National Incident Management System NIMS - 700 What is National Incident Management System • A comprehensive, national approach to incident management • Applicable at all jurisdictional levels and across disciplines NIMS Compliance Your hospital must adopt NIMS Per NYS NIMS Implementation FAQs Why Do We Need NIMS? Lessons learned have shown the need for: • A coordinated response • Standardization • Interoperability NIMS Concepts and Principles NIMS is: • Flexible to enable all responding organizations to work together • Standardized to improve overall response and interoperability 17 NIMS Implementation Activities 1. Adoption of NIMS Command and Management 2. Incident Command System 3. Multi-Agency Coordination System 4. Public Information System Preparedness Planning 5. NIMS Implementation Tracking 6. Preparedness Funding 7. Revise and Update Plans 8. Mutual-Aid Agreements Preparedness Training 9. ICS 700 NIMS 10. ICS 800 NRP 11. ICS 100 & 200 Preparedness Exercises 12. Training and Exercises 13. All Hazards Exercise Program 14. Corrective Actions Resource Management 15. Response Inventory 16. Resource Acquisition Communication & Info Management 17. Standard & Consistent Terminology Command and Management Under NIMS 2. Incident Command System (ICS) 3. Multi-Agency Coordination System (MACS) 4. Public Information System (PIS) Command and Management 2. ICS: • • • • Proven on-scene, all-hazard concept Interdisciplinary and organizationally flexible Appropriate for all types of incidents Based on Best Practices Command and Management 2. ICS Features: • • • • • • • • Common terminology Organizational resources Manageable span of control Organizational facilities Use of position titles Reliance on an Incident Action Plan Integrated communications Accountability Command and Management 2. ICS requires: • Common terminology • “Clear” text • Reduce confusion between person’s position at an event and their daily function Command and Management 2. ICS Span of Control • From 3 to 7 reporting elements per supervisor • 5 reporting elements per supervisor is optimum Command and Management 2. ICS Incident Action Plans • Communicate incident objectives • Are based on operational periods • Are disseminated throughout the incident organization • Depend on management by objectives to accomplish response tactics Command and Management 2. ICS: • Multiple concurrent incidents • Incidents that are non-site specific, such as biological terrorist incidents • Incidents that are geographically dispersed • Incidents that evolve over time Command and Management ICS Unified Command Unified Command (Representatives From Local Jurisdictions) Operations Planning Logistics Agencies work together to: •Analyze Intelligence •Establish objectives and strategies •Multi-agency Involvement Finance/ Administration Command and Management 2. ICS: Unified Command: • Reduces duplicate efforts • Better management of resources • Establishes common objectives Unified Command does not change other features of ICS Command and Management ICS Area Command Area Command ICP 1 ICP 2 • Sets overall strategy & priorities • Allocates resources • Proper management • Objectives are met • Strategies are followed ICP 3 Command and Management ICS Area Command Planning Logistics Finance/ Administration NOTE: Does Not include Operations because Operations is done on scene Command and Management 3. MACS (Multi-Agency Coordination System) : • A combination of resources • Integrated into a common framework • Used to coordinate and support incident management activities • Assist the Incident Commander in obtaining resources not locally available Command and Management 3. MACS: • Support incident management policies and priorities • Facilitate logistics support and resource tracking • Make resource allocation decisions based on incident management priorities • Coordinate incident-related information • Coordinate interagency and intergovernmental issues regarding incident management policies, priorities, and strategies Command and Management MACS Emergency Operation Center (EOC) EOC Manager Coordination Communications Resource Management Information Management Supports Multi-Agency and Joint Information Activities Command and Management MACS EOC Organization Coordination Other Multiagency Coordination Entities Multiagency Coordination Entity Resources Priorities Strategic coordination Incident Command/ Unified Command 1 Resources Priorities Strategic coordination Situation status Resource needs Incident Command/ Unified Command 2 Command and Management 4. Public Information System (PIS): • Advises the Incident Commander • Establishes and operates within the Joint Information System (JIS) • Ensures that decision makers and the public are informed • The JIS establishes policies, procedures, protocols for gathering information Command and Management 4. PIS: Joint Information Center (JIC) • Physical location where public information staff co-locate • Provides the structure for coordinating and disseminating critical information • Agencies or organizations contributing to joint public information management retain their organizational independence Command and Management 4. PIS: JIC Characteristics: • Includes representatives of all players in the response • Has procedures and protocols for communicating and coordinating with other JICs Command and Management PIS JICs Joint Information Center Press Secretary (jurisdictional) Research Team Liaison (as required) Media Team Logistics Team Command and Management PIS Joint Information System (JIS) State JIC Local JIC 1 Local JIC 2 Agency 1 PIO Agency 2 PIO IC/UC/Area Command PIO (at incident JIC) Public Information Officer (PIO) Multiple JICS communicate & Coordinate using JIS protocols Preparedness Planning 5. 