Hospital Incident Command System Incident Action Planning Updated

  • Slides: 53
Download presentation
Hospital Incident Command System Incident Action Planning Updated with May 2014 HICS Revisions This

Hospital Incident Command System Incident Action Planning Updated with May 2014 HICS Revisions This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association This course was developed by the CHA Hospital Preparedness Program with grant funds provided by the U. S. Department of Health & Human Services Assistant Secretary for Preparedness & Response Hospital Preparedness Program and awarded by the California Department of Public Health. No part of this course or its materials shall be copied or utilized for monetary gain. 1

Objectives • Understand the 9 steps of the Incident Action Planning process • Identify

Objectives • Understand the 9 steps of the Incident Action Planning process • Identify Incident Action Plan components • Exercise the development of an Incident Action Plan 2

Hospital Incident Management Team Review Incident Commander Operations Section Chief Public Information Officer Safety

Hospital Incident Management Team Review Incident Commander Operations Section Chief Public Information Officer Safety Officer Liaison Officer Medical/ Technical Specialist(s) Planning Section Chief Logistics Section Chief Finance / Administration Section Chief 3

Hospital Incident Action Planning Key to Effective Response and Recovery 4

Hospital Incident Action Planning Key to Effective Response and Recovery 4

Incident Action Planning 1. Assess the Situation 2. Set the Operational Period 3. Determine

Incident Action Planning 1. Assess the Situation 2. Set the Operational Period 3. Determine Safety Priorities and Establish Incident Objectives 4. Determine Branch/Section Objectives 5. Determine Strategies and Tactics 6. Determine Needed Resources 7. Issue Assignments 8. Implement Actions 9. Reassess & Adjust Plans 5

#1 Assess the Situation The Incident Commander conducts the initial incident assessment: • Type,

#1 Assess the Situation The Incident Commander conducts the initial incident assessment: • Type, location, magnitude, possible duration • On-going hazards and safety concerns • Determine initial priorities based on: 1 - Life saving 2 - Incident stabilization 3 - Property preservation • Establishes the Hospital Command Center • Sets the initial “Operational Period” 6

#2 Set the Operational Period An Operational Period is: • The time period scheduled

#2 Set the Operational Period An Operational Period is: • The time period scheduled for execution of tactical actions in the Incident Action Plan • Set by the Incident Commander The Operational Period is usually set in hours • Does not have to conform to shift times • Can be long or short, depending on the intensity of the incident 7

#3 Determine Safety Priorities and Establish Incident Objectives “Incident Objectives” • Broad organizational objectives

#3 Determine Safety Priorities and Establish Incident Objectives “Incident Objectives” • Broad organizational objectives that are foundational and do not change during response and recovery; not limited to an operational period Examples: • Provide adequate care to all patients who present as a result of the incident • Provide for the safety of hospital personnel 8

#4 Determine Individual Section/Branch Objectives • More specific Branch/Section objectives to achieve overall Incident

#4 Determine Individual Section/Branch Objectives • More specific Branch/Section objectives to achieve overall Incident Objectives • Steps during the defined Operational Period • Should be tangible and measurable Example: • Provide prophylaxis to 75% of direct patient care staff within 2 hours • Decontaminate 50 victims within 1 hour 9

#5 Determine Strategies and Tactics Strategy defined: • The general direction selected to accomplish

#5 Determine Strategies and Tactics Strategy defined: • The general direction selected to accomplish incident objectives • The approach to achieving the objectives Tactics defined: • Specific actions, sequence of actions, procedures, tasks, assignments to meet strategies and objectives • The “boots on the ground” or “doers” 10

#6 Determine Needed Resources • Available and needed resources to meet the objectives must

#6 Determine Needed Resources • Available and needed resources to meet the objectives must be identified • Tactical resources may include: ü ü ü Personnel Equipment Supplies Pharmaceuticals Vehicles 11

#7 Issue Assignments Once the objectives and needed resources are identified, assignments are issued:

