STARRS Board Packet for September 7, 2007, Monthly Board Meeting

AGENDAST. LOUIS AREA REGIONAL RESPONSE SYSTEMBOARD OF DIRECTORSFRIDAY, SEPTEMBER 7, 2007 - 11:30 A.M.EAST-WEST GATEWAY COUNCIL OF GOVERNMENTS1. CALL TO ORDER BY DR. TOM BYRNE, ACTING CHAIR2. ELECTION OF OFFICERS3. APPROVAL OF MINUTES OF AUGUST 3, 20074. DISCUSSIONA. Advisory Council Report Mays/Brown 5 minB. STARRS Major Projects Summary Report Gragnani 10 minC. Priority Setting for UASI FY07 Award Chaski-Adams 10 minD. Interoperable Communications Gragnani 15 minE. Committee Reorganizations Gragnani 10 min5. ACTION ITEMSA. Nominating Committee Report Baricevic 10 min6. OTHER BUSINESS7. ADJOURNMENT

STARRSBOARD MEETING MINUTESAUGUST 3, 2007The meeting was called to order at 11:30 a.m. at the offices of the East-West GatewayCouncil of Governments at One Memorial Drive, St. Louis, MO, 63102. The followingDirectors and Officers were present: Dr. Tom Byrne, Acting President; Gil Copley, VicePresident; Ed Hassinger, Treasurer; Dr. Morris Taylor; Dr. Dolores Gunn; Nancy Bates; ChiefJoe Mokwa; Col. Jerry Lee; Mark Kern; Jerry Goff; Mayor Stan Schaeffer; Jack Quigley; JoannLeykam; Rob Wylie; Les Sterman, Ex Officio; and Captain Robert Young, Director Emeritus.Also present were Chief Greg Brown, Co-Chair, STARRS Advisory Council; Nick Gragnani,STARRS Executive Director; Maggie Hales, Deputy Executive Director, East-West Gateway;Julie Sackman; STARRS Public Safety Administrator; Hilda Chaski Adams, STARRSESSENCE Project Manager; Lieutenant Chuck Boschert, St. Louis County Police; Captain RobWatkins, St. Charles Fire Department; and Chief Ernie Rhodes, St. Charles Fire Department.Introduction of Board MembersAt the request of the Chair, the prior board and new board members introducedthemselves before the meeting was called to order.Call to Order and Approval of MinutesThe meeting was called to order by Dr. Byrne, Acting President.There was a motion by Mr. Hassinger, seconded by Dr. Taylor, to approve the minutes ofthe June 1, 2007 meeting. The motion passed unanimously.Board TransitionDr. Byrne explained the board transition between the prior board of directors and the newexpanded board of directors. After welcoming the new members of the board, he provided thenames of the board officers – Mr. Gil Copley, Vice-President, Mr. Sam Simon, Secretary, andMr. Ed Hassinger, Treasurer – and commented on the board reorganization. Dr. Byrne stated thenormal time for a change of officers, the end of their terms, and new nominations is at theAnnual Meeting, which in the past has been held every year in January. However, this processwas delayed last January pending the board reorganization. Because of the reorganization of theSTARRS Board of Directors, the board will now elect officers, determine new terms of office forall board members, and reappoint committees that have existed previously. In order to do this, aNominating Committee will be appointed to select a slate of officers for the board to vote on atthe September board meeting. Then, that Nominating Committee can serve until the FebruaryAnnual Meeting. The appointment of the Nominating Committee will be acted upon whenbrought forth under the action items on today’s agenda.Orientation to STARRSAn orientation to STARRS was given by Mr. Nick Gragnani, Executive Director, whoexplained how projects are brought to STARRS, how projects evolve to the Advisory Council,

and described the framework of regional planning in the St. Louis area. He further described thecommittees and the various grants. He reported that STARRS staff manages five to seven grantstotaling over $20 million. Next, Mr. Gragnani highlighted some of the regional projects andSTARRS accomplishments, such as the Virtual Emergency Operations Centers (V-EOC),Mutual Aid Agreement, MedComm, Emergency Patient Tracking System, Haz-Mat and HeavyRescue Teams, and the Terrorism Early Warning (TEW) Group. Additional projects STARRS isworking on are the regional Universal ID for first responders, enhancing the region’sinteroperable communications capabilities, ESSENCE (the Electronic Surveillance System forthe Early Notification of Community-based Epidemics), and the development of a regionalemergency coordination plan. Mr. Gragnani then directed the board to the shared regionalresources map, stating that what STARRS purchases is a regional resource; equipment isavailable to any of the eight jurisdictions in the St. Louis region upon request. At this time, Mr.Gragnani introduced Captain Robb Watkins of the City of St. Charles Fire Department andLieutenant Chuck Boschert of the St. Louis County Police – Terrorism Early Warning (TEW)Group.Heavy Rescue Task ForceCaptain Watkins gave a brief presentation on the St. Louis Area Urban Search & Rescue(US&R) System. Following comments on the history of the US&R System, Captain Watkinstalked about the concept for the system, and what the US&R had received from STARRSrelative to equipment, vehicles, training, and the current status of the US&R. Captain Watkinsstated there are five Urban Search & Rescue teams – Team 1 (St. Charles County), Team 2 (St.Louis City) Team 3 (St. Louis County), Team 4 (St. Clair County), and Team 5 (Franklin andJefferson Counties). Additionally, Captain Watkins described the unintended bonus outcomesand highlighted the teams’ future needs, i.e., sustainment funds, additional equipment andtraining, warehouse space, and administrative personnel. When asked how long it took from avision to where the Urban Search & Rescue System is now, Captain Watkins responded it was afour to five year budget process. Without the funding guidance and financial purchases, CaptainWatkins said their accomplishments could not have been done without STARRS. Thepresentation concluded with Chief Rhodes response to a question concerning what the team hasin place for a prolonged period of time if a major crisis situation developed. Chief Rhodesexplained that the US&R Teams are trained three deep on each shift, but emphasized there isdefinitely a 24-hour gap before federal resources can be activated.Terrorism Early Warning GroupNext, Lieutenant Boschert gave a presentation on the Terrorism Early Warning Group(TEW) concept, which involves the fusion of area law enforcement, emergency management,public health, fire protection, and concerned private sector agencies and organizations to detectand prevent acts of terrorism through improved communication. The St. Louis TEW, which wasmodeled after the 1996 Los Angeles, California Intelligence Center, encompasses the eightcounty region in Missouri and Illinois (St. Louis, St. Charles, Franklin, Jefferson, St. Louis City,St. Clair, Madison, and Monroe). Lieutenant Boschert also described the developmental andoperational phases of the TEW. Other topics highlighted in the presentation included thestructure and the command of the TEW, the investigative liaison, consequence management, andepidemiological and forensic intelligence. The TEW has a public website which is located at2

