February 25 – March 3, 2019

The Northwest Region Healthcare Coalition’s next meeting is Thursday March 14th beginning at 10:30 am. 



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



1. Register Today: Hospital-Based Incident Command Systems: Small and Rural Hospitals Webinar

Hospital-based incident command systems (e.g., HICS) have been used formally in U.S. hospitals since the late 1970’s as a way to manage incidents, coordinate resources and communications, and collaborate with community-based response agencies. Despite their widespread adoption and use, there is very little published information available on lessons learned, best practices, and real-world adaptation of these systems.This free webinar(the second in our series) is scheduled for March 12, 2019, from 1:00-2:30 PM ET and will feature speakers from small and rural hospitals who have experienced a recent emergency and activated their hospital-based incident command systems. The speakers will provide a brief overview of the incident, describe how they implemented their incident command system, share lessons learned and tools for small and rural hospitals, and discuss how they have incorporated these lessons into their current systems and plans.Register today!

2. 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.

3. Around ASPR

ASPR Blog – National Disaster Medical System: Bringing More Than Teams of Professional Medical Providers

The National Disaster Medical System (NDMS) has a heroic, yet complex, mission to save lives and protect Americans. When disaster strikes, it’s potentially the worst day in the lives of hundreds – if not thousands – of people. Therefore, our mobilization, implementation, and execution need to be streamlined and seamless. Continue reading on ASPR’s blog.

Protecting the Nation from Emerging and Pandemic Infectious Diseases and CBRN Threats

As we scan the threat landscape as a new year begins, we find that we face a range of evolving threats to national health security. Among these risk are emerging infectious diseases that could lead to pandemic and the potential for chemical, biological, radiological, and nuclear (CBRN) emergencies. Continue reading on ASPR’s blog.

Credit: Centers for Disease Control and Prevention


Credit: U.S. Food & Drug


Credit: Centers for Medicare and Medicaid Services

Emergency Preparedness-Updates to Appendix Z of the State Operations Manual (SOM) 

CMS is adding “emerging infectious diseases” to the current definition of all-hazards approach. After review, CMS determined it was critical for facilities to include planning for infectious diseases within their emergency preparedness program. In light of events such as the Ebola Virus and Zika, we believe that facilities should consider preparedness and infection prevention within their all-hazards approach, which covers both natural and man-made disasters. 

Additionally, since the release of the Interpretive Guidelines for Emergency Preparedness in 2017, stakeholders and providers have asked for additional clarifications related to portable/mobile generators. CMS has added guidance under Tag E0015- Alternate Source Power as well as clarifications under Tag E0042- Emergency Standby Power Systems. Facilities should use the most appropriate energy source or electrical system based on their review of their individual facility’s all-hazards risks assessment and as required by existing regulations or state requirements. Regardless of the alternate sources of energy a facility chooses to utilize, it must be in accordance with local and state laws, manufacturer requirements, as well as applicable Life Safety Code (LSC) requirements.

If a facility risk assessment determines the best way to maintain temperatures, emergency lighting, fire detection and extinguishing systems and sewage and waste disposal would be through the use of a portable and mobile generator, rather than a permanent generator, then the LSC provisions such as generator testing, maintenance, etc. outlined under the National Fire Protection Association (NFPA) guidelines requirements would not be applicable, except for NFPA 70 – National Electrical Code. However, the revisions, as the provisions under emergency preparedness themselves, do not take away existing requirements under LSC, physical environment or any other Conditions of Participation that a provider type is subject to (for example to maintain safe and comfortable temperatures).

Finally, in addition to minor technical edits, CMS has also made the change to the HHA citations from 482.22 to reflect the regulatory citation 484.102
To view the entire Appendix Z, click here

         U.S. Department of Homeland Security 

Federal Emergency Management Agency


Virginia Department of Emergency Management

1. March Course Offerings

Please note that these courses are for a wide range of audiences.  First responders, hospital workers, school teachers, house of worship employees, and the general public may benefit from one or many courses.  Please distribute these course announcements throughout your organization and community partners.

1. PER-359: TECC for First Receivers – March 12th from 8 a.m.-1 p.m.

This course is designed to inform First Receivers (hospital personnel including nurses and physicians) about the unique and challenging requirements of administering point of wounding medical care administered by Law Enforcement or Fire/Rescue/EMS personnel to patients during high-threat incidents. First Receivers will learn what they need to know to react to and prepare for an attack, but also how to effectively continue care from the point of wounding to trauma resuscitation.  First Receivers will understand how and why first responders assist wounded, and in what condition casualties will be in when they arrive at the hospital or trauma center.
TECC First Receivers Course Announcement Region 2

2. PER-356: TECC for First Care Providers – March 12th from 2-7 p.m.

Core audience is CERT members, school teachers, public works, office workers, churches, etc that may find themselves at the scene prior to the arrival of public safety. This course is designed to teach participants how to assess the situation during a high-threat incident, such as an Active Shooter or other Active Violence event, in order to make decisions about finding a safe location during the attack, provide life-saving interventions to victims of the attack, and provide information to and follow the directions of local authorities following the incident. By the end of this course, First Care Providers will be empowered to do what they can to help save their own and other’s lives during a high-threat incident until medical and law enforcement responders arrive on the scene.
TECC FCP Course Announcement Region 2

