Certified Hospital Emergency Coordinator CHEC Training Program Incident

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management & Command (IM, NIMS, ICS, & HICS)

Certified Hospital Emergency Coordinator (CHEC) Training Program Objectives u Define: q Incident Management (IM) q National Incident Management System (NIMS) q Incident Command System (ICS) q Hospital Incident Command System (HICS)

Certified Hospital Emergency Coordinator (CHEC) Training Program Objectives, continued Identify the command general staff functions within ICS u Recognize the purpose of each command staff role within ICS u Identify the role of NIMS u Identify the NIMS implementation activities for hospitals u Discuss components of the HICS u

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management u A term describing how an agency, institution, facility, or organization manages resources and personnel, in an attempt to gain, obtain, or retain control over a situation or incident, whether emergent or disastrous

Certified Hospital Emergency Coordinator (CHEC) Training Program Factors Influencing Incident Dynamics u u Constant situational changes Information management challenges Difficulty seeing the big-picture Critical time considerations These types of situations can be: u u u Complex Confusing Dynamic Unpredictable Overwhelming Dangerous

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management u Consequences of failure to manage: q Injuries or death q Compromised property or infrastructure q Environmental damage or contamination q Poor public image of facility, agency, institution, or organization

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management u Effective incident management requires: q Planning and exercising prior to an incident q Accurate assessment of the incident q Establishment of realistic objectives q Setting of priorities q Management and assignment of resources q Working with outside agencies/ organizations q Frequent reassessment q Recovery in a timely manner

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management u Priorities: q Preservation of safety, health, and life q Property and infrastructure protection q Mitigation of harm, destruction and long term effects on the community

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management u u Many incidents will be so large or complex as to require multi-organizational responses All partners share a common goal, yet retain their unique responsibilities u u Fire/EMS Law Enforcement Public Health and Medical Community stakeholders

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management u Keys to incident management are: q Standardization q Communication u q effective and efficient Flexibility

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management Questions?

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Command System (ICS)

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Command System (ICS) u u ICS is a standardized organizational response system designed to expand contract operationally in order to meet the needs of a given incident ICS uses management and business principles to facilitate effective and efficient incident management

Certified Hospital Emergency Coordinator (CHEC) Training Program History of ICS u Late 1960 s and early 1970 s - Southern California Wildfires q Challenges with response due to a lack of: u Span of control - overloaded Incident Commanders u Accountability u Effective communication u Systemic planning u Integrated interagency cooperation

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Regulations and Laws Joint Commission (TJC) q Joint Commission Hospital Accreditation Standards u National Fire Protection Association (NFPA) u

Certified Hospital Emergency Coordinator (CHEC) Training Program Specific ICS Regulations u The Department of Homeland Security required full NIMS implementation to be completed by September 30, 2006. Some of the major aspects of NIMS are: q q q Institutionalize the use of the Incident Command System (ICS). Local governments must use ICS for the entire response system under their jurisdiction. Institutionalization is the process that encompasses ICS training, exercising, and everyday utilization on all hazards;

Certified Hospital Emergency Coordinator (CHEC) Training Program Specific ICS Requirements u Incident Command System (ICS): q Manage all emergency incidents and preplanned (recurring/special) events in accordance with ICS organizational structures, doctrine, and procedures, as defined in NIMS. ICS implementation must include the consistent application of Incident Action Planning and Common Communications Plans.

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Key Components Chain/Unity Of Command Comprehensive Resource Management Unified Command Structure Common Terminology Integrated Communications Management Of Objectives Pre-designated Incident Facilities Accountability And Mobilization Manageable Span-of-Control Transfer Of Command Incident Action Plan (IAP) Modular organization Information & Intelligence Management

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Function u ICS is… q A means to facilitate the rapid melding of various organizations into a common structure q For all entities q For all types and kinds of incidents q Complimentary to management principles u ICS is NOT… q A means to gain control over others q Only for the government q Restricted to large incidents q A competitor of usual chains of command

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Challenges Lack of pre-defined methods to integrate ICS and interagency requirements into the planning process and incident management structure u Lack of planning pertaining to recovery demobilization, rehabilitation, and a return to normalcy u

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Terminology u u u Incident Commander (IC): q has overall responsibility at the incident or event q Sets incident objectives Command Staff: q Leaders in safety and protection, liaison between different agencies, and management of public information General Staff: q Handlers of Operations, Logistics, Planning, and Finance and Administration

