May 6 – 12, 2019

The Northwest Region Healthcare Coalition’s next meeting is Thursday May 9th beginning at 9:00 am. Please plan to arrive earlier to complete the registration process and find your seat. We will conduct our annual exercise instead of the usual monthly meeting. The exercise will be at Bridgewater Rescue Squad (10 Volunteer Dr, Bridgewater, VA 22812).Overflow parking is located on Don Litten Parkway which is beside the Rescue Squad. 



Upcoming exercises: We will conduct the annual regional exercise May 9th in-place of our regional coalition meeting. For questions regarding the upcoming exercises, please contact our Exercise and Training Specialist, Matt Cronin. 


Click here to access our website. Don’t forget to visit the Events calendar for upcoming training and exercise events.

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 Community Based Emergency Response Seminar

The Virginia Department of Health Office of Emergency Preparedness will be conducting the Community Based Emergency Response Seminar (CBERS) this spring throughout the state.  This year’s topic will be an overview of the CHEMPACK Program. This Seminar is designed to provide attendees an overview of the CHEMPACK Program, recognition of nerve agent exposures, and awareness of the state plan in which attendees will be encouraged to return to their agencies to assist in reviewing and editing their local plan(s), assist in further developing their local training and protocols/plans. Please take time to review and share the attached flyer with dates, locations and registration information with coworkers and partners.

The location in our region for this year’s CBERS is Augusta County Fire-Rescue, Preston L. Yancey Station, 2015 Jefferson HWY, Fishersville, VA 22939. There are two different dates and times for the training.
Click here for the CBERS 2019 Flyer.
*Continuing Education credits are awarded for the program.
To register: 
For more information see   .
Questions: Adreania Tolliver

2. 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.

3. Disaster Behavioral Health Team Orientation

The DBHDS Office of Emergency Management is excited to announce our first Disaster Behavioral Health Team Orientation on July 10th beginning at 9:30 am until 2:30 pm! 

The event will be held at:
The Virginia Housing Center
4224 Cox Road, Glen Allen, VA 23060

For this offering, we’re looking for anyone experienced in offering behavioral health support during or after disasters. MRC volunteers, CSB personnel, Red Cross volunteers – anyone with experience supporting the behavioral health needs of individuals in crisis. You do not have to be a DBHDS employee to attend!

There is a short video message to explain what they’re offering. You can view that by clicking here!

Registration for the event is through Eventbrite. You can register by clicking here.

4. Disaster Management and Emergency Preparedness Course for Advanced Healthcare

The Eastern Virginia Healthcare Coalition will be hosting the American College of Surgeons Disaster and Management Emergency Preparedness course. The target audience for this course are physicians, surgeons, physician assistants, and nurse practitioners. We are extending this training opportunity to all of the Virginia Healthcare Coalitions!

This one day course will be held at the Eastern Virginia Medical School in Norfolk on Thursday, June 13. It is both didactic and interactive. Major topics addressed include planning, triage, incident command, disaster injury patterns and pathophysiology, and consideration for special populations. Small group discussions are based on illustrative scenarios. The course requires a pre- and posttest, which are reviewed on-site.

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

We anticipate opening registration in the next few weeks. To view the flyer, click here.

 Assistant Secretary for Preparedness and Response


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

Hospital Preparedness Program



1. CDC Responds to Measles Outbreaks

CDC has initiated a center-level emergency response within the National Center for Immunization and -Respiratory Diseases (NCIRD) for the current measles outbreaks affecting several communities in the continental United States. As of Friday, April 26, 2019, 704 confirmed cases have been reported across the United States. This is the greatest number of cases reported in the United States since 1994 and since measles was declared eliminated in 2000. Outbreaks are happening when international travelers become infected overseas and return to the United States, where the extremely contagious disease spreads easily in undervaccinated communities. More information is available in an MMWR Early Release, “Increase in Measles Cases – United States, January 1 – April 26, 2019,” that was published Monday, April 29, 2019. CDC plans to update its Measles cases and outbreaks webpage every Monday. For more information about measles click here

2. CDC Develops Digital Toolkit for Measles 

CDC has developed a digital toolkit to help support preparedness directors and other jurisdictional health department staff charged with leading the response to measles outbreaks in their communities. The toolkit includes products health departments can use to reach a variety of audiences during measles outbreaks. These communications products are based on accurate, science-based evidence that can help counter misinformation in communities about measles and measles-mumps-rubella (MMR) vaccine.

The digital toolkit for health departments includes:

  • Answers to frequently asked questions about measles,
  • A place to direct additional public inquiries to CDC,
  • CDC’s measles microsite that jurisdictions can syndicate on their own websites,
  • Website graphics, and
  • Modifiable letter templates to school principals, parents, and all others to help health officials quickly reach key stakeholders during measles outbreaks.

CDC has also created a digital toolkit for health care providers and their patients.

CDC encourages health departments to take the following steps.

  • Remind community members to make sure all family members are up to date on MMR vaccine.
  • Remind health care providers to vaccinate patients who are behind on MMR, especially those who are traveling internationally or living in or near communities experiencing a measles outbreak.
  • Share the health care provider digital toolkit with health care providers.

