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National Level Exercise 2011: Lessons Learned and a Look Behind the Scenes

National Level Exercise 2011 tested states’ abilities to respond to a catastrophic earthquake while creating links between all levels of government and beyond.

National Level Exercise 2011
In late 1811, a magnitude 7.7 earthquake shook the New Madrid Seismic Zone, stretching across Southern and Midwestern states. It was followed by two earthquakes in 1812 ranging from magnitude 7.5 to 7.7, six aftershocks ranging from magnitude 5.5 to 6.3 within the first two days and hundreds more aftershocks were felt into 1813. The earthquakes caused geographic changes that can still be seen today: Reelfoot Lake was formed in Tennessee and a piece of Kentucky was disconnected from the state. “Stories are told that the Ohio River actually ran backward when New Madrid fired off 200 years ago,” said Brig. Gen. John Heltzel, director of the Kentucky Division of Emergency Management.

Two centuries later, that scenario was the basis for National Level Exercise (NLE) 2011, one of the largest emergency exercises in U.S. history and the first of its scale to simulate a natural disaster. For five days in May, eight states, four FEMA regions, and thousands of emergency managers and first responders from all disciplines and levels of government responded to a magnitude 7.7 earthquake that struck near Marked Tree, Ark., and this time had the potential to cause massive damage to modern-day infrastructure.

The states that participated in the NLE — Alabama, Arkansas, Illinois, Indiana, Kentucky, Mississippi, Missouri and Tennessee — all can be impacted by the New Madrid Seismic Zone. Mandated by Congress and directed by the White House, the NLE is a Tier I exercise that’s conducted annually in accordance with FEMA’s National Exercise Program.

“NLE 11 was the first of a series that was focused on a natural hazard versus a terrorism nexus,” said FEMA Administrator Craig Fugate. “It was also the largest exercise involving participants from multiple states, local governments and federal partners, and a real emphasis with our faith-based and [nongovernmental] organizations, as well as with the private sector.”


Two States, Two Approaches


The exercise kicked off May 16, but preparation had been ongoing for more than a year. In addition, the Central U.S. Earthquake Consortium spent two years creating a catastrophic response plan for the states, Heltzel said. The NLE provided an opportunity not only for the states and local governments to test their emergency response plans, which includes working with the four FEMA regions and federal partners, but also for the region to put its plan into action.

Although the participating states responded to the same overarching scenario, they exercised their capabilities differently. Arkansas wanted  the exercise to be as realistic as possible, said David Maxwell, director of the state’s Department of Emergency Management. “The state played three days at 24 hours,” he said. “So we actually turned off the power to the building, ran on generators for three days, and the first two days we had no communications except satellite phones, ham radio and that sort of thing.”

Arkansas wanted to test several objectives, including communications, and Maxwell said playing without modes that people have grown accustomed to like cell phones and e-mail was stressful. Although the 700/800 MHz system came back online fairly quickly, the way the satellite system was set up proved problematic, though Maxwell did not divulge the details.

The state also had issues with getting resources on a push basis rather than a pull basis, according to Maxwell. “We thought we would have some flowing to us automatically,” he said. “Getting that taken care of and knowing that we can count on resources pushed to us to the point that we say, ‘No more,’ or we’ll turn them around and pay for it, is the point that we want to get to.”

The states in FEMA Region VI, which includes Arkansas, Louisiana, New Mexico, Oklahoma and Texas, have an agreement that’s similar to an Emergency Management Assistance Compact, and Maxwell said assumptions had been made that resources would automatically go to the disaster-stricken state. But that wasn’t fully the case during the NLE. Even though things didn’t work perfectly, however, that’s the point of the NLE: to determine what works, what needs adjusting and if new processes must be developed.

To the northeast, the Kentucky state Emergency Operations Center (EOC) retained
communications during the exercise, but completed the largest communications test in the state’s history on day one. “We’re calling down literally every leg of communications using radio, ham radio, satellite phone, Internet — every way we make contact with a county to test those links,” Heltzel said. “Then for local preparedness, we’re encouraging our local coordinators to make contact with all their different pieces of communication.”

