taken, lessons learned, observations and hospital experiences that resulted from the Las Vegas mass shooting. The report concludes: “There were many heroes that night. Their ingenuity, teamwork and hard work cannot be overstated. The human spirit was alive and well.”
Source: North Carolina Healthcare Association (NCHA)

5. North Carolina Evacuees With Disabilities Endured Unsafe, ‘Disrespectful’ Conditions During Hurricane Florence, Report Says

The state set up a special medical shelter in an old building during Hurricane Florence in a section of Goldsboro, N.C., at risk for flooding, a new report says.

In Winston-Salem, people who were unable to climb stairs were marooned on the first floor of the Joel Veterans Memorial Coliseum, separated by steep stairs from the only bathrooms open to evacuees, according to the report released Tuesday by Disability Rights North Carolina.

The service elevator at the coliseum was unavailable for long stretches, so some evacuees had to wear adult diapers, the report says.

Disability Rights’ report on how the state, FEMA, and Red Cross staff and volunteers treated people with disabilities seeking shelter during Hurricane Florence said that overall, emergency help for people with disabilities has improved since 2016, when rain from Hurricane Matthew flooded eastern counties.

At one shelter, people who use medical equipment had to line up against one wall to plug in their devices.

At another shelter, a nurse gave Disability Rights a list of items evacuees needed, such as personal hygiene items and hair-care products for people of color. Disability Rights found a school system willing to donate the items, but the shelter manager never followed up, the report said.

Click here to view the article in its entirety.
Source: Lynn Bonner of The News & Observer (Raleigh, NC)

6. Staffing ‘crisis’ hitting directors of nursing hard, new industry analysis finds

A new analysis finds that the staffing crisis plaguing entry levels of long-term care is trickling upward to impact nursing leaders.

New study results show that staffing shortages are damaging nurse leaders’ job satisfaction rates, hastening burnout among the top ranks. The American Association of Directors of Nursing Services released results of its 2019 study on nursing directors on Monday.

About 75% of respondents cited staffing shortages as their top challenge, and 63% said they do not have adequate staff to properly care for residents. Those shortages are forcing nurse leaders to the frontlines, with about 66% saying they are routinely providing direct resident care. Balancing work and personal life is important to nurse leaders, but such interruptions to their work routines are causing problems, they reported.

Click here to view the article in its entirety.
Source: Marty Stempniak of McKnight’s Long-Term Care News