CCG is a medical disaster preparedness group that provides tools and consulting to help medical organizations improve their crisis response. It offers seminars, workshops and exercises to aid in senior leadership decision making and staff coordination. CCG's tools include a disaster preparedness platform, response platform called EMRS2020, and medical camps. EMRS2020 aims to provide real-time situational awareness and a common operating picture for all response levels (tactical, operational, strategic) to improve coordination across organizations.

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Medical Disaster Preparedness & Response

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ORGANIZATION
CCG is a medical disaster preparedness group providing the medical
community a Disaster Tool Box to improve senior leadership crisis
decision-making and staff coordination during response phase
CCG offers medical disaster preparedness consulting to Political Elected
Officials, Medical / Logistical / Transportation EOC’s, Medical Directors /
Managers / Administrators and Staff their members, Hospital and Clinic’s,
ICP Commanders and other medical related IGOs and NGOs
CCG is staffed by experienced retired medical & disaster professionals
who were highly skilled individuals in their former careers; DHS, FEMA,
DOD, DHHS, UN and the private sector

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VISION
Dramatically increase effective medical
disaster response, disaster coordination,
capability and achieve Real Time Situational
Awareness for medical organizations
responding to all types of medical disasters.

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Purpose
Build a coordinated, joint effort, in
developing an effective medical response
program for the international medical
community to better respond to catastrophic
disasters to save lives.

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Tools for our Political Decision-Makers & EM Community
Preparedness Platform
Training Exercise Platforms, Validation of Response Plans, Historical
Review of Disaster Responses, Familiarization Tool and more…
Response Platform
Emergency Medical Response System 2020
Camps
Medical Camps

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Who are the Decision-Makers?
The Mayor is responsible for decision-making
• State and Federal organizations are in Support
• Mayor requests State Support (State is
coordinating body of resources outside of city
limits in support of City)
• State requests Federal Support (DHS / FEMA is
Federal coordinating body in support of State)
CITY
STATE
FEDERAL

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CCG provides three of the four exercise platforms available on the market
• Manual (Basic TTX, Advanced TTX and Functional Exercises)
• Constructive (Support to Functional and Full Scale Exercises)
• Live (Full Scale Exercises)

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For Political Elected Officials
Medical Directors / Managers
ICP Commanders
Medical EOC’s and Staff Members (Operation & Planning Officers)
Departmental, Interagency and Cross Agency
Hospital and Clinic’s Responding to a Medical Crisis
…IGOs and NGOs
Senior level Medical Preparedness Consulting
• Validation of Response Plans
• Real Time Information for Situational Awareness
• Courses of Action Development
• Decision Point Development
• Effective Coordination of Resources
• Common Operating Picture

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Medical Exercise Preparedness Series
Senior Medical leadership and Staff Members:
- Medical Seminars & Workshops
- Crisis Medical Decision Making
- Developing Decision Points
- COA / Decision Points Development
- Review / Validate Response Plans
- Review Historic Responses
- Develop Primary & Alternate Strategic Guidance
Medical Exercise Series:
DHS / HSEEP Compliance
-TTX (Discussion, Operation & Interactive)
-Functional Exercises
-Real Time Functional Exercises
-Full Scale Exercises
-Constructive Simulation Supported Exercises
For Political Elected Officials
Medical Directors / Managers
Medical EOC’s and Staff
Members
(Operation & Planning Officers)
Hospital and Clinic’s Responding to a
Medical Crisis
…ICP Commanders, IGOs and NGOs
- Crisis Decision Making
- Course of Action Development
- Developing Decision Points
- Manual & Advanced Exercise Support
- Simulation Supported Exercises
- Specialize in EOC, Medical, Logistical and
Transportation Exercises
President LBJ Conducting a Sand Table Exercise

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TTX-D: Decisional Exercises
TTX-A: Advanced Operational Exercises
ACSS: Advanced Constructive Simulated Supported FE / FSE
TTX-A
Constructive
Simulated
Supported
Example
Functional
Exercise
Medical Exercise Preparedness Series
DHS / HSEEP Compliance
Political Elected
Medical Directors
Medical Managers
Hospitals & Clinics
Medical Responder Leadership

