January 27 – February 2, 2020


 

 

 

1. Regional Coalition Meeting

The Northwest Region Healthcare Coalition will conduct a Supply Chain Management Table Top Exercise Wednesday February 26, 2020 beginning at 8:00 am until 12:00 pm instead of its monthly meeting. The Table Top Exercise will discuss supply chain interruption and actions based on the Emergency Operations Plan for your facility. Please register for the exercise because it will allow us to capture the number of attendees. For more information, click the link below. We will follow the exercise with an After Action Review (AAR) Thursday March 26, 2020. The exercise will be conducted at Augusta Community Care (on the Augusta Health Campus), 64 Sports Medicine Drive, Fishersville, VA, 22939. For more information, please contact Matt Cronin, regional Exercise and Training Coordinator.

Read More »

2. Save the Dates

Upcoming training and conferences:

  1. The Coalition is able to send to people to the 2020 NACCHO Preparedness Summit in Dallas. Please contact our Exercise and Training Coordinator Matt Cronin if you would like to attend the multi-day event. If you would like to attend, we must have your name and contact information before February 15, 2020 to allow us enough time to receive approval from VHHA and VDH. We are allowed to send and reimburse two coalition members for expenses incurred resulting from attending the summit. These members include healthcare organizational staff with responsibility of emergency management or are involved in emergency preparedness planning, fire, EMS, and local emergency management.
  2. The Coalition is able to send to people to The Joint Commission Emergency Preparedness Conference in Lake Buena Vista, FL. Please contact our Exercise and Training Coordinator Matt Cronin if you would like to attend the two-day event. If you would like to attend, we must have your name and contact information before March 21, 2020 to allow us enough time to receive approval from VHHA and VDH. We are allowed to send and reimburse two coalition members for expenses incurred resulting from attending the summit. These members include healthcare organizational staff with responsibility of emergency management or are involved in emergency preparedness planning, fire, EMS, and local emergency management.
  3. The Coalition is hosting a Supply Chain Table Top Exercise February 26, 2020 8:00 am to 12:00 pm at the Augusta Community Care Building at Augusta Health. The purpose of the exercise is to assist healthcare organizations identify potential supply chain limitations, evaluate the organizational Emergency Operations Plan, address short-term and long-term supply shortages, evaluate the organizational Continuity of Operations Plan, and evaluate methods to communicate supply chain interruption needs. We will also host an After Action Review Webinar on March 26th. For more information and to register, please click here for the flyer.
  4. 2020 Community-Based Emergency Response Series (CBERS) at Blue Ridge Community College – Plecker Building, Weyers Cave April 15. For more information and to register, please click here for the flyer. Target Audience: Any disaster or emergency responder, Disaster Shelter Workers, EOC Staff, EMS/Fire/Law Enforcement, Emergency Management, Emergency Dispatch, Emergency Department Staff, Health Department and OCME Staff, anyone who responds to emergencies or disasters as part of their job
  5. 2020 Virginia Public Health & Healthcare Preparedness Academy Details:

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. Virginia Department of Health Announces Preparation and Activities Related to the Novel Coronavirus (2019-NCOV) Outbreak

The Virginia Department of Health (VDH) and local health officials statewide are monitoring developments surrounding the respiratory outbreak first detected in Wuhan, China caused by a new coronavirus (2019-nCoV). This is a rapidly evolving situation. To provide the latest local information and updates to Virginians, VDH has developed a novel coronavirus webpage. This webpage provides important information about the outbreak and offers resources for healthcare providers.

Common coronaviruses can cause mild to moderate upper-respiratory tract illness, like the common cold. Public health officials are still learning about 2019-CoV and how it affects people. Some people who have become ill with 2019-CoV have had mild symptoms. Others have had more severe illness, including some deaths. Symptoms include fever, cough, and trouble breathing, and can appear anywhere from two to 14 days after exposure. Although 2019-nCoV is spreading between people in parts of Asia, scientists do not yet know how easily it spreads. Closely related viruses that cause Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS) mainly spread from person-to-person through close contact or respiratory droplets produced when an infected person coughs or sneezes.

VDH is encouraging health care providers to ask patients about recent international travel and consider 2019-nCoV infection in patients who have traveled to Wuhan, China within 14 days of the onset of symptoms, including fever and respiratory symptoms. When potential cases are reported, laboratory samples are collected and submitted to the Centers for Disease Control and Prevention for testing. These cases are called Patients Under Investigation.

Read More » 

Continuing updates from VDH are found here.

