Course Instructors

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(No Transcript)
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Welcome!
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Course Instructors

• Instructor Name
• Instructor Title
• Instructor Name
• Instructor Title

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Course Objectives

• Learn the core concepts and principles
• of the Incident Command System (ICS)
• Understand the importance and application of ICS
  in the Community Clinic and Health Center (CCHC)
• Learn the components of the National Incident
  Management System (NIMS)
• Meet CCHC ICS and NIMS training requirements

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Course Certification

• This Command Module has been certified as an
  FEMA/National Integration Center equivalent
  course by the
• California Emergency Management Agency
• April 2009

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Course Structure

• Review Course Agenda
• Review Course Materials

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Course Hidden HINTS

• On the presentation
• Key concepts and test questions are indicated by
  
• This will assist you
• To focus on the critical features and principles
  of ICS and NIMS
• To successfully complete the post-tests

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• Emergency Response
• Is Not
• Business as Usual !

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Defining an Emergency

• Any unplanned incident that can cause deaths or
  significant injuries to employees, clients, or
  the public
• An incident that can shut down the CCHC or
  disrupt operations
• An incident that causes physical or environmental
  damage
• An incident that can threaten the CCHCs
  financial situation or ability to provide services

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Emergencies dont have to be Disasters

• The term disaster tends to be perceived as a
  large-scale or massive incident
• Emergencies can impact the CCHC, whether large or
  small
• Each incident must be assessed by its impact on
  the CCHC or the community, not its size or
  magnitude
• An incident that might be a nuisance to some
  organizations can be a disaster to small
  organizations!

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Emergency incidents

• What types of emergencies is your CCHC at risk
  for?

External incidents Wildfire Earthquake
Civil Disturbance Loss of power/utilities
Flood Severe weather Loss of key supplier
Pandemic Influenza
Internal incidents Internal fire Internal
flooding Evacuation Bomb threat Work
stoppage Loss of utilities/power Dental chemical
spill Violence in the workplace
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What is the CCHC Goal?

• Mitigation Preparedness
• Develop effective Emergency Management and
  Operations Plans
• Response
• Ensure safety of patients, personnel and facility
• Triage, treatment, transfer and disposition of
  patients
• Ensure business continuity
• Recovery
• Operational/business recovery
• Financial recovery
• Restoration of normal operations

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• The Incident Command System
• Lesson One
• ICS 100 and 200 for
• Community Clinics and Health Centers
• (CCHCs)

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Incident Command System

• Adopting ICS in CCHCs has many benefits
• Greater efficiency to manage internal and
  external incidents
• Better coordination with outside agencies
• Improved communications with agencies using
  common terminology and position titles
• Use of an all-hazard incident management tool
  that is standardized among community responders
• Comply with HRSA Bureau of Primary Health Care
  policy to utilize ICS (PIN 2007-15)

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HRSA Expectations for Emergency Management

• The Health Resources and Services Administration
  (HRSA), Bureau of Primary Health Care (BPHC)
  establish policy
• Policy Information Notices (PINs) define and
  clarify policies and procedures that grantees
  funded under Section 330 must follow
• Program Assistance Letters (PALs) summarize and
  explain items of significance for health centers,
  including, for example, HRSA program
  implementation activities, recently enacted laws,
  final regulations, and/or new HHS initiatives

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HRSA BPHC PIN Number 2007-15

• Emergency Management Planning
• Developing and maintaining emergency management
  plans
• Reference/reflect HRSA BPHC requirements in the
  Emergency Operations Plan
• Continuity of operations planning
• Business Continuity Plans
• Using the Incident Command System for incident
  response and recovery

From HRSA Bureau of Primary Health Care, Policy
Information Notice 2007-15, Health Center
Emergency Management Program Expectations
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History of ICS

• ICS developed in response to
• California wildfires in the 1970s
• Major response problems were identified
• Lack of an effective management structure
• Lack of accountability and clear chain of command
• Poor communications
• Lack of systematic planning
• No integration of agencies into management
  structure and planning

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History of ICS

• ICS is built on best practices
• Successful use in military and business practices
• Lessons learned in response to incidents
• Used in all levels of government and private
  sector
• As a CCHC organization becomes more familiar with
  the use of ICS, the system evolves and becomes
  part of the culture

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Use of ICS in Healthcare

• For many years, hospitals have used the Hospital
  Incident Command System, or HICS
• Used for planned events
• New building or remodeling projects
• Emergency exercises
• Large community health fair
• Used for unplanned events
• Natural and man-made emergencies
• Internal and external events and emergencies

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Use of ICS in Healthcare

• Many other healthcare organizations are adopting
  ICS and/or adapting HICS for emergency response
  and recovery
• Public Health
• Long-term care providers
• Mental Health
• Physician offices
• CCHCs

