Topic Collection Cover Page

Exercise Program
Topic Collection
November 6, 2019

Topic Collection: Exercise Program

Discussion- and operations-based exercises are critical for healthcare providers, public health agencies, and other community stakeholders to use to evaluate the efficiency and efficacy of policies, plans, and procedures in meeting response goals. They can also be used to determine whether equipment, training, and facilities are adequate to support their mission. The proper evaluation of any exercise provides the necessary data to revise/reinforce existing policies, plans, procedures, training, facilities, and/or equipment. The following resources highlight select templates, courses, and competencies that can help planners develop comprehensive exercises to test the healthcare and public health response to any type of disaster.

Each resource in this Topic Collection is placed into one or more of the following categories (click on the category name to be taken directly to that set of resources). Resources marked with an asterisk (*) appear in more than one category.

Must Reads


Braun, J., Peterson-Kroeber, C., Scullard, M., et al. (2012). Moving Beyond HSEEP (Homeland Security Exercise and Evaluation Program): Creating Well-Functioning Teams for Preparedness Response. (Site requires free registration.)
This train-the-trainer program is intended for public health department staff with emergency response roles and provides participants with step-by-step functional exercise guidelines.
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California Hospital Association. (n.d.). Drills and Exercises. (Accessed 1/7/2020.)
This website features links to checklists, reference guides, and all of the materials needed for a hospital active shooter interactive tabletop exercise.
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Centers for Disease Control and Prevention. (2011). Public Health Preparedness Capabilities at a Glance.
This document summarizes the Public Health Preparedness Capabilities developed by the Centers for Disease Control and Prevention. While exercises are not specifically addressed, the functions under each capability may be used as exercise objectives.
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Cheung, M., Vu, A-T., Varlese D., et al. (2010). Hospital Preparedness Exercises Pocket Guide. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
The quick reference guide summarizes the Hospital Preparedness Exercises Guidebook and can assist with evacuation planning.
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Cheung, M., Vu, A., Varlese, D., et al. (2010). Hospital Preparedness Exercises: Guidebook. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
This guidebook shares requirements necessary for Federal funding and hospital accreditation as of 2009. Though it is somewhat outdated, the general concepts and references the guidebook contains may still assist healthcare emergency professionals in planning, carrying out, and evaluating exercises.
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Federal Emergency Management Agency. (n.d.). HSEEP Policy and Guidance. (Accessed 1/7/2020.)
This website contains links to templates emergency planners can tailor for exercise program management, design and development, conduct, evaluation, and improvement planning. A link to exercise evaluation guides is also provided.
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Federal Emergency Management Agency. (2017). Emergency Planning Exercises for Your Organization.
This website provides links to examples of tabletop exercises that organizations can utilize and adapt in preparation for emergencies.
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Federal Emergency Management Agency (FEMA). (2018). IS-120.C: An Introduction to Exercises.
This five-hour, interactive, web-based training course introduces the basics of emergency management exercises and identifies the five phases of the exercise process.
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Fruhwirth, K., Chambers, G., Shields, S., and Torres, R. (2012). Conducting Drills and Exercises: A Guide for Hospitals.
This guidebook includes general information on exercise design, creation and evaluation. Chapter 5 includes detailed guidance for scenario development, as well as numerous sample scenarios planners may find useful in developing their own exercises.
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Public, private, and non-governmental organizations can use the resources on this page to prepare for and respond to emergencies of all types. Resources, including an exercise evaluation toolkit, are focused on design and facilitation, evaluation, exercise resources, and hospital-specific exercises.
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This toolkit provides training resources for healthcare coalitions that align to the 15 Public Health Emergency Preparedness Capabilities. (Please note that this resource references the 2011 version of the capabilities.)
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Johns Hopkins University. (2016). Public Health Preparedness Exercise Program: From Design to Evaluation. (Free registration required.)
The speaker highlights design, implementation, and evaluation of public health emergency preparedness exercises in this three-part 1.5 hour training.
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Robert Wood Johnson Foundation, Network for Public Health Law. (2011). Non-Profit Organization Liability Related to Volunteer Actors During Preparedness Training Exercises.
This document—while specific to the State of Arizona—describes liability risks for individuals that volunteer to participate in preparedness training exercises with local hospitals and may be used by other states.
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Savoia, E., Agboola, F., and Biddinger, P. (2012). Use of After Action Reports (AARs) to Promote Organizational and Systems Learning in Emergency Preparedness. International Journal of Environmental Research and Public Health. 9(8): 2949-2963.
The authors performed a structured review of After Action Reports to analyze how lessons learned from the response to real-incidents may be used to maximize knowledge management and quality improvement practices such as the design of public health emergency preparedness exercises. Key areas of common problems were identified from a search of the Lessons Learned Information System database that may help develop objectives for community testing.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2017). Hospital Surge Evaluation Tool.
This tool can be used by hospital emergency planners, administrators, and other personnel to both assess and enhance their facility’s surge plans. It includes evaluation tools specific to emergency department triage and hospital incident command.
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Uniformed Services University of the Health Sciences, National Center for Disaster Medicine and Public Health (NCDMPH). (2015). Aligning Exercises in Your Community.
This document was developed to help assist healthcare coalition leaders find new potential partners for disaster exercises.
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University at Albany, State University of New York, School of Public Health and Health Professions, Center for Public Health Preparedness. (2008). Bridging Community Partners through Drills and Exercises.
This training program highlights the importance of community cooperation in preparedness planning and exercises.
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After Action Reports


