HSEEP AAR-IP Template by ya60e53

VIEWS: 4 PAGES: 28

									                                       For Office Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                          BPHP – Measles TTX:
(AAR/IP)                                                     Hospital & Public Health Joint Exercise

[Note for After Action Report/Improvement Plan (AAR/IP) Template:
    Text found in this document that is highlighted and bracketed is included to
       provide instruction or to indicate a location to input text.
    All text that is not highlighted is to be included in the final version of the AAR/IP.]


     BPHP – Measles TTX: Hospital & Public Health Joint Exercise

                                       [Exercise Dates]




 AFTER ACTION REPORT/IMPROVEMENT
               PLAN
                                  [Publication Date]




                                       For Official Use Only
                                       For Office Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                          BPHP – Measles TTX:
(AAR/IP)                                                     Hospital & Public Health Joint Exercise




                             This page is intentionally blank.




                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise


                           HANDLING INSTRUCTIONS
1. The title of this document is BPHP – Measles TTX: Hospital & Public Health Joint
   Exercise After Action Report/Improvement Plan (AAR/IP).

2. The information gathered in this AAR/IP is classified as For Official Use Only
   (FOUO) and should be handled as sensitive information not to be disclosed. This
   document should be safeguarded, handled, transmitted, and stored in accordance
   with appropriate security directives. Reproduction of this document, in whole or in
   part, without prior approval from [insert facility name] is prohibited.

3. At a minimum, the attached materials will be disseminated only on a need-to-know
   basis and when unattended, will be stored in a locked container or area offering
   sufficient protection against theft, compromise, inadvertent access, and
   unauthorized disclosure.

4. Points of Contact:

   State POC:
   Cait Purinton-Day
   Exercise & Training Coordinator
   Kansas Department of Health & Environment
   1000 SW Jackson, Suite 330
   Topeka, KS 66612
   (785) 296-1984 (office)
   cpurinton-day@kdheks.gov

   [Hospital Point of Contact:]
   Name
   Title
   Agency
   Street Address
   City, State ZIP
   xxx-xxx-xxxx (office)
   xxx-xxx-xxxx (cell)
   e-mail




Handling Instructions                            1                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise




                             This page is intentionally blank.




Handling Instructions                            2                            [Insert Jurisdiction]
                                       For Official Use Only
                                                      For Official Use Only
             Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                                                BPHP – Measles TTX:
(AAR/IP)                                                                           Hospital & Public Health Joint Exercise

                                                        CONTENTS
Administrative Handling Instructions ......................................................1
Contents ......................................................................................................3
Executive Summary ...................................................................................5
Section 1: Exercise Overview ................................................................ [p]
     Exercise Details ...................................................................................................... [p]
     Exercise Planning Team Leadership ...................................................................... [p]
     Participating Organizations ..................................................................................... [p]
Section 2: Exercise Design Summary ................................................... [p]
     Exercise Purpose and Design................................................................................. [p]
     Capabilities and Activities Identified for Demonstration ........................................... [p]
     Scenario Summary ................................................................................................. [p]
     Planned Simulations ............................................................................................... [p]
Section 3: Analysis of Capabilites ......................................................... [p]
     Target Capability 1 ................................................................................................ [p]
     Target Capability 2 ................................................................................................ [p]
     Target Capability 3 ................................................................................................ [p]
     Target Capability 4 ................................................................................................. [p]
Section 4: Conclusion ............................................................................. [p]
Appendix A: Improvement Plan ............................................................. [p]
Appendix B: Participant Feedback Summary ...................................... [p]
Appendix C: Performance Ratings ........................................................ [p]
Appendix D: Acronyms ........................................................................... [p]

[If an AAR contains graphics, figures, or tables, they should be numbered and listed in
the Contents section (e.g. Figure 1, Table 1, etc.).




Contents                                                        3                                             [Insert Jurisdiction]
                                                      For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise




                             This page is intentionally blank.