#7 Issue Assignments Once the objectives and needed resources are identified, assignments are issued: • Hospital Command Center positions are activated according to incident needs • Staff are assigned to conduct incident specific operations: ü ü Evacuation Decontamination Triage and treatment Safety measures 12

The Planning Meeting is: • Led by the Planning Chief • Defines and finalizes

The Planning Meeting is: • Led by the Planning Chief • Defines and finalizes operational period objectives, strategies, tactics, and resources as determined by each section for the next operational period 13

The Planning Meeting is conducted after: ü Incident Commander has provided an incident briefing

The Planning Meeting is conducted after: ü Incident Commander has provided an incident briefing and determined the Incident Objectives and identified the Operational Period ü Sections have met to discuss their response priorities and identified Section/Branch objectives 14

The Planning Meeting is: ü Based on a fixed agenda and includes a report

The Planning Meeting is: ü Based on a fixed agenda and includes a report out of section-specific objectives for the Operational Period, resources assigned, resource needs ü Attended by Incident Commander, Command General Staff 15

The Planning Meeting At the end of the Planning Meeting: ü The Section Chiefs

The Planning Meeting At the end of the Planning Meeting: ü The Section Chiefs submit completed HICS Form 204 Assignment List ü The Safety Officer submits completed HICS Form 215 A Incident Action Plan Safety Analysis 16

#8 Implement Actions Direct, monitor and evaluate response: • Constant monitoring of strategies and

#8 Implement Actions Direct, monitor and evaluate response: • Constant monitoring of strategies and tactics for effectiveness • Assess the Branch/Section Objectives ü Are the objectives being achieved? ü Is the strategy/tactics safe? ü Is the strategy/tactics effective? Evaluation is an ongoing process throughout response and recovery 17

#9 Evaluate and Revise Plans Conduct a current situation assessment ü Update situation/incident information

#9 Evaluate and Revise Plans Conduct a current situation assessment ü Update situation/incident information ü Assess the impact on the hospital ü Length and duration of incident ü Resource availability • Assess the Incident Objectives • Assure objectives are achieved in a safe and timely manner • Revise objectives, strategies, tactics and resource needs for the upcoming operational period 18

Incident Action Plan Responsibilities The Incident Commander • Provides overall Incident Objectives (HICS 202)

Incident Action Plan Responsibilities The Incident Commander • Provides overall Incident Objectives (HICS 202) • Sets the Operational Period • Develops major strategies (priorities) • Activates Hospital Incident Management Team • Establishes policy for resource orders • Approves initial actions and the completed Incident Action Plan 19

Incident Action Plan Responsibilities The Safety Officer • Advises the Incident Commander and Section

Incident Action Plan Responsibilities The Safety Officer • Advises the Incident Commander and Section Chiefs on safety issues and measures • Develops the Safety Plan (HICS 215 A) • Oversees the safety of operations and tactics 20

Incident Action Plan Responsibilities The Operations Section Chief • Determines/assesses areas of operation •

Incident Action Plan Responsibilities The Operations Section Chief • Determines/assesses areas of operation • Advises Incident Commander of activated Operations positions and work assignments • Determines tactics (HICS 204) • Determines resource requirements (HICS 204) and communicates needs with Logistics 21

Incident Action Plan Responsibilities The Planning Section Chief • Prepares for the Planning Meetings

Incident Action Plan Responsibilities The Planning Section Chief • Prepares for the Planning Meetings ü Gathers information for the Incident Action Plan (HICS 201, 202, 203, 204 s and 215 A) ü Develops demobilization plans • Conducts the Planning Meeting • Coordinates and submits the Incident Action Plan to the Incident Commander for approval • Disseminates the Incident Action Plan 22

Incident Action Plan Responsibilities The Logistics Section Chief • Determine tactics and resource requirements