* Biddinger, P. (2012). Review of Current Doctrine Regarding After Action Reporting. (Requires free registration.)
This 1 hour video course provides an overview of After Action Reports and information on related federal guidance (including the Homeland Security Exercise and Evaluation Program).
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This After Action Report provides a summary of the Central West Medical Coordination Center regional mass casualty exercise. Organizers developed two objectives for this exercise: evaluate the ability to evacuate residents from a long-term care facility and evaluate medical surge into an acute care hospital. This document can also serve as a template for other community exercises.
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This After Action report provides a summary of outcomes related to the conduct of the 2015 National Mass Exercise held in Austin, Texas. The report also provides a synthesis of comments provided by participants during the hot wash at the conclusion of the exercise.
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* San Francisco Department of Public Health, Charles Schwab & Co., Inc., and San Francisco Department of Emergency Management. (2007). 2007 Mass Antibiotic Dispensing Exercise (MADE07) After Action Report.
This after action report describes a full-scale exercise developed to test the capability of San Francisco Department of Public Health’s (SFDPH) plan for rapid mass prophylaxis dispensing in an outdoor aerosolized anthrax release scenario. Pediatric issues (e.g., medication dispensing) are addressed throughout the AAR.
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Savoia, E., Agboola, F., and Biddinger, P. (2012). Use of After Action Reports (AARs) to Promote Organizational and Systems Learning in Emergency Preparedness. International Journal of Environmental Research and Public Health. 9(8): 2949-2963.
The authors performed a structured review of After Action Reports to analyze how lessons learned from the response to real-incidents may be used to maximize knowledge management and quality improvement practices such as the design of public health emergency preparedness exercises. Key areas of common problems were identified from a search of the Lessons Learned Information System database that may help develop objectives for community testing.
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Capabilities and Core Competencies


Centers for Disease Control and Prevention. (2011). Public Health Preparedness Capabilities at a Glance.
This document summarizes the Public Health Preparedness Capabilities developed by the Centers for Disease Control and Prevention. While exercises are not specifically addressed, the functions under each capability may be used as exercise objectives.
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U.S. Department of Health and Human Services and U.S. Department of Homeland Security. (2011). Appendix 7. Hospital Preparedness Program (HPP). Budget Period 3 Training and Exercise Requirements.
Hospital Preparedness Program and Public Health Emergency Preparedness grant awardees were given these requirements to help them with Budget Period 3 training and exercise planning.
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Education and Training