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Purpose of ICS

• An interdisciplinary and flexible management
  system
• Adaptable to an incident of any kind or size
• Scalable activation
• Standardized to integrate other agencies and
  organizations into the management structure

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Purpose of ICS

• Provide logistical and administrative support to
  operational (tactical) staff
• Cost effective by avoiding duplication
• Used in planned events, exercises and actual
  incidents
• Planned events may include
• Organizing a health fair
• Organizing a picnic celebration
• Adding on a new tower or wing to the CCHC
  (project management)

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ICS Features

• Common terminology/clear text
• Modular organization
• Management by objectives
• Incident Action Planning
• Manageable span of control
• Pre-designated incident locations/facilities
• Resource management
• Integrated communications
• Common command structure

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ICS Feature Common Terminology

• Use clear text plain English
• No radio codes
• No jargon
• No organization specific codes
• Use of CCHC Codes (e.g., Code Blue, Code Red,
  Code Orange) are the exception
• CCHC codes may be used internally even though
  they are not plain text
• Should never be used to communicate with outside
  agencies or responders

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Common Terminology

• Helps to define
• ICS position titles (e.g., Officer, Chief,
  Director)
• Organizational functions
• Major functions and units named and defined
• Example Command, Operations, Planning
• Resource descriptions
• Major personnel, facilities and
  equipment/supplies are named or typed by
  capability
• Incident facilities
• Common names for designated incident facilities
  (e.g., Emergency Operations Center or EOC)

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ICS Feature Modular Organization

• ICS structure develops from the top down
• Positions activated as dictated by the incident
  size or complexity
• As complexity increases, the ICS organization
  expands
• Only those functions or positions necessary for
  an incident are activated

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ICS Feature Management by Objectives

• Management by Objectives is
• A four-step management approach to achieve a goal
  
• Establish overarching measurable objectives
• Develop and issue assignments, plans, procedures,
  and protocols
• Direct efforts to meet the objectives
• Document results to measure performance and
  facilitate corrective action
• This is Incident Action Planning!

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The Incident Action Plan (IAP)

• Purpose of the IAP
• Reflects the overall strategy for incident
  management
• Provides personnel with direction for taking
  actions based on the objectives identified in the
  IAP
• Provides measurable strategic operations for the
  operational period
• Written plans are more effective than oral and
  provide a record of expectations and actions taken

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Operational Periods

• An operational period is
• The period of time scheduled for execution of a
  given set of actions to meet the incident
  objectives as set in the Incident Action Plan
  (IAP)
• Set by the Incident Commander, based on the
  incident
• The operational period is usually set in hours
• Does not have to conform to shift times
• Can be long or short, depending on the intensity
  of the incident

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Incident Action Planning

• Incident Action Planning Steps
• Understand organizational policy and procedures
• Set the operational period
• Determine overall priorities
• Establish specific measurable and attainable
  objectives
• Set strategies and tactics for the objectives
• Identify needed resources
• Issue assignments
• Monitor and evaluate activities and outcomes
• Document results

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Incident Action Planning Documentation

• Incident Action Plan (IAP) documentation
• The initial IAP is documented on ICS/HICS Form
  201 The Initial Briefing Form
• This form provides situational information
• Other forms that constitute the IAP include
• ICS/HICS Form 202 The Incident Objectives
• ICS/HICS Form 203 Organizational Assignment
  List
• ICS Form 204 Division Assignment List
• Other supporting documents
• Note ICS forms can be found at
  www.emsa.ca.gov/hics

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ICS Feature Span of Control

• Defined
• The number of individuals or resources one
  supervisor can manage effectively
• Is accomplished by organizing resources into
  Sections, Branches, Units, and Teams
• Recommended span is 15 supervisor/reports
• Ratios may vary from 3 to 7 reports/supervisor

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ICS Feature Incident Facilities

• Incident Command Post (ICP)
• Location where the IC oversees all incident
  operations
• For CCHCs, the Incident Command Post is called
  the Clinic Command Center
• Each responding organization may establish their
  own ICP during an emergency including fire, law
  enforcement, public health, public works, etc.

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Incident Facilities

• Emergency Operations Centers (EOC)
• Established by Government
• Local, tribal, regional, state, or federal levels
• Established for incidents involving
• Multiple organizations
• Governmental agencies
• Multiple agencies and disciplines are represented
  in the EOC
• Purpose of the EOC
• Provide support and coordination for on-scene
  responders
• Coordinate and allocate resources

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ICS Feature Resource Management

• Tactical resources
• Personnel and major equipment available or
  potentially available to Operations
• Assigned working under a supervisor
• Available assembled and ready for assignment
• Out-of-service not ready or not available
• Support resources
• All other resources to support the incident
• Food, communications, equipment, supplies,
  vehicles, personnel, IT/IS, financial tracking,
  etc.

