August 26 – September 1, 2019




1. Save the Dates

Upcoming regional training:

          a. The Coalition will conduct four training opportunities titled NIMS-in-a-Nutshell.

           NIMS and ICS – what do they mean and how do they apply to your facility or organization? This workshop will describe the purpose of the National Incident Management System (NIMS) and provide an overview of how the Incident Command System (ICS) can be applied to your facility. At the end of the workshop, the attendees will work through a facilitated table top exercise to apply what was learned and to implement your Emergency Operations Plan. The offerings are spread around the region to help limit travel time for attendees. The first offering is October 10th in Harrisonburg. The second offering is October 17th in Front Royal. The third offering is November 7th in Charlottesville. The fourth offering is November 14th in Winchester. Please watch the events calendar for more information and the exact location once we have received confirmation from the host. You can still register for any of the four offerings by clicking here. Please obtain the password to complete the registration process by contacting Becki Chester or Matt Cronin from the Contact Us page.


          b. 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

The Northwest Region Healthcare Coalition is seeking a part-time physician to serve as a clinical advisor. The job announcement can be found here. We ask healthcare organizational staff to please assist us by spreading the word about this open position. As part of our grant funding requirement, we must hire a physician before the next grant period begins.


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 Credit:

Virginia Department of Health

Save the Date for the 2020 Virginia Public Health & Healthcare Preparedness Academy

Virginia Public Health & Healthcare Preparedness Academy will be held in Harrisonburg, VA. The dates are March 23 – 25, 2020 at the Hotel Madison & Shenandoah Valley Conference Center. Because this event will be held in the Northwest Region next year, we would ask that as many of our healthcare partners that can attend do so. We hope to make a great showing and showcase how the Northwest Region supports emergency management and preparedness efforts. Details about lodging and other topics such as allowable travel and reimbursements will be provided as we receive them. 

So, for now, please put this event on your calendar as we hope to see as many of you that can attend.

 Assistant Secretary for Preparedness and Response


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

Hospital Preparedness Program




1. Preparedness Index for Health Emergencies and Disaster

The World Health Organization, Pan American Health Organization (PAHO) has published this 16-page document as a voluntary tool to be used by health sector authorities to measure progress in emergency and disaster preparedness with a multi-hazard approach and in line with the World Health Organization (WHO)’s Strategic Framework for Emergency Preparedness. Its aim is to estimate the national or sub-national health preparedness capacity to deal with natural, anthropic, and health events (epidemics) that generate emergencies and disasters, and the capacity of the health sector to recover early from the effects of these events.

Source: ASPR

2. TRACIE PPE Planning Tool

This recently developed planning tool from ASPR TRACIE (Technical Resources, Assistance Center, and Information Exchange) is designed to help hospitals determine approximate minimum personal protective equipment (PPE) needs, based on special pathogen category and a number of facility-specific variables. Calculators are included for Ebola virus disease/viral hemorrhagic fever, Middle East respiratory syndrome/severe acute respiratory syndrome, and pandemic influenza.

Source: ASPR

3. Hospital Emergency Preparedness Coordinator Job Description

Hospital Emergency Preparedness Coordinator Job Description: This ASPR TRACIE TA response includes a job summary, a consolidated list of roles and responsibilities, and a list of typically required qualifications for a hospital emergency preparedness coordinator that ASPR TRACIE summarized through resources gathered online and from feedback provided by our Subject Matter Experts.

Source: ASPR

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

1. Hurricane Season 2019

Know Your Zone

Hurricane Preparedness Guide

Local Gov’t Officials’ Guide to Emergency Management

Dear Local Partner,

As we approach the heart of hurricane season, I wanted to reach out on behalf of the Virginia Department of Emergency Management (VDEM) to thank you for your dedication to hurricane preparedness. In 2018, the Commonwealth experienced one of our busiest disaster years on record as VDEM supported local partners through 16 disasters and 119 recoveries that affected 82 localities throughout the Commonwealth.

The damages facing our residents, businesses, and local governments exceeded $173 million in 2018 alone, and 12 people lost their lives due to storm-related inland flooding and tornadoes. With that in mind, I want to reiterate that hurricane impacts are not just a problem for Virginia’s coastal region – the devastation can reach from Southwest Virginia to the National Capitol Region, and from the Shenandoah Valley to the Eastern Shore. This year is the 50th anniversary of Hurricane Camille, which killed more than 150 Virginians, and proved that hurricanes are truly a statewide issue.

For coastal Virginians, learning your hurricane evacuation zone and corresponding evacuation routes, as well as reviewing the Commonwealth’s Hurricane Evacuation Guide at before a storm hits, can prove invaluable. Coastal Virginians can also call 2-1-1 to learn their evacuation zone if they do not have access to a computer or internet services.