www.sltew.org. Lieutenant Boschert is the Intelligence Unit Commander for the St. LouisCounty Police Department.UASI Fiscal Year 2007 AwardMr. Gragnani announced that the St. Louis Urban Area was awarded $9.26 million forthe fiscal year 2007 grant program under the Urban Areas Security Initiative (UASI). The St.Louis Urban Area now has to put together a budget summary to submit within 60 days of receiptof the official award letter from the Department of Homeland Security. The State of Missouriwill withhold five percent of the award, thereby resulting in a net award of $8,797,000. Mr.Gragnani explained the application process and the role of the Advisory Council’s ad hoccommittee in developing the grant application and the selection of eleven investmentjustifications for submission. A summary of the eleven investment justifications was provided ina memorandum distributed to the board. Also, an FY 2007 Investment Feedback Package wasprovided to the board and explained by Mr. Gragnani. The feedback package provides asummary page of scores and feedback for each investment that was submitted for considerationfor homeland security funding for fiscal year 2007. Mr. Gragnani announced that the nextmeeting of the ad hoc committee is August 9, 2007, 9:00 a.m., at the STARRS office. Further,he reported on the After-Action Conference he attended in Minneapolis on August 2 nd . Mr.Gragnani explained the decision making process relative to the application, and Chief Brownexplained the difference between the ad hoc committee and the STARRS Advisory Councilmeetings.Public Safety Interoperable Communications GrantMs. Hales announced that approximately two weeks ago, Mr. David Finch, SpecialAssistant at the Missouri Office of Homeland Security, called about the new Public SafetyInteroperable Communications (PSIC) Grant. Ms. Hales described the grant program and saidthe state is developing plans for the use of that grant. Because Mr. Finch was unable to attendtoday’s board meeting, Ms. Hales said he would probably address the board at next month’sboard meeting. She also said STARRS is putting out a Request for Proposal (RFP) to have aradio analysis and look at the state of radio communications in St. Louis. Mr. Quigley stated tomake sure that both states are compatible with one another.Appointment of Nominating CommitteeDr. Byrne said the Nominating Committee has been comprised of Judge Baricevic, Chair,Mr. Sam Simon, Mr. Gil Copley, and Ms. Nancy Bates. He would like to appoint JudgeBaricevic, Mr. Simon, and Ms. Bates to the Nominating Committee, in the interest of continuity,and also appoint Dr. Dolores Gunn to serve on the committee.There was a motion by Mr. Kern, seconded by Mr. Goff, to approve the appointment ofJudge Baricevic, Mr. Simon, Ms. Bates, and Dr. Gunn to the Nominating Committee. Themotion passed unanimously.Dr. Byrne asked that the Nominating Committee bring before the board in September aslate of officers (President, Vice President, Secretary and Treasurer) for approval.3

Other BusinessDr. Byrne informed the board of the newly formed Regional Coordination Committeeand requested the board to continue with this committee. The members of the committee are Dr.Tom Byrne, Captain Robert Young, Mr. Gil Copley, Dr. Jeff Lowell, Ms. Nancy Bates, and Mr.Les Sterman.There was a motion by Mayor Schaeffer, seconded by Dr. Gunn, to continue with theRegional Coordination Committee. The motion passed unanimously.AdjournmentThere being no further business, the meeting was adjourned.The above constitutes a true record of the proceedings of the STARRS Board at its publicmeeting on August 3, 2007.Margaret M. HalesAssistant Secretary4

STARRS MAJOR PROJECTSTATUS REPORTSeptember 4, 2007Cities Readiness InitiativeProject Manager: Martha Kopper 314-244-9604The Missouri Department of Health and Senior Services (DHSS) has notified staff the CityReadiness Initiative (CRI) contract between East-West Gateway/STARRS and the Center forEmergency Response and Terrorism will not be renewed. This was based on CRI projects beingcompleted and the movement of the US Postal Service Planning project to the state level.Additionally, DHSS is changing the structure and method of disbursement of CRI Funds; ratherthan having the CRI initiative administered by the regional council of governments DHSS willestablish a contract with one of the local public health agencies in both Kansas City and St. Louisto administer these initiatives.Close out of CRI FY 2006/2007CRI FY05-06 equipment inventory has been completed and will be presented to STARRS’Public Health Committee for the group’s decision on distribution plans.The following milestones were completed:• Temporary Relocation of Go-Kits to Signal Hill Fire Department-completed April 26• Establishment of NIMS/ICS Mentor Teams is an ongoing effort. Request was made at thePublic Health Committee meeting on April 17 and follow-up email requests were sent outon 4/20 and 4/26. Target date for completion is August 31, 2007• Facilitate training of Mentor Teams by IMT Lead. Project Manager has spoken with IMTLead week of 4/23 regarding this task. Target date for completion is August 31, 2007.• Coordination with LPHAs to pick up CRI equipment at Eureka Fire Protection Districtfacilities. Request by Project Manager made at Public Health Committee on April 17 andfollow-up email requests were sent out on 4/20 and 4/26. Target dates for completion areMay 31, 2007. The majority of the supplies have been picked up. Barb Whitaker, plannerwith St. Clair County Health Department and Greg Brown finalized CRI equipment pickup.UNITED STATES POSTAL SERVICE (USPS) PLAN FY 06-07 –The USPS Postal Plan Zip Code Workshop (held on July 10) and Orientation Workshop (held onJuly 25 & July 26) were successful and met the CRI deliverables.

Major Project Status ReportAugust 13, 2007Page 3the marketing of public health videos and fact sheets that were developed in fiscal year 2005-2006.Another CRI deliverable is to provide training for the CRI region elected officials. To addressthis deliverable, STARRS’ staff researched existing courses and curriculum to determine the bestavailable training. The Texas Engineering Extension Service (TEEX) a part of the Departmentof Homeland Security's Training Consortium offers several National Incident Management(NIMS) and Incident Command System (ICS) courses. Two of those courses are the MayoralInstitute Seminar and the Senior Officials Workshop. Staff audited the Mayoral InstituteSeminar on February 24 in Nevada, Iowa to determine the appropriateness of the curriculum.The Mayoral Institute Seminar is a forum for mayors and elected officials to discuss disasterresponse challenges unique to mayors, county executive officers, and county commissioners.This facilitated discussion is designed for 8-12 mayors (preferably a group of mayors sharingregional response interests), which provides a unique opportunity to share proven strategies. Theseminar features a multimedia terrorism scenario and other relevant all-hazards vignettesdesigned to fuel discussion and highlight key issues of the Emergency Management framework.The Senior Officials Workshop is for local-jurisdiction elected and appointed senior officials. Itspurpose is to provide a forum to discuss strategic- and executive-level issues related to disasterpreparedness, share proven strategies and best practices, and enhance coordination amongofficials responsible for emergency response to a disaster.This training was offered free of charge through TEEX in June and July for Mayors, CityAdministrators and City Managers.Bio Decontamination Tent TrainingProject Coordinator: Martha Kopper 314-244-9604A Decontamination train-the trainer course was offered by Biotech Systems, Inc. on August 2 atBarnes Jewish Hospital. In addition to Barnes Jewish staff, one member from St. John’s MercyMedical Center, St. Anthony’s Health Center and DePaul Hospital attended this training.Biotech Systems indicated that they would be willing to come to St. Louis to provide futuretraining if the need arose.Emergency Tracking System (ETS) Patient TrackingProject Coordinator: Terry Sofian 314-244-9606Phase IV of ETS has been completed. Funding from this phase was allocated for the purchase oftwenty additional scanners for deployment to St. Louis County EMS field units. The deploymentof this equipment should be completed by August 20 th , 2007.ETS was used to transmit data on 300 simulated patients during the June exercise by IllinoisRegion IV hospitals. Feedback was positive with all data transmitted successfully.