Contents                                         4                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

                             EXECUTIVE SUMMARY
The [insert hospital name]’s Measles TTX joint exercise with the [insert LHD name] was
developed to test [insert hospital name]’s On-Site Incident Management, Emergency
Public Information & Warning, Medical Supplies Management & Distribution, and
Communications capabilities.
Based on the exercise planning team’s deliberations, the following objectives were
developed for BPHP – Measles TTX: Hospital & Public Health Joint Exercise:
   1. On-Site Incident Management: Validate [insert hospital name] ability to
      implement ICS and establish the command structure to manage a biological
      event.
   2. Emergency Public Information & Warning: Validate [insert hospital name] ability
      to develop a crisis and emergency risk communications message to the media,
      public, partners and key stakeholders in response to a biological event.
   3. Communications: Validate [insert hospital name] ability to identify the necessary
      plans, policies and/or procedures to implement and support communications
      interoperability.
   4. Medical Supplies Management & Distribution: Validate [insert hospital name]
      ability to identify the necessary plans, policies and/or procedures for requesting
      SNS assets in response to a biological event.

The purpose of this report is to analyze exercise results, identify strengths to be
maintained and built upon, identify potential areas for further improvement, and support
development of corrective actions.

Major Strengths
The major strengths identified during this exercise are as follows:
      [Use complete sentences to describe each major strength.]
      [Additional major strength]
      [Additional major strength]

Primary Areas for Improvement
Throughout the exercise, several opportunities for improvement in
[jurisdiction/organization name]’s ability to respond to the incident were identified. The
primary areas for improvement, including recommendations, are as follows:

          [Use complete sentences to state each primary area for improvement and its
           associated key recommendation(s).]
          [Additional key recommendation]

Executive Summary                                5                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

          [Additional key recommendation]

[End this section by describing the overall exercise as successful or unsuccessful, and
briefly state the areas in which subsequent exercises conducted by these jurisdictions
and/or organizations should focus.]




Executive Summary                                6                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

                    SECTION 1: EXERCISE OVERVIEW
Exercise Details
       Exercise Name
       [Insert hospital name] Measles TTX: Hospital & Public Health Joint Exercise
       Type of Exercise
       Tabletop & Drill
       Exercise Start Date
       [Insert the month, day, and year that the exercise began.]
       Exercise End Date
       [Insert the month, day, and year that the exercise ended.]
       Duration
       [Insert the total length of the exercise, in day or hours, as appropriate.]
       Location
       [Insert all applicable information regarding the specific location of the exercise;
       including any city, State, Federal region, international country, or military
       installation.]
       Sponsor
       KDHE – BPHP, HHS
       Program
       KDHE – BPHP, HHS
       Mission
       Response
       Capabilities
          On-Site Incident Management
             Emergency Public Information and Warning
             Medical Supplies Management & Distribution
             Communications
       Scenario Type
       Biological Incident

Exercise Planning Team
   Cait Purinton-Day
   Exercise & Training Coordinator
   Kansas Department of Health & Environment

Section 1: Exercise Overview                     7                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

   1000 SW Jackson, Suite 330
   Topeka, KS 66612
   (785) 296-1984 (office)
   cpurinton-day@kdheks.gov

   Kelly Rhoades
   Adult Education Specialist
   Kansas Department of Health & Environment
   1000 SW Jackson, Suite 330
   Topeka, KS 66612
   (785) 296-3341 (office)
   krhoades@kdheks.gov

Participating Organizations
[Insert a list of the individual participating organizations or agencies.]

       Number of Participants
       [Insert a list of the total number of each of the following exercise participants, as
       applicable:]

          Players
          Controllers
          Evaluators
          Facilitators
          Observers
          Victim Role Players




Section 1: Exercise Overview                     8                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

              SECTION 2: EXERCISE DESIGN SUMMARY
Exercise Purpose and Design
The purpose of this exercise is to provide participants an opportunity to evaluate current
response concepts, plans, and capabilities for a response to a biological event in
[Jurisdiction]. The exercise will focus on hospital command and control coordination,
critical decisions, notifications, and the integration of State and Federal assets
necessary to save lives and protect public health and safety. The role of public
information strategies will be critical to the overall response effort.

Exercise Objectives, Capabilities, and Activities
Capabilities-based planning allows for exercise planning teams to develop exercise
objectives and observe exercise outcomes through a framework of specific action items
that were derived from the Target Capabilities List (TCL). The capabilities listed below
form the foundation for the organization of all objectives and observations in this
exercise. Additionally, each capability is linked to several corresponding activities and
tasks to provide additional detail.

