1 of 26

2023 Family Reunification Center (FRC) Exercise�July 27, 2023����

Welcome

FRC Exercise Briefing

2 of 26

2023 Family Reunification Center (FRC) Exercise��

FRC exercise meets the Hospital Preparedness Program (HPP) grant requirements:

    • 10.9.2 “All participants will receive Six Hundred and Sixty Dollars ($660) to maintain system participation in the FRC application provided through ReddiNet”

    • 10.7.1 All participants will receive Six Thousand Dollars ($6,000) to participate in exercises and drills in conjunction with County and community partners to ensure hospital preparedness, including but not limited to:

    • 10.7.1.3 “Conduct Family Reunification Center (FRC) training and tabletop exercise.”

3 of 26

2023 Family Reunification Center (FRC) Exercise��

  • 2013 Family Information Center (FIC) Guide
  • Hospital Specific FIC Plans

4 of 26

Two Components��

    • FRC Application Training
    • FRC Exercise

5 of 26

FRC Application Training��

    • ReddiNet provided training on March 21, 2023
    • Make-up session scheduled for April 20, 2023
    • ReddiNet will provide additional training as we draw closer to the exercise
    • Training occurs in the training environments
    • Username to register
    • Can schedule webinar training for ReddiNet or FRC applications at https://calendly.com/reddinet/training?month=2022-02

6 of 26

Scope of Exercise:�������

The FRC exercise is a functional exercise for Hospital Preparedness Program (HPP) fund recipients. There will be no actual movement of patients. The exercise will last two hours or when all task are achieved. Play will take place in the live ReddiNet and FRC systems.

The exercise will allow end-users (players) to test accessing the FRC application, data entry, data gathering, and information sharing to support family reunification efforts.

7 of 26

Exercise Participants:��

Participants

Role

Extent of Play

Emergency Managers and/or Designee

Controller / Evaluator

Facilitate and evaluate play, Provide injects with needed patient and seeker data to players

*ReddiNet End Users

(ED Charge Nurse, MICN, ED staff, etc.)

Player

Hospital ReddiNet MCI Module Management

FRC Application End Users

(Registration staff, admission team, etc.)

Player

Hospital FRC Application Management

EMS Agency / MAC

Player

Countywide ReddiNet Messaging and MCI Module Management

*Non-ED facilities will not have ReddiNet End-Users

8 of 26

Exercise Assumption:�������

Incident meets criteria to activate your Family Reunification Center plan at your site.

9 of 26

Scenario:��������

A large-scale multi-casualty incident (MCI) has occurred, and multiple patients have been transported to hospital emergency departments throughout the county. Your facility has received one (1) patient via ambulance. Five (5) additional patients have self-dispatched to your facility by private auto and walked-into the emergency department. You have a total of six (6) patients from the incident in your emergency department. The patient that arrived by ambulance is initially amnestic to the incident and is only able to provide first name, age, and DOB. The patient is otherwise stable in the delayed category. The patient has no identification or cell phone and cannot recall family contact information. The other patients who self-dispatched are stable and require observation only.

10 of 26

Scenario:�(Non-ED)�������

A large-scale multi-casualty incident (MCI) has occurred, and multiple patients have been transported to hospital emergency departments throughout the county. Your facility has received one (1) patient by private auto. You have one (1) patient from the incident in your facility. The patient was initially amnestic to the incident and is only able to provide his first name, last name, and DOB. The patient is otherwise stable and in the delayed category. The patient has identification but no cell phone and cannot recall family contact information.

11 of 26

Exercise Play:��

Exercise will start at 9:00 a.m. and end at 11:00 a.m. or when all tasks are achieved. Which ever occurs first.

12 of 26

Master Scenario Events List (MSEL):��

Inject #

Time

Inject Mode

Synopsis

From

To

Message

Expected Action

Responsible Organization

1

8:00am

In Person

Player Check-in

Controller / Evaluator (C/E)

Players

Player, Controller, Evaluator - Check In

All players check-in and receive appropriate materials.