Major Project Status ReportAugust 13, 2007Page 4On July 23 rd a teleconference between IBM, EMSystem, St. Charles County Ambulance District(SCCAD), STARRS and Zol Datasystems (the electronic patient care reports system currentlybeing deployed by SCCAD) was held to discuss development of a data sharing agreementbetween ETS and the patient care report systems. The intent of this discussion was to determinethe feasibility of moving forward with this interface. The meeting ended with no decisions maderegarding the merging of these two systems. More information will be provided once it becomesavailable.July 19 th MetroCom Council met to discuss the development of operational guidelines for ETSuse as a daily patient tracking system. MetroCom Council has accepted long term responsibilityfor the governance of ETS in parallel to its ongoing responsibility for regional governance ofEMResource.Gateway ESSENCE: Regional Syndromic SurveillanceProject Coordinator: Hilda Adams 314-244-9607The Gateway ESSENCE project, funded by UASI ‘06 will establish a regional syndromicsurveillance system for local public health agencies and hospitals. Using sophisticated softwaredeveloped by Johns Hopkins University Applied Physics Laboratory, the system uses automatedelectronic chief complaint data feeds from the area’s emergency rooms to provide an earlywarning of disease outbreaks. Gateway ESSENCE will share existing data feeds from hospitalsin the MO portion of the region to the MDHSS and create new ones for the IL hospitals. Thisdata will be co housed with the MO state ESSENCE system.Milestone:Data sharing agreement with MDHSS: Target Date June 2007; revised August 2007• December 2006 – February 2007: Local uses of data as specified by MO reporting ruledefined by GEOC. Data sharing request letter sent by STARRS on behalf of local publichealth directors;• March: Response received requesting more information on regional system and legalreviews. Coordination with local health directors to set up meeting in April with MDHSSto discuss data sharing• April: Discussion of Gateway ESSENCE with MDHSS; meeting planned with theirGeneral Counsel and local health departments on sharing of data. Hilda and Kristydiscussed Gateway ESSENCE with MDHSS after advice from Gil Copley; meetingplanned with their General Counsel on sharing of data after local health administratorsmeet on April 11 th and discuss whether they want to participate. The MO Local HealthDirectors met on 4/11 and discussed the response from MDHSS. Gil Copley reportedthat all directors were still in full support of the project and some were actually surprised

Major Project Status ReportAugust 13, 2007Page 5that the system was not up and running. Gil drafted a letter to MDHSS from all the localhealth directors stating their full support, restating that only the local health agenciesand hospitals will use the system (not STARRS) and again requested MDHSS to shareexisting data feeds and contract with East-West Gateway to co host Gateway ESSENCE;Kristy and Hilda requested a meeting with MDHSS (Amy Kelsey and General Counsel)to further explain ESSENCE; Amy responded that General Counsel does not want to givelegal advice to locals or STARRS. Amy also asked to have separate meeting with MDHSSon details of Gateway ESSENCE. Kristy will request fact sharing meeting with DHSSprogram to define their legal questions and then with General Counsel if needed. Lettersent to Amy Kelsey from Gil Copley on behalf of local health directors.• May: Relationships chart sent to Amy Kelsey defining roles and relationships for allparties involved in Gateway ESSENCE clearing way for meeting with MDHSS Office ofGeneral Counsel (OGC); request for meeting sent on 5/11/07 to Sharon Ayres, MDHSSOGC. 5/25-31/07 Conference call set with Maggie Hales, Kristy Baumgart and HildaAdams on June 1 st with Sharon Ayres of MDHSS OGC; call cancelled by Sharon Ayreson May 31 st . Spoke to Gil and Maggie about suggestions on how to proceed; Hilda willdraft letter, attached letter from Gil on behalf of MO LPHA directors; Maggie and Gilsuggested face to face meeting• June: letter sent to Sharon Ayres; call on the 13 th to follow up on letter; referred to AmyKelsey who had referred us to Sharon Ayres to arrange meeting; email to Amy Kelseyasking for meeting or conference call of program staff on basic data sharing request.6/18/07 emailed suggestion to Amy Kelsey that STARRS contact Glenda Miller to see ifshe can expedite response from OGC• July:7/9 Continued to work with Amy Kelsey on meeting with acting and newly namedGeneral Counsel for MDHSS regarding their response to MDHSS questions; internalDHSS memo (Situation Background Assessment Recommendation-SBAR) to DivisionDirector (Glenda Kelley) to be drafted by Amy; detailed information provided bySTARRS; 7/10-7/11; memo reviewed by STARRS and GEOC, 7/30 awaiting review byAaron Winslow at MDHSS; 7/31/07 SBAR sent to Division Director, OGC and IT;Meeting set for 8/14; requested that GEOC members be allowed to attend. MDHSSSurveillance Unit is in support of project but needs legal review on sharing of nameddata before moving forward• August: 8/6 informed that GEOC and DHSS Regional Epi can attend 8/14 meeting;GEOC co-chairs (Kristy Baumgart, Chae Li Yong), DHSS Regional Epidemiologist(Cindy Butler) and Hilda Adams will attend. Maggie Hales will participate byconference call. 8/10/07 slides and materials developed for meeting and distributed.

Major Project Status ReportAugust 13, 2007Page 6Contract in place with APL: Target Date April 2007 Revised August 2007• December 2006 through January 2007: Documented competitive selection process forselection of ESSENCE and State of Missouri; approval to contract reviewed by EWGateway Board• February: Software modifications for regional use defined by STARRS workgroup• March: Scope of work finalized, contract developed and sent to Hopkins• April: Contract in negotiation for Cost Plus Fixed Fee; working with EWG Fiscal toidentify funds for inclusion of 2 non-UASI counties. Awaiting cost out contract from APLdue week of 4/9/07; working with East-West Gateway Fiscal to identify amount neededand funding for inclusion of 2 non-UASI counties (St Francois and Lincoln); Currentbudgeted funds from UASI are $547,800; Revised Cost Plus Fixed Fee contract receivedfrom Hopkins and forwarded to East-West Gateway Fiscal with request for meeting;revised amount is $529,000 without non-USAI funds for 2 non-UASI counties• May: Reviewed first proposed Hopkins contract with EWG fiscal and sent revisedcontract and request for more details back to Hopkins. Received second proposedcontract from Hopkins and sent to East-West Gateway Fiscal for review; requestedmeeting with Fiscal to discuss proposed contract changes; followed up with APL onitems not provided in response such as estimated cost of hours per task• June: Met with Maggie Hales, Leah Hummert and Royce Bauer on proposed contractchanges; wrote response to APL based on their recommendations; spoke to Sheri Lewisabout request for estimated number of hours per task. Sent response to APL on contractchanges and received counter offer; sent to Fiscal for their review and to arrange ameeting; Royce Bauer will contact Hopkins contract manager for details on billing rates.• July: Details on billing method received from Hopkins contract manager; methodsreviewed and approved by EWG fiscal;• August: final contract issues reviewed and resolved by EWG Fiscal; contract revised andsent to EWG fiscal for final review. Amount may change if ITSD costs exceed Jeff Elliot’sestimates; should be resolved at August 14 th meeting with DHSS and ITSD.MDHSS contract in place for server management: Target Date June 2007Revised August 2007• December 2006 through March 2007: Defined and finalized scope and cost of workbased on GEOC’s design of system