For non-coastal Virginians, the Hurricane Preparedness Guide provides significant information on storm-related effects along with recommendations for how to prepare, respond, and recover.

Finally, we recently updated our Local Government Officials’ Guide to Emergency Management, which is another helpful resource for you to better understand the emergency management process at the state level. I encourage you to develop relationships with your local emergency managers and neighboring jurisdictions before a storm hits.  Thank you again for your dedication and continued efforts to help our Commonwealth prepare for disasters.

Jeffrey D. Stern, Ph.D.
State Coordinator

Course Offerings

Emergency Management Professional Program Basic Academy Course Announcements. Please see the flyer for additional details.

EMPP Basic Academy Announcement and Application

L0146: Homeland Security Exercise Evaluation Program (HSEEP)
Dates: September 4-5, 2019 at the Virginia Emergency Operations Center, 7700 Midlothian Turnpike, Richmond, VA 23235
To Register:  Click  (last day to register August 23rd)
Prerequisite: IS 120.c ( and complete form FEMA 119-25 (

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, VA

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

ICS 300 Intermediate ICS for Expanding Incidents course is scheduled for October 1-3, 2019. Please see flyer for additional details.

Course Announcement ICS 300 Stafford, 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

G205 Recovery from Disaster: The Local Community Role course is scheduled for October 29-30, 2019. Please see the flyer for additional details.

G205 Course Announcement Orange, VA

1. The Billion Dollar Bid to Help End America’s IV Fluid Shortages

Extreme weather events and severe flu seasons have lead to a depletion of saline supplies throughout the United States.  The IV fluid is commonly used to hydrate, administer drugs, and treat patients with blood loss. However, nationwide shortages have become more frequent and clinicians worry it will affect patient care.  To counteract this shortage B. Braun has proposed a $1 billion initiative they hope will allow for improved production stability and lead to a surplus in the long-term. The initiative will fund the construction of manufacturing facilities in the United States and Europe to provide a steady supply of saline and avoid similar events in the future. To view the entire article, click WTVR.

Source: VDEM

2. CDC sounds alarm over deadly drug-resistant salmonella

Over the past 17 months more than 250 people have become ill because of a deadly form of salmonella. Of the 255 patients affected by the bacterial infection 60 underwent hospitalization and 2 died. According to an enteric disease epidemiologist this particular strain is not responsive to commonly prescribe antibiotics. The cases were believed to be cattle-borne and may have been caused by contaminated beef from the United States and soft cheese obtained from Mexico. Eighty nine of the affected had made recent travel to Mexico.  Officials advised this strain was not detected prior to 2016, they reiterated food safety is one of the most effective preventative measures. to view the entire article, click WTVR.

Source: VDEM

3. Ensure compliance with EPA rule: Ban all sewering of hazardous waste drugs

The August 21 ban on the sewering of hazardous waste pharmaceuticals is the first deadline set out in new regulations published by the EPA in February that sets up a new category, Subpart P, under the federal Resource Conservation and Recovery Act (RCRA).

Source: Hospital Safety Insider

4. J & J liable for opioid crisis in Oklahoma: 9 things to know

An Oklahoma judge ruled Aug. 26 that Johnson & Johnson was liable for fueling the opioid epidemic in the state and ordered the drugmaker to pay $572 million, according to The New York Times. This is the first ruling in the U.S. that holds a drugmaker accountable for a role in the opioid crisis. Click here to view the article.

Source: Alia Paavola of Becker’s Hospital Review

5. Four face charges in deaths of 12 Florida nursing home patients following Hurricane Irma

Two years after Hurricane Irma slammed through South Florida, killing scores of people and knocking out power to three-quarters of the state, four nursing home workers are facing aggravated manslaughter and other charges in the deaths of 12 residents felled by the searing heat the storm left behind.

Arrest warrants were issued Monday for three nurses and an administrator at the since-shuttered Rehabilitation Center at Hollywood Hills, about 20 miles north of Miami. 

Operators of the center failed to evacuate for three days despite a lack of air conditioning that caused temperatures in the building to soar, authorities say. Click here to view the article.

Source: John Bacon of USA TODAY

6. 1st death reported amid uptick in vaping-related illnesses

A patient hospitalized with a severe lung injury linked to vaping has died in Illinois, health officials confirmed Aug. 23.

The case appears to be the first death reported amid a nationwide uptick in severe respiratory cases among individuals who reported recent e-cigarette use.

As of Aug. 22, the CDC reported 193 potential cases of severe lung illness in 22 states. Illinois health officials said the state’s cases have doubled over the past week.

Health officials are still working to identify a common source for the illnesses. 

“We are saddened to hear of the first death related to the outbreak of severe lung disease in those who use e-cigarette or ‘vaping’ devices,” CDC Director Robert Redfield, MD, said in a statement. “We are working with state and local health departments and FDA to learn the cause or causes of this ongoing outbreak.”

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