Maryland Region III 2019 Evacuation/Medical Surge Exercise - After-Action Report/Improvement Plan

Sep 12, 2026

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Maryland Region III Health and Medical Coalition’s 2019 Evacuation/Medical Surge Exercise Operation Time to Go 2 After-Action Report/Improvement Plan evaluates preparedness activities for a regional heatwave combined with utility outages and required hospital evacuations. The report aligns exercise objectives with national health care preparedness guidance and the Hospital Preparedness Program measures. It details the scope, objectives, mission area, participating capabilities, and the coordination mechanisms used to support patient placement, transport documentation, and interagency communications.

LanguageEnglish

CategoryPresentations

FormatPDF

Pages31

Reading Time11 min

AccessFree to download

Exercise Overview

Objectives

Threat or Hazard

Scenario

Sponsor and Participating Organizations

Points of Contact (POC)

Executive Summary

Maryland Region III Health and Medical Coalition 2019 Evacuation/Medical Surge Exercise Operation Time to Go 2 After-Action Report/Improvement Plan AAR/IP Revision Date: July 23, 2019 Date of Exercise: June 11, 2019 The After Action Report and Improvement Plan (AAR/IP) aligns exercise objectives with preparedness doctrine to include the National Preparedness Goal and related frameworks and guidance. Specific to this report, the exercise objectives align with the Assistant Secretary for Preparedness and Response’s (ASPR) National Guidance for Health Care Preparedness and the Hospital Preparedness Program Measures. EXERCISE OVERVIEW | Exercise Name | 2019 Evacuation/Medical Surge Exercise-Operation Time to Go 2 | | --- | --- | | Exercise Date | June 11, 2019
8:00 [a.m. to](a.m. to) 12:30 p.m. | | Scope | The 2019 Evacuation/Medical Surge Exercise was conducted over approximately 4.5 hours at four primary venues (Northwest Hospital, Sinai Hospital of Baltimore, Johns Hopkins Bayview Medical Center, and MedStar Franklin Square Medical Center) and multiple additional venues. The exercise scenario involved a response to power outages, driving evacuation of pre-determined hospitals (Northwest, Sinai, and Johns Hopkins Bayview) and corresponding medical surge at receiving hospitals. | | Mission Area(s) | Response | | HPP and Response Capabilities | Hospital Preparedness Program (HPP) Capabilities:
HPP Capability \#2 – Health Care and Medical Response Coordination HPP Capability \#3 – Continuity of Health Care Service Delivery (performance measures included as Appendix E)
Response/Joint Commission Capabilities:
- Communications
- Resource and Asset Mobilization
- Staff Roles and Responsibilities
- Patient Clinical and Support Care
- Safety and Security
- Utilities | | Objectives | 1. The evacuating hospitals will report their initial census, number of patients discharged, and patients remaining (waiting for placement) for each of the seven identified exercise hospital units as evidenced by their completion and submission of Exercise Table A-1.
2. The evacuating hospitals will report the names of the receiving hospitals and the number of patients in each exercise bed category they are accepting as evidenced by their completion and submission of Exercise Table A-2.
3. The evacuating hospitals will report the name of each transport organization or indicate they have made contact with MIEMSS and document the type of emergency transportation that is being provided as evidenced by their completion and submission of Exercise Table A-3. | | | 4. The evacuating hospitals will notify the appropriate government agencies once the decision is made to evacuate as evidence by their notification documentation (name of agency and time of notification) .
5. The evacuating hospitals will demonstrate knowledge of activities their facility should undertake within the first two hours ofa hospital evacuation process as evidenced by their documentation of activities per their hospital protocol.
6. All participating hospitals and needed state agencies will coordinate patient placement through the use of a regional teleconference as evidenced by their representation and active participation in providing assistance for bed placement.
7. Jurisdictional and state-level health and medical participants will communicate with appropriate jurisdictional and state-level stakeholders to process received requests for assistance and allocate resources as evidenced by documentation of activities by all involved parties. | | --- | --- | | Threat or Hazard | Regional Heatwave and Utility Outage Incident-including hospital patient evacuations | | Scenario | The scenario for this exercise includes a regional heatwave and resultant surge in admissions for heat-related illnesses. Additionally, utility breakdowns at Northwest, Sinai, and Johns Hopkins Bayview create conditions for evacuation of patients to other regional

FAQs

What incident scenario did the 2019 exercise simulate?

The exercise simulated a regional heatwave with increasing admissions for heat-related illness, combined with utility outages that required evacuation of predetermined hospitals and diversion of patients to receiving hospitals.

How did the exercise align objectives with preparedness guidance?

The After-Action Report/Improvement Plan aligns exercise objectives with preparedness doctrine and with national health care preparedness guidance and Hospital Preparedness Program measures.

What were key reporting and coordination expectations for participating hospitals?

Evacuating hospitals reported initial census, discharged and remaining patients by unit; provided receiving hospital names and bed categories accepted; documented transport organizations and notification to government agencies. Participating hospitals coordinated patient placement via a regional teleconference and communicated with stakeholders to process requests and allocate resources.

Sep 12, 2026

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