Agenda HICSICS Plans Case Studies TTX HICSICS HICS H ospital I ncident C ommand S ystem Originally developed in the late 1980s as a foundation for hospitals to prepare for and respond to disasters ID: 1012182
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1. Power Outage TTX
2. An emergency or disaster can occur at any time and in any place
3. AgendaHICS/ICSPlansCase StudiesTTX
4. HICS/ICSHICS = Hospital Incident Command SystemOriginally developed in the late 1980s as a foundation for hospitals to prepare for and respond to disastersCalled Hospital Emergency Incident Command System (HEICS) In September 2001, a major terrorist incident(s) occurred, which changed the way this country prepared for and responded to disastersEverything was formalized and joined together under the National Incident Management System (NIMS) ICS 100, 200, 700, 800MCIs usually call for a Unified Command approach
5. HICS/ICS
6. What does HICS look like?
7. Agency PlansEmergency Operations PlanSpecialty Pharmacy Policy and Procedures
8. Case Study 1October 9 – November 1, 2019Massive power shut-offs occurred in 30 counties in CaliforniaPacific Gas & Electric (PG&E), Southern California Edison (SCE), San Diego Gas & Electric (SDG&E) were the companies involvedPreemptive to prevent wildfires from being started by electrical equipment during strong windsOfficials suspect the October 2017 Northern CA wildfires and 2018 Camp Fire were either caused by/enhanced by electric linesInitially only affected 800,000 but ultimately over 3 million were affected
9. Shutdowns drew widespread backlash and criticism from residents and government officialsHospital services were impacted due to the duration of the shutdownsWater was restricted for those who relied on pump stationsLarge numbers of disabled individuals/elderly were affectedPoor communication from PG&E on when shutdowns were to occurUnable to power/charge electrical devices needed for medical conditionsPG&E refused to give county officials their lists of those registered as “Medical Baseline” which left officials unable to check on vulnerable residents
10. Case Study 2Northeast Blackout of 2003, August 14-16Affected Maryland, Michigan, New Jersey, New York, Vermont, Connecticut, Massachusetts, Pennsylvania, and parts of Canada (Ontario)Impacted over 10 million people in Ontario and 45 million people in the United StatesCause was suspected to be a software bug in the alarm system at the control room of one of the power stationsCritical Infrastructure was significantly impacted
11. Water pressure was lost and caused potential contamination of the water supplySewage spills occurred in major waterways in New York, New Jersey, and ClevelandTransportation, especially train services on the East Coast, shut downNo passenger screenings at airportsGas stations unable to pumpSubways stopped causing many passengers to get stuck inside the carsCommunications was interrupted, especially in the cellular worldMultiple hospital generators failed 4/75 hospitals in the greater-New York City area completely lost power and back-up generatorsVaccines and medications were spoiled due to refrigeration outagesPersons dependent on medical devices rushed EDs to get to a power source
12. TTXRecognize roles and responsibilitiesSupport and supplement each other’s response effortsMaintain situational awarenessAddress any coordination issuesLet’s designate rolesThis is a no fault environment
13. Scenario
14. Discussion 1
15. Discussion 1 Questions
16. Discussion 2
17. Discussion 2 Questions
18. End Ex
19. Final Discussion and HotwashWhat did you learn and what went right? What do we need to improve and/or follow-up on?Any additional questions or comments?
20. Thank you!