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Resource Management

• Includes processes for
• Establishing the resource needs
• What kind?
• What type?
• How many?
• Ordering resources
• Dispatching, utilizing and evaluating resources
• Tracking resources
• Resource demobilization and recovery
• Reimbursement for resources, as appropriate

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ICS Feature Integrated Communications

• Three elements
• Communication Modes
• Hardware systems that transfer information
• Can include radios, cell phones, pagers, email
  etc.
• Planning
• Plans for use of all available communications
  resources
• Development of a communications plan
• Networks
• The procedures and processes for transferring
  information internally and externally

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ICS Feature A Common Command Structure

• Chain of command
• An orderly line of authority within the
  management structure
• Unity of command
• Every individual is accountable and reports to
  only one supervisor
• Single command
• The Incident Commander has complete
  responsibility for the management
• Unified command
• Shared incident management among responding
  agencies or organizations

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Common Command Structure

• Transfer of Command
• Moving the responsibility of one incident command
  position to another person
• Occurs when
• A more qualified person assumes command
• It is necessary for effectiveness or efficiency
• Incident complexity changes
• Shift change/turnover of staff
• Occurs with a face-to-face transfer of command
  briefing

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Section Summary

• The features of ICS are
• Common terminology/clear text
• Modular organization
• Management by objectives
• Incident Action Planning
• Manageable span of control
• Pre-designated incident locations/facilities
• Resource management
• Integrated communications
• Common command structure

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Questions?
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Test Questions!

• Please take out
• Post-Test Questions
• Bubble Form Answer Sheet
• Record your answers on the post-test
• Fill in the letter-answer on the bubble sheet

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Post-Test Questions You Know the Answers!

• Question 1
• The Incident Command System (ICS) is a proven
  incident management system that is based on
  organizational
• Best practices.
• Strengths.
• Structures.
• Hierarchy.

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Post-Test Questions You know the Answers!

• Question 2
• The ability to communicate within ICS is
  absolutely critical. To ensure efficient, clear
  communication, ICS requires the use of
• Agency-specific codes.
• Common terminology.
• Radio codes.
• Technical language.

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Post-Test Questions You know the Answers!

• Question 3
• The Incident Command System provides a
  ______________ framework that applies to all
  phases of incident management regardless of
  cause, size, location or complexity.
• Rigid.
• Complicated.
• Straightforward.
• Flexible.

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Post-Test Questions You know the Answers!

• Question 4
• Every incident must have a verbal or written
  Incident Action Plan. The purpose of this plan
  is to provide all incident supervisory personnel
  with direction for
• Taking actions based on the objectives identified
  in the plan during the operational period.
• Maintaining documentation and tracking resources
  assigned to the incident.
• Monitoring the number of resources that report to
  any one supervisor.
• Obtaining and maintaining essential personnel,
  equipment and supplies.

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Post-Test Questions You know the Answers!

• Question 5
• Select the TRUE statement
• ICS positions may be combined in order to save on
  staffing or achieve a higher level of efficiency.
• ICS encourages the use of unique position titles
  in order to better meet the specific incident
  needs.
• ICS organizational structure should include only
  the functions and positions needed to achieve the
  incident objectives.
• ICS recognizes that an Incident Commander may not
  be necessary if an Operations Section Chief is
  assigned.

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Post-Test Questions You know the Answers!

• Question 6
• Which of the following would you expect to see in
  an Incident Action Plan?
• Detailed cost estimates for implementing the
  proposed activities.
• Listing of all staff members currently deployed
  (activated) to the incident.
• Measurable strategic operations to be achieved
  within the operational period.
• A schematic showing all communication equipment
  in use in the CCHC.

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Post-Test Questions You know the Answers!

• Question 7
• Incident Action Plans (IAPs) depend on
  _________________ to accomplish response tactics.
• Integrated communications.
• Organizational resources.
• Management by Objectives.
• Common terminology.

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Post-Test Questions You know the Answers!

• Question 8
• One ICS principle relates to the supervisory
  structure of the organization and pertains to the
  number of individuals or resources one incident
  supervisor can manage effectively. This
  operating guidelines is referred to as
• Delegation of authority.
• Span of control.
• Form follows function.
• Unity of command.

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Post-Test Questions You know the Answers!

• Question 9
• From what facility does the Incident Commander
  oversee incident operations?
• Incident Command Post/Clinic Command Center.
• Heliports.
• Labor Pool and Credentialing Unit.
• Staging Area.

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Post-Test Questions You know the Answers!

• Question 10
• ________________ means that each individual
  involved in incident operations will be assigned
  to only one supervisor.
• Span of Control.
• Unity of Command.
• Supervisor Authority.
• Unified Command.

