Northern Virginia Hospital Alliance (NVHA)

Northern Virginia
Hospital Alliance
9/11/01 – 9/11/11
Northern Virginia Hospital Alliance (NVHA)
The Mission of the Northern Virginia Hospital Alliance (NVHA) is to coordinate emergency preparedness, response and recovery activities for the member hospital and healthcare systems in cooperation with Local, Regional and State response partners.
NVHA at a glance…
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Formed in 2002 as a A 501‐[c] 6 non‐profit company.
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Governed by the CEOs of the member hospitals.
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14 hospital members and 6 Free Standing Emergency Departments from Arlington to Spotsylvania, supporting more than 2.5 million residents over 3,000 square miles. •
3,500+ beds
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More than 700,000 ED visits and 170,000 admissions in 2009
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40,000+ employees. Largest private sector employers in NoVA
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NoVA Hospital Preparedness Region
Local Jurisdictions in the Local Jurisdictions in the NoVA Region:
NoVA Region:
•City of Alexandria
•City of Alexandria
•Arlington County
•Arlington County
•Caroline County
•Caroline County
•Fairfax County
•Fairfax County
•Fairfax City
•Fairfax City
•City of Falls Church
•City of Falls Church
•Fauquier County
•Fauquier County
•City of Fredericksburg •City of Fredericksburg •King George County
•King George County
•Loudoun County
•Loudoun County
•City of Manassas
•City of Manassas
•City of Manassas Park
•City of Manassas Park
•Prince William County
•Prince William County
•Spotsylvania County
•Spotsylvania County
•Stafford County
•Stafford County
Northwest
Northern
Near Southwest
Far Southwest
Eastern
Central
Northern Virginia Hospital Alliance (NVHA)
Members…
Hospitals:
Size
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
120 (Formerly DeWitt Community Hospital)
97
318
182
844 Level I Trauma, Peds Critical Care Center
237
183 Pediatric Emergency Department
442 Level II Trauma
170
187
Free
Free Standing
Standing Emergency
Emergency Departments:
Departments:
183
1.
Heathcote
1.
Heathcote Health
Health Center
Center
120
2.
Inova
2.
Inova Emergency
Emergency Care
Care Center
Center –– Cornwall
Cornwall
3.
Inova
100
3.
Inova Emergency
Emergency Care
Care Center
Center –– Fairfax
Fairfax
4.
Inova
4.
Inova Emergency
Emergency Care
Care Center
Center –– Healthplex
Healthplex
314
Fort Belvoir Hospital
Fauquier Hospital
Inova Alexandria Hospital
Inova Fair Oaks Hospital
Inova Fairfax Hospital
Inova Mount Vernon Hospital
Inova Loudoun Hospital
Mary Washington Hospital
Prince William Hospital
Reston Hospital Center
Sentara Potomac Hospital
Spotsylvania Regional Medical Center
Stafford Hospital
Virginia Hospital Center
5.
5.
6.
6.
Inova
Inova Emergency
Emergency Care
Care Center
Center –– Reston
Reston
Mary
Mary Washington
Washington Healthcare
Healthcare FSED
FSED
NVHA Member Facilities Locations
Fort Belvoir Community Hospital
Fauquier Hospital
Inova Alexandria Hospital
Inova Fair Oaks Hospital
Inova Fairfax Hospital
Inova Loudoun Hospital
Inova Mt. Vernon Hospital
Mary Washington Hospital
Prince William Hospital
Reston Hospital Center
Sentara Potomac Hospital
Spotsylvania Regional Medical Center
Stafford Hospital
Virginia Hospital Center
IECC- Healthplex
IECC- Cornwall
IECC- Fairfax
IECC- Reston
Mary Washington Free Standing ED
Heathcote Health Center
NVHA Mission Areas
Missions Areas…
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Regional Planning & Collaboration
Communication & Information Management
Training, Education & Exercises
Finance & Administration
Personal Protective Equipment (PPE)
Critical Infrastructure Protection
Decontamination & Detection
Surge Capacity & Capabilities
Pharmaceutical & Materials Management
Organization & Leadership
Security
Fatality Management
Then and Now: September 11th 2001 to 2011…
On September 11th, 2001, the hospitals in Northern Virginia had:
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No regional hospital disaster plan or mutual aid agreement No regional inter‐hospital radio communications
No web‐based incident management tools No redundant / interoperable communications systems Limited identified surge capacity
Limited or non‐existent disaster equipment and supply stockpiles
No pharmaceutical stockpiles to respond to biological terrorism
No stockpiles of chemical nerve agent antidote No unified incident command structure
Limited local integration with Police, Fire, Emergency Management, Public Health and other regional response partners and no regional integration
Limited integration with the DC and Maryland Hospitals 911 Pentagon Victim Disposition
NoVA
NoVA
Facility
Patients
Received
Treated/
Released
Admitted
VHC-Arl
44
26
18* [2 to WHC]
IAH
23
4
19
IFH (Trauma)
0
1* [transfer]
n/a
NV Comm
6
6
n/a
IECC-Sp
3
2*
n/a
GWU
3
3
n/a
WHC
13
5
8*
Arl Urgent
10
7
3* [2 to VHC, 1 to WRMC]
Rader Clin
4
3
1* [1 to VHC]
Totals
106
57
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Arlington County After-Action Report on the Response to the September
