Ohio Hospital Association Mass Fatality Tabletop Exercise


Situation Manual

  • 18 pages
  • For Official Use Only
  • May 12, 2009



The Ohio Hospital Association (OHA) Regional Hospital Evacuation and Mass Fatality 2009 TTX is sponsored by The Ohio Hospital Association and the Ohio Department of Health with funding support from the Health Services and Resources Administration, U.S. Department of Health and Human Services, Catalog of Federal Domestic Assistance (CFDA) Number 93.889. This Situation Manual (SitMan) was produced with input, advice, and perspective from a statewide hospital workgroup assisting with hospital evacuation and fatality management planning and exercise development, which followed the guidance set forth in the Federal Emergency Management Agency (FEMA), Homeland Security Exercise and Evaluation Program (HSEEP).

The OHA Regional Hospital Evacuation and Mass Fatality 2009 TTX SitMan provides exercise participants with all the necessary tools for their roles in the exercise. This document was developed with the advice and assistance of the members of the OHA Regional Hospital Evacuation and Mass Fatality 2009 TTX planning team. It is tangible evidence of the Ohio Hospital Association’s commitment to ensure hospitals are prepared to manage emergencies and disasters.

The OHA Regional Hospital Evacuation and Mass Fatality 2009 TTX is an unclassified exercise. The control of information is based more on public sensitivity regarding the nature of the exercise than on the actual exercise content. Some exercise material is intended for the exclusive use of exercise planners, facilitators, and evaluators, but players may view other materials deemed necessary to their performance. The SitMan may be viewed by all exercise participants.

All exercise participants should use appropriate guidelines to ensure the proper control of information within their areas of expertise and to protect this material in accordance with current jurisdictional directives. Public release of exercise materials to third parties is at the discretion of the Ohio Hospital Association.


The Ohio Hospital Association (OHA) was awarded SY09 FY08 ASPR dollars through the Ohio Department of Health to develop hospital evacuation and fatality management planning templates for Ohio hospitals to utilize within their facilities. In addition, OHA was asked to design, conduct, and evaluate regional hospital evacuation and fatality management tabletop exercises that would test the newly created planning documents. These regional tabletop exercises are being conducted to reveal strengths and gaps in local, regional and statewide plans.


The purpose of this exercise is to provide participants an opportunity to evaluate current response concepts, plans and capabilities in response to a possible medical evacuation and mass fatalities due to severe weather. The exercise will focus on local and regional coordination, critical decisions and integration of existing Memorandums of Understanding (MOU).


In this 6 hour tabletop exercise alert and notification, decision‐making processes, Memorandums of Understanding and interagency coordination will be discussed and evaluated in response to severe weather that affects a local hospital. Exercise players will include hospital personnel, first responders and EMS, American Red Cross staff, emergency management, public health officials and other organizations identified within each region. All participating hospitals will assume the role of the affected hospital.

Target Capabilities

The National Planning Scenarios and the establishment of the National Preparedness Priorities have steered the focus of homeland security toward a capabilities‐based planning approach. Capabilities‐based planning focuses on planning under uncertainty, since the next danger or disaster can never be forecast with complete accuracy. Therefore, capabilities‐based planning takes an all‐hazards approach to planning and preparation which builds capabilities that can be applied to a wide variety of incidents. States and Urban Areas use capabilities‐based planning to identify a baseline assessment of their homeland security efforts by comparing their current capabilities against the Target Capabilities List (TCL) and the critical tasks of the Universal Task List (UTL). This approach identifies gaps in current capabilities and focuses efforts on identifying and developing priority capabilities and tasks for the jurisdiction.

Exercise Schedule

8:30‐9:00am Registration

9:00‐9:15am Welcome and Introductions

9:15‐10:15am Module 1‐Initial Response

• Situation Briefing
• Facilitated Discussion

10:15‐11:15am Module 2‐Ongoing Response

• Situation Briefing
• Facilitated Discussion

11:15‐11:45am LUNCH!

11:45‐12:45pm Module 3‐MOUs and Partnerships

• Situation Briefing
• Facilitated Discussion

12:45‐1:45pm Module 4‐Interagency Coordination

• Situation Briefing
• Facilitated Discussion

1:45‐2:00pm BREAK!

2:00‐2:45pm Module 5‐Hot Wash

• Provide one strength in current plans and processes
• Provide one change that should be considered to improve current plans and processes

2:45‐3:00pm Closing Comments and Next Steps



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