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Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200, 700) The University of South Alabama Center for Strategic Health Innovation © University of South Alabama Center For Strategic Health Innovation. All Rights Reserved. These slides are a part of the ARRTC program and cannot be reproduced for commercial purposes.

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Page 1: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Introduction to:

Incident Command System (ICS)

Hospital Emergency Incident Command System (HEICS)

National Incident Management System (NIMS)

(IS 100, 200, 700)

The University of South AlabamaCenter for Strategic Health Innovation

© University of South Alabama Center For Strategic Health Innovation. All Rights Reserved.These slides are a part of the ARRTC program and cannot be reproduced for commercial purposes.

Page 2: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

ICS is:

• A Proven Crisis Management System Based on Military and Fire Management Systems

• Common Language between agencies - (Fire, Police, EMA, Hospitals, Public Health…)

• Manages routine or planned events

• Provides logistical and administrative support to operational personnel

• Improves Communication

• Flexible, adaptable system

Page 3: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

NIMS is:

• Comprehensive federal system directing response agencies to function in an organized manner

• Established to coordinate:– Plans– Organization Structure– Training and Exercises– Resources– Communications and Technology

Page 4: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

NIMS Compliance

• HSPD-5 issued in 2004• For disaster response agencies and departments,

NIMS made a condition for Federal assistance• Confusion over initial NIMS compliance for

hospitals and healthcare facilities• DHS/HRSA letter of May 26, 2006 explains

newest issues

Page 5: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

NIMS Implementation Activities for Hospitals

• Similar to expectations placed on government agencies

• Consists of seven categories and seventeen elements

• The Hospital Emergency Incident Command System (HEICS) incorporates NIMS terminology, principles and practices

Page 6: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

NIMS Compliance

1. Adopt NIMS at your agency2. Revise disaster plans to incorporate NIMS3. Become familiar with National Response Plan4. Adopt ICS (HEICS) and make it a part of your

Disaster Response Plan5. Coordinate with local response agencies and

use a Multi-Agency Coordination system6. Develop Mutual Aid agreements

Page 7: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

NIMS Compliance

7. Participate in local Public Information Plans

8. Coordinate and implement federal funding and demonstrate commitments

9. Select personnel need IS 100, 200, 700, and 800 Courses – later in presentation (www.fema.gov/emergency/nims/)

10. NIMS compliance phased in over next 2 years

11. Compliance with first set of objectives is September 30, 2007. (Changed from 9/30/06)

Page 8: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

NIMS Components

1. Command and Management - ICS

2. Preparedness – Plans/Exercises/Training

3. Resource Management – Stuff/People

4. Communications and Information Management - AIMS

5. Supporting technologies – IT

6. Ongoing maintenance and management – Periodic NIMS updates/requirements

Page 9: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

National Response PlanEmergency Support Functions (ESFs)

1. TransportationDepartment of Transportation

2. CommunicationsHomeland Security

3. Public Works and EngineeringDepartment of DefenseArmy Corps of Engineers

4. FirefightingDepartment of Agriculture

5. Emergency ManagementHomeland Security/FEMA

6. Mass Care, Housing,Human ServicesHomeland Security/FEMA

7. Resource SupportGeneral Services Administration

8. Public Health and Medical ServicesDepartment of Health and Human Services

9. Urban Search and RescueHomeland Security/FEMA

10. Oil & Hazardous Materials ResponseEnvironmental Protection Agency

11. Agriculture and Natural ResourcesDepartment of Agriculture

12. EnergyDepartment of Energy

Page 10: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Response PlanEmergency Support Functions

13. Public Safety and SecurityDepartment of Justice

14. Long-Term Community RecoveryHomeland Security/FEMA

15. External AffairsHomeland Security

Page 11: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

ICS

Page 12: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Basic Features of ICS

• Modular organization• Management by objectives• Reliance on an Incident Action Plan (IAP)• Chain of command • Manageable span of control• Unity of command• Unified Command

Page 13: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

History of ICS

Weaknesses in incident management before ICS– Lack of accountability– Poor communication– Lack of a planning process– Overloaded Incident Commanders– No method to integrate interagency

requirementsICS provides an organized system to manage

incidents and addresses these weaknesses

Page 14: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

ICS Terminology

Unified CommandSectionsDivisionsGroupsBranchesTask ForcesStrike TeamsSingle ResourcesTransfer of command

Page 15: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Unified Command

• Enables all responsible agencies to manage an incident

• Establishes a common set of incident objectives and strategies

• Allows Incident Commanders to make joint decisions by establishing a single command structure