Based upon the identified exercise objectives below, the exercise planning team has
decided to demonstrate the following capabilities during this exercise:

          Objective 1: Validate [insert name of facility] ability to implement ICS and
           establish the command structure to manage a biological event.
                Target Capability: On-Site Incident Management
          Objective 2: Validate [insert name of facility] ability to develop a crisis and
           emergency risk communications message to the media, public, partners and
           key stakeholders in response to a biological event.
                Target Capability: Emergency Public Information & Warning
          Objective 3: Validate [insert name of facility] ability to identify the necessary
           plans, policies and/or procedures to implement and support communications
           interoperability.
                Target Capability: Communications
          Objective 4: Validate [insert name of facility] ability to identify the necessary
           plans, policies and/or procedures for requesting SNS assets in response to a
           biological event.
                Target Capability: Medical Supplies Management & Distribution

Scenario Summary
Module 1: Incident Notification
      Saturday, September 4, 2010

Section 2: Exercise Design Summary               9                            [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

           o A 9-year-old girl wakes up complaining of a sore throat and chills. The girl
              is running a fever of 101ºF and is not allowed to play at a friend’s house. It
              is a holiday weekend, so the pediatrician’s office is closed; the girl’s
              mother takes her to the hospital Emergency Department.
           o The girl and her mother wait in the ED for an hour and half before being
              triaged by a nurse. They wait another 2 ½ hours when the girl is evaluated
              by the physician and sent home with directions on reducing her fever.
           o The girl’s fever comes down, and she is allowed to go to her friend’s
              house on Saturday and church on Sunday.
          Tuesday, September 7, 2010
           o The girl’s fever waxes and wanes throughout the weekend. She also
              develops a cough and a runny nose. Nonetheless, her mother decides the
              girl was well enough to go to school.
           o By mid-morning, the girl starts to feel chills again. The school nurse takes
              her temperature, which read 102.5ºF. Her mother is notified and arrives 30
              minutes later to pick up the girl.
           o The mother notices a rash around the girl’s hairline and takes her to the
              pediatrician, who can see her 45 minutes after arriving at his office.
           o The pediatrician rules out scarlet fever on the basis of a negative rapid
              test for Streptococcus. The girl is sent home with the same
              recommendations she received at the ED on Saturday.
          Wednesday, September 8, 2010, 0800 hours
           o The girl’s symptoms worsened overnight; the rash has progressed down
              to her neck, and her temperature is now at 104ºF. The girl is taken back to
              the ED and is admitted for observation.
           o The attending physician, who is an infectious disease specialist, interviews
              the mother about the girl’s medical history and social activities. The
              mother mentions a recent trip to Switzerland.
           o Upon review of the girl’s chart, the doctor notices that there is no
              indication she is up-to-date on her MMR vaccinations.
           o Blood specimens are collected for measles antibody testing. The doctor
              informs the Infection Control Nurse of a suspect measles case, and the
              nurse immediately contacts the Communicable Disease nurse at the Local
              Health Department.
           o The suspect case is reported to the KDHE Epidemiologist On-Call. A
              nasopharyngeal swab for culture is taken, and the LHD initiates an
              epidemiologic investigation.

Module 2: Initial Response
      Afternoon of Wednesday, September 8 through Thursday, September 9, 2010
         o The Kansas Health & Environmental Laboratories confirm the serology
              result for IgM for measles and the culture are positive.
         o The LHD interviews the mother, who verifies her daughter never received
              an MMR vaccine due to a religious exemption.