11 Terrorist Attack on the Pentagon, Annex B, Page B-15, 2001.
NoVA Regional Hospital
Coordinating Center (RHCC)
Main RHCC: Central
Prince William
Hospital: West
RHCC is a function, not just a place, to provide:
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Coordination of patient movement with EMS
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Regional situational awareness
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Logistics and material support for NVHA
members
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Coordination with Virginia Department of Health
(VDH) Emergency Communications Center
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Coordination with other NCR response agencies
and hospitals such as Law Enforcement,
Emergency Management and others.
Mary Washington
Hospital: South
Redundant / Interoperable DATA Communications Systems
WebEOC
Common message boards to share
situational awareness between the NVHA
hospitals, neighboring Virginia hospital
regions, State Health Department and local
Emergency Operations Centers (EOCs).
Patient Tracking
Bed Status Board
Mass Notification / Alerting
Redundant / Interoperable VOICE Communications Systems
Redundant
Deployed Voice / Data Satellite
Terminals in every hospital
command center
Video Conferencing linking all
NVHA hospital command centers
Interoperable
Established Full Radio Interoperability with all
NoVA Fire/EMS agencies
NoVA RHCC
On-Scene Fire/EMS
Hospital Command Center
Emergency Department
Developed the Medcomm Radio System: An 800Mhz
radio system that connects all NVHA members
Developed surge capacity and capabilities…
The NVHA members have developed plans to collectively manage for up to 96 hours…- 1,175 general medical / surgical patients.
40 “Crash” carts
100 + IV Pumps
250+ suction units
130 air scrubbers
- 140 adult critical care patients [i.e., burn / trauma / ICU]
- 120 burn patients
- 40 pediatric critical care patients
- 100 general pediatric patients
- 1,000+ patients requiring negative pressure air isolation
These numbers are supported by…
$1.5M in hospital based drug stockpiles
$3M+ of hospital based medical supplies 1,200+ temporary beds
196 Disaster Ventilators Fa
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Hospital Surge Capacity Developed in NVHA Members since 9/11
250
200
150
100
50
0
General
Critical Care / Trauma
Peds
Regional Logistics Stockpile and Warehouse…
Located in Sterling, VA, the NVHA warehouse holds a
large equipment and supply stockpile for all of Northern
Virginia hospitals, public health and Fire/EMS agencies.
250 temporary beds
1M Surgical Masks
600,000+ N95
Respirators
Pillows, blankets and
sheets to support 1,250
beds for 1 week
12,000 liters of IV fluid
Robust Decontamination & Detection capabilities…
Radiological Detection Portals – 2 at each facility
Decon Showers & PPE in place at each hospital. Standardized equipment. 16 nerve agent CHEMPACK stockpiles in the member hospitals Northern Virginia Hospital Alliance (NVHA)
We helped launch the Northern Virginia Emergency Response System…
Local & State Public Health
Local & State
Emergency
Management
Hospitals
Fire & EMS
NoVA
Emergency
Response
System
Law Enforcement
Northern Virginia Hospital Alliance (NVHA)
We helped launch the Northern Virginia Emergency Response System…
The Mission of the Northern Virginia Emergency Response System (NVERS) is
To support and enhance a regional approach to coordinated preparedness,
response, and recovery:
– Across jurisdiction and discipline boundaries
– During day-to-day emergencies and regional disasters
– Through strategic planning, priority-setting, information
sharing, training, exercises,
equipment acquisition, and
policy-making.
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Telemedicine Support Network for Peds and Trauma…
A regional telemedicine system that allows for centralized management and support for trauma and pediatric critical care during a crisis. Northern Virginia Hospital Alliance (NVHA)
Improved the resiliency of critical water & power systems…
Emergency Well Water & Filtration Systems
Generator “Quick Connects”
HOSPITAL
Transfer
Switch
Emergency
Generator
Northern Virginia Hospital Alliance (NVHA)
We’ve exercised and trained continually, and activated for real events…
Since 9/11, NVHA has:
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Conducted more than 15,000 hours of emergency
preparedness and disaster training with staff in our
member hospitals in the areas of Incident Command,
Communications, Active shooter incidents and many
more.
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Conducted more than 40 large, multi-hospital and multi
agency exercises testing a wide range of
emergencies.
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Activated for real events:
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56th Presidential Inauguration
National Scout Jamboree 2005 / 2010
Influenza “A” (H1N1) Outbreak
“Snowmageddon”
3 bus crashes with 60+ patients
Others
Zachary Corrigan
Executive Director
zachary.corrigan@novaha.org
703‐894‐8110