• Maintains unity of command– Each employee only reports to one supervisor

Page 16: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Sections

• Organizational levels with responsibility for a major functional area of the incident

• Operations• Planning• Logistics• Finance/Administration

• The person in charge is the Chief

Page 17: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Divisions and GroupsDivisions

– Divide an incident geographically – Is led by a Supervisor

Groups– Established based on the needs of an

incident. – Labeled according to the job that they are

assigned– Managed by a Supervisor– Work wherever their assigned task is

needed and are not limited geographically

Page 18: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Branches and UnitsBranches

– Established if the number of Divisions or Groups exceeds the span of control

– Have functional or geographical responsibility for major parts of incident operations

– Managed by a Branch Director

Units– Organizational elements that have

functional responsibility for a specific activity

Page 19: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Task Forces

• Task Forces are a combination of mixed resources with common communications

• Operate under the direct supervision of a Task Force Leader

Page 20: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Strike Teams

Strike Teams are a set number of resources– Of the same kind and type– With common communications – Operate under the direct supervision of a

Strike Team Leader

Page 21: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Single Resources

• An individual(s) or piece of equipment with its personnel complement; or,

• A crew or team of individuals with an identified supervisor

Page 22: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

ICS Supervisory Titles

Organizational

Level

Title Support Position

Incident Command Incident Commander

Deputy

Command Staff Officer Assistant

General Staff (Section)

Chief Deputy

Branch Director Deputy

Division/Group Supervisor N/A

Unit Leader Manager

Strike Team/Task Force

Leader Single Resource Boss

Page 23: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Transfer of Command

• Moves the responsibility for incident command from one Incident Commander to another

• Must include a transfer of command briefing– Oral– Written– Both oral and written

Page 24: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

ICS

Liaison Officer

Page 25: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

HEICS

Liaison Officer

Page 26: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

HOSPITAL EMERGENCY INCIDENT COMMAND SYSTEM

HEICS

Page 27: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Occurs

Tactical Response

ICS LaunchedIncident Reported

& Identified

ICS Management Process

Chiefs Meeting:Develop Strategy& Tactics to Meet

ObjectivesAction Plan Preparation

IC Sets Objectives

Tactical ResponseInitiatedOperation Reports

Tactical Results, Needs,Engage Liaison,

Logistics, Planning,Finance for support

Planning EvaluatesProgress Reports

Chiefs & OfficersMeet with IC to

Evaluate Reports

Page 28: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

The Five Sections

• Command = the buck stops here

• Planning = creates & develops incident plan

• Operations = implement the plan.

• Logistics = supports the plan.

• Finance = pays for the plan.

Page 29: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

Liaison Officer

Command Section

?? Legal ??

Page 30: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

The Incident Commander

Gives overall direction for hospital operations.

Mission: to organize and directthe EOC (Emergency Operations Center) and all the positions through the ICS structure

Page 31: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Safety/Security Officer

• Organize and reinforce scene/facility protection and traffic.

• Establish a security command post.

Mission: Monitor and have authority over the safety of operations and hazardous

conditions.

Page 32: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Public Information Officer

• Mission: to function as the public information source for your agency.

• Be the organizer of correct information• COMMUNICATE with other

public information officers • Participate in a JIC

Page 33: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Liaison Officer

• Mission: to function as the incident contact person for representatives from other agencies.

• COMMUNICATE into and out of the hospital.

Page 34: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Legal & Ethics

• Mission: to provide legal advice to the IC and your agency.

• Think recent issues in

New Orleans

Page 35: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

HEICS

Liaison Officer

Page 36: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Logistics Section

“Boy, do I need stuff”

Page 37: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Logistics Chief

• Organize and direct operations associated with the maintenance of the physical environment:

– Food

– Shelter

– Supplies

– Comms Equipment

Support the medical objectives

Page 38: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Logistics Chief

Facility Unit Leader

Communications Unit Leader

Transport Unit Leader

Materials Supply Unit Leader

Nutritional Supply Unit Leader

Page 39: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

HEICS

Liaison Officer

Page 40: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Planning Section

Page 41: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Planning Chief

• Organize and direct all aspects of the planning section - Action Plan

• Document and distribute the facility action plan.• Ensure distribution of critical information/data.• Compile scenario projections from all section

chiefs and effect long range planning.• Ensure adequate personnel for response.

Page 42: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Planning Chief

Labor Pool Unit Leader

Medical Staff Unit Leader

Patient Tracking Officer

Patient Information Officer

Situation Status Unit Leader

Page 43: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Situation-Status Unit Leader

• Maintain current information regarding the incident status.

• Ensure a written record of the hospital’s emergency planning and response.