Section 2: Exercise Design Summary               10                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

           o The mother reports that she and the girl’s younger sister, 11 months old,
               are the only household contacts. The younger sister also attends a home
               daycare.
           o The mother outlines the places the girl has visited in the four days before
               the onset of her rash: ED (twice), friend’s house, church, school, and
               pediatrician’s office.
          Friday, September 10, 2010
           o The LHD verifies the mother received two MMR vaccinations as a child.
               The younger sister is excluded from day care, and all the other daycare
               attendees and the daycare provider are up-to-date on their MMR
               vaccinations.
           o The younger sister also has developed a fever and rash.
          Over the Next Three Weeks
           o A boy who was in the ED waiting room with the girl on Saturday develops
               a measles-like rash 10 days later. He then infects a hospital worker, a
               LHD staff member, and a schoolmate.
           o Contacts are identified among the persons exposed by the original case,
               her younger sister, and the boy from the ED. Vaccine status is assessed
               for all potentially exposed contacts.
           o Increased awareness in the community increases the number of cases
               being reported as suspect measles, as well as media attention. Panic is
               beginning to set in.
           o The MMR vaccine status is unknown for the exposed hospital worker, sp
               has been excluded from work and developed symptoms while on leave.
               Other susceptible hospital staff members who were exposed were
               excluded per guidelines.
           o KDHE issued a HAN alert. The alert includes information about the case
               and guidance for locals to assess their local and regional stockpiles and a
               deadline for submitting requests to the State for additional assets.
           o The LHD has administered all the post exposure vaccine and immune
               Globulin (IG) in local and regional stockpiles. The LHD is busy getting
               ready for a POD clinic and is preparing a public message regarding the
               POD.

Module 3: Ongoing Operations
      Conclusion of Events
         o All cases, including the original case, are on the road to recovery. An
            additional 10 cases were identified within the community.
         o Aggressive surveillance and follow-up, vaccination clinics, and educational
            messages were successful in stopping the outbreak.




Section 2: Exercise Design Summary               11                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

               SECTION 3: ANALYSIS OF CAPABILITIES
This section of the report reviews the performance of the exercised capabilities,
activities, and tasks. In this section, observations are organized by capability and
associated activities. The capabilities linked to the exercise objectives of this exercise
are listed below, followed by corresponding activities. Each activity is followed by
related observations, which include references, analysis, and recommendations.

CAPABILITY 1: ON-SITE INCIDENT MANAGEMENT
Capability Summary:
Onsite Incident Management is the capability to effectively direct and control incident
activities by using the Incident Command System (ICS) consistent with the National
Incident Management System (NIMS).

Activity 1: Implement On-Site Incident Management
        Task 1.1: Discussed and identified the need to initiate and implement Incident
          Command System (ICS).

   Task/Observation 1.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

Activity 2: Establish Full On-Site Incident Command
        Task 2.1: Discussed and identified the need to establish the command
          structure to manage the incident and meet objectives.

   Task/Observation 2.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

Activity 3: Develop an Incident Action Plan (IAP).
        Task 3.1: Discussed and identified incident objectives, priorities, and
          operational periods.
        Task 3.2: Developed a written IAP to establish priorities, procedures, and
          actions to be accomplished to meet the incident objectives for each
          operational period. IAP is approved by Incident Commander.

   Task/Observation 3.1:

Section 4: Conclusion                            12                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 3.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed


       References: [List relevant plans, policies, procedures, laws, and/or regulations,
       or sections of these plans, policies, procedures, laws, and/or regulations. If no
       references apply to the observation, it is acceptable to simply list “N/A” or “Not
       Applicable.”]
           1. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]
           2. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]
           3. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]

       Analysis: [The analysis section should be the most detailed section of Chapter
       3. Include a description of the behavior or actions at the core of the observation,
       as well as a brief description of what happened and the consequence(s) (positive
       or negative) of the action or behavior. If an action was performed successfully,
       include any relevant innovative approaches utilized by the exercise participants.
       If an action was not performed adequately, the root-causes contributing to the
       shortcoming must be identified.]

       Recommendations: [Insert recommendations to address identified areas for
       improvement, based on the judgment and experience of the evaluation team. If
       the observation was identified as a strength, without corresponding
       recommendations, insert “None.]
          1. [Complete description of recommendation]
          2. [Complete description of recommendation]
          3. [Complete description of recommendation]

CAPABILITY 2: EMERGENCY PUBLIC INFORMATION & WARNING
Capability Summary:

Section 4: Conclusion                            13                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

The Emergency Public Information & Warning capability includes public information,
alert/warning, and notification. It involves developing, coordinating, and disseminating
information to the public, coordinating officials, incident management, and responders
across all jurisdictions and disciplines effectively under all hazard conditions.