Anzalone, J., Bush, S., Head, B., et al. (2014). National Mass Care Exercise: Helping Build State Mass Care Capability.
This webinar features speakers who discuss the rationale for a national mass care exercise, the Florida exercise experience, lessons learned from the exercise, and applying lessons at the state and local levels. A link to the slides used in the webinar and additional resources are also provided.
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* Biddinger, P. (2012). Review of Current Doctrine Regarding After Action Reporting. (Requires free registration.)
This 1 hour video course provides an overview of After Action Reports and information on related federal guidance (including the Homeland Security Exercise and Evaluation Program).
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Biddinger, P. (2012). Using Exercises to Enhance and Measure Preparedness. (Site requires free registration.)
This one-hour course describes how exercises can be used to enhance and measure healthcare preparedness. The course also describes the process of designing, conducting, and evaluating exercises.
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Braun, J., Peterson-Kroeber, C., Scullard, M., et al. (2012). Moving Beyond HSEEP (Homeland Security Exercise and Evaluation Program): Creating Well-Functioning Teams for Preparedness Response. (Site requires free registration.)
This train-the-trainer program is intended for public health department staff with emergency response roles and provides participants with step-by-step functional exercise guidelines.
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Decosimo, K. (2013). Public Health Preparedness Exercises: Basics of Public Health Preparedness, Module 3. (Site requires free registration. Course requires Flash Player.) North Carolina Institute for Public Health.
This course provides an overview of public health exercise planning with a focus on the Homeland Security Exercise and Evaluation Program.
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Federal Emergency Management Agency (FEMA). (2018). IS-120.C: An Introduction to Exercises.
This five-hour, interactive, web-based training course introduces the basics of emergency management exercises and identifies the five phases of the exercise process.
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Johns Hopkins University. (2016). Public Health Preparedness Exercise Program: From Design to Evaluation. (Free registration required.)
The speaker highlights design, implementation, and evaluation of public health emergency preparedness exercises in this three-part 1.5 hour training.
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* Primary Care Emergency Preparedness Network. (n.d.). Community Health Center Coastal Storm Exercise Plan. (Accessed 1/7/2020.) New York City Department of Health and Mental Hygiene.
This HSEEP-compliant full-scale/functional exercise planning tool can help planners develop a hurricane-specific operations-based exercise for community health centers. It may be referenced by other healthcare facilities for developing similar exercises.
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Russell, M. (2015). The Healthcare Disaster Exercises Toolkit. (Available for purchase.)
This resource provides exercise planning, implementation and evaluation guidance for internal organizational needs, and mechanisms to participate with community partners. Sample scenarios, victim profiles, and a variety of templates will support exercise development, tracking and corrective actions.
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  • Bridget Kanawati This book is actually available for purchase and you can find it online. ASPR TRACIE cannot promote any particular vendor; therefore a link has not been provided for this resource.
    11/4/2016 10:32:27 AM
  • Jennifer Reid No hyperlink to the toolkit.
    11/4/2016 9:28:41 AM
University at Albany, State University of New York, School of Public Health and Health Professions, Center for Public Health Preparedness. (2008). Bridging Community Partners through Drills and Exercises.
This training program highlights the importance of community cooperation in preparedness planning and exercises.
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Yamaki, K., Mitchell, J., Coniglio, R., et al. (2018). Including People with Disabilities in Emergency Preparedness Activities. Illinois Department of Public Health.
This transcript is from a webinar designed to assist emergency preparedness professionals with including people with access and functional needs in emergency planning and exercises.
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Evaluation


* Federal Emergency Management Agency. (n.d.). HSEEP Policy and Guidance. (Accessed 1/7/2020.)
This website contains links to templates emergency planners can tailor for exercise program management, design and development, conduct, evaluation, and improvement planning. A link to exercise evaluation guides is also provided.
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Harvard T.H. Chan School of Public Health. (2014). Emergency Preparedness Exercise Evaluation Toolkit.
This online toolkit can help public health and healthcare agencies develop exercise evaluation forms for disaster exercise.
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Johns Hopkins University Evidence-based Practice Center. (2008). Tool for Evaluating Core Elements of Hospital Disaster Drills. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
The Center developed a set of evaluation modules and addendums for operationalized hospital disaster drills in 2004 and abridged it in 2008. The focus of this version is critical elements of drill evaluation that all hospitals should address as part of disaster preparedness.
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This article characterizes the internal and interrater reliability of a hospital disaster drill performance evaluation tool developed by the Johns Hopkins University Evidence-based Practice Center, under contract from the Agency for Healthcare Research and Quality.
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Guidance


