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Incident Command System (ICS) Applications to Healthcare Systems. Objectives. Identify the three management elements that relate to any health care organization. Review the command and general staff roles in the Incident Management Team (IMT).

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objectives
Objectives
  • Identify the three management elements that relate to any health care organization.
  • Review the command and general staff roles in the Incident Management Team (IMT).
  • Explain how the IMT staff participate in the incident action planning process.
ics management elements
ICS Management Elements
  • Agency Executive
    • Sets overall policies and priorities.
    • Delegates authority to manage the incident to the IMT Commander.
  • Policy Coordination Entity
    • Supports the Agency Executive and the IMT with technical assistance and program coordination.
  • Incident Management Team (IMT)
    • Staffs the Emergency Operations Center.
    • Conducts the incident action planning process.
    • Develops the Incident Action Plan.
slide4

Agency

Executive

Policy

Coordinating

Entity

Hospital

Emergency

Operations

Center

Incident

Management

Team

The focus of the

HICS Guidebook

agency executive
Agency Executive
  • Operates from normal office, continues to run the organization and participates in incident action planning.
  • Articulates policy, direction and scope of authority to the Incident Management Team (IMT) Commander.
  • Evaluates effectiveness and correct deficiencies.
  • Determines priorities across and within incidents.
policy coordinating entity
Policy Coordinating Entity *
  • Operates from normal office, continues with day-to-day program management, but convenes as needed to advise the Agency Executive and IMT Commander.
  • Provides technical guidance to support policies or actions during emergencies.
  • Consists of program representatives with decision-making authority.
  • Coordinates issues between program areas and across the system.

* Title in NIMS ICS is “Multi-agency Coordination Entity.” Title was adapted to

reflect an internally-focused entity focused on policy coordination.

incident management team
Incident Management Team
  • Operates from an Emergency Operations Center.
  • Conducts incident action planning efforts.
  • Manages response activities.
  • Compiles, authenticates and publishes regular summary situation status and resource status information.
  • Coordinates through liaison officers with other agencies.
slide8

IMT Organizational Structure

IMT Commander

______________

Safety Officer

______________

Liaison Officer

______________

Public Affairs

Officer

______________

Plans

Section Chief

______________

Logistics

Section Chief

______________

Finance

Section Chief

______________

Operations

Section Chief

________________

imt commander
IMT Commander
  • Provides overall leadership for incident response.
  • Takes general direction from Agency Executive.
  • Is responsible for all activities and functions until delegated and assigned to staff.
  • Assesses need for additional ICS staff.
  • Establishes incident objectives.
  • