Indian Health Service Emergency Management

1. Indian Health Service Emergency Management CDR Darrell LaRoche, PE Director, Emergency Services 301-443-0046

2. Overview • IHS Emergency Services Staff • Roles and Opportunities • Emergency Management • Mitigation • Preparedness • Response • Recovery

3. IHS Emergency Services • Staff function in the Office of the Director, Office of Clinical and Preventive Services • Responsibilities: • Trauma Services • Emergency Medical Services • Physical Security • Emergency Management

4. Organization

5. Emergency ManagementPoints of Contact • Each Area has a person designated as an Emergency Management Point of Contact (EMPOC) • Serves as a conduit for information and situational awareness

6. IHS Program Staff • Each IHS program has an emergency management or continuity aspect to it • Work in the communities • Have built partnerships, relationships, and trust • Closest • Sometimes the “First on Scene”

7. Tribal Assistance Coordination Group (TAC-G) • Federal agencies that provide assistance to tribes • Started by three primary: FEMA, Indian Affairs, IHS • Others: CDC, ACF, SAMHSA, BIE, EPA, DOI, DHS

8. IHS Concept of Operations • IHS CONOPS • National Incident Management System (NIMS) compliant • Works under existing IHS Authorities • Works within the National Response Framework

9. Mobilization Centers • Albuquerque, NM • Nashville, TN • Grissom ARB, Indiana

10. Mobilization Centers • Response Cache • Radios • Medical Bags • DRASH Units • Generators • Response Trailers • Focal Point for Deploying Responders

11. Training and Exercising • NIMS • Incident Command System • Technical/Specialty • Position Qualifications

12. What are your roles and opportunities?

13. Individual/Family Preparedness • Stay Healthy • Immunizations • Training • Family Emergency Plans • Ready Kit

14. Helping your community • Community Emergency Response Teams • Medical Reserve Corps

15. Emergency Management Cycle

16. Mitigation • Lessen the effect or impact • Building Codes • Redundancy • Environmental regulations • Security

17. Preparedness • Plan, Training, Partnerships • Emergency Operations Plans Annexes • Emergency Contact Lists • Staff Training • Partner Meetings • Exercises

18. Response • Protecting life • Protecting property • Stabilizing the situation

19. Responses • Within our own authority • Most emergencies on Tribal land are not Presidentially declared • Stafford Act

20. Within our Own Authority • North American Indigenous Games • California Wildfires 2007 • H1N1

21. Stafford Act • Tribe would request a declaration through the State Governor • The Governor would request the declaration on behalf of the tribe • Follow National Response Plan

22. Emergency Support Functions (ESF) • ESF 3 – Engineering • ESF 6 – Mass Care • ESF 8 – Public Health and Medical • ESF 15 – External Affairs (Tribal Liaison)

23. Recovery • Bringing things back to the pre-disaster state • National Disaster Recovery Framework

24. Review • IHS Emergency Services • Roles and Opportunities in Emergency Management • Questions?