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Conducting Networked Real Time Situational Exercises Enter the 21st Century
EXAMPLE
Live Exercise
Platform
Live Exercise
Platform
Simulated
Exercise
Platform

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EMRS 2020
Emergency Medical Response System
TACTICAL
OPERATIONAL
STRATEGIC
A Concept In Development
EMRS 2020
Is a System,
Not an Application

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Emergency Medical Response System 2020
Response
Integrated Multi-Purpose Medical Combined
Software
Common Operating Picture (COP)
Clinical
Echelons of Care
Communications
Logistics
Locations
Patient Tracking
Real Time Situational Awareness Tactical, Operational and Strategic
EMRS2020 allows Medical leadership to take remote-
charge from when the incident happens
EMRS2020 provides a Common Operating Picture
(COP) for everyone to view and respond

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Common Operating Picture
-Facilities
-Organizations
-Medical Collection Points
Clinical
-Emergency Medical Records
-Patient Movement
Communications
-Text
-Chat
-Live streaming
Logistics
-Medical
Medical Patient ID Bracelets
Scan capable (to & from) w/
use of patient wrist bands
EMRS 2020 is a lightweight software program built on a free standard platform that can be
downloaded to any existing Smart Phone, Pad, Laptop or Desktop

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Suite for Automated Global
Electronic bio-Surveillance is a
collection of modular, flexible,
freely-available software tools
for electronic disease
surveillance in resource-limited
settings
Global Electronic bio-Surveillance

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Common Operating Picture (COP)
APPS
-Application
-Training
-Checklists
Drop Down Menus

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OFDA Supported
US Department of State
INFO ONLY

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UN Health Cluster Timeline Response to Haiti EQ
Medical Response Failed
•No Clear medical Response Plan
•No Medical Leadership
•No Medical Guidance
•No Medical Coordination
•No Med Org assigned areas
•No Med Echelons of Support
•No Med Collection Points
•No Medical Registration
•No Follow-on Medical Support
•…and on and on
Lack of follow-on medical support, as much as 10,000
injured may have died.
Lack of medical leadership, survivors migrated to
flood areas before rainy season.
Lack of medical leadership, outbreak of Cholera
INFO ONLY
UN is not a lead, it is a supportive organization

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CITY
STATE
FEDERAL
NGO’s
IGO’s
Faith Based Org’s
Who’s in-charge?
Who’s making decisions?
Who’s on the Ground?
USA
NGO
UK
SP
IGO
GER
FRA
UN
OUTSTANDING MEDICAL ISSUES
•Medical Rep not available to lead
•Assignment of health sectors
•Echelons of care / Roles of care
•Communications
•Coordination
•Transportation
•and more ????Where do I send
the injured
needing follow
on?
Where can I get a
cell phone that
works here?
Where do I send
my patients?
I need to power
up my mobile
equipment, but
where?
Where are the
medical
collection points
Where am I
needed
most?
How are we
being
resupplied?
Where do we
setup our
hospital?
OUTSTANDING CLUSTER ISSUES
MOH Rep not available to lead
WHO is informative, not directive
Assignment of health sectors
Sign-in sheets
Echelons of care / Roles of care
Communications
Coordination
Transportation
and more ????
UN Health Cluster HQ
USA
Germany
UK
France
Spain
IGOs
NGOs
Example International Response

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Disaster Area
Town 2Town 1
Central Data
Depository
State
State EOC FEMA
EMRS2020
Common Operating Picture
EMRS2020 allows Medical
leadership to take remote-charge
from when the incident happens
Real Time Situational Awareness
Tactical, Operational and Strategic
EMRS2020 provides a Common
Operating Picture for everyone to
view and respond to

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Construction / Management of Medical Response Camps
Registration Camps
Disaster Camps
Medical Camps
Logistical Camps

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Contact Information
Domenic Tesoriero
tesorierod@yahoo.com
glopbalccg@yahoo.com
(954) 683-3435