Incident Action Plan Responsibilities The Logistics Section Chief • Determine tactics and resource requirements (204) • Ensures resource ordering meets the needs • Advises activated Logistics positions • Ensures resources to support Incident Action Plan • Develops plans that support the Incident Action Plan ü Communications Plans ü Transportation Plans 23

Incident Action Plan Responsibilities The Finance/Administration Section Chief • Determine tactics and resource requirements

Incident Action Plan Responsibilities The Finance/Administration Section Chief • Determine tactics and resource requirements (204) • Provides cost implications of the Incident Objectives • Ensures the Incident Action Plan is within cost limitations • Advises the Incident Commander on Finance/Admin activated positions 24

Incident Action Plan Responsibilities The Incident Action Plan • Provides Hospital Incident Management Team

Incident Action Plan Responsibilities The Incident Action Plan • Provides Hospital Incident Management Team with direction for the Operational Period • Uses the elements of Management by Objectives • Developed by Command, General Staff provide input • Essential for effective response and recovery 25

Questions? 26

Questions? 26

Incident Planning Guides There are 18 Scenario-based Incident Response Guides : • Active Shooter

Incident Planning Guides There are 18 Scenario-based Incident Response Guides : • Active Shooter • Chemical Incident • Earthquake • Evacuation, Shelter-in-Place, & Hospital Abandonment • Explosive Incident • Hostage or Barricade Incident • Infectious Disease 27

Incident Planning Guides (continued) • Information Technology (IT) Failure • Mass Casualty Incident •

Incident Planning Guides (continued) • Information Technology (IT) Failure • Mass Casualty Incident • Missing Person • Radiation Incident • Severe Weather with Warning • Staff Shortage • Tornado • Utility Failure • Wildland Fire 28

Incident Response Guides Provides Incident-specific: • Directions • Incident Objectives • Management tasks by

Incident Response Guides Provides Incident-specific: • Directions • Incident Objectives • Management tasks by function and timeframes • Sample Hospital Incident Management Teams Should compliment: • Emergency Operations Plan and Job Action Sheets Can be used as documentation 29

Section Review Incident Response Guides • Are incident-specific tools to assist with planning, training

Section Review Incident Response Guides • Are incident-specific tools to assist with planning, training and response/recovery • Assist in meeting regulatory requirements • Guide Command General Staff with decision-making and actions • Should be consistent with the Emergency Operations Plan • Do not replace the Job Action Sheets 30

Questions? 31

Questions? 31

HICS Forms 32

HICS Forms 32

The Value of Using HICS Forms • Serves as a road map in response:

The Value of Using HICS Forms • Serves as a road map in response: everyone acting from the same plan • Serves as foundation for corrective action • Ensures consistency and compliance with regulatory guidelines • Complies with documentation for FEMA reimbursement 33

HICS Form 200 Incident Action Plan Cover Sheet • Purpose: Provides a cover sheet

HICS Form 200 Incident Action Plan Cover Sheet • Purpose: Provides a cover sheet and a checklist for HICS Forms and other documents included in the operational period Incident Action Plan • Origination: Incident Commander or Planning Section Chief • Copies to: Command General Staff and Documentation Unit Leader • Helpful Tips: Additions may be made to the form to meet the organization’s needs 34

HICS Form 201 Incident Briefing • Purpose: Documents initial response information & actions at

HICS Form 201 Incident Briefing • Purpose: Documents initial response information & actions at start-up • Origination: Incident Commander • Copies to: Command Staff, Section Chiefs, and Documentation Unit Leader • When to Complete: Prior to briefing the current operational period • Helpful Tips: Distribute to all staff before initial briefing 35

HICS Form 201 Incident Briefing 36

HICS Form 201 Incident Briefing 36

HICS Form 202 Incident Objectives • Purpose: Defines incident objectives • Instructions: Include ü

HICS Form 202 Incident Objectives • Purpose: Defines incident objectives • Instructions: Include ü Weather/Environmental Implications ü General Safety/Safety Messages ü Attachments ü Prepared by Planning Section Chief Approved by: Incident Commander 37