Activity 1: Manage Emergency Public Information & Warnings
        Task 1.1: Discussed and identified the appropriate plans, policies, and/or
          procedures for coordinating, managing, and disseminating public information
          and warnings.
        Task 1.2: Discussed and identified public information needs of the affected
          area.
        Task 1.3: Discussed and identified methods to coordinate internal information
          programs.
        Task 1.4: Discussed and identified methods to coordinate external
          information programs.
        Task 1.5: Discussed and identified methods to coordinate public emergency
          information.

   Task/Observation 1.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.3:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.4:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed


Section 4: Conclusion                            14                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise


   Task/Observation 1.5:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed


Activity 2: Activate Emergency Public Information, Alert/Warning, and Notification
Plans
        Task 2.1: Discussed and identified the appropriate plans, policies, and/or
          procedures for the activation/assignment of a Public Information Officer.
        Task 2.2: Discussed and identified the appropriate plans, policies, and/or
          procedures for the identification of an appropriate spokesperson(s).

   Task/Observation 2.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 2.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed


Activity 3: Issue Emergency Warning
        Task 3.1: Discussed and identified methods to ensure accurate and timely
          dissemination of proactive action messages to general public and emergency
          personnel.
        Task 3.2: Discussed and identified methods to disseminate prompt, accurate
          information to the public in languages and formats that take into account
          demographics and special needs/disabilities.

   Task/Observation 3.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed


Section 4: Conclusion                            15                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise


   Task/Observation 3.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed


       References: [List relevant plans, policies, procedures, laws, and/or regulations,
       or sections of these plans, policies, procedures, laws, and/or regulations. If no
       references apply to the observation, it is acceptable to simply list “N/A” or “Not
       Applicable.”]
           1. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]
           2. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]
           3. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]

       Analysis: [The analysis section should be the most detailed section of Chapter
       3. Include a description of the behavior or actions at the core of the observation,
       as well as a brief description of what happened and the consequence(s) (positive
       or negative) of the action or behavior. If an action was performed successfully,
       include any relevant innovative approaches utilized by the exercise participants.
       If an action was not performed adequately, the root-causes contributing to the
       shortcoming must be identified.]

       Recommendations: [Insert recommendations to address identified areas for
       improvement, based on the judgment and experience of the evaluation team. If
       the observation was identified as a strength, without corresponding
       recommendations, insert “None.]
          1. [Complete description of recommendation]
          2. [Complete description of recommendation]
          3. [Complete description of recommendation]


CAPABILITY 3: MEDICAL SUPPLIES MANAGEMENT & DISTRIBUTION
Capability Summary:
Medical Supplies Management & Distribution is the capability to procure and maintain
pharmaceuticals and medical materials prior to an incident and to transport, distribute,
and track these materials during an incident.



Section 4: Conclusion                            16                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

Activity 1: Direct Medical Supplies Management and Distribution Tactics
        Task 1.1: Discussed and identified the appropriate plans, policies, and/or
          procedures to check local and/or State inventory of needed resources.
        Task 1.2: Discussed and identified the appropriate plans, policies, and/or
          procedures to request State and/or Federal assistance.
        Task 1.3: Discussed and identified the appropriate plans, policies, and/or
          procedures to coordinate acquisition of private source medical supplies.
        Task 1.4: Discussed and identified the appropriate plans, policies, and/or
          procedures to monitor supply usage and stockpile levels of health facilities,
          mass prophylaxis sites, and other critical care venues.

   Task/Observation 1.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.3:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.4:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

       References: [List relevant plans, policies, procedures, laws, and/or regulations,
       or sections of these plans, policies, procedures, laws, and/or regulations. If no
       references apply to the observation, it is acceptable to simply list “N/A” or “Not
       Applicable.”]
           1. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]

Section 4: Conclusion                            17                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

          2. [Name of the task and the applicable plans, policies, procedures, laws,
             and/or regulations and 1-2 sentences describing their relation to the task]
          3. [Name of the task and the applicable plans, policies, procedures, laws,
             and/or regulations and 1-2 sentences describing their relation to the task]

       Analysis: [The analysis section should be the most detailed section of Chapter
       3. Include a description of the behavior or actions at the core of the observation,
       as well as a brief description of what happened and the consequence(s) (positive
       or negative) of the action or behavior. If an action was performed successfully,
       include any relevant innovative approaches utilized by the exercise participants.
       If an action was not performed adequately, the root-causes contributing to the
       shortcoming must be identified.]