Major Project Status ReportAugust 13, 2007Page 7• April: Scope of work was circulated within MHDSS and formal contract being developedafter completion of APL contract to use as model; will present contract to MDHSS whencompleted; current budgeted funds from UASI are $48,200• May: Jeff Elliott, ESSENCE Technical Manager resigns from MDHSS and suggestsSTARRS consider hosting their own data; Hilda obtains hardware and software needsand receives GEOC approval to pursue estimated costs. Contract will be presented toOGC for discussion during conference call.• June: Reviewed existing contract between EWG and state’s Information TechnologyDivision for VEOC backup to explore contracting directly with the State Data Center andrequested meeting to discuss ESSENCE; Sent Information Technology Division the scopeof work; state seemed open to hosting ESSENCE, asked questions about basic flow ofdata; they will consult with Jeff Elliot and get back to us week of 6/18/07; sent costestimates provide by Jeff Elliott and background papers on project and flow of data.• July: Discussions with ITSD stopped at their request until data sharing is arranged withMDHSS at which time Amy Kelsey will go with STARRS to discuss contract.• August: ITSD will participate in meeting with DHSS on August 14 th .Data sharing agreement for IL local health directors and IL hospitals: Target DateSeptember 2007• December 2006 through January 2007: Meeting held with IL hospitals to presentGateway ESSENCE and solicit participation• January through March: Data Sharing Agreement (DSA) drafted, given legal review byEWG and sent to local health directors (LHDs) in Illinois• March: Letter sent to Il Department of Public Health on behalf of LHDs soliciting theirsupport for data sharing; DSA under legal review by IDPH; state staff assigned to workwith GEOC and LHDs.• April: Dr Tom Bryne expressed concerns about delay in project due to soliciting IPDHparticipation and their review of DSA; email sent to IL local health directors informingthem of request by hospitals to proceed and asking for update, response IL local health isthat IDPH is working with Cook County on their experience with ESSENCE and will be‘some time’ before they will get a legal response; IL and IDPH requested backgrounddocumentation on Gateway ESSENCE project that was supplied by Chae Li and Hilda.• May: Email sent to IL local health directors responding to their questions about GatewayESSENCE, updating them on project and requesting that we move forward getting system

Major Project Status ReportAugust 13, 2007Page 8for IL hospitals; follow up email and calls made to determine if tere was any objection tomoving forward with hospitals with stipulation that hospitals be informed that localhealth departments will not be monitoring data. Their next conference call with IDPH isset for June 18, 2007 where they will discuss involvement of IDPH’s General Counsel;hospital work on hold until APL and data hosting contracts are in place, without thesehospitals will not receive the technical assistance promised.• June: 6/18/07 Update on conference call from Chae Li ; IDPH legal responded; IDPHwill contact Hilda for conference call participation; issues are HIPPA; IL data crossingto MO; hospitals and INEDSS; "implied response" by public health; perceived lack ofresources to respond; false alarms; invited by Cynthia Noa (IDPH) to participate in ILLHD and IDPH conference cal and sent along list of concerns; researched responses totheir list of concerns and sent ot them in advance.• July: Conference call held with Hilda, Maggie Hales, Kristy Baumgart, IDPH and ILLHDs; questions answered and rule and statutes shared with IDPH attorney along withoffer to assist from Maggie Hales; IDPH to contact MO ESSENCE coordinator for moreinformation on operational demands of ESSENCE; Belleville Memorial reviewed DataSharing agreement and will sign now for de-identified data and with IDPH or LHDrequest would supply named data• August: DT Tom Byrne meets with ST Clair County Health Department expressing hisdesire to and asking for their participation in Gateway ESSENCE; St Clair County healthDepartment notifies IDPH of their desire to participate but still asking for IDPH tosupply epidemiological support to region; Dr Byrne offers to write letter to IDPHreinforcing St Clair County’s request; Hilda drafts letterHealth Resources Services Administration (HRSA)Project Coordinator: Julie Sackman 314-244-9605Surge Capacity Tabletop Exercise – Per the grant deliverable STARRS is required to developan exercise that involves all of the hospitals in Region C. The scenario exercise must be basedon either a pandemic influenza, explosive, chemical or earthquake scenario and incorporate aspecial needs and multi-disciplined workforce (EMS, EOCs, law enforcement, hospitals, localpublic health agencies, and federally qualified health centers, etc).Milestones:• March: RFP compiled and submitted by STARRS Hospital Committee and posted onEWG website.• April: RFP bid closed at COB on April 13 th . A bid revision and extension due to lack ofbids. Revised RFP posted on EWG website. A RFP new bid close date of May 9 th . BidEvaluation Critique form developed.

Major Project Status ReportAugust 13, 2007Page 9• May: Hospital Committee Chairs Review and award Bid. Request for funding presentedto EWG Board of Directors at their May EWG AC & EWG BOD meeting. The winningbidder will be notified and a contract signed to begin work on the exercise. Work withEWG on development of contract for winning vendor. At the May STARRS HospitalCommittee Meeting, give a presentation on HRSA grant status & updates.• June/July: Issue contract to winning vendor to start work June 2007. July begin pushout to multiple disciplines to register for the Surge Capacity Table Top Exercise.Registration posted on STARRS training website. Collaborate and begin planning withcontractor per the exercise. Contractor conference call on July 24 th to discuss items perthe contract and progress thus far. St. Louis contractor Meeting on July 30 th and 31 st .Continue to push and announce registration for TTX.• August: Registration is open until Friday, August 17 (or until full). There is a limitedcapacity of 100 participants.• September -December: Follow up with the Hospital Committee. After Action Report onthe Surge Capacity Tabletop exercise shared with Hospital Committee on September 19 thmeeting. Continue working with the Hospital Committee regarding planning for FY07HRSA/ASPR grant.FY06 HRSA EQUIPMENT DELIVERABLESurge Capacity Equipment – Per the grant, “provide to Region C participating hospitalsupgrades and enhancements to personnel protective equipment, isolation, decontamination andother equipment and supplies.” The surge capacity equipment identified for purchase is a cotpackage and radios for decontamination.Cot Package Milestones:• March: STARRS Hospital Committee voted on the purchase of cots for the region. Twohospital committee members volunteered to obtain cot information. Cot information wasdistributed to all Hospital Committee members and requested feedback. The HospitalCommittee Chairs reviewed all information submitted and a final recommendation of aCot Package. The Cot Package consists of 10-Commander type cot with head elevation,rolling storage cot to hold the ten cots and dust cover. As the result of the 2006 storms,cots are a resource that is a gap in Region C.• April: Request to each hospital the acceptance of this Cot Package for their facility. Therequest due by COB April 17 th . Bid specifications for the cot package developed andsubmitted April 19 th for posting on EWG website.