3. PER-357: TECC for Law Enforcement – March 13th from 8 a.m.-5 p.m.

This course is designed to teach law enforcement personnel about the differences between responding to and dealing with an isolated incident versus a high-threat situation with mass casualties. It will also teach and reinforce basic life-saving TECC skills for law enforcement personnel that may be applied in “officer down” self-help/buddy-aid situations, as well as provision of point of wounding care during other high-threat incidents.
TECC LE Course Announcement Region 2  

4. PER-358: TECC for Fire/EMS – March 14th from 8 a.m.-5 p.m.

This course examines and addresses the unique and challenging requirements of administering point of wounding medical care by Fire/Rescue/EMS personnel to patients during a high-threat event. Fire/Rescue/EMS providers will learn to distinguish between life-saving and secondary interventions, and when they should be applied based on the prevailing threat to responders and patients.
TECC Fire-EMS Course Announcement Region 2  

5. PER-360: TECC First Responder Integration for Active Shooter/Active Killing Incidents- Rescue Task Force (RTF) – March 15th from 8 a.m.-1 p.m.

This course presents the various models and options of integrating public safety disciplines for responding to, mitigating, and providing rapid point of wounding care and evacuations during high-threat incidents. Scenario discussions and practice sessions surrounding the real and perceived risks of operating in a high-threat environment, as well as operational strategies to abate them, will also inform participants. This course reflects best-practices of NFPA 3000. 

6. PER-361: TECC Active Shooter/Active Killing Incident Command – March 15th from 1 p.m.-3 p.m.

This course discusses RTF implementation strategies and operational considerations for successful management of high-threat incidents.
RTF Course Announcement Region 2

Registration for the two 5-hour classes (FCP and First Receivers) will be held through EventBrite, and registration for the remaining three classes will be held through the COVLC. COVLC Registration and Enrollment  

2. April Course Offerings
1. ICS 300 April 13th & 14th
Spotsylvania County is hosting an ICS 300 course April 13th & 14th at Fire/Rescue Station 4 in Fredericksburg. Registration deadline is April 5th. Please see this flyer for more details.

2. NOAA SKYWARN Basics Course April 3rd at 1900 hours
The Culpeper County Office of Emergency Management is pleased to present the NOAA SKYWARN Basics Course.  The course will be held at the EOC on Wednesday April 3rd at 1900 hours.  A National Weather Service meteorologist will teach the class and provide related materials.  We will be attempting to schedule two classes a year from NOAA , and are Working with Fauquier County Emergency Management to combine efforts and offer the entire series over the next few years.  Starting with SKYWARN the basics and looking to host another in the series in the Fall.

The Basic class has the following description:

Do you have an interest in weather? Would you like to be able to help your local National Weather Service office by providing the ground truth on the atmosphere that we observe from radar, satellites and various reporting stations? Then consider attending the SKYWARN® program Basic course.

By attending this course, you will be trained by NWS personnel to recognize features associated with developing, mature, and dissipating thunderstorms which cause hazardous weather such as lightning, flooding, hail, tornadoes and downbursts. The attendee will also learn basics about winter weather and tropical hazards.

At the end of the course, you will be assigned a SKYWARN® spotter number which will be maintained in the official database at the NWS in Sterling. You will also be directed how to report this vital weather information. For those who have attended in the past but want a refresher, please feel free to attend. We would love to see you again!

This SKYWARN® Spotter Class is offered free of charge from the combined efforts of your local National Weather Service Forecast Office and Culpeper County Office of Emergency Services.
Registration can be done at https://www.eventbrite.com/e/skywarn-basics-culpeper-county-tickets-56511595704
Further information and explanation of all the SKYWARN curriculum can be found at  weather.gov/lwx/skywarn
Training Announcement Skywarn April 3 2019

3. Statewide Tornado Drill

Virginia’s annual statewide tornado drill will be held on Tuesday, March 19 at 9:45 a.m. 

VDEM will be promoting the drill on social media to encourage participants to register on the website (VAemergency.gov/tornadodrill).  The materials also includes information on tornado preparedness guide (VAemergency.gov/tornadoes) that encourages them to make a plan and be prepared whether they’re at work, home, school or traveling when a tornado strikes.
Tornado One Sheet (In House Printing and Digital Download)

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. February 26 webinar on addressing cybersecurity issues in your organization
AHA’s Center for Health Innovation Feb. 26 at 1 p.m. ET will host a webinar featuring the latest insights from John Riggi, AHA senior advisor for cybersecurity and risk and former FBI cyber senior executive, and John Strand, senior instructor for SANS and the owner of an information security firm specializing in penetration testing. Riggi and Strand will provide an overview of the current cybersecurity threat landscape facing health care organizations, as well as focus on the perception of cybersecurity issues, such as organizational culture, training and compliance. View more information and register