Active Shooter Event – Maximizing Protection of Life JoAnne Carlin | VP Clinical Risk Services Steve Wilder | COO Sorensen, Wilder & Associates Thomas Masiello | VP Enterprise Risk Management, Benchmark SL Frank Russo | Senior VP Risk & Legal Affairs, Silverado
Introductions JoAnne Carlin, MSN, RN, NHA, CPHRM Vice President of Clinical Risk Services, Willis Towers Watson Leads the clinical risk services for the Senior Living Practice at Willis Towers Watson. Held positions as corporate nurse leader in a national senior living company for over a decade and several leadership positons in health systems for over 30 years. Steve Wilder, BA, CHSP, STS President & COO, Sorenson, Wilder & Associates Senior consultant in healthcare safety, security and risk management. Provides consultation services to clients in all types of settings, including hospitals, long-term care, home care agencies, clinics and EMS services. In 2014, Sorensen, Wilder & Associates introduced their program “The Active Shooter in the Healthcare Facility…Planning For…Responding To…and Recovering From the Unthinkable”. Since that time, they have provided this training to thousands of healthcare professional across the nation, including over 30 different state associations and healthcare systems. They have become the recognized industry leader in healthcare workplace violence prevention programs and healthcare active shooter preparedness programs.
Introductions
Thomas Masiello , Jr. Esq. Vice President Enterprise Risk Management , Benchmark Senior Living Benchmark is a leading provider of senior living services in eight states in the Northeast, offering independent living, assisted living, memory care, skilled nursing and short stay programs. Tom is responsible for risk financing, loss control/safety, claims and legal defense. Serves as counsel on HR matters and partners with business units to help manage risks. Previous experience includes in-house trial counsel for American International Group (AIG) with focus on insurance defense, workers’ comp., med mal, premises liability trial practice and counsel for Housing and Urban Development (HUD) at Boston Housing Authority. Spent 20 years managing risk for Gulf Oil. Tom is an AV rated attorney licensed to practice in all Massachusetts state and federal courts and the U.S. Supreme Court. Member of several bar associations and held offices and memberships in various legal, risk and insurance associations. He has authored and provided material and editing assistance for numerous articles, books, and trade publications. Regular presenter at risk and legal education seminars.
Introductions
Frank Russo, MBA Senior Vice President, Risk and Legal Affairs, Silverado Silverado is a well-known senior living provider for memory care residents with communities in six states as well as home and hospice care. Frank is responsible for Silverado’s companywide risk management program, which includes Legal, Professional Insurance and Associate & Resident Safety. He has revised Policies & Procedures company-wide which resulted in the reduction in injuries for both associates and residents alike. His creative and proven risk management programs have garnered him much attention, as he has been the recipient of numerous awards, including Risk & Insurance Magazine’s National PreVent Award and Assisted Living Federation of America’s (ALFA) Best of the Best Award. He has written several featured magazine articles and is a regular expert speaker and commentator at industry and business conferences throughout the country.
Objectives 1) State the differences between preparing for an Active Shooter event versus other types of emergencies or disasters. 2) Describe the components of an Active Shooter / Armed Intruder plan. 3) List the ways to prepare communities and train staff to prevent and respond to an Active Shooter / Armed Intruder event.
Active Shooter Incidents FBI Statistics 2014 - 2015
2014 -2015 It Can Happen: Anytime, Anywhere 40 Incidents in 26 states • 20 in 2014 • 20 in 2015
• 231 Casualties • 92 dead - excluding the shooters • 139 wounded
• 14 ended in shootout with police • 26 ended after law enforcement arrived • 42 shooters • 39 male • 3 female
Emergency Preparedness for Senior Living Communities Storms, Tornados, Earthquakes, Power Outages, Floods, Fires, Communicable Disease Outbreaks How many have a plan for an Active Shooter/Armed Intruder event?
