After Action Report / Improvement Plan (AAR/IP) Summary

The purpose of this requirement is to identify activities requiring improvement that affect other jurisdictions within your Operational Area, Region, and Statewide. This does not replace your own internal After Action Report / Improvement Plan. Activities should focus, but are not limited to, the Target Capabilities listed in the Exercise Guide Book (Medical Surge, Information Sharing and Dissemination, and Communication. Please submit this Improvement Plan (IP) Summary report to your Operational Area Exercise Lead no later than June 5, 2009.

Issue # / Capability / Activity / Task / Observation / Recommendation/
Corrective Action / Primary Responsible Agency / Start Date / Completion Date
1 / Medical Surge / Test large number of symptomatic patients for H1N1 virus. / Clinical laboratories were not prepared for conducting large number of laboratory specimens, lacked both staff and supplies. / Develop a laboratory surge plan and determine what laboratory supplies and staff are needed. / Clinical Laboratory
2 / Medical Surge / Protect healthcare workers from contracting H1N1 virus; according to guidance N95 respirators were required. / Facility did not have a stockpile of N95 respirators and commercial supply was limited. / Develop plans for procuring N95 respirators either by stockpiling them in-house or through vendor managed inventory or agreements. / Healthcare Facility Staff
3 / Intelligence / Information Sharing and Dissemination / Follow guidance from LHD, CDPH and CDC on infection control, healthcare worker protection, and laboratory testing. / Guidance was rapidly changing and LHD, CDPH and CDC guidance varied. / Gain a better understanding of how and why guidance was rapidly changing and whether to follow LHD, CDPH or CDC guidance. Develop written procedures as to who should receive guidances and direction on how these guidances should be used within the facility. / Healthcare Facility Staff/LHD
4 / Communication / Assess the facility’s ability to communicate with internal and external response partners including LHDs, other healthcare entities, law enforcement, EMS Providers, community organizations and emergency management. / The healthcare facility did not have accurate contact information for internal staff, LHD and other healthcare facilities. / All contact lists should be updated and tested on a regular basis.
Increase number of internal staff added to CAHAN. / Healthcare Facility Staff

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