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Command Staff and General Staff

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Structure As incidents become more complex, the IC can expand the system to meet operational needs. u As incidents become resolved, the system can contract accordingly. u

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS - Incident Command (IC) In a hospital setting, the facility director or CEO is known as the Agency Executive q Authority from this position is delegated to the IC u While not all of the ICS positions are required to be filled, the IC position is always staffed. u

Certified Hospital Emergency Coordinator (CHEC) Training Program Roles and Responsibilities of the Incident Commander (IC) u Roles q Provide overall leadership for incident response q Manage incident objectives q Delegate authority to others q Take general direction from the agency executive u Responsibilities q Ensure safety of the incident q Provide information services to internal and external stakeholders q Establish and maintain liaison with other organizations involved with a given incident

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS Command Staff u Designated by the IC: q Public Information Officer (PIO) q Safety Officer q Liaison Officer

Certified Hospital Emergency Coordinator (CHEC) Training Program ICS General Staff u Incident Command (IC +/- Command Staff): q q Finance/Administration: Provides accounting, procurement, time recording, and cost analyses Logistics: Provides support, resources, and other needs required for operational objectives Operations: Conducts tactical operations and directs all tactical resources Planning: Prepares and documents the Incident Action Plan (IAP), collects and evaluates information, maintains resources status and documentation F. L. O. P.

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Command System (ICS) Questions?

Certified Hospital Emergency Coordinator (CHEC) Training Program National Incident Management System (NIMS)

Certified Hospital Emergency Coordinator (CHEC) Training Program NIMS u All agencies that receive federal emergency preparedness funding must be NIMS compliant

Certified Hospital Emergency Coordinator (CHEC) Training Program NIMS: Standardizing Incident Management u u u Facilitates a national standardization for incident management Allows for effective and efficient mitigation, preparedness, response, and recovery from incidents of any kind Incorporates private industry as well as federal, state, tribal, and local governments and agencies

Certified Hospital Emergency Coordinator (CHEC) Training Program NIMS: Critical Concepts Standardization q Terminology q Concepts q Command u Flexibility q Applicable to all types of incidents q “All-hazards” capable u

Certified Hospital Emergency Coordinator (CHEC) Training Program NIMS Integration Mandated for Federal agencies u Required for use by state, local, and nongovernmental agencies, organizations, and/or institutions u $$$ - Grants and contracts dependent on NIMS integration u

Certified Hospital Emergency Coordinator (CHEC) Training Program NIMS Compliance u Hospitals q Integrate the Objectives and the 14 Elements of NIMS q Objectives u Adoption u Preparedness Planning u Preparedness Training and Exercises u Communications and Information Management u Command Management

Certified Hospital Emergency Coordinator (CHEC) Training Program Becoming NIMS Compliant Adoption 1. Adopt NIMS throughout healthcare organizations 2. Ensure Federal Preparedness awards support NIMS Implementation

Certified Hospital Emergency Coordinator (CHEC) Training Program Becoming NIMS Compliant Preparedness Planning 3. Revise and update the EOP, SOP, and include the National Response Framework 4. Participate in interagency mutual aid and/or assistance agreements

Certified Hospital Emergency Coordinator (CHEC) Training Program Becoming NIMS Compliant Preparedness Training and Exercises 5. Identify the proper personnel to complete ICS-100, ICS-200 & IS-700 6. Identify the appropriate personnel to complete IS-800 7. Promote NIMS concepts and principles into all training and exercises

Certified Hospital Emergency Coordinator (CHEC) Training Program Becoming NIMS Compliant Communications & Information Management 8. Promote and ensure that equipment, communication, and data interoperability are implemented throughout the organization 9. Apply common and consistent terminology as promoted in NIMS 10. Utilize systems, tools, and processes that collect & distribute data during an incident or event

Certified Hospital Emergency Coordinator (CHEC) Training Program Becoming NIMS Compliant Command Management 11. Manage all events in accordance with the ICS organizational structures as defined by NIMS 12. ICS implementation must include the application of Incident Action Planning (IAP) and common communication plans

Certified Hospital Emergency Coordinator (CHEC) Training Program Becoming NIMS Compliant Command Management, cont. 13. Adopt the principle of Public Information, facilitated by the use of the Joint Information System (JIS) and Joint Information Center (JIC) during an event 14. Ensure that public information procedures and processes gather, verify, coordinate and disseminate information during an incident or event

Certified Hospital Emergency Coordinator (CHEC) Training Program NIMS Review: What is NIMS? The National Incident Management System serves as a means to: u Standardize the nation’s command management structure at all levels u Promote a unified approach u Emphasize preparedness …thus facilitating interoperability, communication, and other factors to assure an effective and efficient management process.