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Good Job!
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The Incident Command System

• Lesson Two
• The ICS Structure

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ICS Structure

• The ICS organizational structure should include
  ONLY the functions and positions needed to
  achieve the incident objectives
• Five management functions
• Incident Command
• Operations
• Planning
• Logistics
• Finance/Administration

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Refer to Course Document The Clinic Incident
Management TeamChart
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The Incident Management Team Chart

• While there are 30 positions on the Clinic IMT,
  remember
• The positions note functions NOT persons
• A single individual can perform multiple
  functions on the IMT chart
• ICS is scalable and flexible, ONLY THE POSITIONS
  NEEDED are activated!

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The ICS Organization in a CCHC The Clinic
Incident Management Team

• The IMT
• Depicts CCHC management functions and how
  authority and responsibility is distributed
• Each of the 5 management functions is color coded
  
• Command (white or grey)
• Operations (red)
• Planning (blue)
• Logistics (yellow)
• Finance/Administration (green)

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The ICS Organization in a CCHC The Clinic
Incident Management Team (IMT)

• The IMT (ICS) titles are distinct and
  standardized. This serves three important
  purposes
• Allows for filling IMT positions with the most
  qualified persons and not by rank
• Assists with requesting outside resources to
  staff these positions
• Assists with clarifying the activities undertaken
  by specific personnel

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ICS Position Assignments

• CCHC leaders should be assigned Incident
  Management Team (IMT) positions in advance
• CCHC leaders should be educated and trained in
  their assigned position roles and
  responsibilities
• In order to provide depth to the Command and
  General Staff positions, at a minimum
• There should be more than one person assigned to
  fill an IMT position
• Should the assigned person be unable to respond
  to the CCHC, another is trained to fill the role
  and perform the functions

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CCHC IMT Crosswalk
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Questions?
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The ICS Organization in a CCHC Incident
Management Team Hierarchy
Note Divisions and Groups are used in ICS but
not reflected in the CCHC IMT
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• The Incident Commander

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The ICS Organization in a CCHC The Incident
Commander

• The IC is the one position ALWAYS activated
• Has overall responsibility for
• Managing the emergency response and recovery
• Overseeing all activities in the Clinic Command
  Center
• Activates ICS positions and appoints staff
• Positions activated are dictated by the
  complexity, size, and magnitude of the incident

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The ICS Organization in a CCHC The Incident
Commander

• The IC should be the most qualified and trained
  person
• Not appointed by rank, grade, or seniority
• The IC is responsible for all duties until the
  authority is delegated to another person
• The IC may appoint one or more deputies
• Formal transfer of command includes
• Command briefing for incoming IC
• Notification to all personnel of the effective
  time and date of the change in command
• Demobilization of the out-going IC to avoid
  confusion

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The ICS Organization in a CCHC The Incident
Commander

• IC Mission
• Provide direction and management of the clinic
  incident response, recovery, and support
  activities
• Key Responsibilities of the IC
• Perform initial situation assessment to determine
  the level of activation of the Incident Command
  System (ICS) and the Clinic Command Center (CCC)
• Determine the Incident Management Team (IMT)
  positions to be activated to meet the needs of
  the incident
• Direct response and recovery activities to meet
  the incident mission and objectives

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The Role of the CCHC Agency Executive

• The IC commands the incident but communicates to
  and receives strategic guidance from the Agency
  Executive (CEO)

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The Role of the CCHC Agency Executive

• The Agency Executive role includes pre-event AND
  event responsibilities
• Pre-event role
• Approve the Emergency Operations Plan
• Encourage staff and family emergency preparedness
• Event role
• Provide policy-level decision-making and
  strategic guidance to the Incident Commander

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Incident Management Roles The CCHC Executive
and the IC

• ICs Role
• The Incident Commander
• Manages the incident response and recovery
• Keeps you (the Executive) informed on all
  important matters pertaining to the incident

• CCHC Executives Role
• You provide the following to the Incident
  Commander
• Policy direction
• Defining the mission
• Establish overall priorities
• Strategic direction
• Delegate authority to the IC

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The ICS Leadership in a CCHC Command and
General Staff
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The ICS Organization in a CCHC The Command Staff
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The ICS Organization in a CCHC The Command Staff

• Command Staff
• Title Officers
• Positions
• Public Information Officer
• Safety Officer
• Liaison Officer

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The Public Information Officer
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The ICS Organization in a CCHC The Public
Information Officer
As Public Information Officer, or PIO, I serve as
the conduit of information for internal and
external stakeholders, including staff, visitors,
families, and the news media.
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The ICS Organization in a CCHC The Public
Information Officer

• PIO key duties
• Implement CCHC policies for release of
  information and public information messages
• Determine any restrictions in content (sensitive
  materials)
• Collaborate with local community officials on
  public information and media messages
• Develop and disseminate regular and periodic
  informational messages for staff, patients,
  families, and visitors
• Conduct media briefings and press releases as
  needed, in appropriate languages for ethnic media
  outlets