• Develop the hospital’s internal information network.

• Monitor the maintenance and

preservation of the computer system.

Page 44: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Labor Pool Unit Leader

• Collect and inventory available staff to a central point.

• Receive requests and assign available personnel as needed.

• Maintain adequate numbers of medical and non-medical personnel.

• Assist in the maintenance of staff morale.

Page 45: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Medical Staff Unit Leader

• Collect available physicians at a central point. • Credential volunteer medical staff as

necessary.• Assist in the assignment of available medical

staff as needed.• Often moved to Operations under

Medical Staff Director

Page 46: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Patient Tracking vs Information

Tracking Officer:

• Maintain the location of patients at all times within the hospital’s patient care system.

Information Officer:

• Provide information to visitors and family on status and location of patients.

Page 47: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

HEICS

Liaison Officer

Page 48: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Finance Section

$$ $$

MONEY MONEY

MONEY MONEY

Page 49: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Finance Section

• Monitor the utilization of financial assets.• Oversee the acquisition of supplies and services

to carry out the medical mission.• Supervise the documentation of expenditures

relevant to the emergency incident.• Business RECOVERY

Page 50: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Finance Chief

Time Unit Leader

Procurement Unit Leader

Claims Unit Leader

Cost Unit Leader

Page 51: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

HEICS

Liaison Officer

Page 52: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Operations Section

• Day to Day activities – On Steroids!• Provision of Care – “Your Hospital’s

Mission”• Known as the Tactical Response

Page 53: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Operations Chief

Medical Staff Director

Medical Care Director

Ancillary Services Director

Human Services Director

Page 54: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Operations ChiefMedical Staff Director Medical Care Director

In-Patient Areas Supervisor

Treatment Areas Supervisor

Surgical ServicesUnit Leader

General NursingUnit Leader

Out-Patient Services Leader

Maternal & ChildUnit Leader

Critical CareUnit Leader

Delayed TxUnit Leader

Immediate TxUnit Leader

TriageUnit Leader

Minor TxUnit Leader

MorgueUnit Leader

Discharge Unit Leader

Page 55: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Operations Chief

Human Services Director

Staff SupportUnit Leader

Psychological SupportUnit Leader

Dependent Care Unit Leader

Page 56: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Operations Chief

Ancillary Services Director

Laboratory Unit Leader

Radiology Unit Leader

Pharmacy Unit Leader

Cardiopulmonary Unit Leader

Page 57: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Job Action Sheets

• Each role’s assignments

• Checklists

• Prioritizes duties

• No duplication of duties

• Responsibilities outlined

• Important that staff know to read their Job Action Sheet at the START!!!

Page 58: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Using Functions Lists to Build Readiness:

• Look at the function – is it something your facility would do?

• If no, who is responsible for it?

• If maybe, how would be adjust?

• If yes, who would undertake this task?

• How would this task be accomplished?

• Do you have an Operating Instructions or a Policy/Procedures Guide?

Page 59: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Job Action Sheets

• Job Action Sheets: should be customized to your organization but…

Never alter the job title or mission statement.

Until Later!

Page 60: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

HEICS Implementation

It is a process

HINT: It really never ends!

Page 61: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Other ICS Systems

Page 62: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Liaison Officer -Internal

Logistics Chief Planning Chief Finance Chief Operations Chief

PHEICS

Liaison Officer - External

Legal Officer

Public Health Emergency Incident Command System

Page 63: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Safety and Security OfficerPublic Information Officer

Social Services Coordination Branch

Leader

Laboratory Branch Leader

Environmental Branch Leader

Incident Commander

 

ADPH Incident Command System Positions Chart May 22, 2006

Incident ManagementAdvisory Group/

CEP

Nutrition Supply Unit Leader

Materials Supply Unit Leader

Transportation Unit Leader

 

Damage Assessment Unit

Leader

Communications Unit Leader

Planning Chief

Situation Status Unit Leader

Human Resources Unit Leader

Strategic Epidemiology Unit

Leader

Strategic Surveillance Unit

Leader

Finance Chief

Time Unit Leader

Patient Tracking Unit Leader

Procurement Unit Leader

Logistics Chief Operations Chief

Liaison Officer ExternalLegal OfficerLiaison Officer Internal

Surveillance & Epidemiology

Investigation Branch Leader

Medical Branch Leader

Subject Matter Experts Biological Chemical Radiation Zoonotic Infection Control

Page 64: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Safety and Security OfficerPublic Information Officer

