Presentation title slide 42 pt Times New Roman, White

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National Incident Management
System
NIMS Implementation Activities for Health Care
Organizations Al Fluman, Acting Director NIMS
Integration Center
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NIMS Key Concepts

• The National Incident Management System (NIMS) is
  our nations incident management system
• NIMS integrates best emergency management
  practices, procedures, and systems utilized by
  emergency management professionals across the
  nation into a national framework for incident
  response

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NIMS Key Concepts

• Framework for interoperability and compatibility
• Flexibility
• Consistent, flexible, and adjustable national
  framework
• Applicable regardless of incident cause, size,
  location, or complexity
• Standardization
• Standard organizational structures
• Key to interoperability
• Ongoing support NIMS Integration Center (NIC)

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Homeland Security Presidential Directive 5

• National Incident Management System (NIMS)
• A consistent nationwide approach for all levels
  of government to work effectively and efficiently
  together to prepare for and respond to domestic
  incidents
• Core set of concepts, principles and terminology
  for incident command and multi-agency
  coordination

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Homeland Security Presidential Directive 5
(Continued)

• Requires all Federal Departments and Agencies to
  adopt the NIMS and the NRP
• Requires state and local NIMS implementation as a
  condition for Federal preparedness assistance

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NIMS Key Concepts

• NIMS implementation should be considered and
  undertaken as a community-wide effort. The
  benefit of NIMS is most evident at the local
  level, when a community as a whole prepares for
  and provides an integrated response to an
  incident
• NIMS is common sense emergency management
  practice and should be implemented not because of
  its ties to funding but because of our obligation
  to protect the public and to respond to crisis
  situations in a coordinated, consistent, and
  efficient manner

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NIMS Key Concepts

• State and local governments are presently
  implementing 34 NIMS activities
• The successful implementation of NIMS depends on
  participation and integration of all state and
  community based organizations, including public,
  non-governmental, and private organizations that
  have a role in preventing, preparing for,
  responding to, and recovering from an incident
• Organizations such as medical and hospital
  providers, utilities, transportation systems,
  industrial plants, etc. need to be part of the
  NIMS implementation process

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NIMS Components

• Command and Management
• Incident Command System
• Multi-agency Coordination Systems
• Public Information Systems
• Preparedness
• Resource Management
• Communications and Information Management
• Supporting Technologies
• Ongoing Management and Maintenance

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NIMS Components
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Key Components of ICS
Common Terminology
Modular organization
Unified Command Structure
Incident Action Plan
Manageable Span-of-Control
Comprehensive Resource Management
Pre-designated Incident Facilities
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NIMS Components
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NIMS Key Concepts

• NIMS implementation is more than the adoption of
  Incident Command System by a community, agency,
  or hospital
• NIMS implementation is more than having personnel
  complete a one hour training session on NIMS
• NIMS implementation includes the establishment of
  comprehensive system that will improve how the
  nation responds to emergency incidents through
  the use of standard procedures and preparedness
  measures

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NIMS Key Concepts

• Good News!
• Most jurisdictions, hospitals, emergency
  management disciplines (police departments, fire
  departments, public works departments) are
  already implementing many of the NIMS
  implementation activities as part of their daily
  emergency management practices
• NIMS simply provides a national framework that
  includes doctrine, terminology, best practices,
  and guidance for everyone to go by!

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NIMS Key Concepts

• NIMS establishes this framework by standardizing
  organizational systems such as the incident
  command system, the multi-agency coordination
  system, and the public information system
• It also establishes procedures designed to
  improve interoperability between jurisdictions
  and emergency management disciplines in the areas
  of preparedness, training, exercises, resource
  management, communications, and information
  management

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NIMS Key Concepts

• The 17 NIMS implementation activities for
  healthcare organizations mirror the
  implementation activities for local governments
• The integration of these activities between
  government and hospitals, between hospitals and
  other health care organizations in a community,
  between hospitals and health personnel, between
  hospitals and emergency medical services
  personnel is key to protecting our citizens and
  saving lives during an incident

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NIMS Key Concepts

• How do we integrate? We integrate by working
  together on the development of standardized
  organizational systems, by using the same
  terminology during a disaster, by linking our
  communications system, by training and exercising
  together, and by establishing a common resource
  base for use during an event
• The HICS IV revision project updates previous
  hospital incident command materials by
  incorporating NIMS terminology, practice, and
  guidance into the revised materials

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NIMS Implementation Activities for Health Care
Organizations

• Element 1 Adopt NIMS at the organizational level
  for all departments and business units, as well
  as promote and encourage NIMS adoption by
  associations, utilities, partners and suppliers
• Element 2 Incident Command System (ICS) Manage
  all emergency incidents and preplanned
  (recurring/special events) in accordance with ICS
  organizational structures, doctrine, and
  procedures, as defined in NIMS. ICS
  implementation must include consistent
  application of Incident Action Planning and
  Common Communications Plans

