Incident Command System (ICS) Applications to Healthcare Systems

1. Incident Command System (ICS)Applications to Healthcare Systems

2. Objectives • Identify the three management elements that relate to any health care organization. • Review the command and general staff roles in the Incident Management Team (IMT). • Explain how the IMT staff participate in the incident action planning process.

3. ICS Management Elements • Agency Executive • Sets overall policies and priorities. • Delegates authority to manage the incident to the IMT Commander. • Policy Coordination Entity • Supports the Agency Executive and the IMT with technical assistance and program coordination. • Incident Management Team (IMT) • Staffs the Emergency Operations Center. • Conducts the incident action planning process. • Develops the Incident Action Plan.

4. Agency Executive Policy Coordinating Entity Hospital Emergency Operations Center Incident Management Team The focus of the HICS Guidebook

5. Agency Executive • Operates from normal office, continues to run the organization and participates in incident action planning. • Articulates policy, direction and scope of authority to the Incident Management Team (IMT) Commander. • Evaluates effectiveness and correct deficiencies. • Determines priorities across and within incidents.

6. Policy Coordinating Entity * • Operates from normal office, continues with day-to-day program management, but convenes as needed to advise the Agency Executive and IMT Commander. • Provides technical guidance to support policies or actions during emergencies. • Consists of program representatives with decision-making authority. • Coordinates issues between program areas and across the system. * Title in NIMS ICS is “Multi-agency Coordination Entity.” Title was adapted to reflect an internally-focused entity focused on policy coordination.

7. Incident Management Team • Operates from an Emergency Operations Center. • Conducts incident action planning efforts. • Manages response activities. • Compiles, authenticates and publishes regular summary situation status and resource status information. • Coordinates through liaison officers with other agencies.

8. IMT Organizational Structure IMT Commander ______________ Safety Officer ______________ Liaison Officer ______________ Public Affairs Officer ______________ Plans Section Chief ______________ Logistics Section Chief ______________ Finance Section Chief ______________ Operations Section Chief ________________

9. IMT Commander • Provides overall leadership for incident response. • Takes general direction from Agency Executive. • Is responsible for all activities and functions until delegated and assigned to staff. • Assesses need for additional ICS staff. • Establishes incident objectives. • Directs staff to develop the Incident Action Plan.

10. Operations Section Chief • Is typically one of the first positions to be assigned. • Develops and implements strategy and tactics to carry out the incident objectives. • Organizes, assigns, and supervises the tactical field resources. Incident Commander Operations Section Staging Area Group Division Branch

11. Planning Section Chief • Gathers, analyzes, and disseminates information and intelligence. • Manages the incident action planning process. • Compiles the Incident Action Plan. Planning Section Resources Unit Demobilization Unit Situation Unit DocumentationUnit

12. Logistics Section Chief • Provides resources and services required to support incident activities: • Communications. • Medical support to incident personnel. • Food for incident personnel. • Supplies. • Facilities. • Ground support. Logistics Section Service Branch Support Branch Commun. Unit Supply Unit Medical Unit Facilities Unit Food Unit Ground Unit

13. Finance/AdministrationSection Chief • Is responsible for financial and cost analysis. • Oversees contract negotiations. • Tracks personnel and equipment time. • Processes claims for accidents and injuries. • Works with Logistics to ensure resources are procured. Finance/AdminSection Time Unit Compensation/ Claims Unit Procurement Unit Cost Unit

14. Incident Action Planning Cycle Operations Briefing Implement Incident Action Plan, Assess Effectiveness Planning Meeting Management Meeting Situation Briefing/ Shift Change Briefing Situation Reports

15. Situation Briefing Process 1. Plans – Coordinates the briefing, sets up conference calls, keeps information on point and on time. 2. Others, listen and think about: • Command – Defines the organization’s role, overall priorities and objectives for next 24 hours. • Operations – Resources and tactics/assignments that may address the apparent issues/problems. • Logistics – Supplies, services that may be needed. • Finance – Likely administrative and financial issues.