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The Safety Officer
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The ICS Organization in a CCHC The Safety
Officer
As Safety Officer, I ensure the safety of staff,
patients, and visitors impacted by and responding
to the incident.
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The ICS Organization in a CCHC The Safety
Officer

• Safety Officer Mission
• Ensure the safety of staff, patients, and
  visitors impacted by the incident
• Has the authority to halt any operation that
  poses immediate threat to life and health
• Reports to the Incident Commander

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The ICS Organization in a CCHC The Safety
Officer

• Key duties of the Safety Officer include
• Determine safety risks of the incident to
  personnel, the clinic facility, and the
  environment
• Monitor and correct hazardous incident response
  situations and immediately halt any activity that
  poses a threat to life, health, or facility
• Provide safety briefings, warnings, and messages
  for clinic staff, patients, visitors, in
  collaboration with the Public Information Officer

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The Liaison Officer
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The ICS Organization in a CCHC The Liaison
Officer
As Liaison Officer, I serve as the primary
contact person with outside agencies also
responding to the incident such as the local
health department, other CCHCs, Clinic Consortia,
hospitals, fire and EMS providers, law
enforcement, and others.
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The ICS Organization in a CCHC The Liaison
Officer

• Key duties of the Liaison Officer
• Establish contact with critical responding
  agencies, including
• County Medical and Health Operational Area
  Coordinator (MHOAC), if available in the county
• Local public health department
• Clinic Consortia
• Emergency Operations Center or Duty Officer
• Other CCHCs and hospitals
• Communicates with outside agencies to
• Relay information about the CCHC status, critical
  issues, and resource needs
• Receive information about other agency status,
  issues, and the emergency incident

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The ICS Organization in a CCHC The Command Staff
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Section Summary

• The Incident Commander is
• The only position that will ALWAYS be activated
  and may be the only ICS position activated
• The most qualified person to assume command
• Not appointed by every-day rank, title, or
  seniority
• The Incident Commander has responsibility for
• Management of the incident
• Activities within the Clinic Command Center
• Continuing as IC until authority is delegated to
  another
• Communicating with the Agency Executive

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Section Summary

• When the IC transfers command to an in-coming
  IC
• The CCC staff must be notified of the effective
  date and time for transfer of command
• The departing IC should be demobilized to
  decrease confusion
• The Command Staff consists of
• Public Information Officer
• Liaison Officer
• Safety Officer

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Questions?
88
Test Questions!

• Please take out
• Post-Test Questions
• Bubble Form Answer Sheet
• Record your answers on the post-test
• Fill in the letter-answer on the bubble sheet

89
Post-Test Questions You know the Answers!

• Question 11
• At every level of the ICS organization,
  individuals in positions of primary
  responsibility have distinct titles. Using
  specific ICS position titles serve three
  important purposes?
• The use of distinct titles allow for filling ICS
  positions with the most qualified individuals and
  not by rank, seniority or title.
• Standard position titles are useful when
  requesting qualified personnel.
• _______________________
• Titles provide a common standard for all users
• Distinct titles help to clarify the activities
  undertaken by specific personnel
• Position titles help to maintain the normal lines
  of authority within
• Prestige associated with certain titles helps to
  motivate responders

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Post-Test Questions You know the Answers!

• Question 12
• Which position is the one that is always staffed
  in ICS?
• Operations Section Chief.
• Incident Commander.
• Public Information Officer.
• Safety Officer.

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Post-Test Questions You know the Answers!

• Question 13
• When command is transferred, all personnel in the
  Clinic Command Center should be informed of
• The qualifications of the incoming Incident
  Commander.
• The limits of the Incident Commanders scope of
  authority.
• The effective time and date of the transfer of
  command.
• The Incident Commanders cell phone number.

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Post-Test Questions You know the Answers!

• Question 14
• The Agency Executive is
• Responsible for overseeing the allocation and
  assignment of emergency resources.
• Responsible for managing the incident along side
  the Incident Commander.
• Responsible for coordinating with other agencies
  through the Liaison Officer.
• Responsible for establishing overall priorities,
  providing strategic and policy direction, and
  delegating authority to the Incident Commander to
  manage the incident.

93
Post-Test Questions You know the Answers!

• Question 15
• What positions make up the Command Staff?
• Public Information Officer, Liaison Officer,
  Safety Officer.
• Safety Officer, Logistics Section Chief, Public
  Information Officer.
• Medical Care Branch Director, Safety Officer,
  Liaison Officer.
• Liaison Officer, Public Information Officer,
  Agency Executive.

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Post-Test Questions You know the Answers!

• Question 16
• The basic Incident Command System (ICS) principle
  is that the Incident Commander is responsible
  until the
• Five management functions are activated.
• The next operational period has begun.
• Event or incident has demobilized.
• Authority is delegated to another person.

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Post-Test Questions You know the Answers!