Major Project Status ReportAugust 13, 2007Page 10• May: The cot package closing bid date COB, May 9 th . Hospital Committee Chairsreview the bids and recommend the winning bidder. Submit for approval through MayEWG AC & BOD. EWG AC & BOD approval on May 30, 2007. Requisition for cotssubmitted to EWG on May 30, 2007, for processing through fiscal agent.• June/July: Purchase the cot packages Round 1 and vendor distribution to hospitals.With remaining grant funding purchase more cot packages. Round 2 Cot Package bidspecifications posted to EWG website with a closing date of Monday, June 25 at 10:00am. Round 2 Cot Package bid selection has been made by Hospital Committee co-chairs.The EWG AC and BOD approval completed on July 25, 2007.• July/August: Follow up with hospitals on equipment deliveries for Round 1 of cotpackages and request completion of STARRS inventory forms. EWG fiscal departmentsubmit invoices to Mo DHSS for reimbursement.FY05 HRSA Update: FY05 funds purchased throat microphones for decontamination purposesfor the 46 hospitals in the HRSA region. FY2006 funds are available to purchase Motorola XTSVHF frequency radios for each of these hospitals. This will establish a cache of radios for eachhospital for on-site use for decon and emergency usage. The channels programmed in each radiowill feature the Missouri State, region hospitals and EMS frequencies. This interoperabilityfrequency does not require a license for those hospitals that currently do not have a license orradio. A Memoranda of Understanding provided by the State for the interoperability frequencywill be signed by all participating hospitals receiving these HRSA radios.Radios for Decontamination Milestones:• March: STARRS was notified of the lack of radio capability for hospitals to use fordecon in the region per FY05 equipment purchases. In FY05 HRSA grant funding, throatmicrophones with push-to-talk and XTS Motorola adapter for hospital decontaminationteams were purchased. To close this gap a purchase of 138 XTS Motorola radios isneeded.• April: STARRS Hospital Committee Chairs recommended the purchases of radios for thehospitals. Coordination between Hospital Committee Chairs and St. Louis Electronics toanswer questions per the purchase for hospitals.• May: Hospital Committee Chairs and St. Louis Electronics meet to discuss questions perthe radios. The Hospital Committee Chairs advise to move forward on the purchase.STARRS request frequencies from hospitals to provide to vendor for programming. EWGAC & BOD approval on May 30, 2007.

Major Project Status ReportAugust 13, 2007Page 11• June/July: Requisition to EWG submitted on June 7, 2007, for processing throughSTARRS fiscal agent. Purchase the radios and vendor distribution to hospitals. Vendorwill program radios to have interoperable and hospital frequencies.• August: Follow up with hospitals on equipment deliveries and request completion ofSTARRS inventory forms. Submit invoices to Mo DHSS for reimbursement.2007 MOU UPDATE –All hospital MOUs have been distributed. Only one (1) MOU wasreturned because of incorrect address. Therefore, Ranken Jordan’s MOU was hand delivered inFebruary. A total of 56 hospitals on both MO/IL have received this MOU. Forest Park Hospitaland St. Elizabeth’s Hospital requested another 2007 MOU be mailed to their facility. Inaddition, Dubuis Hospital requested the 2007 MOU be mailed to them as well. Select SpecialtyHospital experienced a personnel turnover so MOU re-mailed on April 16, 2007.Milestones:• January: Regional legal counsel developed revisions to complete the 2007 MOU.• February: The 2007 MOU release by legal counsel. Distribution of the 2007 MOU toall 56 participating hospitals in the HRSA/UASI Region of MO and IL. Follow up callsper the MOUs.• March: Continued follow up calls per the MOUs. Met with hospitals per the CapacityAssessment and requested the MOU be returned to STARRS.• April: Follow up phone calls and reminder emails per the hospitals that are notsignatory to the 2007 MOU.• May: Continue follow up with hospitals not in compliance with the regional MOU.STARRS Hospital Committee Meeting on May 16 th to update the hospitals and requestMOUs again.• June: June 1 st deadline for 2007 MOU to be returned. Hospitals that are not signatoryto the MOU will not received enhancements of equipment or supplies until their signedMOU is returned. Out-state regions of MO are taking the lead of St. Louis 2007 MOU todevelop a MOU for hospitals in the rural regions. Follow up with the hospitals that havenot returned the 2007 MOU St. Louis Metropolitan area.• July: Update the Hospital Committee members the participating hospitals signatory tothe 2007 MOU in the region at the next STARRS Hospital Committee meeting on July 18,2007. Continue follow up with hospitals who have not executed the 2007 MOUagreement.

Major Project Status ReportAugust 13, 2007Page 12Hospitals that have signed and returned MOUsMissouriBarnes-Jewish HospitalBarnes-Jewish St. Peters HospitalBarnes-Jewish West County HospitalCenterPointe HospitalChristian Hospital Northeast- Northwest (BJC)Des Peres HospitalForest Park HospitalJefferson Memorial HospitalKindred HospitalLincoln County Memorial HospitalMineral Area Regional Medical CenterMissouri Baptist -SullivanMissouri Baptist HospitalParkland Health Center -- Bonne Terre (BJC)Parkland Health Center -- Farmington (BJC)Perry County Memorial HospitalPike County Memorial HospitalProgress West Hospital (BJC)Ranken Jordan - A Pediatric Specialty HospitalShriners Hospitals for ChildrenSoutheast Missouri Mental Health HospitalSSM Cardinal Glennon Children's Medical CenterSSM DePaul Health CenterSSM RehabSSM St. Joseph Hospital of KirkwoodSSM St. Joseph Hospital WestSSM St. Joseph Hospital St. CharlesSSM St. Joseph Hospital WentzvilleSt. Alexius HospitalSt. Anthony's Medical CenterSt. John’s Mercy HospitalSt. John's Mercy Medical Center -WashingtonSt. Louis Children's HospitalSt. Louis University HospitalSt. Luke's HospitalSt. Mary’s HospitalSte. Genevieve County Memorial HospitalThe Rehabilitation Institute of St. LouisWashington County Memorial HospitalVA Medical CenterIllinoisAlton Memorial HospitalAnderson HospitalGateway Regional Medical CenterMemorial HospitalMemorial Hospital -ChesterSt. Elizabeth’s Hospital

Major Project Status ReportAugust 13, 2007Page 13St. Joseph's Hospital –BreeseSt. Joseph's Hospital -HighlandWashington County Hospital -IllinoisSt. Anthony's Health CenterKenneth Hall RegionalTouchette Regional HospitalHospitals who have NOT signed the MOU as of 7/27/2007MissouriDuBuis Hospital of St. LouisHawthorn Children's Psychiatric *Under State legal review and waiting signature.Metropolitan St. Louis Psychiatric *Under State legal review and waiting on signature.Select Specialty HospitalSt. Louis Psychiatric Rehabilitation *Under State legal review and waiting on signature.Metropolitan Medical Response System (MMRS) Grant FY2004Project Coordinator: Terry Sofian 314-244-9606The MMRS 2004 grant was closed out on March 31 st , 2007. FY2004 provided funding for thepurchase of radiological dosimetry equipment for deployment to public health agencies, hospitalsand allied healthcare and the purchase of dosimeters for recording radiological exposure of firstresponders. Three 100 watt HEAR radio systems were purchased for installation at two SSMhospitals and the BJC corporate command center. In addition, two NIMS classes that wereconducted in late April and early May were funded by this grant. MMRS 2004 also funded thefour “Mass Communications during a Mass Casualty/Mass Care Incident” one day seminarshosted by STARRS.STARRS TRAINING AND EXERCISESProject Coordinator: Eric Hammonds 314-244-9603Training CommitteeSteve Orr and Brian Young have agreed to serve as temporary co-chairs of the STARRSTraining Committee. The training committee met on August 9 at the Crestwood GovernmentCenter and started work on establishing goals and objectives for the training committee. Thecommittee will meet again on August 23, 2007 in Crestwood.NIMS/ICS TrainingThe Center for Domestic Preparedness (CDP) is presenting ICS classes in the St. Louis region atno cost to the host agency or STARRS. Critiques from students attending these classes have beenoverwhelmingly positive. Attendance, however, has been less than anticipated. To make thetraining cost effective, the CDP has asked STARRS to provide a minimum of 30 students for allclasses other than L449. The L449, train the trainer, has a maximum class size of 20.

