February 4 – 10, 2019

Next Northwest Region Healthcare Coalition Monthly Meeting

The next regional coalition meeting is Thursday February 14th at 10:30 am. The meeting will be held via our Ring Central conference call system.

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.

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)

 Assistant Secretary for Preparedness and Response


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

Hospital Preparedness Program



1. 2019 Preparedness Summit: Registration Open and Travel Letter Available

The Northwest Region Healthcare Coalition budgeted to send two (2) people to this year’s Summit. If interested, please contact Ron Clinedinst so that we may submit the proper paperwork to VHHA/VDH. It must be submitted by February 18, 2019.

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.

2. Webinar: The Healthcare and Public Health Risk Identification and Site Criticality (RISC) Toolkit

Managing risk is one of the most complex and critical aspects of running a healthcare facility. The goal of the Healthcare and Public Health Risk Identification and Site Criticality Toolkit (HPH RISC Toolkit) is simple: make that task easier – at no cost to the facilities.

ASPR CIP and ASPR TRACIE jointly hosted a webinar on the Healthcare and Public Health Risk Identification and Site Criticality (RISC) Toolkit. Access the presentation and recording here

Additionally, this post from the ASPR blog provides an overview of the RISC Toolkit, including information on how to download and use the tool. For more on the RISC toolkit, check out the ASPR blog

3. ASPR Blog: Four Ways to Plan to Protect Patient Health in a Medical Supply Shortage

This post from the ASPR blog is the first in a series titled “Anticipating and Managing the Challenges Associated with Supply Shortages.” It outlines four ways you can protect patient health during a supply shortage. 

According to FDA, there are currently 109 drugs in shortage in the U.S. Supply shortages threaten patient health even in the best circumstances, but their number and impact can be exacerbated by a prolonged disaster response. With so many shortages, one is likely to impact your hospital or healthcare facility at some point.  By planning to cope with the impacts of a supply shortage, your hospital or healthcare facility will be better prepared to continue providing patient care when one occurs. 

For more, check out the ASPR blog

4. New Resources Available to Prepare and Respond to Nerve Agent Emergencies

New resources are available from the U.S. government to help emergency responders and healthcare workers develop specific guidance and training to protect themselves and save lives during incidents involving fourth generation nerve agents, also known as Novichoks or A-series nerve agents. 

The resources include the Safety Awareness for First On-Scene Responders document, a one-page bulletin summarizing symptoms of exposure, protective actions, and decontamination procedures; a Reference Guide with greater detail for HAZMAT response teams; and Medical Management Guidelines to prepare fire, EMS, and hospital staff and guide the medical management of patients. (Link)

Credit: Centers for Disease Control and Prevention

Clinician Outreach and Communication Activity (COCA) Influenza Conference Call 
Date Change

2018-2019 Influenza Season and Recommendations for Clinicians

Date: Tuesday, February 5, 2019
Time: 2:00-3:00 P.M. (Eastern Time)
A few minutes before the webinar begins, please click the link below to join the webinar: https://zoom.us/j/862187873
Or iPhone one-tap:
US: +16468769923,,862187873#  or +16699006833,,862187873#
Or Telephone:
US: +1 646 876 9923  or +1 669 900 6833
Webinar ID: 862 187 873

Influenza activity in the United States is increasing and is expected to continue at elevated levels for several more weeks. Influenza A(H1N1) pdm09 viruses have been most common this season; influenza A(H3N2) and influenza B viruses are also circulating. In the southeastern part of the country, influenza A(H3N2) viruses have been most commonly reported this season. Annual influenza vaccination is recommended for all people 6 months and older and is the best way to prevent influenza and its potentially serious complications. Available evidence consistently indicates that antiviral treatment initiated as early as possible can be a useful second line of defense to treat influenza illness when indicated and can reduce severe outcomes of influenza.

During this COCA Call, clinicians will learn about 2018 –2019 influenza activity and hear an overview of CDC’s recommendations for health care providers regarding influenza vaccination and the use of influenza antiviral medications for the 2018-2019 influenza season, including a new antiviral medication approved by the FDA in October 2018.

If you are unable to attend this live COCA Call, it will be available on demand and free continuing education (CE) will still be available. Just click on the link to the call page above and the webinar will be available to view under the “Call Materials” tab a few days after the call takes place.

