On –site Activities in MCI OPERATIONS MANAGEMENT INCIDENT MANAGEMENT SYSTEM (IMS) ICP - EOC - ECC

1. On –site Activities in MCIOPERATIONS MANAGEMENTINCIDENT MANAGEMENT SYSTEM (IMS)ICP - EOC - ECC

2. Learning Objectives By the end of this module, the participant should be able to: • Describe the incident management system and its main components • Discuss the various types of command structures: Incident Command Post; Emergency Operations Centre; Emergency Coordination Centre • Discuss the roles of the managers of the health sector in developing incident command system by integrating health component into the overall organizational structure

3. Q&A • 3 minutes brain storming…………………. • In your own understanding, what is an Incident Management System (IMS)? • In your country, what are the main issues and the recurrent problems in managing emergencies and disasters taking into account command, control and coordination?

4. Management of incidents and mass casualty situations –historical reasons for failure • No identifiable leader or incident manager • No basic organizational structure for chain of command and span of control • No common terminology • No unified communications system • No system for allocating resources • Lack of integration, due to competition • Lack or loss of resources, due to failures in planning and lack of resource allocation • Lack of planning, due to absence of commitment • failures in risk and crisis communications

5. What is Incident Management System (IMS)? INCIDENT MANAGEMENT SYSTEM • Is a standardized, all hazards incident management concept • It can be composed of several levels • ICP Incident Command Post • EOC Emergency Operations Centre • ECC Emergency Coordinating Centre • Allows its users to adopt an integrated organization structure to match the complexities and demands of single or multiple incidents without hindered by jurisdictional boundaries

6. Core Principles Emergency Response Management Systems • Based on an all-hazards approach • Modular, scalable or adaptable organization • Support for joint engagement of multiple institutions / organizations in management decisions • Clear lines of accountability and authority • Clearly defined roles and responsibilities, consistent with normal roles and supported by training 6

7. Incident Management System Core Components of the System • Common terminology • integrated communications • modular organization • unified command structure • manageable span of control • consolidated incident action plans • comprehensive resource management • pre-designated incident facilities

8. Incident Management System • Several models • They all have strengths and weaknesses • Each country has to adopt the system that fits the best into its actual context • What could be the advantages for institutions to participate in an IMS? (list 3 advantages)

9. Incident Management System • The essence of the system 5 functions (in many countries) • Incident management (manager who coordinates) • Operations • Planning • Logistics • Administration and finance

10. Incident Management System Develop goals and objectives Accomplish goals and objectives Management Safety Liason Public Information Operations Planning Logistics Finance & Accounting Support management and operations

11. Unified Command in large scale disasters Unified command A C A B C Objectives and Strategy Incident Action Plan B Earthquake Incident Operations Section Chief Div.C Div.A Div.B

12. Incident Management Process Incident goals & objectives Revise objectives & strategies Disseminate information Evaluate strategies & tactics Implement Action plans

13. Mass Casualty Management A multi-sectoral organization Triage Emergency Dept Treatment OPD Information Police Fire - Rescue Medical Volunteers Medical Team Triage Life saving Stabilization EMS Dispatching MEC ECC – national or provincial Sectors AMP MEC Hospitals EOC - local or provincial Site: ICP

14. Levels of Command 5 National ECC 4 Province Province EOC Local authority 3 Local authority ICP 2 Network Non hospital services providers hospital hospital 1 hospital

15. Incident Command Post (ICP) • Site • tactical resources directly applied to address emergency problems • responders may come from one agency, or many agencies • the on-site response is directed by one agency by jurisdiction or agreement • operates from an ad-hoc site command post • utilizes standard functions

16. Incident Action Plan (IAP) In every incident we must develop Incident Action Plan (s) (IAP) that: • Specifies the incident operations objectives • States the activities to be completed • Covers a specified timeframe • Importance of incident management process (application of the management system)

17. EOCits roles is to: • Support site (ICP): logistical support and policy direction to site-level • Use standard functions - Protect response personnel and resources • Mobilize extra resources and coordinate • Minimize loss of life, disability and suffering • Protect public health • Protect civil infrastructure, environmental and economic assets, including property • Reduce economic losses

18. EOCpreparedness plan • purpose of the plan • concept of operations, management structure, roles of personnel and how the components work together • Activation procedures and levels, and who has authority • Escalation and de-escalation plan • Call-out list and notification procedures • Procedures and SOPs (resources mobilization and allocation, etc.) • Communications • Information management

19. EOCchecklists • Checklists of the roles and responsibilities of EOC functions • Checklists of standard operating procedures • floor plan, with inventory and locations of equipment and supplies • Electronic information management processes (including a layout plan of phone, fax, data lines, cables, switches and outlets) • Communication resources and procedures, especially mobile phones and radios • Public information and warning processes

20. Role of Health Sector in IMS • To contribute to protect response personnel and resources • To contribute to minimize loss of life, disability and suffering • To protect public health (including environmental health) • To contribute to protect civil infrastructure (hospitals) • To contribute to reduce economic losses 20

21. Group work

22. What is the situation in your country ? • Clear cut and identifiable leader or incident manager ? • Basic organizational structure for chain of command and span of control ? • Common terminology ? • Unified communications system ? • System for allocating resources ? • Efficient integration of resources (no competition ?) • Lack or loss of resources, due to failures in planning ? • Lack of planning, due to absence of commitment ? • Lack of risk and crisis communications ?

23. Greetings!

24. Reserve slides for commenting if necessary at country level the various functions

25. Incident Management System The essence of the system 5 functions : Incident manager who coordinates • Responsible and accountable • Directly responsible for all sectors not delegated • In disaster the head of the government emergency management agency may be the equivalent of an incident manager

26. Incident Management System • The essence of the system 5 functions : Operations • The tactics and or tasks needed to accomplish assigned objectives • In the disaster arena operations functions would include • fire and rescue • law enforcement • public works • mass feeding and sheltering • public health, and emergency medical care

27. Incident Management System • The essence of the system 5 functions : Logistics • Support all elements in the IMS such as equipment, supplies, communications, food and water, and facilities. In disaster outbreak, logistics function may include several provinces

28. Incident Management System • The essence of the system 5 functions : Communications and Information • In the IMS the Communications Unit is often assigned to the Logistics section • Coordination with government and local agencies • Supply ordering, track equipment • Prepare relationship with media and public

29. Incident Management System • The essence of the system 5 functions : the planning sections • Tracking of all resources • Reconnaissance and surveillance • Daily briefings • documents

30. Incident Management System • The essence of the system 5 functions : Administration and Finance • personnel records, payroll and finances • Costs data and cost estimates • All financial issues with suppliers and vendors