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NIMS Implementation Activities for Health Care
Organizations

• Element 3 Multi-agency Coordination System
  Coordinate and support emergency incident and
  event management through the development and use
  of integrated multi-agency coordination systems.
  That is, develop and coordinate connectivity
  capability with Hospital EOC and local Incident
  Command Posts (ICPs), local 911 centers, local
  Emergency Operations Centers (EOCs) and the state
  EOC as applicable
• Element 4 Public Information System (PIS)
  Implement processes and/or plans to communicate
  timely, accurate information including through a
  Joint Information System and Joint Information
  Center

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NIMS Implementation Activities for Health Care
Organizations

• Element 5 Hospitals and health care
  organizations will track NIMS implementation
  annually as part of the organizations emergency
  management program
• Element 6 Develop and implement a system to
  coordinate appropriate hospital preparedness
  funding to employ NIMS across the organization
• Element 7 Revise and update plans and SOPs to
  incorporate NIMS components, principles and
  policies, to include planning, training,
  response, exercises, equipment, evaluation and
  corrective actions

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NIMS Implementation Activities for Health Care
Organizations

• Element 8 Participate in and promote interagency
  mutual aid agreements, to include agreements with
  the public and private sector and
  non-governmental organizations
• Element 9 Complete IS-700 NIMS An Introduction
• Element 10 Complete IS-800 NRP An Introduction
• Element 11 Complete ICS 100 and ICS 200 training

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NIMS Implementation Activities for Health Care
Organizations

• Element 12 Incorporate NIMS/ICS into internal
  and external, local and regional emergency
  management training and exercises
• Element 13 Participate in an all-hazard exercise
  program based on NIMS that involves responders
  from multiple disciplines, multiple agencies and
  organizations
• Element 14 Incorporate corrective actions into
  preparedness and response plans and procedures

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NIMS Implementation Activities for Health Care
Organizations

• Element 15 Maintain an inventory of
  organizational response assets
• Element 16 To the extent permissible by law,
  ensure that relevant national standards and
  guidance to achieve equipment, communication, and
  data interoperability are incorporated into
  acquisition programs
• Element 17 Apply standardized and consistent
  terminology, including the establishment of plain
  English communications standards across the
  public safety sector

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NIMS Implementation Activities for Health Care
Organizations Next Steps

• Incorporate NIMS Implementation Activities for
  Healthcare Organizations into FY2006 HHS Grant
  Guidance (completed)
• Develop Fact Sheets in conjunction with HHS and
  Healthcare Organizations for each of the 17
  implementation elements to include guidance on
  who should be trained (completed)
• Post NIMS Implementation Activities for
  Healthcare Organizations and Fact Sheets for the
  17 implementation elements on the NIMS
  Integration Center website (completed)
• Continue to work with the hospital/healthcare
  community in conjunction with emergency
  management organizations to implement NIMS across
  the nation (ongoing)

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FY07 Out Year Training

• IS-700, IS-800, ICS-100, ICS-200 (Required in
  FY06 and Out-Years)
• Base line training for all personnel with a
  direct role in emergency preparedness, incident
  management, or response
• ICS-300 Intermediate (Required in FY07)
• All Federal, State, territorial, tribal, local,
  private sector and non-governmental personnel at
  the middle management level, and command and
  general staff level of emergency management
  operations
• ICS-400 Advanced (Required in FY07)
• All Federal, State, territorial, tribal, local,
  private sector and non-governmental personnel at
  the command and general staff level of emergency
  management operations
• Additional NIMS Training (Recommended)
• Training available for all audiences in the
  following areas NIMS Multi-agency Coordination
  Systems, Public Information Systems,
  Communications and Information Management,
  Resource Management, Resource Typing, Mutual Aid,
  and NIMS Preparedness
• ICS-Position Specific Training for FY08
• Training required for ICS Command and General
  Staff positions Incident Commander, Safety
  Office, Liaison Officer, Public Information
  Officer, Operations Section Chief, Planning
  Section Chief, Logistics Section Chief, and
  Finance/Admin Section Chief

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The NIMS Integration Center

• Copies of the NIMS document
• Call FEMA at 1-800-480-2520, press Option 4, and
  ask for FEMA 501, National Incident Management
  System.
• Download from NIMS Web site www.fema.gov/emergenc
  y/nims
• Contact the NIC
• Ask the NIMS Integration Center
  NIMS-Integration-Center_at_dhs.gov
• Call the NIMS Integration Center 202-646-3850
• Contact Al Fluman, Acting Director NIC
• Email address al.fluman_at_dhs.gov

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