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Hospital Incident Command System Module 7 National Incident Management System: Compliance Activities for Hospitals and Healthcare Organizations
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Module 7
National Incident Management System:
Compliance Activities for Hospitals and Healthcare
Organizations
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•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
Module 7: Objectives
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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
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mHomeland 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)
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mNIMS
Incident Management Structure
• Establishes framework for: – Incident Command System (ICS)– Multi-Agency Coordination System
(MACS)– Public Information System (PIS)
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m 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
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m 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
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m 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
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m Category II. Command and Management (1)
• Element 2 - 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
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• Element 4 - Public Information System (PIS) – Timely and accurate communication
through Joint Information System (JIS) and Joint Information Center (JIC)
Category II. Command and Management (2)
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m 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
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• 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
Category III. Preparedness Planning (2)
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m 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
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m 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”
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m 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
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m 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
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m 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
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m 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
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m 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
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m Category VII. Communications
• Element 17 - Apply standard and consistent terminology– Internally – With external partners – Use “plain English”
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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
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m 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
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m 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– [email protected] – Phone Number: 202-646-3850
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m 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
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m 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
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• 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