All Players

2

8:45am

In Person

Player Briefing

C/E

Players

Player Briefing (Plan a 15 Min Brief)

Exercise director / facilitator conducts exercise and safety briefing.

All Players

3

9:00am

ReddiNet

Start Exercise (StartEx)

Medical Alert Center (MAC)

Hospitals

Start Exercise

Exercise participants initiate play.

All Players

4

9:00am

ReddiNet

MCI Initiated

MAC

Hospitals

MAC initiates MCI poll titled "2023 FRC Exercise"

Respond to MCI poll. Input bed availability data into ReddiNet MCI module (minimum quantities 2 Immediate, 2 Delayed, 2 Minor)

Hospital ReddiNet End-Users

5

9:00am to 9:10am

ReddiNet

MAC inputs patient destination

MAC

Hospitals

Each hospital will receive one (1) ambulance with one (1) "ambulance patient"

ReddiNet End-User arrives the ambulance in the ReddiNet MCI Module

Hospital ReddiNet End-Users

6

9:00am to 9:15am

In Person

Provide pre-designated patient demographic data

C/E

ReddiNet End User

C/E provides the pre-designated "ambulance patient" information to the ReddiNet End-User. The information is needed to update the MCI victim list. The information is regarding the "ambulance patient" who arrived at the Emergency Department by ambulance and contains the patient's first name, gender, age, and triage tag#

ReddiNet End-User updates MCI victim list and enters "ambulance patient": 1. First name, 2. Gender, 3. Age, 4. Triage Tag #

Hospital ReddiNet End-Users

7

9:15am to 9:30am

In Person

Add five (5) additional walk-in patients to the MCI victim list

C/E

ReddiNet End User

C/E informs ReddiNet End-User to enter five (5) additional walk-in patients to the MCI victim list. Use fictional first names and your hospital's three 3- letter hospital code as the last names.

ReddiNet End-User enters five (5) walk-in patients into the MCI victim list. End user must check the box labeled "Walk-In" when adding walk-in patients. Use fictional first names, and gender. Do not enter a triage tag number. Use your hospital's 3-letter hospital code for the last names.

Hospital ReddiNet End-Users

8

9:30am

ReddiNet

MAC sends message to all hospitals that the County has activated a FAC to support family reunification

MAC

Emergency Manager

A Family Assistance Center (FAC) has been activated at a location near the MCI.

Emergency Manager mobilizes Family Information Center (FIC) team and briefly discuss internal triggers required to activate the FIC plan.

Hospital EM and FIC team

9

9:40am

In Person

FRC End-User logs into Family Reunification Center (FRC) application and activates a "FAC"

C/E

FRC End-User

Designated FRC End-User of the FIC team logs into the FRC application and activates a "FAC"

1. FRC End-User logs into the FRC application. 2. FRC End-User activates a "FAC" in the FRC application and names the "FAC" your hospital name followed by "- FRC Exercise" (e.g. "ACME Hospital - FRC Exercise"). 3. FRC End-User associates the "FAC" with the MCI titled "2023 FRC Exercise".

FRC End-User

10

9:40am

In Person

FRC End-User updates MCI patient profile in FRC application

C/E

FRC End-User

C/E provides the pre-designated "ambulance patient" information to the FRC End-User. The data is needed to update the "ambulance patient" profile in the FRC application. The information is regarding the "ambulance patient" who arrived in the Emergency Department by ambulance.