       Recommendations: [Insert recommendations to address identified areas for
       improvement, based on the judgment and experience of the evaluation team. If
       the observation was identified as a strength, without corresponding
       recommendations, insert “None.]
          1. [Complete description of recommendation]
          2. [Complete description of recommendation]
          3. [Complete description of recommendation]

CAPABILITY 4: COMMUNICATIONS
Capability Summary:
Communications is the fundamental capability within disciplines and jurisdictions that
practitioners need to perform the most routine and basic elements of their job functions.
Agencies must be operable, meaning they must have sufficient wireless
communications to meet their everyday internal and emergency communication
requirements, before they place value on being interoperable, i.e., able to work with
other agencies. Communications interoperability is the ability of public safety agencies
(police, fire, EMS) and service agencies (public works, transportation, hospitals, etc.) to
talk within and across agencies and jurisdictions via radio and associated
communications systems, exchanging voice, data, and/or video with one another on
demand, in real time, when needed and when authorized. It is essential that public
safety has the intra-agency operability it needs, and that it builds its systems toward
interoperability.

Activity 1: Alert & Dispatch
        Task 1.1: Discussed and identified response communications interoperability
          plans and protocols.
        Task 1.2: Discussed and identified the method to communicate incident
          response information per agency protocols.
        Task 1.3: Discussed and identified the appropriate plans, policies, and/or


Section 4: Conclusion                            18                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

          procedures to ensure that all critical communication networks are functioning.

   Task/Observation 1.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 1.3:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

Activity 2: Provide Emergency Operations Center Communications Support
        Task 2.1: Discussed and identified the appropriate plans, policies, and/or
          procedures to implement incident communications interoperability plans and
          protocols.
        Task 2.2: Discussed and identified the appropriate plans, policies, and/or
          procedures to inform staff and management of interoperable communications
          requirements.
        Task 2.3: Discussed and identified the appropriate plans, policies, and/or
          procedures to establish and maintain response communications systems on-
          site.

   Task/Observation 2.1:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

   Task/Observation 2.2:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately


Section 4: Conclusion                            19                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

   Performed with major challenges
   Unable to be performed

   Task/Observation 2.3:
Performance Rating (from EEG)
   Performed without challenges
   Performed with some challenges, but adequately
   Performed with major challenges
   Unable to be performed

       References: [List relevant plans, policies, procedures, laws, and/or regulations,
       or sections of these plans, policies, procedures, laws, and/or regulations. If no
       references apply to the observation, it is acceptable to simply list “N/A” or “Not
       Applicable.”]
           4. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]
           5. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]
           6. [Name of the task and the applicable plans, policies, procedures, laws,
              and/or regulations and 1-2 sentences describing their relation to the task]

       Analysis: [The analysis section should be the most detailed section of Chapter
       3. Include a description of the behavior or actions at the core of the observation,
       as well as a brief description of what happened and the consequence(s) (positive
       or negative) of the action or behavior. If an action was performed successfully,
       include any relevant innovative approaches utilized by the exercise participants.
       If an action was not performed adequately, the root-causes contributing to the
       shortcoming must be identified.]

       Recommendations: [Insert recommendations to address identified areas for
       improvement, based on the judgment and experience of the evaluation team. If
       the observation was identified as a strength, without corresponding
       recommendations, insert “None.]
          4. [Complete description of recommendation]
          5. [Complete description of recommendation]
          6. [Complete description of recommendation]




Section 4: Conclusion                            20                           [Insert Jurisdiction]
                                       For Official Use Only
                                       For Official Use Only
         Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                        BPHP – Measles TTX:
(AAR/IP)                                                   Hospital & Public Health Joint Exercise

                          SECTION 4: CONCLUSION
[This section is a conclusion for the entire document. It provides an overall summary to
the report. It should include the demonstrated capabilities, lessons learned, major
recommendations, and a summary of what steps should be taken to ensure that the
concluding results will help to further refine plans, policies, procedures, and training for
this type of incident.

