Transcript Document 7279759

Continuity of Operations Planning Project
Tabletop Exercise
May 6th, 2009
Self Introductions
Let us know who you are, why you are
here, what you hope to gain from
participation, and where you would
rather be.
Agency Introductions
What does you Agency do?
What other Agencies do you work with?
Board of Pharmacy (Debra)
 Health Policy Authority (Doug)
 DOC (Deborah)
 KDHE (Doug)
Commission on Disability Concerns (Martha)
Office of the Securities Commissioner ( Lynn)
Pooled Money Investment Board (Elizabeth)
 Kansas Insurance Department ( Karen)
 Attorney General (Jerry)
 State Fire Marshall (Dan)
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Exercise Basics
TTX Ground Rules
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This TTX will be conducted in a stress free,
informal environment.
Use your expert knowledge to poke holes in
the process and suggest solutions
Participate openly in all discussions
Respect the thoughts, ideas and opinions of
your fellow participants (disagreements are
okay, they may point out a weak area of a plan
and help foster mutual solutions)
Keep your thoughts and comments to the point
in consideration of time constraints
Goals of the TTX
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Knowledge of Roles and Responsibilities
Ability to Openly Interface with Other Agencies
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Understand General Flow of Possible Incident
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Improvement of All Plans
Exercise Introduction
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The exercise will include disaster scenario information that will be
presented to the exercise participants.
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The TTX will be managed and facilitated by Bold Planning Solutions.
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There will be three primary exercise modules (or disaster events) that
will build on each other as the exercise progresses.
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The exercise will be based on realistic disaster event scenarios which
could affect the operations of all Agencies.
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The exercise will focus on Continuity of Operations, not emergency
operations.
Module Details
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Module Scenario Presentation – During this time, Bold Planning
Solutions will provide details and information about the disaster
scenario to the exercise team.
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Module Questions and Individual Worksheets – After presenting
the disaster scenario, Bold Planning Solutions will outline a number
of topics and questions that should be considered by each individual
participant.
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Group Breakout Meetings – Each pre-assigned group will meet
separately to discuss the scenario and the suggested topics and
questions. Important issues not suggested by Bold Planning Solutions
should also be considered at this time. Each group will prepare a
Incident Action Plan with priority action items and priority
questions/issues.
Module Details Continued
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Group Presentations – Each group will designate a speaker who
will present their Incident Action Plan to the overall exercise team.
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“Hot-Wash” Discussion – After the group presentations, an open
discussion will be facilitated for all participants. This discussion will
focus on coordination issues and overall policy items.
Incident Action Plans
For each Module your table has an Incident Action Plan
Please take a few minutes toward the end of your Module discussion
to fill it out
Determine you priority action items (the things that need to get done
first)
Rank your priority action items
Determine the significant questions and issues from your discussions
Rank your questions and issues from most vexing to least
vexing
We will collect these at the end of the TTX and use them to create an
After Action Report to help everyone improve their plans
Exercise Timeline
Each module will last approximately one hour with the
following estimated schedule:
Scenario Presentation – 5 minutes
Questions and Issues – 5 minutes
Group Meetings – 20 minutes
Group Presentations – 20 minutes
Hot-Wash Discussion – 10 minutes
Influenza Basics
The Language of Flu
Hemagglutinin: A protein that allow sthe virus to bind to cells
Neuraminidase: A protein that helps newly created viruses break out of a cell
Drift: A gradual change of the hemagglutinin or neuraminidase proteins on the surface
of a particular strain of influenza virus that occurs in response to host antibodies in
humans who have been exposed to it.
Epidemic: A disease occurring suddenly in a community, region or country in numbers
clearly in excess of normal.
Pandemic: Significant person to person spread of a novel antigen causing wide spread
disease in humans who are immunologically naive to this new subtype.
Herald Wave: A novel flu strain emerging at the end of a flu season, returning next flu
season
Subtype: A classification of virus among influenza type A viruses. Currently, there are
15 subtypes of type A influenza.
