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 (Representatives From Local Jurisdictions)

Finance/ Administration

Logistics Planning Operations

Agencies work together to:

•Analyze Intelligence

•Establish objectives and strategies

•Multi-agency Involvement

Unified Command

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

ICP 1 ICP 2 ICP 3

Area Command

• Sets overall strategy & priorities • Allocates resources • Proper management • Objectives are met • Strategies are followed

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

EOC Manager

Coordination Communications Resource

Management Information Management

Supports Multi-Agency and Joint Information Activities

Emergency Operation Center (EOC)

Command and Management MACS

Coordination

Resources Priorities Strategic coordination

Resources Priorities Strategic coordination

Multiagency Coordination

Entity

Incident Command/

Unified Command 1

Incident Command/

Unified Command 2

Situation status Resource needs

Other Multiagency Coordination

Entities

EOC Organization

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

Joint Information Center

Research Team Media Team Logistics Team

Press Secretary (jurisdictional)

Liaison (as required)

JICs

Command and Management PIS State JIC

Local JIC 1 Local JIC 2

Agency 1 PIO

Agency 2 PIO

IC/UC/Area Command

PIO (at incident JIC)

Multiple JICS communicate & Coordinate using JIS protocols

Joint Information System (JIS)

Public Information Officer (PIO)

Preparedness Planning

5. NIMS Implementation Tracking 6. Preparedness Funding 7. Revise & Update Plans 8. 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 -Security Procedures -Receiving -Safety Procedures -Triage & Treatment -Specialty Lab Testing -MCI -Resource Management

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

Concepts: • Standardize identification, allocation, and

tracking • Classify by kind and type • Implement credentialing system • Incorporate resources from private sector

and NGOs

Resource Management

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 Non-Governmental 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 @

Kathee_tyo@urmc.rochester.edu