Cheung, M., Vu, A., Varlese, D., et al. (2010). Hospital Preparedness Exercises: Guidebook. U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality.
This guidebook shares requirements necessary for Federal funding and hospital accreditation as of 2009. Though it is somewhat outdated, the general concepts and references the guidebook contains may still assist healthcare emergency professionals in planning, carrying out, and evaluating exercises.
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Fruhwirth, K., Chambers, G., Shields, S., and Torres, R. (2012). Conducting Drills and Exercises: A Guide for Hospitals.
This guidebook includes general information on exercise design, creation and evaluation. Chapter 5 includes detailed guidance for scenario development, as well as numerous sample scenarios planners may find useful in developing their own exercises.
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Harvard University, Harvard T.H. Chan School of Public Health, Emergency Preparedness Research, Evaluation and Practice (EPREP). (2013). Public Health Emergency Preparedness Exercise Evaluation Toolkit Manual.
This toolkit manual can help exercise planners and evaluators prepare to conduct and evaluate emergency preparedness exercises. It includes sections on evaluation methodology and tools, exercise basics, and After Action Reports.
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Office of the Assistant Secretary for Preparedness and Response. (2016). 2017-2022 Health Care Preparedness and Response Capabilities. U.S. Department of Health and Human Services.
This 70-page document describes the four capabilities that healthcare coalitions and individual healthcare facilities need to prepare for, respond to, and recover from emergencies. The capabilities are: foundation for healthcare and medical readiness; healthcare and medical response coordination; continuity of healthcare service delivery; and medical surge. For example, Capability 1, Objective 4 covers training and preparing the healthcare and medical workforce (Objective 4, Activities 3-5 also contain specific information about exercises within the HPP program) and Capability 3, Objective 7 is focused on coordinating healthcare delivery system recovery.
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Robert Wood Johnson Foundation, Network for Public Health Law. (2011). Non-Profit Organization Liability Related to Volunteer Actors During Preparedness Training Exercises.
This document—while specific to the State of Arizona—describes liability risks for individuals that volunteer to participate in preparedness training exercises with local hospitals and may be used by other states.
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This PowerPoint presentation highlights examples of public health-related exercises that foster unconventional learning outcomes as opposed to the usual testing of plans and meeting established metrics.
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The webinar host identifies some of the regulatory and accreditation requirements for hospital emergency management and preparedness, and discusses some of the most common challenges to planning and executing emergency training and exercises in the hospital environment.
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Uniformed Services University of the Health Sciences, National Center for Disaster Medicine and Public Health (NCDMPH). (2015). Aligning Exercises in Your Community.
This document was developed to help assist healthcare coalition leaders find new potential partners for disaster exercises.
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Plans, Tools, and Templates