Each day, Kentucky looked at a specific response capability like sustainment, lifesaving and mass evacuation. The goal was to develop a new emergency operations plan that will take into consideration the after-action report from the NLE, as well as lessons learned from recent real-world events, Heltzel said.

Though much of the response occurred in EOCs, many actions took place in real time in the real world, including medical evacuation sites, damage assessments, urban search and rescue operations, and aircraft movement. “A site in Indiana served as a simulated area of actual earthquake damages with multiple teams rotating in and out, while demonstrating integration from the National Guard all the way through the local responder,” Fugate said.


Immediate Benefits


Real-world emergencies like heavy rains and historic flooding caused some states and local governments to scale down their level of play, but one state’s desire to participate despite ongoing responses proved more beneficial than anyone could have predicted.

Fugate said Missouri was probably the best example of multistate response activities that included all levels of government, the private sector and nongovernmental organizations. “Missouri was already dealing with flooding due to the levee breach at Birds Point, they had already had tornado touchdowns in St. Louis and had ongoing disasters,” he said. “But they had a full state EOC activation with hundreds of people there.”

Throughout the week, Missouri exercised a mass casualty evacuation, mutual aid, Emergency Management Assistant Compacts and deployed urban search and rescue teams. “Nobody knew it, but when that exercise concluded on Thursday, not more than three days later, many of the same things that were exercised for NLE 11 were put into place when the tornadoes hit Joplin,” Fugate said.

The EF-5 tornado killed 132 people, injured 750 and was the deadliest tornado in the nation since modern recordkeeping began in 1950, according to the National Oceanic and Atmospheric Administration. Missouri shifted away from using federal urban search and rescue teams to utilizing in-state capabilities, a tactic practiced during the NLE. Missouri also tested its statewide radio system and coordinating communications, which proved beneficial immediately following the real-world disaster. “They essentially were able to use that system to restore interoperable communications even though Joplin took a direct hit from the tornado,” Fugate said.

And those weren’t the only actions that proved fortuitous. The National Disaster Medical System (NDMS) exercised its ability to move patients from Springfield, Mo., to eight other locations throughout the nation. The NDMS is a federally coordinated system that assists state and local governments with the medical impacts from major disasters. Joe Lamana, Emergency Support Function 8 patient movement coordinator with the U.S. Department of Health and Human Services, said the New Madrid earthquake scenario’s widespread devastation would wipe out medical infrastructure at the local level, so NLE provided an opportunity to test getting appropriate care for the injured. The NDMS is a partnership between the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response and the federal departments of Defense, Veterans Affairs and Homeland Security. They practiced receiving patients (140 moulaged mannequins with treatment cards) from the state, packaging them to ensure they had what they needed in the aircraft like straps, putting them in the aircraft, unloading them and finally sending them to civilian hospitals.

Local ambulances transported the mannequins to the receiving area, practicing how to unload patients from the vehicle and communicating with federal workers. “We had ambulances from all over the community contributing to this,” Lamana said. “We even had the [emergency medical service] from Joplin coming to this exercise, and lo and behold, little did we know that three or four days later, the devastating tornado would blow through Joplin and they would be in the mode of moving patients and trying to find safe havens.”

Although Joplin authorities didn’t have to move patients out of town following the tornado, they were better prepared to move large numbers of patients. Also as part of the NLE, Missouri representatives set up a mobile medical unit and FEMA brought a mobile communication unit to help with the patient-moving exercise — both were moved to nearby Joplin to aid the tornado response.


Practicing Realistic Responses


In addition to patient movement, the NDMS tested several objectives. After Hurricane Katrina, a national patient tracking system, called the Joint Patient Assessment and Tracking System, was created to fill a void. Representatives tested the Web-based system on multiple platforms like iPads, iPhones and BlackBerrys. “We came with our own equipment,” Lamana said, “but we were testing to see what other possibilities are out there.”

