OPERATIONS-BASED EXERCISE

Public Health Preparedness Capability 5: Fatality Management
Capability Description:Fatality management is the ability to coordinate with other organizations (e.g., law enforcement, healthcare, emergency management, and medical examiner/coroner) to ensure the proper recovery, handling, identification, transportation, tracking, storage, and disposal of human remains and personal effects; certify cause of death; and facilitate access to mental/behavioral health services to the family members, responders, and survivors of an incident.
Jurisdiction or Organization: / Name of Exercise:
Location: / Date:
Evaluator: / Evaluator Phone & E-mail:
Function 1: Determine role for public health in fatality management
Function Description:Coordinate with the lead jurisdictional authority (e.g., coroner, medical examiner, sheriff, or other agent) to identify the roles and responsibilities of jurisdictional public health entities in fatality management activities.
Task/Observation Keys / Status/Task Completed
1 / Characterize potential fatalities based on jurisdictional risk assessment and the impact of these potential fatalities on jurisdictional resource needs. / Fully PartiallyNot N/A
2 / Coordinate with subject matter experts (e.g., those with expertise in epidemiology, laboratory, surveillance; community cultural/religious beliefs or burial practices; chemical, biological, radiological and emergency operations leads; and partners from hospital, mortuary, emergency medical services) to determine public health’s role in an incident that may result in fatalities. / Fully PartiallyNot N/A
3 / Coordinate with jurisdictional, private and federal Emergency Support Function (ESF) #6 and #8 resources as necessary to determine their roles and requirements for the response. / Fully PartiallyNot N/A
Mark the status of Function 1 based on the assessments of the associated Tasks:
Infrastructure Fully in Place -- Fully Evaluated and Demonstrated
Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated
Infrastructure Not Fully in Place
No Infrastructure in Place
Function 2: Activate public health fatality management operations
Function Description:Facilitate access to resources (e.g., human, record keeping, and physical space) to address the fatalities from an incident in accordance with public health jurisdictional standards and practices and as requested by lead jurisdictional authority.
Task/Observation Keys / Status/Task Completed
1 / Assess data from the incident to inform and guide the public health resources needed for the response. / Fully PartiallyNot N/A
2 / Identify and coordinate with jurisdictional, regional, private, and federal Emergency Support Function (ESF) #8 resources with expertise in the potential cause(s) of fatalities to make recommendations regarding all phases of human remains disposition: recovery, processing (e.g., decontamination, infection control, and other mitigation measures), storing, and disposing. / Fully PartiallyNot N/A
3 / Coordinate with partners to initiate pre-determined (e.g., local, regional, state, federal, and private sector) processes for all phases of human remains disposition. / Fully PartiallyNot N/A
4 / Coordinate incident details among members of the public health and medical health systems by sharing information between programs and linking information databases, based on the scope of the incident. / Fully PartiallyNot N/A
Mark the status of Function 2 based on the assessments of the associated Tasks:
Infrastructure Fully in Place -- Fully Evaluated and Demonstrated
Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated
Infrastructure Not Fully in Place
No Infrastructure in Place
Function 3: Assist in the collection and dissemination of antemortem data
Function Description:Assist, if requested, the lead jurisdictional authority and jurisdictional and regional partners to gather and disseminate antemortem datathrough a Family Assistance Center (FAC) Modelor other mechanism.
Task /Observation Keys / Status/Task Completed
1 / Coordinate with partners for the establishment of a mechanism (e.g., FAC) to collect antemortem data. / Fully PartiallyNot N/A
2 / Coordinate with partners to identify and assemble the resources required to collect and communicate antemortem data. / Fully PartiallyNot N/A
3 / Coordinate with partners and assist, if needed, in the collection and dissemination of antemortem data to families of the deceased and law enforcement officials. / Fully PartiallyNot N/A
4 / Coordinate with partners to support electronic recording and reporting of antemortem data through electronic systems and/or other information sharing platforms. / Fully PartiallyNot N/A
Mark the status of Function 3 based on the assessments of the associated Tasks:
Infrastructure Fully in Place -- Fully Evaluated and Demonstrated
Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated
Infrastructure Not Fully in Place
No Infrastructure in Place
Function 4: Participate in survivor mental/behavioral health services
Function Description:Coordinate with the lead jurisdictional authority and jurisdictional and regional partners to support the provision of non-intrusive, culturally sensitive mental/behavioral health support services to family members of the deceased, incident survivors, and responders, if requested.
Task/Observation Keys / Status/Task Completed
1 / Coordinate with partners to assemble the required staff and resources to provide non-intrusive mental/behavioral health services to responders. / Fully PartiallyNot N/A
2 / Coordinate with partners to facilitate availability of culturally appropriate assistance (e.g., addressing language barriers and religious or cultural practices). / Fully PartiallyNot N/A
3 / Coordinate with Emergency Support Function (ESF)#8 partners to support the provision of mental/behavioral health services to family members of the deceased and incident survivors as needed. / Fully PartiallyNot N/A
Mark the status of Function 4 based on the assessments of the associated Tasks:
