July 22 – 28, 2019

The Northwest Region Healthcare Coalition’s next meeting is the Cardinal Resolve Table Top Exercise on August 15th. The Table Top Exercise is the first of two joint exercises by VDH and VHHA. Please see the flyer below for more information.


1. Save the Dates

Upcoming exercises: We will be participating in a Joint VHHA and VDH Table Top Exercise August 15th in-place of our regional coalition meeting. This exercise is a lead-up to the Joint Full Scale Exercise October 23rd. Questions regarding the upcoming exercises, please contact our Exercise and Training Coordinator, Matt Cronin. Please see the Cardinal Resolve TTX Flyer for more details.

Upcoming regional training: The Coalition will host the MGT – 349 Pediatric Disaster Response and Emergency Preparedness course November 18 – 19, 2019 in Harrisonburg, VA. Questions regarding upcoming training, please contact our Exercise and Training Coordinator, Matt Cronin. Please see the link for more details.

2. Clinical Advisor

As part of expanding the regional coalition collaboration, the Northwest Region Healthcare Coalition will seek to hire a part-time physician to serve as a clinical advisor. The clinical advisor will be asked to:

  • Provide clinical leadership to the coalition and serve as a liaison between the coalition and medical directors/medical leadership at health care facilities, supporting entities (e.g., blood banks), and EMS agencies.
  • Review and provide input on coalition plans, exercises, and educational activities to assure clinical accuracy and relevance.
  • Act as an advocate and resource for other clinical staff to encourage their involvement and participation in coalition activities.
  • Assure that the coalition mass casualty/surge plans provide for appropriate distribution (and re-distribution) of trauma patients to avoid overloading single centers whenever possible and work with health care facilities to understand their capabilities and capacity.
  • Assure that subject matter experts are available, and a process exists to support secondary transfer prioritization in specialty surge (e.g., burn, pediatric) mass casualty situations (i.e., identify which patients are a priority to transfer to specialty care centers when adequate transportation or inpatient resources are unavailable).
  • Engage health care delivery system clinical leaders to provide input, acknowledgement, and understanding of their facility and regional strategic and operational roles in acute medical surge planning to include CBRNE, trauma, burn, and pediatric readiness and response.


3. Memorandum of Understanding

We are pleased to announce that the Northwest Region Healthcare Coalition continues to receive 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 organization resides within the Northwest Region and you have 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.


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. Pending Regulation on Hospital, Nursing Home Temporary Bed Licensure Exemption Now Online

The Virginia Department of Health (VDH) has posted regulations regarding recent changes to certificate of public need (COPN) and licensure laws that allow hospitals and nursing homes to temporarily add beds during a declared emergency without having to obtain a COPN permit or license for the temporary beds. The regulations follow successful legislation enacted during the 2019 General Assembly session to provide a 30-day exemption from the requirement to obtain a certificate of public need and license for an increase in the total number of beds in existing hospitals or nursing homes in the event that the State Health Commissioner determines a natural or man-made disaster has caused the evacuation of a hospital or nursing home, and that a public health emergency exists due to a shortage of hospital or nursing home beds. The legislation directs the state Board of Health to develop regulations to address those emergency circumstances. A public comment period on the hospital and nursing home regulations begins Monday, July 22 and concludes Aug. 23, which is the effective date of the regulations. Visit this link to review the hospital regulations, and this link to view the nursing home regulations. 

2. RIVIVE Training

In partnership between the Rappahannock Rapidan Crisis Intervention Team and the Virginia Department of Health,  two opportunities to attend the Opioid Overdose Reversal Training Event is available. You must pre-register to attend and the registration information is on the flyer.

The dates, locations, and times are on the flyer which can be found here. One session will be held in Culpeper and the other will be held in Orange. 

