The purpose of this drill was to evaluate the effectiveness of the Regional Healthcare Preparedness Coalition (RHPC) to communicate with partners during a region-wide communications disruption.

June 2023 SETRAC Off the Grid Communications Drill

This exercise is a functional exercise, planned for 1300-1600 at Houston Transtar, CMOC. Exercise play is limited to CMOC staff on site and participating facilities at their respective locations.

Radiological Response FE AAR

In the months of March and April 2023, the Regional Healthcare Coalition participated in tabletop exercises focused on response to a radiological incident affecting healthcare organizations in Southeast Texas. The After-action Report highlights both the strengths and areas for improvement throughout the region for this type of response.

Radiological Response TTX AAR

This after-action report covers the strengths and areas for improvement identified in the response to the Deer Park Tornado incident at San Jacinto Manor in January 2023.

AAR – Deer Park Tornado

This is a collaborative, hands-on training between the EMTF-6 AMBUS Team and UTMB-Galveston NICU Staff. Evacuation plans will be discussed, and participants will be familiarized with NICU equipment and the procedures required to move and secure NICU isolettes into two versions of AMBUS.

AAR AMBUS-UTMB NICU Evacuation Training 2022

The purpose of this drill was to evaluate the effectiveness of the Regional Healthcare Preparedness Coalition (RHPC) to communicate with partners during a region-wide communications disruption.

December 2022 SETRAC Off the Grid Communications Drill

The 2022 National Disaster Medical System (NDMS) Tabletop Exercise was used to validate the NDMS plan in the event of a major incident affecting the healthcare infrastructure outside the Southeast Texas region, which would require a mass evacuation and surge into Southeast Texas.

2022 National Disaster Medical System (NDMS) Tabletop Exercise

The purpose of this drill was to evaluate the effectiveness of the Regional Healthcare Preparedness Coalition (RHPC) to communicate with partners during a region-wide communications disruption.

June 2022 SETRAC Off the Grid Communications Drill

This is a tabletop exercise planned to occur during Corridors’ monthly meetings. Healthcare systems’ inclement weather and hurricane plans will be discussed, as well as procedures for evacuation and recovery systems. Exercise play is limited to meeting participants.

Hurricane TTX 2022 AAR

The first phase (Phase I) of the exercise was a tabletop discussion that lasted 2 hours at the Southeast Texas Regional Advisory Council (SETRAC) Conference Center, 1111 North Loop West, Houston, TX 77008. Tabletop discussion focused on the Regional Burn Surge Plan, which includes identifying recommended triage, transport, equipment, and coordination strategies for the mass surge of burn patients after a catastrophic, no-notice burn mass casualty incident (BMCI) in a SETRAC Corridor. The second phase (Phase II), focused on CMOC operations 4 hours from the initial incident when healthcare facilities are taxed, and the coordination of efforts is required.

Burn Surge Tabletop Exercise (TTX) and Functional Exercise (FE) 2022

The purpose of this exercise is to provide the CMOC with an opportunity to evacuate partner hospitals in our northernmost area in TSA-H. The exercise will focus on coordination, continuity of operations, and Medical Surge.

Medical Response Surge Exercise (MRSE) After Action Report, February 5, 2022

At approximately 17:30 PM on Wednesday, January 26, 2022, a fire began in LBJ’s Emergency Center after a patient attempted to light a cigarette while connected to a bi-pap oxygen machine, thus starting a fire that spread to the patient’s bed. The fire was quickly extinguished and the patient received immediate treatment. Due to smoke and extinguisher residue remaining and the need for cleanup, the decision was made to transport patients to nearby Ben Taub Hospital and St. Joseph’s Medical Center.

Lyndon B. Johnson Hospital Emergency Department Fire, January 26, 2022

The purpose of this drill was to evaluate the effectiveness of the Regional Healthcare Preparedness Coalition (RHPC) to communicate with partners during a region-wide communications disruption.

Off the Grid Communications Drill AAR 12-2021

This is a Tabletop exercise, planned for two hours with the local, state, and federal partners. Exercise play is limited to identified stakeholders who registered for the pre-symposium tabletop exercise.