Credit: Centers for Disease Control and Prevention


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

Course Offerings

MGT-418 Readiness: Training Identification and Preparedness Planning (RTIPP) course is scheduled for July 16-17, 2019. Please see the flyer for additional details.     

MGT418 Course Announcement – Spotsylvania, VA

PER-335 Complex Coordinated Attacks (CCA) course is scheduled for October 15-16, 2019. Please see the flyer for additional details.

PER335 Course Announcement – Fredericksburg, VA

ICS-400 June 8th and 9th in Fredericksburg. Please see the flyer for additional details.

ICS 400 June 2019

ICS-300 May 20th and 21st in Spotsylvania. Please see the flyer for additional details.

ICS 300 May 2019

ICS-300 June 1st and 2nd in Louisa. Please see the flyer for additional details.

ICS 300 Louisa

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. Dialysis During Disasters – Webinar

Wednesday, May 22, 2019
2:00 PM — 3:00 PM EST

The Kidney Community Emergency Response (KCER) Program would like to invite you to attend an informational webinar titled Dialysis During Disasters. Presentation objectives include:  

  • Provide a basic understanding of end stage renal disease (ESRD) and dialysis treatments
  • Provide an overview of the ESRD Network Program
  • Provide an overview of the KCER Program
  • Provide an overview of how KCER collaborates with ESRD Networks, patients, providers, and other renal stakeholders
  • Discuss key considerations for ESRD community planning, response, and recovery
  • Discuss ways to build partnerships within the ESRD community

This event is open to the public and is geared towards professionals in the fields of Emergency Management, Public Health (ESF-8), Healthcare Coalitions, and additional stakeholders responsible for disaster response and recovery.

Please click here to register for this event. Space is limited, reserve your spot immediately!

3. National Nurses Week

May 6 marks the start of National Nurses Week, which aims to recognize and celebrate the 4 million registered nurses nationwide.

Four things to know:

1. The American Nurses Association launched the weeklong event in 1993.

2. The celebration ends May 12 on Florence Nightingale’s birthday. Ms. Nightingale is widely credited for founding modern nursing.

3. The ANA is offering a toolkit with numerous resources to help celebrate nurses this week, including thank-you card templates, recognition certificates and email drafts.

4. Nurses can also receive free nursing e-books from Amazon this week and a free item from Cinnabon, among other promotions, reports Fox 8 Cleveland.

Source: Mackenzie Bean of Becker’s Clinical Leadership & Infection Control

4. UN: Congo should exceed 1,000 Ebola deaths on Friday

The death toll from the most recent outbreak of Ebola is expected to exceed 1,000 cases on Friday. Health professionals have been treating patients in the Congo since August of 2018 but have experienced difficulties due to ongoing attacks in the area. The attacks, many of which directly targeted healthcare facilities, have resulted in the death or injury of 85 health care workers. More than 109,000 people have received an experimental but effective Ebola vaccine and authorities are looking at potentially introducing another one. Fox News    

Source: VDEM Daily Situation Report 4 May 2019

5. CMS issues draft guidance on hospital space-sharing arrangements

The Centers for Medicare & Medicaid Services today released draft guidance for state survey agencies on hospitals that share space, staff or services with another hospital or health care entity. The guidance seeks to clarify how CMS and state surveyors will evaluate these arrangements for compliance with the Medicare conditions of participation. “Prior sub-regulatory interpretations prohibited co-location of hospitals with other health care entities,” the draft guidance notes. “This guidance changes that to ensure safety and accountability without being overly prescriptive.” For example, the guidance clarifies that the entities can share public areas, such as waiting rooms and main hallways. Comments on the draft guidance are due July 2.

“We are closely reviewing today’s draft guidance from CMS on co-location policies for how hospitals can share space, services and staff with other providers,” said Nancy Foster, AHA vice president of quality and patient safety policy. “The AHA has long urged the agency to prioritize the release of guidance on these issues because confusion and mixed-messages about co-location can result in patients having difficulty accessing needed care. We will work with our member hospitals and health systems to offer CMS comments on how to improve the final guidance in order to create a more coordinated, patient-centered health care system.”

Source: AHA Today

6. Merck ramps up measles vaccine production amid outbreak

Merck has increased production of the measles vaccine to meet growing demand amid the country’s largest outbreak in 25 years, according to Reuters.

Merck, the sole supplier of measles vaccines in the U.S., said that the increase in demand was noticeable, but it was able to handle the uptick.

“Despite what we’ve seen as a huge uptick in the number of cases … the demand side of the equation hasn’t been outstripping our underlying capacity,” Mike Nally, head of Merck’s Global Human Health business and chief marketing officer, told Reuters.

As of April 26, the CDC had reported 704 cases of measles nationwide. Most cases were found in children who had not received the measles-mumps-rubella vaccine. The previous record was in 2014, when 667 measles cases were reported.

Source: Alia Paavola of Becker’s Hospital Review

7. Joint Commission E-Alerts