The speakers in this webinar discussed exercise templates designed to help manage patients with highly pathogenic infectious diseases; explained how exercises support ASPR's regional, tiered approach; and shared their experiences planning and executing exercises for Ebola and other special pathogens.
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The speakers shared information on exercise templates (specifically tailored for regional transport) to test readiness for highly pathogenic infectious patients; explained how exercises support ASPR’s regional, tiered approach; and discussed tips from three jurisdictions on how to exercise plans.
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* Association of Healthcare Emergency Preparedness Professionals. (2014). Disaster Exercises.
This website provides links to operations- and exercise-based documents and other resources that can assist healthcare emergency planners with creating, conducting and evaluating exercises.
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California Hospital Association. (n.d.). Drills and Exercises. (Accessed 1/7/2020.)
This website features links to checklists, reference guides, and all of the materials needed for a hospital active shooter interactive tabletop exercise.
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* Federal Emergency Management Agency. (n.d.). HSEEP Policy and Guidance. (Accessed 1/7/2020.)
This website contains links to templates emergency planners can tailor for exercise program management, design and development, conduct, evaluation, and improvement planning. A link to exercise evaluation guides is also provided.
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Public, private, and non-governmental organizations can use the resources on this page to prepare for and respond to emergencies of all types. Resources, including an exercise evaluation toolkit, are focused on design and facilitation, evaluation, exercise resources, and hospital-specific exercises.
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This toolkit provides training resources for healthcare coalitions that align to the 15 Public Health Emergency Preparedness Capabilities. (Please note that this resource references the 2011 version of the capabilities.)
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National Ebola Training and Education Center. (n.d.). NETEC Exercise Templates. (Accessed 1/7/2020.)
This web page includes links to various Homeland Security Exercise and Evaluation Program-compliant templates to assist healthcare coalitions, frontline facilities, assessment hospitals, state-designated Ebola treatment centers, regional Ebola and special pathogen treatment centers, and their respective response partners in the planning and conduct of exercises on the identification, assessment, treatment, management, transport, and transfer of high risk patients. The site includes templates for drills, tabletops, functional, and full-scale exercises. There is also a beginners guide to assist users new to exercise planning.
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New York City Department of Health and Mental Hygiene. (n.d.). Mystery Patient Drill Toolkit. (Accessed 1/7/2020.)
This toolkit is intended for use by hospital emergency departments, and tests how long it takes for a potential patient with a highly infectious disease to be identified and for staff to begin exposure mitigation procedures; how long it takes for a patient to be transferred to an isolation room; and the capability of the facility to make notifications internally and to the health department. The Toolkit includes scenarios for Ebola Virus Disease, Middle East Respiratory Syndrome, and Measles, but may be modified to suit healthcare facilities of any nature and any type of disease outbreak.
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New York State Health Emergency Preparedness Coalition. (n.d.). Homeland Security Exercise and Evaluation Program (HSEEP). (Accessed 1/7/2020.)
This webpage includes links specific to the HSEEP program, as well as many HSEEP-compliant customizable templates for designing, conducting, and evaluating exercises.
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Northwest Health Services Coalition. (2019). TExercise/Drill Materials.
This web page includes links to a variety of templates (e.g., after action reports, drills/tabletop examples, scenarios, and evaluation guides) healthcare facilities can tailor to suit their needs.
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* Primary Care Emergency Preparedness Network. (n.d.). Community Health Center Coastal Storm Exercise Plan. (Accessed 1/7/2020.) New York City Department of Health and Mental Hygiene.
This HSEEP-compliant full-scale/functional exercise planning tool can help planners develop a hurricane-specific operations-based exercise for community health centers. It may be referenced by other healthcare facilities for developing similar exercises.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2017). Coalition Surge Test: An Exercise for Assessing and Improving Health Care Coalition Readiness.
This resource is the Handbook for Peer Assessors and Trusted Insider for the Coalition Surge Test. Healthcare coalitions can use this no-notice exercise to identify gaps in surge planning related to evacuating patients. The exercise tests a coalition’s ability to locate appropriate destinations for patients in a simulated evacuation of patient care facilities.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2017). Health Care Coalition Surge Test Tool.
This training video provides an overview of how to use the HHS ASPR Health Care Coalition Surge Test Tool. The tool can be found at https://www.phe.gov/Preparedness/planning/hpp/Pages/coaltion-tool.aspx.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2017). Hospital Surge Evaluation Tool.
This tool can be used by hospital emergency planners, administrators, and other personnel to both assess and enhance their facility’s surge plans. It includes evaluation tools specific to emergency department triage and hospital incident command.
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U.S. Department of Health and Human Services, Office of the Assistant Secretary for Preparedness and Response. (2017). HPP Coalition Surge Test Webinar.
This presentation describes the Coalition Surge Test, an annual grant requirement for healthcare coalitions (HCCs) that tests a simulated evacuation for 20% of the HCCs acute care bed capacity. Lessons learned and best practices from HCCs that participated during a pilot phase, and guidance for using exercise tools, are also reviewed including the role of HCC in coordination of evacuation activities. A link to the archived webinar is included. (For post-webinar questions and answers, access: https://files.asprtracie.hhs.gov/documents/aspr-tracie-ta-coalition-surge-test-webinar-qa.pdf.)
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Weston, B., Simpson, N., Hart, D., et al. (2015). Multiple Casualty Scenario from a Bomb/Blast Injury. MedEdPORTAL Publications. 2015;11:10065.
This article describes in detail the simulation plan for a blast-related mass casualty incident exercise targeted to emergency medicine residents. All of the associated materials may be downloaded for free. All the supporting materials are available for free download.
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Plans, Tools, and Templates: Full Scale Exercises