FRC End-User searches for the "ambulance patient" profile in the FRC application and updates the profile with the following eight (8) data elements: 1. Last name. 2. DOB. 3. Eye Color. 4. Hair Color. 5. Height. 6. Weight. 7. Language. 8. Ethnicity

FRC End-User

11

9:50am

In Person

Register the five (5) pre-designated seekers into the FRC "FAC"

C/E

FRC End-User

Five (5) unrelated persons (designated seekers) each seeking a family member (missing person) involved in the incident arrived at your hospital. The missing persons (patients) are located at other facilities. C/E provides the Seeker data to the FRC End-User to Register into the "FAC"

Register each Seeker into the FRC "FAC" from data provided by C/E. (Seekers will have all demographic data of the missing person)

FRC End-User

12

10:00am

In Person

Facilitate family reunification

C/E

FRC End-User

Inform the FRC End-User to locate and reunite each Seeker with the correct missing person (patient) in the FRC application and inform the family (C/E) of their location.

Locate and reunite each designated Seeker with the correct missing person (patient) in the FRC application and inform the seeking-person (family member) of the missing-person's location only

FRC End-User

13

10:00am to 11:00am

In Person

De-activate FAC

C/E

FRC End-User

Inform the FRC End-User to deactivate "FAC" in FRC when all five (5) Seekers have been informed of the missing person's location

FRC End-User deactivates "FAC" in FRC when all five (5) seekers have been informed of the missing persons location

FRC End-User

14

11:00am

ReddiNet

End Exercise (End Ex)

MAC

Hospitals

End Exercise

End all exercise play and activity

All Players

15

11:00am to 11:30am

In Person

Debrief

C/E

All Players

Huddle all players for a debrief

Conduct debrief and have all players complete a participant feedback form

All Players

13 of 26

Non-ED Master Scenario Events List (MSEL):��

Inject #

Time

Inject Mode

Synopsis

From

To

Message

Expected Action

Responsible Organization

1

8:00am

In Person

Player Check-in

Controller / Evaluator (C/E)

Players

Player, Controller, Evaluator - Check In

All players check-in and receive appropriate materials.

All Players

2

8:45am

In Person

Player Briefing

C/E

Players

Player Briefing (Plan a 15 Min Brief)

Exercise director / facilitator conducts exercise and safety briefing.

All Players

3

9:00am

ReddiNet

Start Exercise (StartEx)

Medical Alert Center (MAC)

Hospitals

Start Exercise

Exercise participants initiate play.

All Players

4

9:00am

ReddiNet

MCI Initiated

MAC

Hospitals

MAC initiates MCI poll titled "2023 FRC Exercise"

Respond to MCI poll. Input bed availability data into ReddiNet MCI module (minimum quantities 2 Immediate, 2 Delayed, 2 Minor)

Hospital ReddiNet End-Users

5

9:00am to 9:10am

ReddiNet

MAC inputs patient destination

MAC

Hospitals

Each hospital will receive one (1) ambulance with one (1) "ambulance patient"

ReddiNet End-User arrives the ambulance in the ReddiNet MCI Module

Hospital ReddiNet End-Users

6

9:00am to 9:15am

In Person

Provide pre-designated patient demographic data

C/E

ReddiNet End User

C/E provides the pre-designated "ambulance patient" information to the ReddiNet End-User. The information is needed to update the MCI victim list. The information is regarding the "ambulance patient" who arrived at the Emergency Department by ambulance and contains the patient's first name, gender, age, and triage tag#

ReddiNet End-User updates MCI victim list and enters "ambulance patient": 1. First name, 2. Gender, 3. Age, 4. Triage Tag #

Hospital ReddiNet End-Users

7

9:15am to 9:30am

In Person

Add five (5) additional walk-in patients to the MCI victim list

C/E

ReddiNet End User

C/E informs ReddiNet End-User to enter five (5) additional walk-in patients to the MCI victim list. Use fictional first names and your hospital's three 3- letter hospital code as the last names.

ReddiNet End-User enters five (5) walk-in patients into the MCI victim list. End user must check the box labeled "Walk-In" when adding walk-in patients. Use fictional first names, and gender. Do not enter a triage tag number. Use your hospital's 3-letter hospital code for the last names.

Hospital ReddiNet End-Users

8

9:30am

ReddiNet

MAC sends message to all hospitals that the County has activated a FAC to support family reunification

MAC

Emergency Manager

A Family Assistance Center (FAC) has been activated at a location near the MCI.