Pre-Symposium Cyber Tabletop Exercise

The LyondellBasell Chemical Release 2021 affected Southeast Texas, more specifically the employees of the LyondellBasell Chemical Plant in La Port Texas. A total of 42 people required treatment for injuries and two deceased.

LyondellBasell Chemical Release 2021

A pool began to leak chemicals around 3 p.m., causing skin irritation, a burning sensation, and respiratory issues for dozens of visitors. The park was evacuated, and hazmat teams were called in to decontaminate multiple park goers of the chemicals.

Six Flags Hurricane Harbor, Splashtown Chemical Incident 2021

Hurricane Nicholas was a strong Category 1 hurricane that made landfall near Sargent Beach, Texas impacting the Southeast Texas Region.

Hurricane Nicholas

The purpose of this exercise is to socialize and validate the NDMS plan in the event of a major hurricane affecting the upper gulf coast.

NDMS Tabletop Exercise After Action Report (AAR) /Improvement Plan (IP)

The purpose of this drill was to evaluate the effectiveness of the Regional Healthcare Preparedness Coalition (RHPC) to communicate with partners during a region-wide communications disruption.

Off the Grid Communications Drill AAR 5-2021

The 2021 RHPC CMOC Hurricane Exercise series, named Hurricane Claire was a multiple-agency, multiple-site incidents designed to exercise and assess the capability of the coalition region to respond in a coordinated effort to a region wide Hurricane with cascading effects.

Hurricane Claire TTX AAR 5-2021

This discussion-based exercise is scheduled for 6 hours at the Southeast Texas Regional Advisory Council (SETRAC) Conference Center, 1111 North Loop West, Houston, TX 77008. Exercise discussion is limited to socializing and testing the Regional PEMS Plan, which includes identifying recommended equipment and coordination strategies for the safe evacuation and mass surge of pediatric, neonate and responsible guardian services before, during, and after potential natural disasters and no-notice incidents across the SETRAC/Catastrophic Medical Operation Center (CMOC) 25-county region.

Regional Pediatric Evacuation and Mass Surge (PEMS) Tabletop Exercise (TTX) 2020

This discussion-based exercise is scheduled for 4 hours at the Southeast Texas Regional Advisory Council (SETRAC) Conference Center, 1111 North Loop West, Houston, TX 77008. Exercise discussion is limited to socializing and testing the Regional Burn Surge Plan, which includes identifying recommended triage, transport, equipment, and coordination strategies for the mass surge of burn patients after a catastrophic, no-notice mass casualty incident in the SETRAC 25-county region.

Regional Burn Surge Tabletop Exercise (TTX)

The February Winter Weather 2021 affected the entire state of Texas with snow, and freezing temperatures. Cascading effects included widespread power outages which caused issues with lift stations, pumps, and resulted in boil water notices for all Southeast Texas and most of the State of Texas.

AAR Feb Winter Weather 2021

The purpose of this exercise series was to provide participants with an opportunity to evaluate their plans and capabilities while preparing for an impending Tropical System in the midst of a pandemic.

Hurricane Elsa TTX AAR

Hurricane Laura was a strong Category 4 hurricane that made landfall near Cameron, Louisiana impacting the Southeast Texas Region.

AAR Laura 8-2020

This is a tabletop exercise, planned for three hours with the Regional Health Preparedness Coalition (RHPC). Exercise play is limited to registered participants.

COVID-19 TTX AAR 5-2020

The 2020 RHPC CMOC Exercise series, named Thunderstruck was a multiple-agency, multiple-site incidents designed to exercise and assess the capability of the coalition region to respond in a coordinated effort to a region wide severe weather outbreak.

Operation Thunderstruck TTX AAR 5-2020

The 2019 RHPC CMOC Functional Exercise, named Operation Blindside was a multiple-agency, multiple-site event designed to exercise and assess the capability of the coalition region to respond in a coordinated effort to a region wide coordinated attack. The Exercise provided the opportunity to exercise and evaluate the implementation of doctrine and policies provided in existing plans.