Major Project Status ReportAugust 13, 2007Page 14In addition to the 300, 400, and L449 courses, the CDP will also present 100, 200, & 700 classes.Anyone interested in hosting one of the ICS courses presented by the CDP should contact EricHammonds with the name of the course needed, the address of the classroom where the classwill be taught and a point of contact for the classroom. The instructors will need access to theclassroom the afternoon before class starts.Milestones:St. Louis City EOCICS 300, April 30-May 2, 2007ICS 400, May 3-4, 2007St. Charles Fire Station #2, May 21-24, 2007ICS 300, May 21-22, 2007ICS 400, May 23-24, 2007ICS L449, May 29-June 1, 2007St. Louis County Fire and Police AcademyICS 300, June 11-12, 2007ICS 400, June 13-14, 2007St. Louis County EOCICS L449, July 9-12, 2007St. Louis County Fire and Police AcademyICS 300, July 30-August 1, 2007ICS 400, August 2-3, 2007St. Louis County Fire and Police AcademyICS L449, August 13-16, 2007SEMA is sponsoring the Community Emergency Response Team (CERT) Train-the-Trainercourse to be presented at the Black Jack FPD in Florissant. Registration is available onlinethrough the SEMA website.On October 23-25, 2007, the St. Charles Fire Department is hosting a course titled: Developmentof a State/Regional CBRNE Task Force. This class is being presented by the Texas EngineeringExtension Service (TEEX) at no cost to the region. TEEX is a member of the National DomesticPreparedness Consortium and receives funding for these classes from DHS. Registration isavailable online through the SEMA website.STARRS is sponsoring another round of Structural Collapse Training for the Heavy Rescue TaskForce. This training will be provided by the University of Missouri Fire and Rescue Training

Major Project Status ReportAugust 13, 2007Page 15Institute. Registration for these classes is being handled by the STARRS Heavy RescueCommittee.STARRS is sponsoring another round of Incident Support Team (IST) training. IST is the newterm for what was formerly known as Incident Management Team (IMT). This training will beprovided by the University of Missouri Fire and Rescue Training Institute.UASI EQUIPMENT PURCHASESProject Coordinator: Eric Hammonds 314-244-9603LDV, Inc. submitted the only bid in response to the specifications posted on the bomb responsevehicle for the St. Louis Metropolitan Police Department. The bid amount is $307,876. Apurchase order has been submitted to LDV, Inc.A purchase order for 33 ballistic helmets for the St. Louis Metropolitan Police Department hasbeen submitted to the vendor.UNIVERSAL ID & CREDENTIALINGProject Coordinator: Eric Hammonds 314-244-9603UID Committee members and STARRS staff have been coordinating with representatives fromthe Missouri Office of Homeland Security and the MARC in Kansas City to develop an ID andcredentialing system that will be interoperable throughout the State of Missouri and the UASIcounties in Kansas and Illinois.Due to scheduling conflicts, last months UID Committee meeting was cancelled. The committeeplans on meeting with the UID vendor, REJIS during the week of August 13-17, 2007 to workout the details of the next phase of this project.East-West Gateway has approved a statement of work with REJIS on the next phase of thisproject that includes developing and purchasing ID card scanners, and 80 additional tokens.REJIS has signed the statement of work clearing the way to proceed with the next phase of thisproject.A proposed method for establishing a link between UID and VEOC has been submitted forreview to the St. Louis County Police IT specialist, Mark Dougherty who is examining theproposal to ensure it provides appropriate security for the data exchange. This information willbe presented to the St. Louis Area Police Chief’s Association (SLAPCA) for their approval toallow data from the UID to populate the VEOC resource data base.

Major Project Status ReportAugust 13, 2007Page 16Virtual Emergency Operations Center (VEOC)Project Coordinator: Eric Hammonds 314-244-9603The STARRS Webexone web portal has been closed. This will provide a cost savings as well asencourage the use of the VEOC. Information that was posted on the WebExone site can be foundin a new workplace titled STARRS Message Board. A VEOC username and password will berequired to access the STARRS Message Board. Those needing log in information should attendone of the VEOC classes being presented by IBM. A schedule of these classes is posted on theTraining Page of the STARRS website. http://www.stl-starrs.org/Training/training.htmThose with a user name and password needing help with accessing the STARRS Message Boardshould contact Eric Hammonds – (314) 244-9603.

STARRS St. Louis Area Regional Response System314.244.9601Fax 314.244.9611starrs@stl-starrs.orgwww.stl-starrs.orgMemo to:From:Subject:Board of DirectorsStaffPriority Setting for UASI fiscal year 2007 AwardDate: September 4, 2007This is to advise you of the work of the ad hoc Advisory Council Committee and their efforts in settingpriorities for the UASI FY07 grant award.STARRS submitted the grant application in March and received notification in July that the region wouldreceive $9,260,000 ($8,797,000 after the State of Missouri withholds 5% for management andadministration of the grant). This is an increase of $60,000 over last year and is the first time that the St.Louis Urban Area received a higher award than the Kansas City Urban Area. Even with a slight increasein our award, some of the projects can not be funded since our award is just half of what we requested.The application consisted of 11 investment areas. However, in many of these investment areas, there wereseveral discrete components referred to as SubProjects. The attached chart lists the Investments, theirSubProjects and the costs of each. Also attached are the Executive Summary of the Investments, and a listof ad hoc Committee members (both of which we provided at the August meeting).Since late April, the ad hoc Advisory Council Committee has met regularly to review each of theseSubProjects and evaluate their contribution to the region's preparedness and response capabilities. In lateJuly, the committee ranked these 36 SubProjects in priority order. This priority ranking is being used toassist in the development of recommendations to the Board of Directors about how to allocate the fiscalyear 2007 funding. In order to provide funding for more of the SubProjects, the Committee asked allSubProject developers to trim their budgets as much as possible. If you wish to have influence on theprocess before the Committee finishes its work, now is the time to offer ideas or ask questions.Recent activity at the state level may affect priorities among the projects. The State of Missouri isdeveloping a statewide interoperable communications plan as part of the State's application to the PublicSafety Interoperable Communications (PSIC) Grant. Additionally, the Missouri Office of HomelandSecurity offered to allow individuals in the STARRS region to become users on the Rapid ResponseInstance, a portion of the Virtual Emergency Operation Center (VEOC) that is being deployed for theState of Missouri. If either goes forward, more funds will be available for the projects on the attached list.We will keep you and the Advisory Council apprised of Missouri’s plans as we learn more. TheCommittee will reconvene in October to continue their work.Attachments14301 SOUTH OUTER 40 DRIVE, TOWN & COUNTRY, MO 63017 CoordinationCommunicationIntegration

