James Terbush MD MPH CAPT MC USN Interagency Coordination Directorate NORAD and USNORTHCOM

1. DoD and the Interagency Response in Health Disasters, Working with PartnersJames Terbush MD MPH CAPT MC USNUS NORTHCOM Interagency Directorate

2. UNCLASSIFIED James Terbush MD MPH CAPT MC USN Interagency Coordination Directorate NORAD and USNORTHCOM UNCLASSIFIED

3. N-NC’s Vision and Desired Strategic End States With our trusted partners, we will defend North America by outpacing all threats, maintaining faith with our people and supporting them in their times of greatest need. “WE HAVE THE WATCH” • Desired Strategic End States: • The Homeland is defended in depth • Allies and partners actively contribute to the cooperative defense of North America • DOD contributes the necessary capabilities and support to disrupt, degrade or defeat Transnational Criminal Organizations’ abilities to affect U.S. and partner nations’ security interests negatively • Civil authorities receiveadequate support to mitigate effects of disasters • U.S. allies and partners in the USNORTHCOM AOR contribute to the peaceful opening of the Arctic in a manner that strengthens international cooperation

4. Two Commands Supporting Complementary Missions • NORAD Mission: • The North American Aerospace Defense Command conducts aerospace warning, aerospace control, and maritime warning in the defense of North America. USNORTHCOM Mission: The United States Northern Command partners to conduct homeland defense, civil support, and security cooperation to defend and secure the United States and its interests. IC Directorate Mission: Develop and strengthen trusted partnerships with interorganizational stakeholders to enhance mutual preparedness & execution of homeland defense, civil support, and security cooperation. • Commander’s Priorities: • Expand and strengthen our trusted partnerships • Advance and sustain the bi-national military command • Gain and maintain all-domain situational awareness • Advocate and develop capabilities in our core mission areas to outpace all threats • Take care of our people; they are our foundation

5. UNCLASSIFIED Regional Consequence Management Maritime Warning/ Response Satellite Tracking Law Enforcement National Special Security Events Local / State Crisis Management Critical Infrastructure Protection Missions Conducted Across a Spectrum of Operations… CIVILMILITARY Theater Security Cooperation Missile Defense/ Air Control Alert Transnational Criminal Orgs Physical or Cyber Defense Border Security Civil Support HOMELAND DEFENSE UNCLASSIFIED 5

6. PRIMARY AGENCY REQUEST FOR ASSISTANCE DOD RESPONSE STATE RESPONSE REQUEST FOR ASSISTANCE Presidential Declaration STATEGOVERNOR STATEOPS CENTER LOCAL FIRST- RESPONDERS STATE ASSETS EMAC The National Response Framework FEDERAL RESPONSE DHS PRESIDENT USNORTHCOM JOINT FIELDOFFICE DEFENSECOORDINATINGOFFICER SUPPORT AS DIRECTED UNCLASSIFIED

7. USNORTHCOM Command and Control Relationships Coordinating PRESIDENT COCOM/OPCON Supporting SECRETARY OF DEFENSE National Guard Department of Homeland Security FLEET FORCES COMMAND JOINT TASK FORCE ALASKA AFNORTH ARNORTH MARFORNORTH JOINT FORCE HEADQUARTERS NATIONAL CAPITAL REGION JOINT TASK FORCE NORTH JOINT TASK FORCE CIVIL SUPPORT

8. AOR Response Requirement Federal (including DOD) LEVEL OF EFFORT State Local EVENT DECISION POINTS TIME • The “Sequence” (catastrophic events) • Local • State • Federal (DoD ~ last / first)

9. With a Host of Resident InteragencyPartners UNCLASSIFIED • DOE: Department of Energy • NNSA-OST: Office of Secure Transportation • DOI: Department of the Interior • USGS: United States Geological Survey • DOJ: Department of Justice • FBI: Federal Bureau of Investigation • DEA: Drug Enforcement Administration1 • DOS: Department of State1 • NASA: National Aeronautics and Space Administration • USACE: United States Army Corps of Engineers • DTRA: Defense Threat Reduction Agency • CIA: Central Intelligence Agency • NGA: National Geospatial-Intelligence Agency • NRO: National Reconnaissance Office • NSA: National Security Agency • DIA: Defense Intelligence Agency • GSA: General Services Administration • DHS: Department of Homeland Security1 • FEMA: Federal Emergency Management Agency 1 • CBP: Customs and Border Protection • CBP: Office of Air and Marine • USCG: United States Coast Guard • NCS: National Communications Systems • TSA: Transportation Security Administration1 • ICE/HSI: Immigration & Customs • Enforcement/Homeland Security Investigations • DHHS: Department of Health & Human Services1 • DOT: Department of Transportation • FAA: Federal Aviation Administration1 1 Includes a DOD/NC LNO at Civil Agency UNCLASSIFIED