 Assistant Secretary for Preparedness and Response


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

Hospital Preparedness Program




The Healthcare and Public Health Sector Highlights

Cybersecurity Edition

The HPH Sector Highlights – Cybersecurity Edition is a weekly email produced by the HHS ASPR Division of Critical Infrastructure Protection (CIP) on behalf of the HPH Sector Partnership. It provides updates on threat information, resources, and situational awareness related to healthcare cybersecurity. 

Reminder: Patch your Software

This is a friendly reminder to remember to patch any software you may use that contains identified vulnerabilities. The DHS Cybersecurity and Infrastructure Security Agency (CISA) has a security tip at its website on understanding patches and software updates authored by the National Cybersecurity and Communications Integration Center (NCCIC). Some best practices include: 

  • Enable automatic software updates whenever possible. This will ensure that software updates are installed as quickly as possible.
  • Do not use unsupported End-of-Life (EOL) software.
  • Always visit vendor sites directly rather than clicking on advertisements or email links.
  • Avoid software updates while using untrusted networks.

New vulnerabilities are continually emerging, but the best defense against attackers exploiting patched vulnerabilities is simple: keep your software up-to-date. This is the most effective measure you can take to protect your computer, phone, and other digital devices.

NCSC Releases Advisory on Ongoing DNS Hijacking Campaign

According to the DHS Cybersecurity and Infrastructure Security Agency (CISA), the United Kingdom’s National Cyber Security Centre (NCSC) has released an advisory about an ongoing Domain Name System (DNS) hijacking campaign. The advisory details risks and mitigations for organizations to defend against this campaign, in which attackers use compromised credentials to modify the location to which an organization’s domain name resources resolve to redirect users, obtain sensitive information, and cause man-in-the-middle attacks.

The Cybersecurity and Infrastructure Security Agency (CISA) encourages administrators to review thNCSC Advisory, apply the recommended mitigations, and refer to CISA’s AlerAA19-024A – DNS Infrastructure Hijacking Campaign for more information.

Hurricane-Related Scams

As the 2019 hurricane season has begun, the DHS CISA warns users to remain vigilant for malicious cyber activity targeting disaster victims and potential donors. Fraudulent emails commonly appear after major natural disasters and often contain links or attachments that direct users to malicious websites. Users should exercise caution in handling any email with a hurricane-related subject line, attachments, or hyperlinks. In addition, users should be wary of social media pleas, texts, or door-to-door solicitations relating to severe weather events.

To avoid becoming victims of malicious activity, users and administrators should review the following resources and take preventative measures:

If you believe you have been a victim of cybercrime, file a complaint with the Federal Bureau of Investigation Internet Crime Complaint Center at www.ic3.gov.

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

2019 Mass Care Symposium August 8, 2019. The day will focus on efforts to provide Mass Care services during Hurricanes Matthew and Florence, as well as best practices and pitfalls within Inclusive Planning.

CVEMA 2019 Mass Care Symposium

ICS 400 Advanced Incident Command Systems course is scheduled for August 28-29, 2019. Please see flyer for additional details.

Course Announcement ICS 400 Madison

ICS 300 Intermediate ICS for Expanding Incidents course is scheduled for September 14-15, 2019. Please see flyer for additional details.

Course Announcement ICS 300 Shenandoah

MGT-418 Readiness: Training Identification and Preparedness Planning (RTIPP) course is rescheduled for September 23-24, 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

1. Central Region Healthcare Coordination Center Manager Job Opening

The Central Region is seeking candidates to fill a job opening as their Regional Healthcare Coordination Center Manager. All of the information can be found in this attachment. The closing date is August 15, 2019.

2. Ensure empty O2 cylinders are stored separately and policies are clear

Check all areas where your facility keeps oxygen cylinders to ensure empty and full cylinders are stored separately. And make your cylinder storage policy clear on where partially full cylinders are to be kept. Also, partial cylinders without pressure gauges should be stored with empty cylinders, says The Joint Commission (TJC).

To read more about this, click the title which will link you to the website.

Source: A.J. Plunkett of  Hospital Safety Insider