Legal Officer

Incident Commander 

ADPH Incident Command SystemPositions Chart - OperationsMay 22, 2006

Incident ManagementAdvisory Group/

CEP

Liaison Officer Internal Liaison Officer External

Montgomery LabGroup

Food Safety Group

Patient Management Group

EMS Group

Patient Transfer Unit

Mass Prophylaxis & SNS Group

Shelter Group

Staging Unit

Mass Prophylaxis & Vaccinations Group

Birmingham LabGroup

Mobile LabGroup

Social Service Coordination Branch

LaboratoryBranch

EnvironmentalBranch

Medical Branch

Surveillance/Epidemiology Investigation Branch

Subject Matter Experts Biological Chemical Radiation Zoonotic Infection Control

Operations Chief

Page 65: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Safety and Security OfficerPublic Information Officer

Legal Officer

Incident Commander 

ADPH Incident Command SystemFunctions ChartMay 22, 2006

 

Incident ManagementAdvisory Group/

CEP

Liaison Officer Internal Liaison Officer External

Logistics Chief Planning Chief Finance Chief

Damage Assessment

 Provide materials

and supplies

SNS, VMI, Chem Packs,

transportation and supply

Transportation support

Nutrition supply 

Situational awareness

Monitor situation

Repeat risk assessment process

Long-term follow up

Provides personnel/ volunteers support

Strategic epidemiology

Strategic surveillance

Emergency credentialing

Time/ cost tracking

Track patients helped by ADPH

Manage mutual aid, emergency purchases

Comm/Tech Infrastructure

Support

Operations Chief

Expanded Operations Section

Next slide

Subject Matter Experts Biological Chemical Radiation Zoonotic Infection Control

Page 66: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Safety and Security OfficerPublic Information Officer

Legal Officer

Incident Commander 

ADPH Incident Command SystemFunctions Chart - OperationsMay 22, 2006

Incident ManagementAdvisory Group/

CEP

Liaison Officer Internal Liaison Officer External

Montgomery LabRegional Support

Food Safety Group

Birmingham LabRegional Support

Mobile LabRegional Support

Social Service Coordination Branch

LaboratoryBranch

EnvironmentalBranch

Operations Chief

Mental Health Support

Staff & Volunteer Care

Community Resources

Tribal Support

Federal Social Service Special Programs

Special Needs Populations

Non English Speaking Populations

Hearing Impaired Populations

Shelters

Field Kitchens

Food Establishments

Health Care Facilities

Congregated Living Facilities

Sanitation

Water Safety

Garbage Removal

Vector Control

Shelters -Environmental

ContinuedNext

Page

Surveillance/Epidemiology Investigation Branch

Surveillance of Illnesses and Injuries

Subject Matter Experts: Biological Chemical Radiation Zoonotic Infection Control

Page 67: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

 

ADPH Incident Command SystemFunctions Chart - OperationsMay 22, 2006

Operations Chief

Medical Branch

Mass Prophylaxis & Vaccinations Group

Mass Prophylaxis & SNS Group

Staff & Volunteers Field Management

Patient Tracking

Mass Shelter Support

Coordinate with Logistics

MNS Supplies / Equipment: initial & re-

supply

Team Deployment

Staff & Volunteers Deployment

Coordinate Patient Transportation

Coordinate EMS Support for MNS

Locations

Pre-hospital Triage/Treatment

Locations

Field Hospitals

Non-traditional Treatment Centers

Evacuee/Patient Reception Centers

Health Departments

Coordinate w/PTU –Arrange medical

care for evacuees

Mass Vaccination Clinics

Community Support

Pharmaceuticals

Community Support

SNS

Support/Coordinate Statewide Health

Care System

Protect & Support Statewide Health Care Resources

Manage Patient Transfer Requests

Statewide

Monitor Health Care Capacity (AIMS)

Statewide

Coordinate State Health Care System & Federal Assets

Protect Medical Community

Patient Transfer Unit (PTU)

Patient Management Group

Staging Unit

Shelter Group

EMS Group

Subject Matter Experts: Biological Chemical Radiation Zoonotic Infection Control

ContinuedPrevious

Page

Page 68: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

CHEICS

Liaison Officer

Page 69: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Incident Commander

Public Information Officer

Safety and Security Officer

Logistics Chief Planning Chief Finance Chief Operations Chief

CHEICS

Liaison Officer

AncillaryServices

Medical Care

HumanServices

Page 70: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

TRAINING

Page 71: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,
Page 72: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,
Page 73: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,
Page 74: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,
Page 75: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,
Page 76: Introduction to: Incident Command System (ICS) Hospital Emergency Incident Command System (HEICS) National Incident Management System (NIMS) (IS 100, 200,

Questions