Barriers to being prepared: • • • • • • • •
Subconscious need for normalcy Overwhelming sense of denial Unable to comprehend the scope of the event Optimistic bias Lack of safety culture Lack of planning or preparedness (don’t know where to begin) Poor training (no training) No drills
Senior Living Communities - Unique Setting Home Atmosphere based on a Hospitality Model
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Independent Living Assisted Living Memory Care Skilled Nursing
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Open and Inviting
• • •
Residents –Varying cognitive levels and mobility •
Dependent on caregivers and others in the community
Access control and security • •
Monitoring Management
Buildings and campuses • • •
Multiple buildings Multi-storied Locked units
Geography • •
Response time for law enforcement What is around your community
Active Shooter Plan Elements / Topics Policies and Processes Security Vulnerability Assessment (SVA) performed Workplace Violence Prevention (OSHA requirement) Active Shooter / Armed Intruder
Activation of Emergency Response: A preferred method for reporting active shooter incidents Integration with the community Emergency Operations Plan and Incident Command System Information concerning local area emergency response agencies Emergency escape procedures and route assignments (i.e., floor plans, safe areas)
• • • •
Incident Command System – Leadership and Organization Community Lockdown – Ingress Lockdown, Egress Lockdown, Internal Lockdown •
Lockdown procedures for individual units and locations and other campus buildings
Unplanned Evacuation, Reunification, and Accountability Crisis Communication – Residents, Families, Public Relations Post Incident Recovery – Support, Counseling, Repairs, Return to Normalcy
Security Vulnerability Assessment What are the “threats” (acts or conditions that make an event likely)? What are the vulnerabilities (“chinks in the armor” that would allow an event to occur)? What are the risks (anticipated outcomes if an event occurs)? Assessments are coordinated and comprehensive using the P2T2® system:
People Programs Training Technology
Active Shooter Armed Intruder Readiness – Plan Development Table Top Exercise helps to design, develop and test your plan:
What is it? Why should we do it? Who should do this? How do we do it? • A Tabletop Exercise (TTX) or Discussion Based Exercise (DBE) involves senior staff or other key personnel in an informal group discussion centered on a hypothetical scenario.
Goals • • •
Identify strengths and shortfalls Enhance understanding of new concepts Identify strengths and shortfalls
Conducting the Exercise • • •
Requires a facilitator In-depth discussion Slow-paced problem solving
REMEMBER: Tabletop exercises are the starting point of exercises, testing your plan, not your people.
Active Shooter / Armed Intruder Readiness - Training Exercises To Train and Drill Your Plan • •
Use plain language and practice drills that teach responses to an active shooter Activities are scenario-driven for a specific event
Functional •
Specific areas of the plan that can be trained on and drilled independently
Full Scale Exercise (FSE) • •
Functional exercises allow staff to assess plans and readiness by performing their duties in a simulated operational environment Typically most resource intense. Can involve multiple agencies.
Include RECOVERY in reviewing your plan
Active Shooter / Armed Intruder Readiness - Training Staff Training -What Train on policies including the follow–up of an event Designed to prepare and exercise staff • Communication • Warning • Notifications • Response • Incident command • How to work with law enforcement to maintain a secure crime scene • What steps to take to minimize emotional and physical trauma for residents and staff • Recovery from the event
Active Shooter / Armed Intruder Readiness - Training Staff Training – How (Methods) Discussions of the Topic Power Point Presentations Active Demonstration - Video
Train the trainers in your communities
Active Shooter / Armed Intruder Readiness Senior Living Training –FOUR
OUTS
Introducing : A Senior Living Training Video for Responding to an Active Shooter Event Introduction of the film and acknowledgements
Active Shooter / Armed Intruder Readiness - Recovery
Recovery Resources Needed
Temporary / Alternate Housing for Residents* Media / PR / Press Management* Emergency Management Responder* Recovery & Restoration* Uniformed Security Services (Armed Or Unarmed)* Crisis Counseling* Legal / Defense* Risk / Insurance Management*
* Should have a national footprint or the ability to respond to your locations
Active Shooter / Armed Intruder - Resources and Websites
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U.S. Department of Homeland Security Washington, DC 20528 cfsteam@hq.dhs.gov; www.dhs.gov U.S. Department of Health and Human Services www.hhs.gov Department of Justice Federal Bureau of Investigation Federal Emergency Management Agency www.fbi.gov Active Shooter Preparedness Program ASworkshop@hq.dhs.gov Steve Wilder, Bradley, IL swilder@swa4safety.com Argentum, www.argentum.org Willis Towers Watson, joanne.carlin@willistowerswatson.com
Questions?