September 23 – 29, 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. 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

3. 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.

4. 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.

Virginia Hospital & Healthcare Association Credit:

Virginia Department of Health

1. Webinar Offerings

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.

2. REVIVE Training

Opioid overdose reversal training. Learn how to recognize an overdose. Learn how to use Narcan. Learn how to save a life! You must pre-register to attend. October 8, 2019 in Madison and October 29, 2019 in Warrenton. Please see the flyer for details and registration information.


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





Credit: Centers for Disease Control and Prevention

Save the Date: 2019-2020 Recommendations for Influenza Prevention and Treatment in Children: An Update for Pediatric Providers

Date:Thursday, September 29, 2019
Time: 2:00–3:00pm (ET)

Influenza remains a serious threat to children due to its potential to cause significant morbidity and mortality. More than 125 influenza-associated deaths in children were reported to the Centers for Disease Control and Prevention (CDC) during the 2018–2019 influenza season. Clinicians play a critical role in taking action to immunize children, the children’s family members and caregivers, and themselves. The early use of antivirals in children can reduce the duration of symptoms and prevent serious complications of influenza. However, immunization remains the most effective way to prevent influenza illness and its complications, including death.
During this COCA call, subject matter experts from the American Academy of Pediatrics (AAP) and CDC will discuss strategies pediatric providers can use to improve influenza prevention and control in children for the 2019–2020 influenza season.
A few minutes before the webinar begins, please click the link below to join:
Or iPhone one-tap:
US: +16468769923,,779319056# or +16699006833,,779319056#
Or Telephone:
US: +1 646 876 9923 or +1 669 900 6833
Webinar ID: 779 319 056
If you are unable to attend this live COCA Call, it will be available to view on-demand a few days after the call.
Free continuing education (CE) is available for this COCA Call. Please see below for instructions on how to receive CE.

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. HHS Should Address Deficiencies Highlighted by Recent Hurricanes in the U.S. Virgin Islands and Puerto Rico

The Department of Health and Human Services lead the federal public health/medical response in the Virgin Islands and Puerto Rico following several devastating hurricanes in 2017. Their efforts facilitated evacuation of critically ill and vulnerable patients from the region. However, insufficient staffing contributed to communication breakdowns on several occasions prompting the Government Accountability Office to make recommendations for improved staffing which include the development of response plans for providing care in isolated communities, and development of agreements with support agencies. GAO

2. 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. 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.”

2. Flu season may be severe, health officials say

Health officials are predicting the upcoming flu season to be severe, according to U.S. News & World Report.
One pediatric flu-related death has already been reported in California. The 4-year-old patient, who had underlying health conditions, tested positive for the flu earlier this month.
“A death so early in the flu season suggests this year may be worse than usual,” Cameron Kaiser, MD, health officer for Riverside County, Calif.’s public health department, said in a press release.
Australia’s flu season, which officials use as an indicator of the upcoming season in the United States, was severe and came early this year. Australia’s health department reported an increase in flu activity this season, with influenza A constituting 93 percent of reported cases.
The United States’ 2018-19 flu season had a “moderate severity,” with activity increasing in November and peaking mid-February, according to thCDC. With a 21-week duration, it was the longest flu season in a decade.
The CDC recommends that almost everyone 6 months and older receive the flu vaccine every year.
Source: Gabrielle Masson of Becker’s Clinical Leadership & Infection Control

3. Vaping-related illnesses jump to 530 cases: 5 updates
The CDC, on Sept. 19, reported 530 confirmed and probable vaping-related lung illnesses in the U.S., marking a sharp increase from the 380 cases reported last week.

Five things to know:
1. The agency has received complete demographic data for 383 of the 530 cases.
2. Of those illnesses, 72 percent involved men and 67 percent involved individuals from ages 18 to 34.
3. The CDC has reported lung illnesses in 38 states and the U.S. Virgin Islands.
4. Seven people have died from the illnesses in six states: California, Illinois, Indiana, Kansas, Minnesota and Oregon.
5. Health officials are urging people to abstain from using e-cigarettes or vaping until they can identify a common source of the cases.
Source: Mackenzie Bean of Becker’s Clinical Leadership & Infection Control

4. Public Health System Training for Disaster Recovery

The “Public Health System Training in Disaster Recovery” (PH STriDR) program from the National Center for Disaster Medicine and Public Health (NCDMPH) gives employees of local public health agencies a better understanding of the disaster recovery process and their part in it.
Available free online, PH STriDR focuses on individual and organizational contributions to disaster recovery. Its four 90-minute modules cover the following:

  • Basic concepts in disaster recovery.
  • Worker roles.
  • Common personal, family and workplace issues.
  • What a successful recovery in their agency and community might look like.

PH STriDR uses the train-the-trainer approach with each agency choosing the trainer. Materials include a Trainer guide; PowerPoint presentations with Trainer Notes; four Learner worksheets; and several supporting items for each sessions. This training would benefit any public health agency interested in strengthening its role in community disaster recovery.
Source: Uniformed Services University

5. Imelda leave 2 dead in Southeast Texas, others stranded and trapped

CHINA, Texas  — The slow-churning remnants of Tropical Storm Imelda that flooded parts of Texas left at least two people dead and rescue crews with boats scrambling to reach stranded drivers and families trapped in their homes during a relentless downpour that drew comparisons to Hurricane Harvey two years ago.
Officials in Harris County, which includes Houston, said there had been a combination of at least 1,700 high-water rescues and evacuations to get people to shelter as the longevity and intensity of the rain quickly came to surprise even those who had been bracing for floods. The storm also flooded parts of southwestern Louisiana.
The National Weather Service said preliminary estimates suggested that Jefferson County was deluged with more than 40 inches of rain in a span of just 72 hours, which would make it the seventh wettest tropical cyclone in U.S. history.
Source: Loyd Brumfield of The Dallas Morning News and The Associated Press

6. Walgreens to test on-demand drone delivery

Walgreens, in partnership with Alphabet’s drone service Wing, will test an on-demand drone delivery service starting next month.
The drone will deliver food, over-the-counter drugs and other health and wellness items to customers within minutes. Prescription drug deliveries will not be available.
The companies said customers can select from more than 100 products or six pre-made “packs” via the Wing app. The pre-built packs have items in the following categories: first aid, kids’ snacks, cough/cold, baby, allergy and pain. The cough/cold “pack” has a variety of cough and cold products customers may need to get healthy, for example.
The project will first be piloted in Christiansburg, Va. If the pilot goes well, the company plans to expand to other markets in the U.S.
The move comes as retail pharmacy giants work to remain competitive against companies like Amazon, which offer customers convenient delivery.
Source: Alia paavola of Becker’s Hospital Review

7. Eastern Virginia Healthcare Coalition is Hiring

The application period for the positions closes on October 15, 2019. 
Regional Healthcare Coordinating Center Manager:
Vulnerable Populations Coordinator: