Module 7

1. Module 7 National Incident Management System: Compliance Activities for Hospitals and Healthcare Organizations

2. Module 7: Objectives • Define the National Incident Management System (NIMS) • Discuss the purpose of NIMS • Describe the role of the NIMS Integration Center (NIC) • Understand the 17 elements found in the compliance guidance for hospitals and healthcare organizations • Outline how NIMS education can be obtained

3. Homeland Security Presidential Directive (HSPD-5 ) (1) • Management of domestic incidents • Directed the Department of Homeland Security to develop and administer NIMS • A consistent nationwide template • Federal, state, local and tribal governments • Private sector • Nongovernmental organizations • Applicable across “all hazards” of all size and complexity • Improve coordination and cooperation

4. Homeland Security Presidential Directive (HSPD-5 ) (2) • Management of Domestic Incidents • Requires all Federal departments and agencies to adopt NIMS • State and local organizations must adopt NIMS as a condition of Federal preparedness assistance (FY 2005)

5. NIMS Incident Management Structure • Establishes framework for: • Incident Command System (ICS) • Multi-Agency Coordination System (MACS) • Public Information System (PIS)

6. NIMS Integration Center (NIC) • Division of the Department of Homeland Security • Has five operating branches • Role of the NIC: • Coordinate development, revision and distribution of NIMS information • Facilitate development of NIMS materials • Develop national standards, guidelines and protocols for Incident Management training and exercises • Collaborates with the Emergency Management Institute to present training and education courses

7. NIMS Implementation Activities for Hospitals • Similar to expectations placed on government agencies • Consists of seven categories and seventeen elements • The Hospital Emergency Incident Command System-Version IV (HEICS IV) incorporates NIMS terminology, principles and practices

8. Category I. Organization Adoption • Element 1 - Adoption of NIMS at all organizational levels • Implementation Guidance • Plan for full implementation • A “Phased in approach” • National Bioterrorism Hospital Preparedness Program (BHPP) outlines implementation elements

9. Category II. Command and Management (1) • Element2 - Manage incidents in accordance with the Incident Command System • Incident Action Planning • Communication Planning • Element 3 - Multi-Agency Coordination (MAC) • Integrate with • Local Emergency Operations Centers (EOC) • 911 Centers • State EOCs

10. Category II. Command and Management (2) • Element 4 - Public Information System (PIS) • Timely and accurate communication through Joint Information System (JIS) and Joint Information Center (JIC)

11. Category III. Preparedness Planning (1) • Element 5 - NIMS implementation activities tracking done annually as part of Emergency Management Program (EMP) • Element 6 -Develop and implement system to coordinate preparedness funding • Address local, state and federal funding • Demonstrates that funding commitments are met

12. Category III. Preparedness Planning (2) • Element 7- Revise and update plans to incorporate NIMS • Emergency Operations Plan (EOP) • Standard Operating Procedures (SOP) • Element 8- Participate in and promote mutual aid agreements with • Private sector • Governmental agencies • Nongovernmental agencies

13. Category IV. Preparedness Training (1) • Hospital personnel in a leadership role should complete • Element 9: Independent Study (IS) 700 • Introduction to NIMS • Element 10: IS 800 • Introduction to NRP • Element 11: ICS 100 and 200 • Introduction to ICS • Basics of ICS

14. Category IV. Preparedness Training (2) • IS 700- Introduction to NIMS • Who should be trained: • “Personnel likely to assume an incident command position described in the hospital’s emergency management plan” • IS 100/200- Introduction to and Basic ICS • Who should be trained: • “Personnel who have a direct role in emergency management, middle management, or incident management and /or emergency response”

15. Category IV. Preparedness Training (3) • IS 800- Introduction to the National Response Plan • Who should be trained: • Individual(s) responsible for Emergency Management Plan • The hospital makes a deliberate decision on which personnel complete which coursework • Hospitals must track the training completed

16. Training Resources (1) • Online • EMI – www.training.fema.gov/emiweb • New courses forthcoming for hospital personnel • Can download the information • In the classroom • EMI in Emmittsburg Maryland • www. training.fema.gov/emiweb

17. Training Resources (2) • Other approved or “equivalent” coursework • Check with the NIC • HICS training materials includes information on ICS 100 and 200, IS 700, and IS 800

18. Category V. Preparedness Exercises • Element 12 - Incorporate NIMS into all trainings and exercises • Element 13 - Participate in all hazard exercise program involving multiple partners • Element 14 - Incorporate corrective actions into plans and procedures

19. Category VI. Resource Management • Element 15 - Maintain inventory of response assets • Element 16 - Resource acquisition according to relevant national standards and guidance to achieve interoperability

20. Category VII. Communications • Element 17 - Apply standard and consistent terminology • Internally • With external partners • Use “plain English”

21. NIMS “Fact Sheets” • Intended to be informative and helpful in understanding the NIMS implementation activities • Standardized format • Element • Association to NIMS • Implementation guidance • Implementation examples • References

22. NIMS Value to Hospitals • Promote self assessment and institutional improvement • Facilitate collaboration with community response partners • Improved standardization and interoperability • Hospitals may already meet the NIMS elements or be in progress

23. Additional Resources • Documents • FEMA website • www.fema.gov/emergency/nims • Contact FEMA at 1-800-480-2540 • Press option 4 • Ask for FEMA 501: National Incident Management System • NIMS Integration Center • www.NIMS-Integration-Center@dhs.gov • Phone Number: 202-646-3850

24. NIMS Compliance for Hospitals: Timelines • Implementation Guidance • Plan for full implementation • A “Phased in approach” • The National Bioterrorism Hospital Preparedness Program (NBHPP) will • Provide guidance on hospital implementation elements and timelines • Phased in over the two federal fiscal years • 2006-2007 • 2007-2008

25. Consequences of NIMS Noncompliance • Will not realize the value of NIMS • Improve institutional preparedness • Develop a relationship with local healthcare systems and other emergency management agencies • Gain further insight about training along with response capabilities (equipment and procedures) • Could impact eligibility for future federal funding

26. NIMS implementation activities for hospitals include five categories and seventeen elements Hospitals will implement the NIMS activities in a “phased in” approach Full implementation expected over 2 years NIMS principles and elements will improve hospital Preparedness Training Exercises Response Review: Module 7 Key Points