Subheadings are not necessary and the level of detail in this section does not need to
be as comprehensive as that in the Executive Summary.]

[Don’t forget to include a copy of the sign-in sheet.]




Section 4: Conclusion                            21                           [Insert Jurisdiction]
                                       For Official Use Only
                                                      For Official Use Only
                              Homeland Security Exercise and Evaluation Program (HSEEP)
   After Action Report/Improvement Plan                                   BPHP – Measles TTX:
   (AAR/IP)                                              Hospital & Public Health Joint Exercise

                                          APPENDIX A: IMPROVEMENT PLAN
   This IP has been developed specifically for [insert facility name] as a result of the Measles TTX: Hospital & Public
   Health Joint Exercise conducted on [date of exercise]. These recommendations draw on both the After Action Report
   and the After Action Conference. [The IP should include the key recommendations and corrective actions identified in
   Chapter 3: Analysis of Capabilities, the After Action Conference, and the EEGs. The IP has been formatted to align
   with the Corrective Action Program System.]

                                                                        Primary
                Activity #/ Task/                      Capability                        Agency                   Completion
 Capability                         Recommendation                    Responsible                    Start Date
                 Observation #                          Element                           POC                       Date
                                                                        Agency
List Target   Insert Activity #     Insert            Planning,
Capability    and task # the        recommendation.   Training,
              recommendation        Limit one         Policy
              references            recommendation    change, etc
                                    per row.




   Appendix A: Improvement Plan                22                                   [Jurisdiction]
                                                       [Protective Marking]
                                          For Official Use Only
          Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                             BPHP – Measles TTX:
(AAR/IP)                                                        Hospital & Public Health Joint Exercise

          APPENDIX B: PARTICIPANT FEEDBACK SUMMARY

                             PARTICIPANT FEEDBACK FORM
Exercise Name: [Full Exercise Name]                               Exercise Date: [Date]

Participant Name:                                                 Title:

Agency:

Role:     Player     Observer       Facilitator    Evaluator

PART I: RECOMMENDATIONS AND CORRECTIVE ACTIONS
1. Based on the exercise today and the tasks identified, list the top 3 strengths and/or areas that need
   improvement.
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
2. Is there anything you saw in the exercise that the evaluator(s) might not have been able to
   experience, observe, and record?
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
3. Identify the corrective actions that should be taken to address the issues identified above. For each
   corrective action, indicate if it is a high, medium, or low priority.
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
4. Describe the corrective actions that relate to your area of responsibility. Who should be assigned
   responsibility for each corrective action?
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
     _____________________________________________________________
5. List the applicable equipment, training, policies, plans, and procedures that should be reviewed,
   revised, or developed. Indicate the priority level for each.
     _____________________________________________________________
     _____________________________________________________________

Appendix B: Participant Feedback Form         23                                     [Insert Jurisdiction]
                                    For Official Use Only
                                            For Official Use Only
           Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                                 BPHP – Measles TTX:
(AAR/IP)                                                            Hospital & Public Health Joint Exercise

      _____________________________________________________________
      _____________________________________________________________

PART II – EXERCISE DESIGN AND CONDUCT: ASSESSMENT
Please rate, on a scale of 1 to 5, your overall assessment of the exercise relative to the statements
provided below, with 1 indicating strong disagreement with the statement and 5 indicating strong
agreement.

                                 Table C.1: Participant Assessment

                                                             Strongly                         Strongly
                   Assessment Factor
                                                             Disagree                            Agree

 a.   The exercise was well structured and organized.           1       2        3        4       5
 b.   The exercise scenario was plausible and realistic.        1       2        3        4       5
      The facilitator/controller(s) was knowledgeable
 c.   about the area of play and kept the exercise on           1       2        3        4       5
      target.
      The exercise documentation provided to assist in
 d.   preparing for and participating in the exercise was       1       2        3        4       5
      useful.
      Participation in the exercise was appropriate for
 e.                                                             1       2        3        4       5
      someone in my position.
      The participants included the right people in terms
 f.                                                             1       2        3        4       5
      of level and mix of disciplines.
      This exercise allowed my agency/jurisdiction to
 g.                                                             1       2        3        4       5
      practice and improve priority capabilities.
      After this exercise, I believe my
 h.   agency/jurisdiction is better prepared to deal            1       2        3        4       5
      successfully with the scenario that was exercised.