• Question 17
• Which Command Staff position serves as the
  conduit of information for internal and external
  stakeholders, including the CCHC personnel, the
  media, and other organizations seeking
  information?
• Public Information Officer.
• Liaison Officer.
• Resource Unit Leader.
• Safety Officer.

96
Post-Test Questions You know the Answers!

• Question 18
• Which Command Staff position monitors safety
  conditions and develops measures for assuring the
  safety of all assigned personnel?
• Public Information Officer.
• Liaison Officer.
• Operations Section Chief.
• Safety Officer.

97
Post-Test Questions You know the Answers!

• Question 19
• Which Command Staff position serves as the
  primary contact for supporting agencies and
  organizations that are assisting at or responding
  to an incident, but is not participating within
  the ICS/Clinic Command Center structure?
• Public Information Officer.
• Liaison Officer.
• Planning Section Chief.
• Safety Officer.

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Post-Test Questions You know the Answers!

• Question 20
• Select the TRUE statement
• Upon arriving at the Clinic Command Center, the
  higher ranking person will either assume command,
  maintain command as is, or reassign command to a
  third party.
• A lower ranking but more qualified person may not
  be designated as the Incident Commander.
• Transfer of Command procedures are implemented at
  the Clinic Command Center before the Incident
  Commander arrives at the Clinic.
• When a new Incident Commander assumes command,
  the outgoing Incident Commander should be
  demobilized to avoid confusion.

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Good Job!
100

• Lesson Three
• The ICS Organization
• in a CCHC The General Staff

101
The ICS Organization in a CCHC The General Staff
102
The ICS Organization in a CCHC General Staff

• General Staff
• Organizational Component Section
• Title Section Chief
• Role Responsible for major functional areas of
  the incident
• IMT Positions
• Operations Section Chief
• Planning Section Chief
• Logistics Section Chief
• Finance/Administration Section Chief

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The CCHC Operations Section
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The ICS Organization in a CCHC The Operations
Section

• The Operations Section are the DOERS!
• Operations Section Mission
• Conducts tactical operations
• Develops the tactical objectives and
  organization
• Directs all tactical resources
• Carry out the mission and Incident Action Plan
• Lead by a Section Chief

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The Operations Section Chief
106
The ICS Organization in a CCHC The Operations
Section Chief
I oversee CCHC continuity of operations impacted
by the incident and implement strategies and
tactics to carry out the response and recovery
objectives.
I ensure clinical operations for the incident
response and recovery activities. I develop and
implement strategies and tactics to carry out the
incident objectives
107
The ICS Organization in a CCHC The Operations
Section Chief

• The key responsibilities of the Operations
  Section Chief are to
• Appoint Section personnel as indicated by the
  complexity, magnitude and impact of the incident
  on the CCHC
• Determine and direct the priorities and
  activities to meet the operational objectives of
  the incident
• Request resources from Logistics to meet the
  operational objectives
• Communicate with and advise the IC on the
  Operations Section issues/needs
• Provide Section objectives for the Incident
  Action Plan

108
The ICS Organization in a CCHC The Operations
Section Chief

• Supervises
• Medical Care Branch Director
• Triage Unit Leader
• Patient Registration Unit Leader
• Patient Mental Health Branch Director
• Security Branch Director
• Hazardous Materials (HazMat) Branch Director
• Business Continuity Branch Director

109
The CCHC Planning Section
110
The ICS Organization in a CCHC The Planning
Section

• Planning Section Mission
• Collect, evaluate, and disseminate incident
  action information and intelligence to Incident
  Commander
• Maintain resources status
• Develop and document the Incident Action Plan
  (IAP)
• Maintain documentation for incident records
• Plan for demobilization
• Lead by a Section Chief

111
The Planning Section Chief
112
The Planning Section Chief
I manage all related data gathering and analysis
regarding incident operations and assigned
resources. I plan for incident operations and
demobilization in future response periods.
113
The ICS Organization in a CCHC The Planning
Section Chief

• The key responsibilities of the Planning Section
  Chief are to
• Maintain up-to-date status and critical issues of
  all Sections and maintain informational reports
• Develop alternatives for CCHC response and
  recovery operations
• Compile incident projections and effect long
  range planning (e.g., 96 hours), projecting CCHC
  status, available resources, and needs
• Prepare the Incident Action Plan (IAP) for each
  operational period

114
The ICS Organization in a CCHC The Planning
Section Chief

• The Planning Section Chief supervises
• Situation Unit Leader
• Patient and Staff Tracking Manager
• Supply and Materials Tracking Manager
• Documentation Unit Leader
• Demobilization Unit Leader

115
Section Summary

• The General Staff are called Section Chiefs
• The Operations Section is responsible for
• All tactical operations
• Directing the continuity of care
• The tactical objectives and organization
• Implements strategies and tactics to achieve the
  mission objectives
• Directing all tactical resources
• Human and material resources
• They are the doers