Seasonal Influenza
Three types of influenza viruses: A, B and C.
Influenza A and B viruses cause seasonal epidemics
Influenza type C infections cause a mild respiratory illness
Influenza A viruses are divided into subtypes based hemagglutinin
and the neuraminidase
There are 16 different hemagglutinin subtypes and 9 different
neuraminidase subtypes,
Example Influenza A Subtypes
Date
Subtype
Notes
1918
H1N1
pandemic of "Spanish" flu
1957
H2N2
pandemic of "Asian" flu
1962
H2N2
epidemic
1964
H2N2
epidemic
1968
H3N2
pandemic of "Hong Kong" flu
1976
H1N1
swine flu in recruits
Seasonal Influenza, Human Toll
In the U.S., each year
•an estimated 25–50 million cases of seasonal flu
•leading to 150,000 hospitalizations
•and 30,000–40,000 deaths yearly.
Extrapolated to the rest of the world:
•1 billion cases of flu,
•3–5 million cases of severe illness
•and 300,000–500,000 deaths annually.
Seasonal Influenza, Monetary Toll
Recent flu cost estimates of the flu in the U.S.:
•Between $71-$167 billion annually
•Millions of working days lost
•Medicare reimbursements costing from $750
million to $1 billion
•Millions of dollars of pharmaceutical products
consumed
Historical Pandemics
Bubonic plague in 1300s which killed twenty million people in six
years, a quarter of the total population
Asiatic flu in 1890 was noted for its very high mortality
Spanish flu in 1918 which in six months killed an estimated 25
million people
Asian flu in 1957 that caused approximately 70,000 deaths in the
United States
Hong Kong flu in 1968 that is attributed to approximately 34,000
deaths in the United States
Setting the Stage
Sunday, April 19th, 2009 at 9:30PM
A Spreading Flu
Module 1
Monday, April 20th, 2009 at 1:30AM
The “Swine Flu” Comes to Topeka
Questions and Issues
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How is your COOP activated and utilized?
Who activated the COOP? What if they are out Sick?
How is your Agency prepared to react to this sudden event?
How is your Agency gathering information about the current
situation in the region? From whom?
How does your management staff communicate with key staff about
the current status?
How does your Agency (or the State) communicate information to
employees?
What decisions are made about continuing operations for Monday
morning? Who makes these decisions?
Does the month, day, or date of the event effect how your Agency
reacts?
Module 2
Monday, April 20th, 2009 at 8:30AM
The Flu Hits Hard
Questions and Issues
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What are the priorities with respect to staff safety?
What Agency mission essential functions must be performed given this
disruption?
How are staff members who have potentially been exposed to the flu
treated? Are they told to stay home or made to wear a mask?
How are those who elect to stay home out of fear treated?
How are staffing levels being maintained?
Who are the primary staff and team members with responsibility for
managing the departments and their essential functions? What if they are
out sick?
What equipment and resources are available for your personnel to use at
home?
Do your personnel have access to all necessary database, computer, and
software systems from home?
How do you talk to the public?
How do you talk to the Media?
Module 3
Monday April 27th, 2009 at 11:00AM
The Next Week
Questions and Issues
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What Agency mission essential functions must be performed?
How are staffing levels being maintained within your Agency for
critical Mission Essential Functions?
How are staffing resources being allocated to State Agencies?
How do you keep your supply level up?
Does the fact that other Agencies are having the same staffing
problems and are unable to provide all of their normal services
effect your operations?
How do you communicate with your customers (the public)? What
do you tell them?
What are your sick leave and general leave policies, and how does
an event like this impact these policies?
What is your Agency doing to assist staff with family recovery
issues?
Successful Completion
Monday, July 29th, 2009 at 11:00AM
Back in Business
Participant Evaluation
Your feedback is important!
Please fill out the
Participant Evaluation Form
in your exercise package and turn-in
before leaving.
[email protected]
(303) 552-1181