Designing, Resourcing and Executing a Mass Casualty Exercise

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

2. 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

3. Agenda • Training Cycle Overview • Major Components • Practical Exercise • Summary

4. Reasons for Mass Casualty Exercises

5. 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

6. 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

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

8. American Red Cross Catholic Relief Services Church World Service Senior Citizen’s Groups Parent Teacher Organizations Chamber of Commerce Scouting Groups American Bar Association ACLU Fraternal and Civic Groups Women’s Clubs Salvation Army Labor Unions JAHCO Local Media Amateur/Ham Radio Operators Non-Governmental Organizations

9. Plans Quick 2 E=mc Inexpensive Detailed Pick two of the three

10. Training Cycle Plans Requirements Execution Assessment

11. 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

12. Initial Planning Conference Final Planning Conference Mid Planning Conference Concept Development Table Top/Rehearsal Training Assessment Training Objectives Exercise Objectives Seminar Exercise AAR X-450 X-480 X-510 X-450 X-390 X-270 X-240 X-150 X-45 X+1 X Exercise Timeline

13. Exercise Design Team • Purpose • Members • Leader • Buy-in • Products

14. Requirements Plans Execution Assessment Training Objectives Exercise Training Plan Control Plan Assessment Plan Major Components

15. Training Cycle Plans Requirements Execution Assessment

16. Requirements Plans Execution Assessment Training Objectives Exercise Training Plan Control Plan Assessment Plan Major Components

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

18. 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

19. Where do Training Objectives Come From? Organizational Requirements Essential Tasks Training Program Exercise Objectives Training Objectives

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

21. 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

22. 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.

23. Training Objective Questions • Training Audience • Specific Action (Performance) • Training Situation (Stimulus) • Desired Outcome • Training Mode

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

25. Training Cycle Plans Requirements Execution Assessment

26. Requirements Plans Execution Assessment Training Objectives Exercise Training Plan Control Plan Assessment Plan Major Components

27. 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

28. Types of Exercises • Orientation • Table-top exercise • Functional Exercise • Field Drill • Full-scale exercise

29. Characteristics of Exercises

30. Scenario

31. Purpose Training Objectives Scenario Scope Concept of Operations References Responsibilities Risk Management Deliverables Limitations Assumptions Simulation Administration Communication Security Chain of Command Logistics Components of Exercise Plan

32. Exercise Directive • 3. Execution • a. Intent • b. Concept of Operations • c. Duties and Responsibilities • 4. Schedule • 5. Coordinating Instructions • a. Communication • b. Classification • c. Points of Contact • Purpose • Situation • General • Scenario • Exercise Objectives • Mission Essential Tasks • Exercise Participants

33. Training Cycle Plans Requirements Execution Assessment

34. Requirements Plans Execution Assessment Training Objectives Exercise Training Plan Control Plan Assessment Plan Major Components

35. Purpose & Concept Training Objectives Concept of Operations References & Limitations Control Team Staffing Control Team Responsibilities Control Team Training Risk Management Exercise Directive MSEL Assumptions Simulation Administration Communication Security Chain of Command Logistics Deliverables Assessment Plan Components of Control Plan

36. Training Cycle Plans Requirements Execution Assessment

37. Requirements Plans Execution Assessment Training Objectives Exercise Training Plan Control Plan Assessment Plan Major Components

38. 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

39. 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

40. Purpose Training Objectives Scenario Scope Concept of Operations References Responsibilities Methodology Limitations Assumptions Simulation After Action Review Written Report Lessons Learned Action List Components of Assessment Plan

41. Training Cycle Plans Requirements Execution Assessment

42. Acquiring Resources • Leadership Buy-in • Assemble Exercise Team • Grants • Annual Budget Cycle • Training Aides

43. Contact Information Cary Smith 719.579.6615 carysmith@team-phoenix.net