Combined Corridor Table Top Exercise AAR

The Texas Soaker Full Scale Exercise (FSE) was a multiple-agency, region-wide event designed to exercise and assess the capability of the coalition’s Long Term Care and Special Population group to respond in a coordinated effort facing a significant weather event within RHPC.

TSA-H AAR

TSA-Q AAR

TSA-R AAR

The 2018 Regional Healthcare Preparedness Coalition (RHPC) Catastrophic Medical Operations Center (CMOC) Functional Exercise, Operation Crazy Train was a region wide multiple-agency, multiple-site event designed to exercise and assess the capability of the region to respond in a coordinated effort to a cyber attack and a multi-site Mass Casualty Incident. Operation Crazy Train consisted of five regional Tabletop Exercises and one Functional Exercise. The Functional Exercise provided an opportunity to exercise and evaluate the implementation of doctrine and policies identified in existing plans.

Downtown Corridor AAR

East Corridor AAR

North Corridor AAR

South Corridor AAR

West Corridor AAR

The 2017 Regional Healthcare Preparedness Coalition (RHPC) Catastrophic Medical Operations Center (CMOC) Functional Exercise, Operation Tempest was a statewide multiple-agency, multiple-site event designed to exercise and assess the capability of the coalition region to respond in a coordinated effort to the landfall of a major hurricane. The Functional Exercise provided the opportunity to exercise and evaluate the implementation of doctrine and policies provided in existing plans.

The 2016 Regional Healthcare Preparedness Coalition (RHPC) Catastrophic Medical Operations Center (CMOC) Functional Exercise, Operation Texas Two Step was a two day exercise; the scenario on Day 1 involved multi-site terrorist attacks utilizing small arms, homicide bombers, and vehicle-borne improvised explosive devices. The scenario on Day 2 involved healthcare agencies responding to the intentional release of Bacillus Anthracis (Anthrax).

The 2015 Regional Healthcare Preparedness Coalition (RHPC) Catastrophic Medical Operations Center (CMOC) Functional Exercise, Operation Purple Haze was a multiple-agency, multiple-site event designed to exercise and assess the capability of the regional medical response plan, through the CMOC, to respond in a coordinated effort to a no-notice incident. The incident focused on emergency operations coordination, medical surge, and communications.

The 2014 Regional Healthcare Preparedness Coalition (RHPC) Catastrophic Medical Operations Center (CMOC) Functional Exercise, Operation Whirlwind Functional Exercise was based on a hurricane scenario. Day One of the exercise began at H-72, primarily exercising communications, information sharing, and decision making. Day Two of the exercise began at H-48 and an emphasis was placed on mitigation planning, situational awareness, assistance to individuals with special needs, and evacuation planning. Day Three began at H-24, and focused on resource management/allocation, and operational readiness. Day Four began at H+12 and focused on health system recovery, reunification, and continuity planning.

The 2013 Regional Healthcare Preparedness Coalition (RHPC) Catastrophic Medical Operations Center (CMOC) Functional Exercise, Operation Morning Star was a functional mass casualty exercise held by the SouthEast Texas Regional Advisory Council (SETRAC) and the RHPC, in partnership with East Texas Gulf Coast Regional Trauma Advisory Council (RAC R). The exercise was developed to test CMOC Emergency Operations Coordination and Medical Surge capabilities.

The 2013 Regional Allocation, Distribution, and Dispensing (RADD) Strategic National Stockpile (SNS) Full Scale Exercise (FSE) assessed the abilities of member jurisdictions within the Texas Department of State Health Services (DSHS) Health Service Region (HSR) 6/5 South and other participating jurisdictions to facilitate intelligence and information sharing; activate the receiving, staging, storing (RSS) site and distribute strategic national stockpile (SNS) resources; coordinate region-wide mass prophylaxis operations with Points of Dispensing Sites (PODs); and coordinate public information.

Please contact SETRAC staff for a copy of the complete AAR