emergency management program development. primary reference emergency management principles and...
TRANSCRIPT
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Emergency Management Program Development
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Primary Reference
• Emergency Management Principles and Practices for Healthcare Systems, The Institute for Crisis, Disaster and Risk Management (ICDRM) at the George Washington University (GWU) for the Veterans Health Administration, Department of Veterans Affairs (VA), Washington, DC, June, 2006. Available at www.va.gov/emshg
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Lesson Objectives
• Identify some of the concepts and systems that support a comprehensive emergency management (CEM) program.
• Describe the various standards and regulations that must be addressed by a health system’s CEM program.
• Explain how a nine-step process can be used to develop an effective program that meets regulatory requirements.
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Concepts & Systems
• Disaster research (1940-present).• Comprehensive Emergency Management (1979).• Integrated Emergency Management System
(1983).• Incident Command System, National Interagency
Incident Management System (NIIMS) (1985); National Incident Management System (NIMS) (2003).
• Standardized Emergency Management System (1994).
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ComprehensiveEmergency Management:
4 Phases
• Mitigation
• Preparedness
• Response
• Recovery
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The Integrated Emergency Management System (IEMS)
• A philosophy of inclusiveness - the groups that will respond to disasters are brought into the planning process.
• A method of organization - around functions generic to all disasters, not around specific hazards, agencies or people.
• A set of program development steps tied to the four phases.
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MaximumCapabilityRequired
MaximumCapabilityRequired
OptimallyIntegrated
Plans
OptimallyIntegrated
PlansContinual
Maintenance
ContinualMaintenance
CAPABILITYASSESSMENT
CAPABILITYASSESSMENT
EMERGENCYOPERATIONS
PLANS
EMERGENCYOPERATIONS
PLANSCAPABILITY
MAINTENANCE
CAPABILITYMAINTENANCE
MITIGATIONEFFORTS
MITIGATIONEFFORTS
EMERGENCYOPERATIONS
EMERGENCYOPERATIONS
CAPABILITYSHORTFALL
CAPABILITYSHORTFALL
MULTI-YEARDEVELOPMENT
PLAN
MULTI-YEARDEVELOPMENT
PLAN
ANNUALDEVELOPMENT
INCREMENT
ANNUALDEVELOPMENT
INCREMENT
HAZARDSANALYSIS
HAZARDSANALYSIS
EVALUATIONEVALUATION
STATE/LOCAL
RESOURCES
STATE/LOCAL
RESOURCES
FEDERALRESOURCES
FEDERALRESOURCES
ANNUALWORK
INCREMENT
ANNUALWORK
INCREMENT
1
2 3 4
5
6 7
8 9 10
11
12
13
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Disaster Research:Four Key Considerations
• Importance of organizing by functions, not agencies or hazards.
• Use of problem-solving model.
• Need to understand crisis behavior.
• The difference between disaster planning vs. disaster management.
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Disaster Management Involves...
WarningPre-impact PreparationsSearch & RescueCare of Injured & DeadWelfare NeedsRestoration of Essential ServicesProtection against Continuing ThreatCommunity Order
Communication Continuing Assessment of Situation Mobilization & Utilization of Resources Coordination Exercise of Authority
“Agent-Generated Demands”
“Response-GeneratedDemands”
Two Sets ofDemands OccurSimultaneously!
Quarantelli
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Incident Command System &Standardized Emergency Management
Systems
• ICS was developed as a result of a Congressional mandate to solve inter-agency coordination problems at the scene of major wildfires in the late 1970’s.
• SEMS was developed at the request of California’s Governor to solve inter-agency coordination problems in Emergency Operations Centers.
• Both use the same management functions and share system components.
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• Command
• Planning
• Logistics
• Finance
• Operations
ICS/SEMS/NIMS Management Functions
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ICS/SEMS System Components
• Common Terminology• Integrated Communications• Modular Organization• Unified Command Structure• Manageable Span of Control• Consolidated Action Plans• Comprehensive Resource Management• Pre-Designated Incident Facilities
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Standards and Regulations
• JCAHO• OSHA• EPA• NFPA• ASTM• NIMS• EMTALA• HIPAA
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Crosswalk
• Nine Steps
• NIMS Elements
• JCAHO indicators
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Form Emergency
Management Committee
Leadership & Diirection, Establish
Roles, AssignResponsibilities
Implement Mitigation & Preparedness Activities
Take Actions to Increase Resiliencyand Medical Surge Capacity and Capability
1
Develop Emergency
Operations Plan
“All hazards”Concept of Operations
ConductHazard
Vulnerability Analysis
Determine Threats and Impacts
DevelopIncident-specific
Guidance
Mitigation, Preparedness, Response &
Recovery
External Coordination
Clarify Roles and Ensure Mutual-aid
Conduct Staff Education &
Training
Understand Roles, Build Competencies
and Confidence
Implement Emergency
Operations PlanRehearsal orActual Event
Evaluation& Corrective
Actions
Review and Refine the Components of the
Emergency Management
Program
2 3 4
5
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Discussion Question:
• What are some of the biggest issues you have with developing the emergency management program in your organization?
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Questions?