This After Action Report/ Improvement Plan (AAR/IP) provides a summary of a full-scale exercise focusing on a multi-hurricane scenario impacting the entire state of Florida. Multiple core capabilities were exercised such as: intelligence and information sharing, public health and medical services, public and private services and resources, public information and warning, and mass care services. Note: Although not specific to hospitals, this resource can serve as an AAR/IP template and be modified for your organization’s purposes.
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This AAR/IP provides a summary of the Central West Medical Coordination Center regional mass casualty exercise. Organizers developed two objectives for this exercise: evaluate the ability to evacuate residents from a long-term care facility and evaluate medical surge into an acute care hospital. This document can also serve as a template for other community exercises.
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Los Angeles County Emergency Medical Services Agency. (2017). Exercise Plan: Active Shooter/ Terrorist Scenario. Full Scale Exercise.
This customizable FSE template uses a state-wide terror attack as the scenario. It includes forms and checklists as appendices.
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Massachusetts Office of Health and Human Services. (2009). EDS Full Scale Exercise (FSE).
This webpage contains links to resources that comprise of a toolkit on developing, running, and evaluating an Emergency Dispensing Site. The toolkit includes instructions, a Master Scenario Events List, evaluation guides, and other related documents that can be tailored by healthcare exercise planners.
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* Primary Care Emergency Preparedness Network. (n.d.). Community Health Center Coastal Storm Exercise Plan. (Accessed 1/7/2020.) New York City Department of Health and Mental Hygiene.
This HSEEP-compliant full-scale/functional exercise planning tool can help planners develop a hurricane-specific operations-based exercise for community health centers. It may be referenced by other healthcare facilities for developing similar exercises.
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* San Francisco Department of Public Health, Charles Schwab & Co., Inc., and San Francisco Department of Emergency Management. (2007). 2007 Mass Antibiotic Dispensing Exercise (MADE07) After Action Report.
This after action report describes a full-scale exercise developed to test the capability of San Francisco Department of Public Health’s (SFDPH) plan for rapid mass prophylaxis dispensing in an outdoor aerosolized anthrax release scenario. Pediatric issues (e.g., medication dispensing) are addressed throughout the AAR.
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South Carolina Emergency Management Division. (2016). 2016 South Carolina Full Scale Exercise—“Shaken, Not Stirred”.
This exercise plan serves as a template for a full scale earthquake exercise.
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Plans, Tools and Templates: Tabletop Exercises


