September 16 – 22, 2019




1. Regional Coalition Meeting

The Northwest Region Healthcare Coalition will hold its monthly meeting Thursday October 10 beginning at 10:30 am. The agenda and the September meeting minutes will be sent to the routine attendees on the Tuesday prior to the meeting. The meeting will be held at Rockingham County Office Building on the 2nd floor (the same location we conducted the Table Top Exercise in August).  

2. Surge & Evacuation Project

The Northwest Region Healthcare Coalition has begun the Regional Surge Capacity and Evacuation Plan project for the acute care, critical access, psychiatric, and rehabilitation hospitals in the region. This project has several goals such as determining space management, resources and assets to complement existing plans, enhance rapid assessment capabilities of transportation resources, and establish a process to ensure the patients are evacuated using the right patient/right place theory during a hospital evacuation. For more information, please click here.

3. Pediatric Surge Annex Project

The Northwest Region Healthcare Coalition has begun a Regional Pediatric Surge Annex project for the regional acute care, critical access, and psychiatric hospitals in the region and other hospitals in the state that can provide additional surge beds. At the conclusion of the project, the region will have an annex that will be part of the Regional Surge Capacity and Evacuation Plan. To ensure the annex is understand by the regional coalition members and partners, training on the annex will be provided and a Table Top Exercise will be conducted validating the annex and making any necessary changes to it.

4. Save the Dates

Upcoming training and conferences:

          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. Update: the fourth offering is will be in Winchester. The date and actual location has changed, and we will update our calendar once a location has been confirmed. You can 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.

National Healthcare Coalition Preparedness Conference 2019

Being a part of #NHCPC19 provides many benefits to all attendees, including:

  • Networking with peers from across a variety of professional fields
  • Learning best practices from experts in the healthcare arena
  • Access to vendors with unique insight into emergency preparedness
  • Educational and actionable sessions that provide a leading edge for your organization
  • A shared wealth of lessons learned and data gathered
  • Enjoy Houston and all our beautiful host city has to offer
  • Experience workshops with up to date techniques and information

From the National Healthcare Coalition Conference website.

“The goal for the 2019 Conference is Taking Coalitions to New Heights. Healthcare Coalitions are a very real force multiplier for resiliency. They are essential in facilitating a more relevant, timely, effective and efficient response, which in turn improves how affected communities’ needs are met during disasters as well as improving how emergency needs are met every day. Creating an evidence base is vital to making the case for ongoing investment in resiliency. We know that allocating scarce resources requires decision-makers to understand the trade-offs between different opportunities. Building an optimal resiliency portfolio requires robust analysis. We view our HCC expenditures as investments as they occur in a context of uncertainty and offer yields both in financial returns and/or improved outcomes.”

If interested in attending and receiving reimbursement from the Coalition (we are limited to only two members per Coalition, please contact Matt Cronin, Exercise & Training Coordinator).

More information about the event can be found: here

5. 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.

6. 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 document explaining the regional coalition’s mission, listing its partners, and contact information 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

Webinar Offerings

A Critical Connection: The Water and Healthcare/Public Health Sectors Webinar – Water Sector Focus, September 19

The U.S. Environmental Protection Agency (EPA) will sponsor a free webinar on Thursday, September 19, 2019, 1:00 – 2:00 PM ET, on the interdependencies be-tween the water and healthcare/public health sectors. The webinar will feature the lessons learned from a series of eight workshops conducted nationally from 2016 to 2018. Prior joint planning and communications between the sectors are vital to better respond to emergencies and protect public health. Sign up today and learn more about this critical interdependency.

Register here.

Back to Top

A Critical Connection: The Water and Healthcare/Public Health Sectors Webinar – Healthcare/Public Health Sector Focus, September 26

The U.S. Environmental Protection Agency (EPA) will sponsor a free webinar on Thursday, September 26, 2019, 1:00 – 2:00 PM ET, on the interdependencies between the water and healthcare/public health sectors. The webinar will feature the lessons learned from a series of eight workshops conducted nationally from 2016 to 2018. Prior joint planning and communications be-tween the sectors are vital to better respond to emergencies and protect public health – sign up today and learn more about this critical interdependency.

Register here.


Health & Human Services

 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

Healthcare Supply Chain Edition

September 2019

Credit: Centers for Disease Control and Prevention

Save the Date: Outbreak of Pulmonary Disease Associated with E-cigarette Product Use of Vaping: Information for Clinicians

Date:Thursday, September 19, 2019
Time: 2:00–3:00pm (ET)

CDC will review e-cigarette and vaping terminology, clinical features reported among cases of pulmonary disease in recent outbreaks, and CDC recommendations for clinicians.
Please check the webpage for any updates regarding this COCA Call.
A few minutes before the webinar begins, please click the link below to join:
Or iPhone one-tap:
US: +16468769923,,887744874# or +16699006833,,887744874#
Or Telephone:
US: +1 646 876 9923 or +1 669 900 6833
Webinar ID: 887 744 874

Activity-specific Objectives
At the conclusion of the session, the participant will be able to accomplish the following:

  1. To provide e-cigarette and vaping terminology.
  2. To summarize frequent clinical, laboratory, radiographic, and pathologic findings and outcomes among cases.
  3. To discuss CDC recommendations for clinicians.