Emergency Manager mobilizes Family Information Center (FIC) team and briefly discuss internal triggers required to activate the FIC plan.

Hospital EM and FIC team

9

9:40am

In Person

FRC End-User logs into Family Reunification Center (FRC) application and activates a "FAC"

C/E

FRC End-User

Designated FRC End-User of the FIC team logs into the FRC application and activates a "FAC"

1. FRC End-User logs into the FRC application. 2. FRC End-User activates a "FAC" in the FRC application and names the "FAC" your hospital name followed by "- FRC Exercise" (e.g. "ACME Hospital - FRC Exercise"). 3. FRC End-User associates the "FAC" with the MCI titled "2023 FRC Exercise".

FRC End-User

10

9:40am

In Person

FRC End-User registers designated patient into FRC application

C/E

FRC End-User

C/E provides pre-designated patient data to the FRC End User. The data is needed to register the desginated patient into the FRC system.

FRC End User enters the patient data into the FRC application with the following eleven (11) data elements: 1. Triage tag #. 2. First Name. 3. Last name. 4. DOB. 5. Gender. 6. Eye Color. 7. Hair Color. 8. Height. 9. Weight. 10. Language. 11. Ethnicity

FRC End-User

11

9:50am

In Person

Register the five (5) pre-designated seekers into the FRC "FAC"

C/E

FRC End-User

Five (5) unrelated persons (designated seekers) each seeking a family member (missing person) involved in the incident arrived at your hospital. The missing persons (patients) are located at other facilities. C/E provides the Seeker data to the FRC End-User to Register into the "FAC"

Register each Seeker into the FRC "FAC" from data provided by C/E. (Seekers will have all demographic data of the missing person)

FRC End-User

12

10:00am

In Person

Facilitate family reunification

C/E

FRC End-User

Inform the FRC End-User to locate and reunite each Seeker with the correct missing person (patient) in the FRC application and inform the family (C/E) of their location.

Locate and reunite each designated Seeker with the correct missing person (patient) in the FRC application and inform the seeking-person (family member) of the missing-person's location only

FRC End-User

13

10:00am to 11:00am

In Person

De-activate FAC

C/E

FRC End-User

Inform the FRC End-User to deactivate "FAC" in FRC when all five (5) Seekers have been informed of the missing person's location

FRC End-User deactivates "FAC" in FRC when all five (5) seekers have been informed of the missing persons location

FRC End-User

14

11:00am

ReddiNet

End Exercise (End Ex)

MAC

Hospitals

End Exercise

End all exercise play and activity

All Players

15

11:00am to 11:30am

In Person

Debrief

C/E

All Players

Huddle all players for a debrief

Conduct debrief and have all players complete a participant feedback form

All Players

14 of 26

ReddiNet Message Screen:��

15 of 26

ReddiNet MCI Screen:��

16 of 26

17 of 26

FRC Application Dashboard:��

18 of 26

Patient and Seeker Data:���

Patient Data

Seeker Data

19 of 26

EMS Agency Website: Exercises and Drills

20 of 26

Inject #10: Non-ED��

21 of 26

Injects:��

22 of 26

Player Role After Exercise�������

  • Conduct debrief with players at your facility
  • Complete and submit a Participant Feedback form

23 of 26

Confirmation of Exercise Participation:���

AAR / IP Submission

Within 60 days following exercise

24 of 26

Documentation:��Available on EMS Agency Website:��https://dhs.lacounty.gov/emergency-medical-services-agency/home/disaster-programs/exercise-drills/����

  • Exercise Plan
  • Controller / Evaluator Handbook
  • Exercise Evaluation Guide
  • Participant Feedback Form
  • After-Action Report/Improvement Plan
  • Master Scenario Event List (MSEL)
  • Patient and Seeker Data – (EMO Only)

25 of 26

���Questions?��

26 of 26

�Thank You