10. ..and a Host of Non-Resident InteragencyPartners UNCLASSIFIED • NRC: Nuclear Regulatory Commission • EMAC: Emergency Management Assistance Compact • NDU: National Defense University • Interorganizational • NVOAD: National Voluntary Organizations Active in Disaster • ARC: American Red Cross • U.S. Chamber of Commerce • Retail Community • Regional Public-Private Partnerships • Internationally Focused • DOS: • US Country Teams • USAID: U.S. Agency for International Development • OFDA: Office of Foreign Disaster Assistance • IBWC: International Boundary Water Commission • MEXICO: • Secretaria de Relaciones Exteriores [DOS] • Secretaría de Gobernación Protección Civil [FEMA] • Centro Nacional de Prevención de Desastres [USGS] • Salud [HHS] • Semarnat [EPA] • Procuraduría Federal de Protección al Ambiente[EPA] • THE BAHAMAS • National Emergency Management Agency [FEMA] • Ministry of the Environment [USGS] • Environment, Science & Tech Commission [USGS] • DHS: • S&T: Science & Technology • OIP: Office of Infrastructure Protection • FAMS: Federal Air Marshal Service • Cyber • EPA: Environmental Protection Agency • USDA: US Department of Agriculture • DOJ/ATF: Bureau of Alcohol, Tobacco, Firearms and Explosives • DOI/USBR: United States Bureau of Reclamation • DOE: Department of Energy • NNSA: Office of Emergency Operations • DOC/NOAA: National Oceanic and Atmospheric Administration1 • CDC: Center for Disease Control & Prevention1 UNCLASSIFIED 1 Includes a DOD/NC LNO at Civil Agency

11. UNCLASSIFIED Cross Cutting: Interagency Partnerships • Commands’2012 Partnership focus • Increasingcollaboration with our interorganizational partners • Focus on expanding collaboration with Private Sector & Non-Governmental Organizations (NGOs) via ICN efforts • Advancing security cooperation w/Canada, Mexico and The Bahamas • IC “lead” for N-NC Interorganizational Collaboration • Internal & External Outreach • Build trust/partnerships • JIACG Educational Forums • Interagency perspective in DOD preparedness & planning • collaboration prior to plan development • Interagency collaboration in Joint Capability Technology Demonstration - SPIDERS “…relationships are the key to effectiveness, particularly in support of civil authorities and defense of the homeland” - General Charles H. Jacoby, Jr. UNCLASSIFIED

12. UNCLASSIFIED Challenges to Interagency Coordination Domestic • The “gray zone” between Homeland Defense and Security • Overwhelming – Structure, Manning and Funding • Differences in agency cultures, priorities and business processes • Defense Support of Civil Authorities (DSCA) • Military command/control versus Incident Command System (ICS) • Unity of effort versus “wanting to be in charge” • Anticipating needs: • “Whole Community” effort; balance Federal, State, Local, Tribal & Private Sector • Not too early (out in front) but not too late (unresponsive) International • Differing objectives, authorities, funding, processes and stakeholders • “Overseas” is on the U.S. border and involves a neighbor • Sovereignty (must receive request from neighbor) • Additional time often required for coordination UNCLASSIFIED

13. When You Need a Friend, It’s Too Late to Make One! UNCLASSIFIED Considering the whole iceberg... Combined Joint Interagency NGOs International Organizations Public-Private Interorganizational UNCLASSIFIED

14. BACK UP SLIDES

15. JRMPO Branch AORs JRMPO NE Branch Ft Meade JRMPO NW Branch Ft Lewis / McChord USNORTHCOM SG JRMPO Division HQ Peterson AFB JRMPO SE Branch JRMPO SW Branch Ft Sam Houston Dobbins AFB

16. DoD and Inter-Agency Partners