PART III – PARTICIPANT FEEDBACK
Please provide any recommendations on how this exercise or future exercises could be improved or enhanced.
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________




Appendix B: Participant Feedback Form         24                                         [Insert Jurisdiction]
                                    For Official Use Only
                                         For Official Use Only
          Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                             BPHP – Measles TTX:
(AAR/IP)                                                        Hospital & Public Health Joint Exercise

                   APPENDIX C: PERFORMANCE RATING
[When a jurisdiction/organization elects to use performance ratings, or when initiatives
require a rating within the AAR/IP, the following approach can be used. A qualitative
performance rating is assigned to each activity demonstrated within its capability area.
The performance rating is based on a systemic review by the lead evaluator of exercise
performance based on evaluator analysis of how well the participants demonstrated the
capability outcome. The results should be summarized within this appendix and should
be based on the supporting narrative contained within the body of the AAR/IP.]

The performance rating categories refer to how well each activity was performed during
the exercise and are detailed in the table below.

                                Table C.1: Performance Ratings
               Rating                                             Description
    Performed without Challenges      The performance measures and tasks associated with the
                                      activity were completed in a manner that achieved the
                                      objective(s) and did not negatively impact the performance of
                                      other activities. Performance of this activity did not contribute to
                                      additional health and/or safety risks for the public or for
                                      emergency workers, and it was conducted in accordance with
                                      applicable plans, policies, procedures, regulations, and laws.
  Performed with Some Challenges, The performance measures and tasks associated with the
          but Adequately          activity were completed in a manner that achieved the
                                  objective(s) and did not negatively impact the performance of
                                  other activities. Performance of this activity did not contribute to
                                  additional health and/or safety risks for the public or for
                                  emergency workers, and it was conducted in accordance with
                                  applicable plans, policies, procedures, regulations, and laws.
                                  However, opportunities to enhance effectiveness and/or
                                  efficiency were identified.
  Performed with Major Challenges     The performance measures and tasks associated with the
                                      activity were completed in a manner that achieved the
                                      objective(s), but some or all of the following were observed:
                                      demonstrated performance had a negative impact on the
                                      performance of other activities; contributed to additional health
                                      and/or safety risks for the public or for emergency workers;
                                      and/or, was not conducted in accordance with applicable plans,
                                      policies, procedures, regulations, and laws.
       Unable to be Performed         The performance measures and tasks associated with the
                                      activity were not performed in a manner that achieved the
                                      objective(s).




Appendix C: Performance Rating                     25                                 [Insert Jurisdiction]
                                         For Official Use Only
                                          For Official Use Only
          Homeland Security Exercise and Evaluation Program (HSEEP)
After Action Report/Improvement Plan                                           BPHP – Measles TTX:
(AAR/IP)                                                      Hospital & Public Health Joint Exercise

                            APPENDIX D: ACRONYMS
[Any acronym used in the AAR should be listed alphabetically and spelled out.]

                                      Table D.1: Acronyms
        Acronym                                     Meaning
 AAR                   After Action Report
 BPHP                  Bureau of Public Health Preparedness
 CD                    Communicable Disease
 EEG                   Exercise Evaluation Guide
 HHS                   U.S. Department of Health & Human Services
 HSEEP                 Homeland Security Exercise & Evaluation Program
 ICN                   Infection Control Nurse
 ICS                   Incident Command System
 IP                    Improvement Plan
 KDHE                  Kansas Department of Health & Environment
 LHD                   Local Health Department
 NIMS                  National Incident Management System
 PIO                   Public Information Officer
 POC                   Point of Contact
 POD                   Point of Dispensing
 TCL                   Target Capabilities List
 TTX                   Tabletop Exercise




Appendix D: Acronyms                                26                           [Insert Jurisdiction]
                                          For Official Use Only

								
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