Credit: U.S. Food & Drug
 Vaping and e-Cigarettes in Kids: An Unprecedented Epidemic

On December 18, 2018, the US Surgeon General officially declared e-cigarette use among youth an “epidemic.” While national data show that smoking rates are down, the rate of vaping in teens has skyrocketed. According to the 2018 Monitoring the Future survey, which included over 40,000 teens nationwide, 21% of 12th graders reported vaping nicotine during the past 30 days That is double the rate reporting use in 2017. Similar increases were seen in kids as young as sixth grade.

Laurie Scudder, editorial director at Medscape, is joined by both the US Surgeon General, Vice Admiral Jerome Adams; and the FDA Commissioner, Dr Scott Gottlieb, to discuss this public health emergency. Watch or read the entire Medscape interview.

2. Stryker Launches Voluntary Field Action for Specific Units of the LIFEPAK® 15 Monitor/Defibrillator

Stryker announced today that the company is launching a voluntary field action on specific units of the LIFEPAK 15 Monitor/Defibrillators.

The company is notifying certain LIFEPAK 15 customers of an issue that may cause the device to lock up after a defibrillation shock is delivered. The lock-up condition is defined as a blank monitor display with LED lights on, indicating power to the device, but no response in the keypad and device functions. A device in this condition has the potential to delay delivery of therapy, and this delay in therapy has the potential to result in serious injury or death.

The company is contacting customers with impacted devices to schedule the correction of their device(s), which will include an update to the firmware for a component on the System Printed Circuit Board Assembly.

For more information on this, click here

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. This could have been a nightmare’ – evacuation plan succeeds during LTC facility’s gas disaster

A Rhode Island provider is thanking its lucky stars that it had practiced evacuation drills after a recent loss of heat forced the facility to activate an emergency plan.

St. Clare Newport evacuated all 87 of its residents last week when it lost its heat amid a regional gas outage, during single digit temperatures. The continuing care retirement community had prepared for such circumstances previously, running drills twice a year. It coordinated with the Rhode Island Mutual Aid Coalition during the gas shutoff, the Newport Daily News reported Friday.

Administrator Mary Beth Daigneault told a local TV station that it was the largest evacuation ever handled by the coalition, but also “one of the smoothest.”

“This could’ve been a nightmare,” Daigneault said. “An absolute nightmare.”

Ambulances, vans and nursing facility vehicles all lined up outside of St. Clare Newport Jan. 22 to begin the exodus. All told, 54 nursing home residents were transported to SNFs across the state as far as Coventry, which is almost 30 miles away. Another 33 assisted living residents needed alternative accommodations, with about half picked up by family members.

Officials used the parking lot of a nearby garden center as a staging area to assemble vehicles and avoid gridlock.

Low gas line pressures forced utility company National Grid to shutdown service to about 7,100 of its customers, mostly in Newport, last week. St. Clare relies on gas for its heat, water and stoves, making the evacuation absolutely necessary, officials said. 

Source: Marty Stempniak of McKnight’s Long-Term Care News

3. Nurses push for more security after Froedtert Hospital employee’s death

Nurses in the Milwaukee area are pushing for more security measures in the wake of a brutal attack that killed a 33-year-old Froedtert Hospital nurse Jan. 25, according to WTMJ-TV Milwaukee.

Police found Carlie Beaudin, 33, trapped under a car and frozen in the hospital’s parking structure just before 4 a.m. Jan. 25. She was transported to the hospital’s trauma center but was pronounced dead a short time later, the report states.

Ms. Beaudin worked as a nurse practitioner in the department of medicine’s division of hematology and oncology at the Medical College of Wisconsin and the Wauwatosa, Wis.-based hospital.

Some area nurses who reached out to WTMJ-TV under the condition of anonymity for fear of losing their jobs said Ms. Beaudin’s death could have been avoided with better security at area hospitals.

“What happened to Carlie has terrified all of us area nurses. It could have happened to any of us. We are all shaken by this tragic situation that could have been avoided,” one nurse said.

Froedtert Hospital told WTMJ-TV the hospital “has made security enhancements and will continue to make improvements.”

Police charged Kenneth Freeman, 27, with first-degree homicide Jan. 28 for allegedly killing Ms. Beaudin, according to a second WTMJ-TV report.

According to a criminal complaint, Mr. Freeman was identified on surveillance footage brutally beating Ms. Beaudin. When questioned by police, Mr. Freeman told detectives he “deliberately and purely murdered Ms. Willa,” but refused to provide any additional details.

Mr. Freeman is currently being held on $500,000 bail.

Source: Alyssa Rege of Becker’s Hospital Review