This resource kit was developed through a collaboration between the American Academy of Pediatrics and the Centers for Disease Control and Prevention. Its purpose is to “provide the tools and templates to make it easier for states, communities, hospitals, or healthcare coalitions to conduct a pediatric tabletop exercise, which provides participants with the opportunity to discuss and assess preparedness plans and capabilities for a disaster that affects children.”
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This Situation Manual (SitMan) is intended for participants of a tabletop exercise that focused on emergency response plans, policies, and procedures as they pertain to an active shooter event at a community health center.
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* Association of Healthcare Emergency Preparedness Professionals. (2014). Disaster Exercises.
This website provides links to operations- and exercise-based documents and other resources that can assist healthcare emergency planners with creating, conducting and evaluating exercises.
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Centers for Disease Control and Prevention (CDC). (2018). Pan Flu Scramble Exercise.
This website provides access to the Pan Flu Scramble Exercise, a discussion based tabletop exercise that enables healthcare entities to test their patient surge plans. The exercise also addressed Hospital Preparedness Program and Public Health Emergency Preparedness capabilities.
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This situation manual for a tabletop exercise provides participants an opportunity to evaluate response plans and hospital readiness for a severe weather scenario requiring hospital evacuation. The discussion exercise is designed for a single hospital.
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This presentation addresses the purpose of the tabletop exercise, describes the wildfire scenario that impacts the community health center, and provides discussion questions for participants.
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District 1 [Michigan] Regional Medical Response Coalition. (2010). Situation Manual: Shelter-In-Place/Evacuation Tabletop Exercise: Long Term Care Facility.
This Situation Manual includes exercise materials from Michigan, where exercise participants were given the tools to implement and evaluate the Long Term Care Facility (LTC) tabletop exercise. The purpose of this exercise was to provide a forum for LTCs and other organization to participate in a facilitated discussion regarding their roles and responsibilities during shelter-in-place and evacuation emergencies.
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Federal Emergency Management Agency. (2017). Emergency Planning Exercises for Your Organization.
This website provides links to examples of tabletop exercises that organizations can utilize and adapt in preparation for emergencies.
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Georgia Hospital Association. (2014). Tornado Tabletop Exercise.
This Tornado Tabletop Exercise Template Situation Manual can be adapted to other healthcare facilities and provides exercise participants with information necessary to completing their designated role in the exercise.
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  • Bridget Kanawati Hi Nathan. Thank you for bringing the broken link to our attention. We replaced it with the following link: http://c.ymcdn.com/sites/www.mpca.net/resource/resmgr/emergency_management/TORNADO-TABLETOP-EXERCISE_fi.pdf. Thank you. ASPR TRACIE Team
    11/20/2017 12:35:35 PM
  • Nathan Lee This resource is not available.
    11/20/2017 9:53:06 AM
Primary Care Development Corporation, and the National Association of Community Health Centers. (n.d.). Severe Weather Table Top Exercise. (Accessed 1/7/2020.)
This presentation addresses the purpose of the tabletop exercise, describes the severe weather scenario that impacts the community health center, and provides discussion questions for participants.
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U.S. Department of Homeland Security. (2013). DHS Cyber Tabletop Exercise (TTX) for the Healthcare Industry.
This package of materials can help healthcare industry organizations plan and organize a cyber tabletop exercise.
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University of Washington, Northwest Center for Public Health Practice (NWCPH). (2015). Communicating During Emergencies: A Pandemic Flu Tabletop Exercise. (Site requires free registration).
This tabletop exercise enables participants to identify strengths and gaps in policies and procedures as it relates to communication systems during a major multi-agency pandemic impacting a large county.
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Research


Breslin, P., McGowan, C., Pecheux, B. and Sudol, R. (2007). Serious Gaming: Advanced Computer Simulation Games Help to Transform Healthcare and Disaster Preparedness. Health Management Technology. 28(10):14, 16-17.
This article describes a game-based training environment that incorporates multiple, adjustable, variables such as numbers of participants and victims, skill level of first responders and relative effectiveness of the measures taken. The key innovation underlying the simulation is a capability called Game Analysis, which captures and analyzes all of the data generated during the play of a game.
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Gillett, B., Silverberg, M., Roblin, P., et al. (2011). Computer-Facilitated Assessment of Disaster Preparedness for Remote Hospitals in a Long-Distance, Virtual Tabletop Drill Model. (Free registration required.) Prehospital Disaster Medicine. 26(3):230-3.
The authors developed and tested an Internet-based software tool to assess disaster preparedness for remote hospitals using a long-distance, virtual, tabletop drill. Results were positive, and indicated that weekly reinforcement contributed to strong compliance with the study.
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Pate, A., Bratberg, J., Robertson, C. et al. (2016). Evaluation of a Tabletop Emergency Preparedness Exercise for Pharmacy Students. American Journal of Pharmaceutical Education.
The purpose of this research study was to demonstrate the application and observe the effects of an emergency preparedness laboratory activity (e.g. discussion based tabletop exercise) on second-year pharmacy students. The focus of the activity was for students to create and examine emergency response plans within small groups.
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Agencies and Organizations


Federal Emergency Management Agency. Center for Domestic Preparedness.
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Federal Emergency Management Agency. Core Capabilities.
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Federal Emergency Management Agency. Emergency Planning Exercises.
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