The Virginia Healthcare Emergency Management Program under the Virginia Hospital & Healthcare Association (VHHA) has gathered guidance and FAQs and posted them on their website for easier viewing and rapid reference. The links on the website are from Centers for Disease Control and Prevention (CDC), Virginia Department of Health (VDH), and  Division of Consolidated Laboratory Services (DCLS). Please continue to check their website for updates on this developing situation. The regional coalition will also post this information under the Current Events tab on our website.

2. Virginia Department of Health Weekly Influenza Activity Report

Purpose:
The Virginia Department of Health monitors the level of activity of influenza-like illness (ILI) each week from October through May. Those are the months when influenza (“flu”) is most likely to occur in Virginia, and that time period is referred to as the “flu season”.

Data Sources:
The Virginia Department of Health uses a number of different data sources to determine the level of flu activity that is occurring each week during flu season. The main data sources that are used to make the weekly flu activity level determination are:

  • laboratory reports
  • outbreak reports, and
  • data on visits to hospital emergency departments and urgent care centers for flu-like illness.

Flu Activity Levels:
Flu surveillance is not designed to count every person who has the disease. That would be nearly impossible because not all people with the disease are diagnosed by a physician and even fewer have their illness confirmed by a laboratory test.

Instead, VDH monitors changes in flu activity from week to week in each of the five health planning regions to look for increases compared to a baseline period. Activity is based on illness complaints that lead people to seek care in a hospital emergency department or urgent care center. Flu-like illness is defined as a fever along with a cough and/or a sore throat.

To view the weekly report, click 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

The HPH Sector Highlights – Preparedness, Resilience, and Response 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 healthcare and public health critical infrastructure resources, tools and events related to preparedness, resilience, and response.

Cybersecurity Edition Week of January 24, 2020

  • FDA Fact Sheet on Medical Device Cybersecurity Risks
  • Emergency Directive to Mitigate Windows Vulnerabilities
  • Now Available: Version 1.0 of the NIST Privacy Framework: A Tool for Improving Privacy through Enterprise Risk Management
  • HC3 Zeppelin Ransomware Briefing

 

2019 Novel Coronavirus Incident Response Update


Credit: Centers for Disease Control and Prevention

 

 

 

1. HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics
Date: Thursday, January 30, 2020
Time: 2:00pm–3:00pm (ET)
Activity-specific Objectives
At the conclusion of the session, the participant will be able to accomplish the following—

  1. Identify criteria for considering reducing or discontinuing opioid therapy.
  2. Discuss important issues to consider prior to deciding to taper opioids.
  3. Describe steps to promote patient safety prior to initiating a taper.
  4. Identify practices associated with improved outcomes when opioids are tapered.

Discuss management approaches to consider when there are challenges to tapering.

COCA Call Objectives
At the conclusion of the session, the participant will be able to accomplish the following—

  1. Cite background information on the topic covered during the presentation.
  2. Discuss CDC’s role in the topic covered during the presentation.
  3. Describe the topic’s implications for clinicians.
  4. Discuss concerns and/or issues related to preparedness for and/or response to urgent public health threats.

Promote health improvement, wellness, and disease prevention in cooperation with patients, communities, at-risk populations, and other members of an interprofessional team of health care providers.

Read More » 

2. CDC Hosting National Call Series on Novel Coronavirus Monitoring & Preparedness

The Centers for Disease Control and Prevention (CDC) is closely monitoring an outbreak caused by a novel (new) coronavirus in Wuhan City, Hubei Province, China. A number of countries, including the U.S., are actively screening incoming travelers from Wuhan. 

Starting January 21, 2020, CDC’s 2019 Novel Coronavirus (2019-nCoV) response team will host a series of national calls to continue providing state and local partners with the latest information on the novel coronavirus outbreak and U.S. preparedness efforts. 

Call Schedule (all calls scheduled for 2:00-3:00pm EST)

  • Monday, January 27
  • Monday, February 3
  • Monday, February 10
  • Monday, February 24
  • Monday, March 2

Participant Information

  • Bridgeline: 1(800)-857-6697
  • Participant Passcode: 1324420

Credit: U.S. Food & Drug

Cybersecurity Vulnerabilities in Certain GE Healthcare Clinical Information Central Stations and Telemetry Servers

The U.S. Food and Drug Administration (FDA) is raising awareness among health care providers and facility staff that cybersecurity vulnerabilities in certain GE Healthcare Clinical Information Central Stations and Telemetry Servers may introduce risks to patients while being monitored.