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 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. Leaking IV bags recalled

The Metrix Company, a Dubuque, Iowa-based medical devicemaker, is recalling more than 120 lots of its empty IV bags due to the potential for leaks that could cause serious infections.

The IV bags are used to store and deliver intravenous drugs or nutrition to patients.

The recall was initiated after eight complaints of leaking bags, all occurring near the divider rod and channel when the rod was removed.

An investigation showed the problem was caused by an assembly machine malfunction that created additional stress on the rod, channel and bag film.

The IV bags were supplied to distributors in the U.S. and Canada from November 2016 to July 2019.

There have been no reports of death, illness or injury stemming from the recalled IV bags to date.

Read the full report here

Source: Maia Anderson of Becker’s Hospital Review

2. Walmart health sees its first patients today: 6 things to know

Walmart has opened its new, standalone health clinic in Dallas, Ga. Today, the first patients will walk through its doors. 

Six things to know:

1. The 10,000-square-foot health clinic, called Walmart Health, will offer primary care, imaging, lab, dental and behavioral health services. 

2. Walmart plans to offer visits, cleanings and lab tests at prices about 30 percent to 50 percent lower than what people are currently paying at physician offices and other retail health clinics. Walmart’s clinic will take insurance. 

3. The primary care clinic in Dallas, Ga., is different from the other 19 Care Clinics Walmart already operates in Georgia, South Carolina and Texas. The Care Clinics are  inside a Walmart store and take up just 1,500 square feet, according to Forbes. 

4. Walmart plans to open another Walmart Health center in Calhoun, Ga., early next year, according to Business Insider. 

5. If the pilot clinics succeed, with a footprint so large, Walmart could quickly become the nation’s largest provider of basic healthcare.

6. Walmart’s health push mirrors that of CVS and Walgreens, which are working to offer more healthcare services as a way tremain competitive with online retailers like Amazon. But unlike other retail pharmacies, Walmart’s new centers aren’t designed to boost  foot traffic or customer volume, it said.

“We are trying to solve problems for our customers,” Sean Slovenski, Walmart’s president of health and wellness, told Forbes. “We already have the volume. We have the locations and the right people.”

Source: Alia Paavola of Becker’s Hospital Review

3. Ohio hospital employee dies after man drives truck into ER

A hospital employee was killed Sept. 13 when a man crashed his truck into the emergency room of Diley Ridge Medical Center in Canal Winchester, Ohio, according to NBC News.

Authorities said they believe the crash was intentional. The driver, Raymond Leiendecker, has been charged with aggravated murder. He is in police custody and receiving treatment for injuries, according to CNN.  

Mr. Leiendecker voluntarily sought a psychological evaluation shortly before the crash, which occurred around 10 a.m. He left the hospital against medical advice and then drove his truck through the doors of the ER.

Columbus, Ohio-based Mount Carmel Health System, which operates Diley Ridge Medical Center, said the ER is closed due to structural damage.

Officials have not released the name of the hospital employee who was killed. A second employee was injured, and that person’s condition is not known, according to NBC News.

“We are very sad to report the loss of one of our Diley Ridge employees today,” Mount Carmel interim CEO Michael Englehart said in a statement to WCMH. “Our hearts go out to their family and friends. And we pray for them during this tremendously difficult time.”

4. Purdue Pharma files for bankruptcy

Embattled OxyContin maker Purdue Pharma filed for bankruptcy on Sept. 15, according to The New York Times

The Chapter 11 bankruptcy filing is part of the drugmaker’s strategy to protect itself and its owners from more than 2,600 lawsuits accusing the company of fueling the opioid epidemic in the U.S. by downplaying the risks associated with taking OxyContin.

Purdue Pharma’s board approved the much-anticipated bankruptcy filing, just a few days after the drugmaker reached a tentative deal to settle lawsuits with thousands of cities and counties. To date, 24 states and five U.S. territories also have accepted the agreement. 

Restructuring the company through bankruptcy was part of the tentative settlement reached last week, according to the report.

“This unique framework for a comprehensive resolution will dedicate all of the assets and resources of Purdue for the benefit of the American public,” said Steve Miller, chairman of Purdue Pharma’s board of directors. “This settlement framework avoids wasting hundreds of millions of dollars and years on protracted litigation, and instead will provide billions of dollars and critical resources to communities across the country trying to cope with the opioid crisis.”

With the Chapter 11 filing, Purdue Pharma expects an automatic stay of current civil litigation.

Purdue Pharma would be restructured completely into a public benefit trust. Any profit the company makes from OxyContin and other drugs would go toward paying the plaintiffs’ claims and supporting research and development of drugs to treat addiction. Restrictions also would be placed on the new company’s marketing and sale of opioids.

Read the full story here.

Source: Alia Paavola of Becker’s Hospital Review

5. September is National Preparedness Month

NOAA and the National Weather Service are partnering with FEMA and many other organizations to get everyone involved in National Preparedness Month. Learn more about how to be “Prepared, Not Scared.”