Designing, Resourcing and Executing a Mass Casualty Exercise

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Designing, Resourcing and Executing a Mass
Casualty Exercise
Cary Smith April 22, 2004
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Purpose

• Familiarize the audience with the four-step
  Training Cycle
• Describe the major components of each training
  phase
• Use audience input to design a mass casualty
  exercise, determine resources and execution
  milestones

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Agenda

• Training Cycle Overview
• Major Components
• Practical Exercise
• Summary

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Reasons for Mass Casualty Exercises
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Mass Casualty Exercises

• Validate and improve response plans
• Refine tactics, techniques, procedures and
  technology
• Improve confidence in response system
• Improve understanding of different organizations
• Improve intra and inter-organization
  communications

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Reasons for Detailed Exercise Planning

• Exercises are Resource Intensive
• Respond the way we Train
• Unique Opportunity - Infrequent
• Team Building
• Identify seams in plans and procedures
• Educate Participants

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Training Resources

• Time
• Money
• People
• External Resources
• Simulation
• Observer/Controllers
• Senior mentors
• Training aids

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Non-Governmental Organizations

• American Red Cross
• Catholic Relief Services
• Church World Service
• Senior Citizens Groups
• Parent Teacher Organizations
• Chamber of Commerce
• Scouting Groups
• American Bar Association
• ACLU

• Fraternal and Civic Groups
• Womens Clubs
• Salvation Army
• Labor Unions
• JAHCO
• Local Media
• Amateur/Ham Radio Operators

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Quick
2
Emc
Inexpensive
Detailed
Pick two of the three
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Training Cycle
Plans
Requirements
Execution
Assessment
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Key Elements of Training Plan

• Organizational Requirements
• Strategic Training Objectives
• Tactical Training Objectives
• Long Range Training Strategy
• Short Range Training Plan
• Short Range Training Event Plan
• Identify Training Resources
• Training Assessment Plan

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Exercise Timeline
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Exercise Design Team

• Purpose
• Members
• Leader
• Buy-in
• Products

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Major Components

• Requirements
• Plans
• Execution
• Assessment

• Training Objectives
• Exercise Training Plan
• Control Plan
• Assessment Plan

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Training Cycle
Plans
Requirements
Execution
Assessment
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Major Components

• Requirements
• Plans
• Execution
• Assessment

• Training Objectives
• Exercise Training Plan
• Control Plan
• Assessment Plan

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Conduct Training Assessment

• Focuses on organizational requirements
• Who conducts?
• Focuses on mission accomplishment
• Identify strengths
• Identify areas needing improvement
• Trained, Needs Practice or Untrained

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Purpose of Training Objectives

• Common understanding of the training event
• Provide detail to build the training event
• Clarify how to assess the event
• Thread throughout the exercise cycle

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Where do Training Objectives Come From?

• Organizational Requirements
• Essential Tasks
• Training Program
• Exercise Objectives
• Training Objectives

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Organizational Requirements

• Mission statement
• Regulatory requirements
• Organizational Charter
• Future requirements
• Community needs
• New equipment fielding
• Good idea fairy

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Exercise Training Objectives

• What does the organization want to achieve?
• Support organizational requirements
• Provides focus for division/center objectives
• 3 to 5
• Clearly defined and measurable activity
• Describe the circumstances and environment
• Explain the minimum level of proficiency

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Example Exercise Objectives

• Exercise hospital staff capabilities to execute
  the Emergency Management Plan using the Hospital
  Emergency Incident Command System (HEICS).
• Exercise the emergency department response
  capabilities.
• Exercise communications capabilities of the
  hospital staff.

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Training Objective Questions

• Training Audience
• Specific Action (Performance)
• Training Situation (Stimulus)
• Desired Outcome
• Training Mode

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Example Training Objective

• Within 15 minutes of the activation of the
  Emergency Management Plan, the Patient Control
  Center (PCC) director will establish the PCC.

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Training Cycle
Plans
Requirements
Execution
Assessment
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Major Components

• Requirements
• Plans
• Execution
• Assessment

• Training Objectives
• Exercise Training Plan
• Control Plan
• Assessment Plan

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Purpose of Exercise Training Plans

• Advertise training goals
• Coordinate long lead time assets
• Improve organizational focus
• Make the most efficient use of resources
• Empower subordinates
• Improve productivity

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Types of Exercises

• Orientation
• Table-top exercise
• Functional Exercise
• Field Drill
• Full-scale exercise

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Characteristics of Exercises
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Scenario
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Components of Exercise Plan

• Purpose
• Training Objectives
• Scenario
• Scope
• Concept of Operations
• References
• Responsibilities
• Risk Management
• Deliverables

• Limitations
• Assumptions
• Simulation
• Administration
• Communication
• Security
• Chain of Command
• Logistics

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Exercise Directive
3. Execution a. Intent b. Concept of
Operations c. Duties and Responsibilities
4. Schedule 5. Coordinating Instructions a. Commu
nication b. Classification c. Points of Contact

• Purpose
• Situation
• General
• Scenario
• Exercise Objectives
• Mission Essential Tasks
• Exercise Participants

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Training Cycle
Plans
Requirements
Execution
Assessment
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Major Components

• Requirements
• Plans
• Execution
• Assessment

• Training Objectives
• Exercise Training Plan
• Control Plan
• Assessment Plan

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Components of Control Plan

• MSEL
• Assumptions
• Simulation
• Administration
• Communication
• Security
• Chain of Command
• Logistics
• Deliverables
• Assessment Plan

• Purpose Concept
• Training Objectives
• Concept of Operations
• References Limitations
• Control Team Staffing
• Control Team Responsibilities
• Control Team Training
• Risk Management
• Exercise Directive

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Training Cycle
Plans
Requirements
Execution
Assessment
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Major Components

• Requirements
• Plans
• Execution
• Assessment

• Training Objectives
• Exercise Training Plan
• Control Plan
• Assessment Plan

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Assessment

• Translates training results into future
  requirements
• Foundation for readiness reports
• Basis for capability assessments
• Issue resolution cycle - definition, analysis,
  correction and validation
• Capture changes to TTPs
• Assist in getting additional assets

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Training Assessment Plan

• Focuses on Training Objectives
• Difficult to assess yourself
• Internal assessment
• External assessment
• After Action Review (AAR)
• A form of coaching and mentoring
• Observer/controller training

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Components of Assessment Plan

• Purpose
• Training Objectives
• Scenario
• Scope
• Concept of Operations
• References
• Responsibilities
• Methodology

• Limitations
• Assumptions
• Simulation
• After Action Review
• Written Report
• Lessons Learned
• Action List

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Training Cycle
Plans
Requirements
Execution
Assessment
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Acquiring Resources

• Leadership Buy-in
• Assemble Exercise Team
• Grants
• Annual Budget Cycle
• Training Aides

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Contact Information
Cary Smith 719.579.6615 carysmith_at_team-phoenix.n
et