Read the Safety Communication

A security firm has identified several vulnerabilities in certain GE Healthcare Clinical Information Center workstations and Telemetry Servers, that may allow an attacker to remotely take control of the medical device and to silence alarms, generate false alarms and interfere with the function of patient monitors connected to these devices. These devices are used mostly in healthcare facilities for displaying patient information, such as the physiologic parameters (such as temperature, heartbeat, blood pressure) of a patient, and monitoring patient status from a central location in a facility, such as a nurse’s workstation. To date, the FDA is not aware of any adverse events related to these vulnerabilities. These vulnerabilities might allow an attack to happen undetected and without user interaction. Because an attack may be interpreted by the affected device as normal network communications, it may remain invisible to existing security measures.


Credit: Centers for Medicare and Medicaid Services

Nothing


         U.S. Department of Homeland Security 

Federal Emergency Management Agency

A National Terrorism Advisory System (NTAS) Bulletin has been issued by the Acting Secretary of Homeland Security. This bulletin is effective immediately and is valid through 1300 ET, 18 MAR 2020Additional information regarding NTAS is available at the DHS NTAS website.


Virginia Department of Emergency Management

Course Offerings

L146: Homeland Security Exercise Evaluation Program (HSEEP) course is scheduled for February 4-5, 2020.

G0205: Recovery from Disaster: The Local Community Role course is scheduled for February 10-11, 2020

VEOC 100 WebEOC for Local Government course is scheduled for February 19, 2020.

ICS 300 Intermediate ICS for Expanding Incidents course is scheduled for February 21-23, 2020.

FEMA Public Assistance (PA) Delivery Model course is scheduled for February 26-26, 2020. 

L0101 EMPP Foundations of Emergency Management course is scheduled for March 2-6, 2020.

VEOC 100 WebEOC for Local Government course is scheduled for March 16, 2020.

G191 EOC/ICS Interface course is scheduled for March 27, 2020. 

ICS 400 Advanced Incident Command System course is scheduled for March 28-28, 2020. 

VEOC 100 WebEOC for Local Government course is scheduled for April 7, 2020.

G202 Debris Management course is scheduled for April 21-23, 2020. 

FEMA Public Assistance (PA) Workshop course is scheduled for May 20, 2020. 

VDEM Schedule of Classes as of January 2020

ICS 300 Intermediate ICS for Expanding Incidents course is scheduled for June 2-4, 2020. 


1. Virginia Department of Health investigating 3 possible cases of coronavirus

The Virginia Department of Health (VDH) reports that they are currently investigating three potential cases of the virus, two in central Virginia, and one in the Northern regions of Virginia. These cases are being investigated and the VDH will report the number of patients who “meet both clinical and epidemiologic criteria for 2019-nCoV (coronavirus)” 

Additionally, VDH officials are encouraging health care providers to ask patients about recent international travel and consider 2019-nCoV infection in patients who have traveled to Wuhan, China within 14 days of the onset of symptoms, including fever and respiratory symptoms.

Read More » 

Source: NBC Newsroom & WHSV3

2. Coronavirus cases in Arizona, California push US tally to 5

The U.S. has five confirmed cases of the new virus from China, all among people who traveled to the city at the center of the outbreak, health officials said Sunday. Two new cases were reported Sunday one in Los Angeles County in California and the other in Maricopa County, Arizona. The latter case was someone with ties to Arizona State University who did not live in school housing and had a history of travel to Wuhan, China, state health officials said.
Read More » 

Source: FOX News

3. China is building two new hospitals in Wuhan at the centre of the coronavirus outbreak, state media reports 

China is building two new hospitals in Wuhan at the centre of the coronavirus outbreak, state media reports Hospitals in the coronavirus affected city, currently on lockdown, have been running out of beds as more than 1000 people across China are infected and 41 have died. The hospital is designed to have an area of 25,000 square meters with 1,000 beds and will be put into use by February 3. Video via @CGTNOfficial

Read More » 

Source: Twitter

4. EMR-ISAC InfoGram 1/23

The EMR-ISAC InfoGram for January 23, 2020 contains the following articles:

  1. USFA releases 20th edition of Fire in the United States
  2. Chinese Novel Coronavirus outbreak makes its way to United States
  3. Emergency Planning for Behavioral Health Facilities
  4. Six-part webinar series covering firefighter cancer risk begins February
  5. Cyber Threats

Source: EMR-ISAC