Certified Hospital Emergency Coordinator (CHEC) Training Program National Incident Management System Questions?

Certified Hospital Emergency Coordinator (CHEC) Training Program Hospital Incident Command System (HICS)

Certified Hospital Emergency Coordinator (CHEC) Training Program u The Hospital Incident Command System (HICS) is analogous to the Incident Command System (ICS) regarding to purpose, application, components, principles, functions, and structures

Certified Hospital Emergency Coordinator (CHEC) Training Program History of HICS u 1987 – Hospital Council of Northern California adapts FIRESCOPE ICS to hospitals u 1991 – Hospital Emergency Incident Command System (HEICS) I first released u 1993 – HEICS II released u 1998 – HEICS III released u 2006 – Project to revise HEICS, developing version IV creates the NIMS-compliant HICS u 2014 – Updated HICS IV u 2016 – Updated to HICS

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS- Guidebook Copyright © 2014 by California Emergency Medical Services Authority (EMSA) EMSA grants permission for these materials to be reproduced or utilized in whole or in part

Certified Hospital Emergency Coordinator (CHEC) Training Program Valuable Resources found in HICS u u Drill/Exercise Scenarios q Homeland Security q Hospital Specific Incident Planning Guides (IPG) Incident Response Guides (IRG) Job Action Sheets (JAS) q Subdivided into five sections u u u HICS Forms/checklists Training Materials Lists for critical positions q IC q Section Chiefs q Branch Directors q Tech/specialists q Unit Leaders q Officers q Managers

Certified Hospital Emergency Coordinator (CHEC) Training Program Basic Structure of HICS INCIDENT COMMANDER Command Staff PLANNING SECTION INFORMATION OFFICER SAFETY OFFICER LIAISON OFFICER MED/TECH SPECIALIST OPERATIONS SECTION LOGISTICS SECTION Section Chiefs - General Staff FINANCE SECTION

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Command Staff I obtain and share approved information with the media Depending upon need, I serve as an in -house consultant to the Commander Pl. O Liaison Safety Med/Tech Specialist “Talker” “Coordinator” “Enforcer” “Consultant” I coordinate with external agencies supporting the operations I ensure safety of staff, patients, and visitors, and monitor and correct hazardous conditions

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS General Staff I collect, track, document, plan, and manage information and resources Commander I am responsible for tracking and approving expenditures, claims, and costs Planning Operations Logistics Finance “Thinkers” “Doers” “Getters” “Payers” I oversee the tactical execution of incident goals and objectives I assure hospital personnel are fed, have communications, medical support, and transportation resources to meet the operational objectives

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Operations Section u u Manages: q Medical operations needed to carry out the tactical plan q Patient care resources Ensures: q Business continuity q Facility and personnel protection - security q Infrastructure operations q Patient decontamination

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Planning Section Collects and evaluates information u Maintains resource status u Prepares the IAP u Maintains documentation u Facilitates demobilization plan u

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Logistics Section Provides support/service to operations u Manages internal and external resources u Utilizes standard and emergency requisition protocols u Cooperates with local EOC, Public Health, and Hospitals as needed u Serves internal clients only u

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Finance/Administration Section Manages all costs related to the incident u Provides accurate accounting, procurement, and time recording u Manages and accounts for claims and cost analyses u

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Summary u. HICS is ICS q. NIMS compliant q“All hazard” q. Hospital and healthcare specific q

Certified Hospital Emergency Coordinator (CHEC) Training Program HICS Questions?

Certified Hospital Emergency Coordinator (CHEC) Training Program Basic Structure of HICS INCIDENT COMMANDER Command Staff PLANNING SECTION INFORMATION OFFICER SAFETY OFFICER LIAISON OFFICER MED/TECH SPECIALIST OPERATIONS SECTION LOGISTICS SECTION Section Chiefs - General Staff FINANCE SECTION

Certified Hospital Emergency Coordinator (CHEC) Training Program Incident Management & Command (IM, NIMS, ICS, & HICS) End of Lesson Questions?