116
Section Summary

• The Planning Section is responsible for
• Collecting, evaluating, and disseminating
  incident action information
• Maintaining status and tracking of resources
• Developing and documenting the Incident Action
  Plan (IAP)
• Maintaining documentation for incident records
• Planning for demobilization

117
Questions?
118
The CCHC Logistics Section
119
The ICS Organization in a CCHC The Logistics
Section

• Logistics Section are the Getters!
• Logistics Section Mission
• Provide support to other sections
• Acquire resources from internal and external
  sources
• Activate existing MOUs, contracts and vendor
  agreements
• Logistics assures assigned personnel are fed and
  have communications, medical support, and
  transportation to meet the operational
  objectives

120
The Logistics Section Chief
121
The Logistics Section Chief
I organize and direct the provision of support
and services for incident operations including
human resources, supplies, equipment, and
services.
122
The ICS Organization in a CCHC The Logistics
Section Chief

• The key responsibilities of the Logistics Section
  Chief are to
• Oversee the acquisition of resources to support
  incident operations
• Oversee the provision of physical support,
  services, communications, and Information
  Technology to the clinic staff and facility
• Oversee and coordinate donations management

123
The ICS Organization in a CCHC The Logistics
Section Chief

• Supervises
• Communications/IT Unit Leader
• Food and Water Unit Leader
• Employee/Volunteer Health and Well-Being Unit
  Leader
• Provides medical screening, evaluation and follow
  up of employees who are assigned to an incident
• Provides medical care as needed
• Provides mental health support for staff
• Facility Unit Leader
• Supply and Transportation Unit Leader
• Labor Pool and Credentialing Unit Leader

124
The Finance/Administration Section
125
The ICS Organization in a CCHC The
Finance/Administration Section

• Finance/Administration Section Mission
• Manage costs related to the incident
• Section activities
• Accounting
• Procurement
• Cost Analysis/Billing Services
• Claims/compensation
• Time recording
• Section led by a Section Chief

126
The Finance/Administration Section Chief
127
The Finance/Administration Section Chief
I monitor the utilization of financial assets
during response and recovery and account for
incident costs and losses. I coordinate human
resource services for the incident.
128
The Finance/Administration Section Chief

• The key responsibilities of the
  Finance/Administration Section Chief are to
• Oversee the acquisition of supplies and services
• Prepare cost reports of incident expenditures,
  patient billing forms, and financial reports/ICS
  forms for reimbursement
• Supervise the documentation of expenditures
  relevant to the emergency incident
• Direct financial recovery
• Recovery activities start during response!

129
The Finance/Administration Section Chief

• The key responsibilities of the
  Finance/Administration Section Chief is also to
• Administer the CCHC human resource policies and
  procedures, as appropriate. Consult with the
  Incident Commander on human resource issues not
  addressed in policy and procedure

130
The ICS Organization in a CCHC The
Finance/Administration Section Chief

• Supervises
• Time Unit Leader
• Procurement Unit Leader
• Compensation/Claims Unit Leader
• Cost/Billing Unit Leader

131

• The Role of
• Deputies and Assistants

132
The ICS Organization in a CCHC Deputies and
Assistants

• Deputy Role
• Deputies can be assigned to the Incident
  Commander, Section Chiefs or Branch Directors
• Deputy duties
• Assists by performing delegated job activities
  performed by the position being deputized
• Assumes the ICS position in a relief capacity
• The Deputy assumes the role and duties of the
  deputized position
• There are no specific job duties for a deputy

133
The ICS Organization in a CCHC Deputies and
Assistants

• Assistant Role
• A subordinate to a Command Staff or Section Chief
  who performs clerical or technical capabilities
  and responsibilities
• They may also be assigned to a Unit Leader as
  situational needs dictate and resources allow

134
Section Summary

• The Logistics Section is responsible for
• Organizing and directing the provision of human
  resources, supplies, equipment, and support
  services.
• The Employee/Volunteer Health and Well-Being Unit
  Leader
• Provides medical screening, evaluation and follow
  up of employees who are assigned to an incident

135
Section Summary

• The Finance/Administration Section
• Manages costs related to the incident
• Provides accounting, procurement, time, billing
  and cost analysis
• Monitors and provides follow up for any injuries,
  claims, or workers compensation paperwork

136
Section Summary

• Deputies shadow assigned positions and
  can step in as needed to fill the role
• Deputies can be assigned to the
• Incident Commander
• Section Chiefs
• Branch Directors
• Assistants provide clerical or technical support
  to any position in the Incident Management Team

137
Questions?
138
Test Questions!

• Please take out
• Post-Test Questions
• Bubble Form Answer Sheet
• Record your answers on the post-test
• Fill in the letter-answer on the bubble sheet

139
Post-Test Questions You know the Answers!

• Question 21
• Expansion of incidents may require the delegation
  of authority for the performance of Operations,
  Planning, Logistics and Finance/Administration
  functions. The people who perform these
  management functions are called the
• Deputy Staff.
• Director Staff.
• Command Staff.
• General Staff.