Executive SummarySt. Louis Regional ApplicationFor Homeland Security Grant ProgramFunding for Fiscal Year 2007Total amount requested: $16.93 million. Summary descriptions of the St. Louis area’s elevenInvestment Justifications are outlined below:I. Regional Planning - $1.79MThis investment will continue work on the regional catastrophic plan that began in fiscal year2006. Funds will be used for consultant fees and staff assigned to this project. Additionally, itexpands the Incident Management/Support Teams and creates a regional Medical ResponseCorps.II. Regional Operations - $2.34MThis investment will provide funds for a Mobile Command Center for St. Clair County, Illinoisto boost the region's capacity to provide on-site management of major incidents. In addition, itwill upgrade the Virtual Emergency Operations Center (VEOC) to be in sync with the MissouriEmergency Resources Information System (MERIS). It will provide a digital pen system thatwill expedite damage assessment, incident report forms and continue develop of a VEOCOperations Manual.III. St. Louis Regional Microwave Network - $3.12MFunds from this investment will begin the second phase of the Point to Point microwave systemthat will go beyond voice communications by supporting data, video and voice over internetcapabilities required by other regional investments, i.e, the VEOC, Emergency Tracking System(ETS), Universal ID (UID), aerial video surveillance and the region’s area-wide diseasesurveillance system. The microwave system will connect with MO & IL communicationssystems & will provide redundancy for critical assets like 911 centers.IV. Citizen Preparation and Recovery - $3.14MThis investment justification provides funding in support of the Gateway Council of CitizenCorps which represents the various Citizens Corp groups throughout the region. These groupsprovide Community Emergency Response Team (CERT) and National Incident ManagementSystem (NIMS) training to citizen volunteers anywhere within the region. This investment alsofunds the Citizen Sheltering Project by purchasing sheltering resources that will be needed forcooling or heating shelters and during a pandemic. The project provides each of the eightjurisdictions in the Urban Area with response trailers that are equipped with sheltering suppliesconsisting of indirect heaters, HVAC, cots, and blankets for 200 people. In addition, it willprovide 5 generators for use when power is lost.

V. Enhance Public Health Capabilities - $1.68MThis will expand the Gateway ESSENCE (Electronic Surveillance System for the EarlyNotification of Community based Epidemics) syndromic surveillance project to include trackingpharmaceutical sales and reports from physician's office visits. This will also expand theFirstMeds program that provides pre-placement of prophylactic medicines for first respondersand will support mass prophylaxis sites by adding language translation devices and tow vehiclesfor mobile dispensing units.VI. Hospital Emergency Preparedness and Response Software Program for Healthcare IncidentCommand - $900KFunding will provide incident management web based software called "Live Process" that allowseach hospital in the region to track medical resources and develop a hospital hazard vulnerabilityand risk assessment.VII. Multi Area Hospital Medical Surge - $150KThis investment will produce a special population/medical surge cache that will support regionalcoordination of medical supply management & distribution in both Kansas City and St. LouisUrban Area's. The cache will provide scalable (in size), modular and rapidly deployable healthand medical care support to those patients who have medical, mental health, or other healthrelatedneeds that cannot be accommodated or provided for in general shelter population.VIII. St. Louis Terrorism Early Warning (TEW) Group - $710KThe St. Louis Terrorism Early Warning (TEW) Group is a multi-lateral, multi-jurisdictional andmulti-disciplinary effort integrating law enforcement, fire protection, health services andemergency management agencies to address the intelligence needs for combating terrorism andprotecting critical infrastructure. This project will continue with intelligence gathering softwareupdates and subscriptions and will provide terrorism detection and prevention training within theregion for three years.IX. STARRS Critical Infrastructure Protection - $450KThe investment will create a sustainable program to inventory and monitor critical assets withinthe UASI region. This includes asset identification as well as prioritization through threatassessment. This investment will collaborate with the Terrorism Early Warning group as theprimary storage location and data steward for the aggregate data, thereby making the TEWresponsible for any use or dissemination. The project funds continuation of one position tocollect the data and development of data management software.X. WMD/CBRNE and Urban Search & Rescue Response Capabilities - $1.08MThe region's heavy rescue teams work together to provide a search and rescue responsecapability. This project will enhance heavy rescue's canine search capacity, purchase additional

tow vehicles for their incident response trailers, purchase additional rescue equipment andenhance their medical unit. Funding will also provide additional equipment to promotestandardization that will further enhance this coordinated response effort without depletingresources from any one jurisdiction.In order to maintain and sustain the HazMat current state of readiness, it requires significantongoing equipment & training funding. Sustainment costs associated with maintaining highlytechnical monitoring equipment, personal protection equipment, and decontamination areextremely high. In addition, funding is needed to stay abreast of changes in technologyassociated with equipment changes and replace response equipment that has a shelf life or isbeyond its recognized service life.XI. Aerial Command and Support Platform (i.e., Helicopter) - $1.5MThis investment provides funding for the purchase of a police helicopter. The St. Louis CountyPolice Dept has provided air support to the St. Louis region for over 35 years. Since the events of9/11 airborne law enforcement regionalized its efforts and formed the Metro Air Support Unit.Metro Air Support refocused its efforts on the protection of critical infrastructure in the region,performing search and rescue missions, establishing interoperable communications allowingeffective aerial command, and having a well rounded operation to satisfy the needs of all firstresponders.

STARRSFiscal Year 2007 Urban Areas Security InitiativeAd Hoc CommitteeName Organization STARRS CommitteeSgt. Debbie Boelling St. Louis Metropolitan Police Department Critical InfrastructureTim Bonno Gateway Citizen Corps Coalition Citizen CorpsLt Chuck Boschert St. Louis County Police Department Critical InfrastructureChief Greg Brown Eureka Fire Protection District FireGary ChristmannBob DoppSt. Louis City Emergency Management AgencyFranklin County Emergency ManagementAgencyEmergencyManagementEmergencyManagementLt. Darla Gray St. Louis Metropolitan Police Department Law EnforcementSteve MakkySt. Charles County Emergency ManagementAgencyInteroperableCommunicationsDebbie Mays BJC Healthcare Hospital PreparednessJack QuigleyMadison County Emergency Management EmergencyAgencyManagementChief Greg Render Signal Hill Fire Department FireChief Ernie Rhodes St. Charles City Fire Department First RespondersTom Smith Monroe/Randolph County Health Department Public HealthChief Don Strom Washington University Police Department Law EnforcementChief Mark Thorp City of Clayton Fire Department EMSBarbara Whittaker St. Clair County Health Department Public HealthHope WoodsonSt. Charles County Department of CommunityHealth & EnvironmentPublic Health