Infrastructure Fully in Place -- Fully Evaluated and Demonstrated
Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated
Infrastructure Not Fully in Place
No Infrastructure in Place
Function 5: Participate in fatality processing and storage operations
Function Description:Assist the lead jurisdictional authority and partners in ensuring that human remains and associated personal effects are safely recovered, processed, transported, tracked, stored, and disposed of or released to authorized person(s), if requested.
Task/Observation Keys / Status/Task Completed
1 / Make recommendations to incident management/jurisdictional lead agency on procedures for the safe recovery, receipt, identification, decontamination, transportation, storage, and disposal of human remains. Recommendations can also include an assessment of the need for temporary burial, procurement of public property for temporary burial, and security/privacy requirements of the processing facility. / Fully PartiallyNot N/A
2 / Assist, if needed or requested, in multi-specialty forensic analysis to identify human remains and determine the cause and manner of death. / Fully PartiallyNot N/A
3 / Coordinate with partners to support electronic death reporting. / Fully PartiallyNot N/A
4 / Coordinate with partners to facilitate the collection and reporting of mortality information (e.g., vital records). / Fully PartiallyNot N/A
Mark the status of Function 5 based on the assessments of the associated Tasks:
Infrastructure Fully in Place -- Fully Evaluated and Demonstrated
Infrastructure Fully in Place --Not Fully Evaluated and Demonstrated
Infrastructure Not Fully in Place
No Infrastructure in Place
Public Health Preparedness Capability 5: Fatality Management
Exercise Evaluation Guide Analysis Sheets
The purpose of this section is to provide a narrative of what was observed by the Evaluators team for inclusion in the draft After Action Report/Improvement Plan (AAR/IP). This section includes a chronological summary of what occurred during the exercise for the observed Functions and Tasks. This section also requests the Evaluator to provide key observations (strengths or areas for improvement) to provide feedback to support sharing of lessons learned and best practices, as well as identification of corrective actions to improve overall preparedness. “Lessons Learned” are activities (strength or improvement) identified during your exercise that may be applied or replicated in another jurisdiction.
Observations Summary
Write a general chronological narrative of the Players’ actions based on your observations during the exercise. Provide an overview of what you witnessed and, specifically, discuss how this particular Capability was carried out during the exercise, referencing specific Tasks where applicable. The narrative provided will be used in developing the After Action Report (AAR)/Improvement Plan (IP).
[Insert text electronically or on separate pages.]
Evaluator Observations: Record your key observations using the structure provided below. Provide a minimum of three observations for each section. There is no maximum (three templates are provided for each section; reproduce these as necessary for additional observations). Use these sections to discuss strengths and any areas of improvement. Provide as much detail as possible, including references to specific Functions and/or Tasks. Document your observations with reference to plans, procedures, exercise logs, and other resources. Describe and analyze what you observed and, if applicable, make specific recommendations. Please be thorough, clear, and comprehensive, as these sections will feed directly into the drafting of the After Action Report (AAR). Complete electronically if possible, or on separate pages if necessary.
STRENGTHS
Observation Title:
Related Function & Task:
Record for Lesson Learned? (Check the box that applies.) Yes No
1) Analysis: (Include a discussion of what happened. When? Where? How? Who was involved? Also describe the root cause of the observation, including contributing factors and what led to the strength. Finally, if applicable, describe the positive consequences of the actions observed.)
2) References: (Include references to plans, policies, and procedures relevant to the observation.)
3) Recommendation: (Even though you have identified this issue as a strength, please identify any recommendations you may have for enhancing performance further, or for how this strength may be institutionalized or shared with others.)
Observation Title:
Related Function & Task:
Record for Lesson Learned? (Check the box that applies.) Yes No
1) Analysis:
2) References:
3) Recommendation:
Observation Title:
Related Function & Task:
Record for Lesson Learned? (Check the box that applies.) Yes No
1) Analysis:
2) References:
3) Recommendation:
AREAS FOR IMPROVEMENT
Observation Title:
Related Function & Task:
Record for Lesson Learned? (Check the box that applies.) Yes No
1) Analysis: (Include a discussion of what happened. When? Where? How? Who was involved? Also describe the root cause of the observation, including contributing factors and what led to the strength. Finally, if applicable, describe the negative consequences of the actions observed.)
2) References: (Include references to plans, policies, and procedures relevant to the observation)
3) Recommendation: (Write a recommendation to address the root cause. Relate your recommendations to needed changes in plans, procedures, equipment, training, mutual aid support, management and leadership support.)
Observation Title:
Related Function & Task:
Record for Lesson Learned? (Check the box that applies.) Yes No
1) Analysis:
2) References:
3) Recommendation:
Observation Title:
Related Function & Task:
Record for Lesson Learned? (Check the box that applies.) Yes No
1) Analysis:
2) References:
3) Recommendation:

Exercise Evaluation Guide (EEG)Public Health Preparedness CapabilitiesPage 1 of 7

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