140
Post-Test Questions You know the Answers!

• Question 22
• Which General Staff position conducts tactical
  operations, develops the tactical objectives, and
  directs all tactical resources?
• Finance/Administration Section Chief.
• Logistics Section Chief.
• Operations Section Chief.
• Planning Section Chief.

141
Post-Test Questions You know the Answers!

• Question 23
• Tactical resources are always classified as one
  of the following during an incident
• ____________________ (choose one from below)
• Available
• Out of Service
• Active.
• Checked-in.
• Assigned.
• Allocated.

142
Post-Test Questions You know the Answers!

• Question 24
• Which General Staff position prepares and
  documents the Incident Action Plan, collects and
  evaluates information, maintains resources
  status, and maintains documentation for incident
  records?
• Finance/Administration Section Chief.
• Logistics Section Chief.
• Liaison Officer.
• Planning Section Chief.

143
Post-Test Questions You know the Answers!

• Question 25
• Which General Staff position is responsible for
  ensuring that assigned incident personnel are
  fed, have communications, medical support, and
  transportation as needed to meet the operational
  objectives?
• Finance/Administration Section Chief.
• Logistics Section Chief.
• Operations Section Chief.
• Planning Section Chief.

144
Post-Test Questions You know the Answers!

• Question 26
• The Employee Health and Well Being Unit is
  responsible for
• Providing emergency services to injured victims
  at the accident scene.
• Providing medical screening, evaluation and
  follow-up of employees who are assigned to an
  incident.
• Coordinating with public health services to
  determine where critical resources are deployed.
• Authorizing purchases of needed medical supplies
  and services.

145
Post-Test Questions You know the Answers!

• Question 27
• Which General Staff position manages costs
  related to the incident, and provides accounting,
  procurement, time recording, claims/compensation
  and cost analysis?
• Finance/Administration Section Chief.
• Logistics Section Chief.
• Operations Section Chief.
• Planning Section Chief.

146
Post-Test Questions You know the Answers!

• Question 28
• Which Section is responsible for handling claims
  related to property damage, injuries, or
  fatalities?
• Operations Section.
• Planning Section.
• Logistics Section.
• Finance/Administration Section.

147
Good Job!
148

• Lesson Four
• The CCHC
• Incident Management Team

149
The CCHC Incident Management Team
Note Divisions and Groups are used in ICS but
not reflected in the CCHC IMT
150
The ICS Organization in a CCHC Branches

• Title Branch Director
• Role
• Under ICS, Branches can be established
• Geographically or functionally
• Branches are created to maintain an appropriate
  span of control for General Staff positions
• In multi-disciplinary incident
• In multi-jurisdictional incidents
• Very large incidents
• However, in healthcare, including CCHCs, we
  really work functionally rather than
  geographically
• The CCHC Incident Management Team Chart is
  designed functionally, not geographically

151
The ICS Organization in a CCHC Branches

• Branch titles describe and are specific to the
  activities and functions they perform
• Medical Care Branch Director
• Mental Health Branch Director
• Security Branch Director
• HazMat Branch Director
• Business Continuity Branch Director

152
The ICS Organization in a CCHC Units

• Title Unit Leader
• Role Functional responsibility for a specific
  incident activity under a Section or Branch
• IMT Positions are specific to the Branchs duties
• Example
• Triage Unit Leader in the Medical Care Branch in
  the Operations Section
• Triage is an aspect of Medical Care

153
The ICS Organization in a CCHC Teams

• Title Leader
• Role
• Single Resources
• Individuals or piece of equipment with its
  personnel complement
• A crew or team of individuals with an identified
  supervisor
• Strike Teams
• A set number of similar resources (e.g., all RNs
  on the team)
• Task Forces
• A combination of mixed resources (e.g., RNs, MDs,
  Techs, Secretaries)

154
Section Summary

• Under ICS, Branches focus on a specific
  function or activity in the Section
• Branches are led by the Branch Director
• Branches can be formed functionally or
  geographically
• In Clinic ICS, Branches are functionally defined
• Units provide functional responsibility for a
  specific incident activity under a Section and
  Branch
• Units are lead by a Unit Leader

155
Questions?
156
The ICS Organization in a CCHC

• Lesson Five
• Building the
• Incident Management Team

157
The ICS Organization in a CCHC Building the
Incident Management Team

• The IC should appoint properly trained persons to
  Command and General Staff positions

158
Building the CCHC Incident Management Team

• Incident Management Team/ICS position titles are
  standardized
• The title describes the positions function and
  role
• Allows the position to be filled by the most
  qualified rather than by seniority
• Facilitates requests for outside qualified
  personnel

159
B