6. 7. 8. NIMS Implementation Tracking Preparedness Funding Revise & Update Plans Mutual Aid Agreements Preparedness Planning 5. NIMS Implementation Tracking: • Completed Annually • Self-Certify Process • NIMS Implementation Designee Preparedness Planning 6. Preparedness Funding: • Used to implement NIMS in organization • Purchasing • Training Preparedness Planning 7. Revise and Update Plans: • Establishing/coordinating plans and protocols • Integrating/coordinating activities • Establishing guidelines and protocols to promote interoperability • Establish guidelines for resource management • Establishing response priorities • Establishing/maintaining multiagency coordination mechanisms Preparedness Planning 7. Revise and Update Plans: • Plans describe how resources will be used • Plans describe mechanisms for: – Setting priorities – Integrating entities/functions – Establishing relationships – Ensuring that systems support all incident management activities Preparedness Planning 7. Revise and Update Plans: • Comprehensive Emergency Management Plan (CEMPs) • Emergency Operations Plans • Procedures • Preparedness Plans • Corrective Action and Mitigation Plans – Plans based upon lessons learned from actual events • Recovery Plans Preparedness Planning 8. Mutual-Aid Agreements: Hospitals at all levels are encouraged to enter into agreements with: • Other hospitals • NGO Facilitates timely delivery of assistance during an incident. Preparedness Training 9. ICS 700 NIMS 10. ICS 800 NRP 11. ICS 100 (or equivalent) & ICS 200 (or equivalent) Preparedness Exercises 12. Training and Exercises 13. All Hazard Exercise Program 14. Corrective Actions Preparedness Exercises 12. Training and Exercises: • Incorporate NIMS & ICS into all training and exercises • Test staff competency and role execution • Test existing plans Preparedness Exercises 13. All Hazard Exercise Program: • Hospital Participates in Exercises Outside of Their Institution • Frequency Dependent on Type • Should Address -Communications -Receiving -Triage & Treatment -MCI -Resource Management -Security Procedures -Safety Procedures -Specialty Lab Testing Preparedness Exercises 14. Corrective Actions: • Implement or Enhance Procedures • Based on Lessons Learned • “After Action Reports” or “Corrective Action Reports” Resource Management 15. Response Inventory 16. Resource Acquisition Resource Management Concepts: • Standardize identification, allocation, and tracking • Classify by kind and type • Implement credentialing system • Incorporate resources from private sector and NGOs Resource Management Principles: • • • • • • Advance planning Resource identification and ordering Resource categorization Use of agreements Effective management Basically manage resources from mobilization, demobilization & recovery Resource Management 15. Response Inventory: • Stockpiling • Use of MAP/MOU may expedite receipt of items Resource Management 16. Resource Acquisition: • Equipment, Communication & Data Interoperability • Hospitals, EMS, Fire, Law, PH, EM Communication and Information Management 17. Standard and Consistent Terminology • Plain English, avoid codes • Verbal and written communication NIMS INTERGRATION CENTER (NIC) • • • • Training and Exercise Personnel Qualifications Equipment Certifications Mutual Aid and Emergency Assistance Compacts • Publication management NIC Training and Exercise: • Establish national level preparedness standards, guidelines, and protocols • Facilitate use of modeling/simulation • Define general training requirements and approved courses • Review/approve discipline-specific training requirements NIC Personnel Qualifications & Certification: Development of certification and credentialing standards for key personnel, including: • Training • Experience • Credentialing • Current requirements • Physical and medical fitness NIC Equipment Certifications: • Facilitate development of national equipment standards, guidelines, and protocols • Review and approve equipment meeting national standards NIC Mutual Aid & Emergency Management Assistance Compacts (EMACS): Jurisdictions at all levels are encouraged to enter into agreements with: • Other jurisdictions/Private-sector and NonGovernmental Organizations/Private organizations. • Facilitate timely delivery of assistance during incident NIC Publication Management: • The development of naming and numbering conventions • Review and certification of publications • Methods for publications control • Identification of sources and suppliers for publications and related services • Management of publication distribution Summary Broad Applicability – Usable by many disciplines – Improves coordination – Improves cooperation Test http://training.fema.gov/EMIWeb/IS/is700a.asp Questions? Please email Kathee Tyo @ [email protected]
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