HICS Form 202 Incident Objectives 38

HICS Form 202 Incident Objectives 38

HICS Form 203: Organizational Assignment List • Purpose: To document Hospital Command Center staffing

HICS Form 203: Organizational Assignment List • Purpose: To document Hospital Command Center staffing • Origination: The Planning Section Chief or designee (Resources Unit Leader) • Copies to: ü Command Staff and General Staff ü Branch Directors and Agency Staff ü Documentation Unit Leader 39

HICS Form 203: Organization Assignment List 40

HICS Form 203: Organization Assignment List 40

HICS Form 204: Assignment List • Purpose: Document branch assignments, objectives, strategies/tactics and resource

HICS Form 204: Assignment List • Purpose: Document branch assignments, objectives, strategies/tactics and resource needs • Origination: Section Chief or Branch Director • Copies to: Command, General Staff and Documentation Unit Leader • Prepared by: Branch Director • When to complete: At the start of each operational period 41

HICS Form 204: Assignment List 42

HICS Form 204: Assignment List 42

HICS Form 215 A: Incident Action Plan Safety Plan Analysis • Purpose: Document hazards

HICS Form 215 A: Incident Action Plan Safety Plan Analysis • Purpose: Document hazards and mitigation • Origination: Safety Officer • Copies to: Command General Staff, Sections, and Branches • Prepared by: Safety Officer • Approved by: Incident Commander • When to complete: Prior to safety briefing during the Operations Briefing and at transfer of role 43

HICS Form 215 A: Incident Action Plan Safety Plan Analysis 44

HICS Form 215 A: Incident Action Plan Safety Plan Analysis 44

HICS Form 213: Incident Message Form Purpose: Provide standardized message recording Instructions: • Response

HICS Form 213: Incident Message Form Purpose: Provide standardized message recording Instructions: • Response Required: Indicate a reply was requested and to whom reply addressed • Priority: Indicate level of urgency • Message: ü Keep all messages/requests brief, to the point, and very specific ü Transcribe complete, concise, and specific content of message • Action Taken (if any) 45

HICS Form 213: Incident Message Form 46

HICS Form 213: Incident Message Form 46

HICS Form 214: Activity Log • Purpose: Document ü Incident issues encountered ü Decisions

HICS Form 214: Activity Log • Purpose: Document ü Incident issues encountered ü Decisions made ü Notifications conveyed • Origination: Command General Staff • When to complete: ü Continuously, from activation through demobilization 47

HICS Form 214: Operational Log 48

HICS Form 214: Operational Log 48

HICS Form IAP Quick Start Purpose: A short form combining forms 201, 202, 203,

HICS Form IAP Quick Start Purpose: A short form combining forms 201, 202, 203, 204 and 215 A. May be used in place of full forms to document initial actions or short incidents, and can expand to the full forms as needed. Origination: Incident Commander or Planning Section Chief 49

HICS Form IAP Quick Start 50

HICS Form IAP Quick Start 50

Section Review The HICS Forms: • Provide the Hospital Incident Management Team with documents

Section Review The HICS Forms: • Provide the Hospital Incident Management Team with documents needed to manage a response • Assist in communication with external agencies • Assist in communication with hospital staff • Documents response and recovery 51

Questions? 52

Questions? 52

Incident Action Planning Updated with May 2014 HICS Revisions developed by the California Hospital

Incident Action Planning Updated with May 2014 HICS Revisions developed by the California Hospital Association’s Hospital Preparedness Program www. calhospitalprepare. org This material has been developed for training purposes; do not share, distribute, transmit or reproduce without prior written consent of California Hospital Association This course was developed by the CHA Hospital Preparedness Program with grant funds provided by the U. S. Department of Health & Human Services Assistant Secretary for Preparedness & Response Hospital Preparedness Program and awarded by the California Department of Public Health. No part of this course or its materials shall be copied or utilized for monetary gain. 53