STARRS St. Louis Area Regional Response System314.244.9601Fax 314.244.9611starrs@stl-starrs.orgwww.stl-starrs.orgMemo to:From:Subject:Board of DirectorsStaffSTARRS Committee ReorganizationsDate: September 4, 2007In 2003 when STARRS was first created, staff worked with selected leaders in the region tocreate the working subcommittees under the Advisory Council. These were aligned according todiscipline, i.e., police, fire, public health and hospitals to ensure the development of enhancedand sustainable programs that have the capacity to prevent, protect against, respond to, andrecover from acts of terrorism and disasters.Over the past several years the Department of Homeland Security (DHS) has gone throughseveral changes which has caused a modification in DHS direction regarding the goals andobjectives of the Urban Area Security Initiative. This includes the expansion of the nationalpriorities, the creation of the target capabilities list and the universal task list. Because of thesenew directives staff needs to evaluate the current committee structure to determine if they aremeeting the goals and objectives of the national program.Over the coming weeks staff will be reviewing the DHS guidance to determine how best to alignthe STARRS committees with the national policy. The goal in this restructuring is to provideguidance to the committees on how to effectively and efficiently strengthen preparedness forterrorist attacks, major disasters, and other emergencies. Additionally, this restructuring willcreate a better capabilities based planning approach that will focus on a wider range of threatsand hazards thus developing a wider range of possible scenarios to identify required capabilities.The committee restructuring will include the renaming of some of the committees and thereassignment of some committee members. Additional information will be provided as itbecomes available14301 SOUTH OUTER 40 DRIVE, TOWN & COUNTRY, MO 63017 CoordinationCommunicationIntegration

STARRS St. Louis Area Regional Response System314.244.9601Fax 314.244.9611starrs@stl-starrs.orgwww.stl-starrs.orgFrom:Subject:John Baricevic, Chair, Nominating CommitteeAdvisory Council Committee Member NominationsDate: August 17, 2007The following applicants have been reviewed by Mr. Nick Gragnani, who recommends that they beapproved by the Nominating Committee and Board of Directors.Public Health1. Meaghan Cunningham – Pandemic Planner – City of St. Louis Department of Health – Leadauthor of the department’s Pandemic Response Plan, and responsible for updating the plan as newinformation and guidelines become available. Conducted a regional pandemic influenza tabletopexercise that focused on the relationship between hospitals and public health during a pandemicevent.2. Carla Little – CRI Coordinator – Illinois Department of Public Health – Experience with CitiesReadiness Initiative and Strategic National Stock Pile with the Office of Preparedness andResponse. Four years experience as a research scientist and research biologist at the Centers forDisease Control and Prevention.3. Brenda Rainbolt-Wyatt – Emergency Response Planner – Washington County HealthDepartment – An instructor for Community Emergency Response Teams and programcoordinator for Washington County CERT. Serves on the Washington County EmergencyManagement Committee and Pandemic Influenza Committee. Also serves on the RegionalHomeland Security Oversight Committee for Region C, and represents Region C by serving onthe state Investment Justification Committee.4. Shelia Harris-Wheeler – Crisis Response/Disaster Recovery Coordinator – Crider Health Center– Coordinates the efforts of the Four County Disaster Response Team. Develops emergencypreparedness plans for all Crider facilities, and collaborates with Emergency ManagementDirectors in each of the counties that Crider serves to coordinate for disaster mental health needs.Interoperable Communications5. Joe Schmidt – Deputy Chief – Mehlville Fire Protection District – Twenty-six years experiencein government service; over two years experience as a chief officer. Member of Missouri TaskForce 1, St. Louis County Hazardous Material Team, Region C Incident Management Team, andSt. Louis County Heavy Rescue Strike Team 3.Carla Little (See Public Health).14301 SOUTH OUTER 40 DRIVE, TOWN & COUNTRY, MO 63017 CoordinationCommunicationIntegration

Board of DirectorsAugust 17, 2007Page TwoLaw Enforcement6. Reggie Harris – Deputy Chief – St. Louis Metropolitan Police Department – Twentyeightyear veteran of the St. Louis Metropolitan Police Department.Hospital Preparedness7. Andy Presti – Director, Safety and Security – SSM-St. Mary’s Health Center – Over 20years experience in disaster preparedness. Has extensive experience in disasterpreparedness, hazardous materials, waste management, security, and safety. Plans,conducts, and critiques disaster drills for the hospital. Member of St. Louis County LocalEmergency Planning Commission.8. Chris Jenkins – Pharmacy/Disaster Planner – St. Louis University Hospital –Responsible for coordinating the implementation of MEDS/POD in the pharmacy withinthe context of a disaster requiring mass prophylaxis. Also responsible for developing inhousepharmacy plans for developing a disaster chain of command, disaster kits, andinformation protocols to be followed upon activation of a disaster.9. Amy Meglitsch – Public Health Nurse Liaison – St. Louis County Department of Health– Serve as liaison between assigned hospitals and St. Louis County Department of Healthto facilitate information exchange regarding communicable diseases and emergencypreparedness/readiness.10. Nancy Hesselbach – Administrator – St. Louis Surgical Center – Nursing Managementprofessional with extensive and broad-based experience in surgical services, communitybased health education and orthopaedic sales.11. Richelle Williams – Senior Account Manager/Infection Control Consultant – ICPMedical – Assist facilities in identifying and implementing new procedures regardinginfection control practices.Shelia Harris-Wheeler (See Public Health).Critical Response Teams12. Kim Selig – Project Development Specialist – Missouri Institute of Mental Health –Coordinate grant-funded research projects; develop grant proposals, publications, andpresentations; and manage and analyze study data.Chris Jenkins (See Hospital Preparedness).Joe Schmidt (See Interoperable Communications).

Board of DirectorsAugust 17, 2007Page ThreeTraining13. Rodney Lewis – ESDA/EMA Director – City of Centreville, IL – Design and implementthe Emergency Operation Plan for the city; coordinate city resources to mitigate disasters;crisis management; damage assessment; and procure funding to improve emergencyfunctions of all city departments. Coordinate disaster operations with five independentvolunteer fire protection districts.First Responders & Emergency Management14. Mark Bagby – University Disaster Coordinator – Washington University – Workdirectly with academic and administrative leaders and designated personnel to develop,implement, manage and continually improve campus-wide and departmental emergencypreparedness, business continuity response plans and programs, to improve theuniversity’s ability to recognize and respond to emergencies and systematically restorethe campus to full operation pending any adverse event. Develop, lead and conductemergency/disaster drills.Kim Selig (See Critical Response Teams).Rodney Lewis (See Training).Public Information15. Phyllis Thomas – Operations Supervisor – Family Care Health Centers – Oversees thegeneral site operations, including security, phone system and process, and insures thegeneral operations of medical records. Coordinates all changes in provider schedules.EMS16. Deborah Woelfel – EMS Coordinator – Alton Memorial Hospital – Over 25 yearsexperience as a registered nurse. Develops EMS and trauma service skills, policies, andprocedures. Q1 experience in pre-hospital, trauma, and emergency. Coordinates andtrains pre-hospital care givers education and classes at EMT-B, EMT-1, First Responders,pre-hospital nurses, ECRN and EMT-P.V-EOC17. Ken Walk – Emergency Management Specialist – St. Louis City EmergencyManagement Agency – Developer and manager of disaster and terrorism preparednessplanning and training, including cross-functional team recruiting, team building, andtraining for response, recovery and continuity of mission-critical processes.

Board of DirectorsAugust 17, 2007Page Four18. Michael Smiley – Deputy Director – St. Louis County Police Department, Office ofEmergency Management.19. Robert Arnold – Fire Chief – Pattonville Fire Protection District – Over 20 yearsexperience as a first responder. Member of St. Louis County Hazardous Materials/WMDEmergency Response Team.