The Express
October 2017

As summer turns to fall, our country continues to recover from the worst mass shooting in recent history and three historic hurricanes that battered the Gulf States, Puerto Rico, and the U.S. Virgin Islands. States in the west continue to fight and recover from wildfires, and flu season has begun. The ASPR TRACIE Team would like to remind our readers of the various resources we have created with subject matter expert input and our recently released tutorials that can help you make the most out of your ASPR TRACIE experience. 


This issue of The Express includes information on mass violence, hurricanes, disaster behavioral health, cybersecurity, information on upcoming ASPR TRACIE webinars, recent webinar recordings, links to new and updated resources, and updates regarding the CMS Emergency Preparedness Rule.  

Resources on Mass Violence
On October 1st, our nation experienced our worst mass shooting in recent history. To assist responders, clinicians, health care coalitions, and communities with planning for, responding to, and recovering from mass violence events, we created this webpage
Hurricane Resources
Due to the extremely active 2017 hurricane season and in response to numerous requests for technical assistance, ASPR TRACIE published the working draft Major Hurricanes: Potential Public Health and Medical Implications. This document provides an overview of the public health and medical response and recovery needs facing hurricane- and severe storm-affected areas, based on past experience and lessons learned. Hurricane Resources at Your Fingertips includes links to resources applicable to a variety of health care stakeholders and audiences. After the Flood: Mold-Specific Resources can help residents, business owners, and health care facility executives with the arduous job of cleaning up after floods, to include preventing, identifying, and getting rid of mold. Our Zika: Resources at Your Fingertips document was recently updated to include information on the effect hurricanes and tropical storms may have on Zika.   
Disaster Behavioral Health Resources 
The emotional, physical, and financial tolls of disaster can be jarring, and no one in the community is immune. Disaster behavioral health (DBH) includes the provision of mental health, substance abuse, and stress management services to disaster survivors and responders. Incorporating DBH into all phases of emergency management can ensure resident and responder preparedness, an effective, compassionate response effort, and a more resilient community moving forward. Access Disaster Behavioral Health: Resources at Your Fingertips for links to select DBH programs and resources. 
October is National Cybersecurity Awareness Month 

Is your health care facility prepared for a cyberattack? Do you practice cyber hygiene? In this ASPR TRACIE roundtable, speakers shared lessons learned from the attack on MedStar Health, general information about cyberattacks and cyber hygiene, and the collaborative effort being taken by the federal government to address this threat. The resources in our Cybersecurity Topic Collection can help stakeholders better protect against, mitigate, respond to, and recover from cyber threats, ensuring patient safety and operational continuity. Authors share their stories (from federal, state, and local perspectives) in Issue 2 of The Exchange.  


Don’t forget to visit the National Health Information Sharing and Analysis Center, a trusted community of critical infrastructure owners and operators within the Health Care and Public Health Sector dedicated to improving cyber resiliency for Health Care and Public Health Sector Information Technology professionals. Questions or comments on cyber issues should be directed to the ASPR CIP team

Save the Dates: Upcoming Webinars and Conference Sessions 

Join health and human service agencies from Louisiana as they share lessons learned from the 2016 floods on October 18, from 2:00-3:00 ET. The webinar Health and Social Services Recovery Lessons Learned from the 2016 Louisiana Flooding will feature speakers discussing how they managed their recovery, organized, designed, and implemented federally- compliant recovery programs, and delivered the best possible services to their communities. Register now—space is limited.  


On November 9, from 2:00-3:00 ET, join ASPR TRACIE and the National Ebola Training and Education Center (NETEC) for the webinar Highly Pathogenic Infectious Disease Exercise Planning for Health Care Coalitions. This fourth in a series of joint webinars will highlight NETEC’s free exercise templates for HCCs to test their readiness to manage patients suspected or known to have a highly infectious disease and will feature speakers from HCCs that have already exercised their plans. Register now—space is limited.  


Attending the Association of Healthcare Emergency Preparedness Professionals conference? Check out our panel on November 9, from 2:30-3:30 ET, where you can learn more about how ASPR TRACIE can work for you from Shayne Brannman, our Program Director.  


Be sure to check out our panel on November 29, from 10:45-12:00 ET at the National Healthcare Coalition Preparedness Conference! Our team will share information on just-released tools for coalitions. Don’t forget to stop by our poster presentation on Disaster Medication Stocking and Shortages, too. 

Recently Released ASPR TRACIE Webinars

ASPR TRACIE hosted New Resources to Help Improve Health Care Coalition Preparedness on September 14. During this webinar, speakers provided an overview of tools and templates designed to help coalitions maximize effort. This fact sheet includes links to select tools and templates; access our coalition-specific webpage for other resources.  


Together with NETEC, we held the Highly Pathogenic Infectious Disease Exercise Planning for Regional Transport webinar on August 23. Speakers shared tips and lessons learned from recent regional transport exercises in Maryland, Texas, and Nevada. 

CMS Emergency Preparedness Rule Resource Updates and Reminders

CMS has developed the new Emergency Preparedness Training Online Course which is available 24/7. This course is required for all State Survey Agency and Regional Office surveyors and reviewers who conduct or review health and safety or Life Safety Code surveys for emergency preparedness requirements. Non-survey professionals involved in and responsible for ensuring compliance with regulations are also encouraged to take the course. Accessing the course is simple: When you navigate to the Integrated Surveyor Training Website  (, click on "I am a Provider." Next, click on the course catalog and search for the “Emergency Preparedness” course. You do not need a username and password when accessing the course through the provider link. If you need technical assistance, please contact the CMS ISTW Help Desk at 1-855-791-8900 or Surveying for the emergency preparedness requirements begins November 15.


Additional resources can be found on the ASPR TRACIE CMS EP Rule page and in the recently updated ASPR TRACIE CMS and Disasters: Resources at Your Fingertips document. 


Don’t forget about the Advanced Copy of CMS Interpretive Guidance and CMS’ Surveyor Tool, which illustrates whether and how each of the 17 provider types is affected by specific Code of Federal Regulations citations. 

Domain Updates
Technical Resources Icon Technical Resources
There are currently 49 comprehensively developed Topic Collections in the Technical Resources domain, including the most recently released collections On-Scene Mass Casualty Triage and Trauma Care, Volunteer Management, and Epidemic/Pandemic Influenza. Our next two collections focus on Training and Workforce Development and Health Care Coalition Response. You can also access the recently updated Avian Influenza: Resources at Your Fingertips and related resources on our Select Infectious Disease Resources Page.
Assistance Center Icon Assistance Center
The Assistance Center has processed over 2,400 technical assistance (TA) requests from a variety of stakeholders (including nearly 600 related to the CMS EP Rule). We maintain a summary of many of the TA requests received, listed alphabetically. We encourage you to reach out if you need assistance. 
Information Exchange Icon Information Exchange
Join over 3,600 of your colleagues in the Information Exchange and check out the full redacted versions of ASPR TRACIE’s responses to select TA requests and ASPR TRACIE webinars. Register now to join the conversation or learn more about setting up private topic areas. Need help navigating the IE? Check out this quick how-to video
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