16. Situation Briefing:Who Does What? Command: Pays attention to the objectives that were established. Finance/Admin: Pays attention to finance and administrative issues. Incident Commander Operations Section Planning Section Logistics Section Finance/Admin Section Operations: Pays attention to the tactics and resources used to accomplish/make progress towards objectives. Planning: Provides documentation and delivers briefing. Logistics: Pays attention to the logistics that are required to support tactics and resources.

17. Preparing for the Management Meeting • Command: • Define the organization’s role in the response. • Identify overall priorities. • List several overall objectives for next 24 hours. • Operations: • Identify strategies, resources and assignments to carry out the objectives. • Logistics: • Identify support services needed to carry out tactics. • Finance/Admin: • Identify likely administrative and financial issues. • Prepare a general cost estimate for operations and logistics. • Plans: • Record decisions. Summarize impact data.

18. Prep for Management Meeting:Who Does What? Command: Develops ideas for new/changes to overall priorities and/or the operational periodobjectives. Finance/Admin: Identifies finance and administrative issues. Incident Commander Operations Section Planning Section Logistics Section Finance/Admin Section Operations: Develops ideas for new/changes to tactics and resources used to accomplish/make progress towards objectives. Planning: Documents proposed changes to priorities, objectives, tactics, resources, logistics and finance/admin issues. Logistics: Identifies the logistics that are required to support priorities, objectives, tactics and resources.

19. Management Meeting Process • Plans convenes meeting. • Command briefs the Agency Executive on: • Problem(s) • Role of organization • Priorities • Objectives for the next 24 hours. • Strategies and tactics to carry out objectives. • Cost estimate • Operations, Logistics, Finance.Admin are available to clarify questions. • Agency Executive provides feedback on overall priorities and objectives.

20. Management Meeting: Who Does What? Agency Executive: After IC briefing, provides feedback on overall priorities and objectives. Agency Executive Command: Proposes new/changes to overall priorities, objectives, tactics and resources for the next operational period. Finance/Admin: Clarifies any significant finance/admin issues. Incident Commander Operations Section Planning Section Logistics Section Finance/Admin Section Operations: Clarifies questions on proposed tactics and resources. Planning: Documents decisions. Logistics: Clarifies any significant logistics Issues.

21. Planning Meeting Process • Plans – Coordinates meeting. Finalize Plan. • Command: • Determines the ICS Organization Structure. • Sets the operational period. • Establishes the overall objectives. • Approves the IAP. • Operations • Identify strategies, resources and assignments to carry out the objectives. • Logistics: • Identify support services needed to carry out tactics. • Finance/Admin: • Determine the cost for the activities in the IAP.

22. Planning Meeting: Who Does What? Finance/Admin: With operations and logistics, identifies cost estimates for resources and logistics. Command: Sets objectives. Ensures Safety Analysis is completed. Approves IAP. Incident Commander Operations Section Planning Section Logistics Section Finance/Admin Section Operations: Identifies resources and assignments to meet operational period objectives. Planning: Coordinates the meeting. Produces the final IAP. Logistics: With operations, identifies and lists the logistics requirements.

23. Operations Briefing Process • Command: Begins the briefing by discussing the overall priorities and operational period objectives. • Operations: Conducts the briefing, discussing the various assignments to the unit/group supervisors, safety messages and other information. 3. Logistics and Finance/Admin – Clarify questions or issues.

24. Operations Briefing:Who Does What? Command: Begins briefing by clarifying overall priorities, operational period objectives, and safety issues. Finance/Admin: Clarifies finance and administrative issues. Incident Commander Operations Section Planning Section Logistics Section Finance/Admin Section Operations: Delivers the briefing. Clarifies operations issues. Planning: Provides the IAP to those being briefed. Logistics: Clartifies logistics issues.

25. Implement Incident Action Plan • Section/Branch chiefs brief staff on their assignments. • Operations section works towards tactical objectives. • Logistics section supports the requirements of operations. • Plans section keeps track of all resources and the current situation. • Finance tracks costs. • Supervisors assess progress and report back to Section Chief. This input is used for the next Situation Briefing and/or Shift Change Briefing.

26. Incident Action Planning Cycle Operations Briefing Implement Incident Action Plan, Assess Effectiveness Planning Meeting Management Meeting Situation Briefing/ Shift Change Briefing Situation Reports