They also tested sharing information between the patient tracking system and the Defense Department’s patient regulating system, an IT solution that matches patients with a receiving hospital that can accept their injuries or conditions. And for the first time, a patient coordination
cell was instituted at the headquarters level to provide more direct visibility and control over Emergency Support Function 8 resources. “Out of any exercise … we get better, we get more confident, efficient and effective,” Lamana said.

From another federal perspective, Fugate tested his ability to maintain communications using secure and nonsecure modes with Washington, D.C., and the White House during a disaster that impacts multiple states. FEMA also looked at speeding up the disaster declaration process when there are significant impacts across multiple states.

During the exercise, FEMA was also able to test a provision from the Post-Katrina Emergency Management Reform Act. “Under the act, we do not have to wait for a formal request or declaration,” Fugate said, “we can begin issuing mission assignments and coordinating federal response based upon the preliminary impact estimates of the earthquake.” Rather than waiting for the states’ assessments and reports, tools were used to guide the agency’s decision-making — including the U.S. Geological Survey’s pager system that provides an estimated impact of an earthquake and the HAZUS model, which estimates potential losses — that drove the initial response.

As the nation moves away from highly scripted, predictable exercises, it allows for more realistic responses, Fugate said. In his opinion, the most viable part of the NLE was a conference call scheduled with the president and governors close to when it would have happened in a real disaster scenario. “It gave us a chance to really get a better idea of how to structure that so that the governors and the president could focus on the high-level issues that they would need to address while the rest of the team was focused on more of the immediate response issues,” he said.

FEMA also looked into how to better integrate the private sector’s response capabilities. More than 3,000 private-sector representatives participated in various ways, including full engagement, working as a subject-matter expert to review the NLE’s plans and scenarios and a scaled-down version that consisted of a tabletop exercise.


Real-World Impact


After-action reports were not available as of press time, however, the high level of participation from all government levels and numerous partners both within government and from other realms, will no doubt make the nation more prepared for a catastrophic disaster.

Arkansas’ Maxwell called the NLE invaluable. “We’ve gone through the planning process for the last two years, working the state plan, regional plan and local plans,” he said, “and I think that probably got us to a 50 percent solution. Going through the exercise will get us to a much better preparedness level as we tweak the plans.”

Recovery tabletop exercises were scheduled to take place in June, and planning is under way for NLE 2012, which will test the nation’s ability to respond to a catastrophic cyber-attack.

“In NLE 11, the level of participation and time commitment from the senior leadership reinforced that this is a top priority to this administration and a priority to the governors,” Fugate said.


Sidebar: Working Toward a Nationwide Common Operating Picture

National Level Exercise 2011 provided the participating states not only an opportunity to test their plans, but also to work with Virtual USA, a federally supported system to provide cross-jurisdictional information sharing. Eight states used Virtual USA to share information with one another while viewing it in their native systems, said Jose Vazquez, director of the First Responder Technologies program within the U.S. Department of Homeland Security’s Science and Technology Directorate.Brig. Gen. John Heltzel from the Kentucky Division of Emergency Management called Virtual USA “a small piece of software that we can add to our systems to allow information to be shared.”

State representatives met with the directorate in January and decided on seven types of information to share, including the status of transportation routes, shelters, hospitals, power lines and emergency communications. The goal was to bring this information to the state emergency operations centers without requiring people to log on to a system they don’t normally use or have to switch computers. Vazquez said the states successfully shared 54 of 56 identified information feeds.

The Arkansas Emergency Operations Center used Virtual USA on a limited basis, said David Maxwell, the state’s emergency management director. “We learned we’ve got to get better at developing a common operating picture within the state, regionally and then nationally — we all need to be seeing the same thing and working on the same issues,” he said. “I think Virtual USA should help with that, but we’re not there yet.”
 

Elaine Pittman is the former managing editor of Emergency Management magazine.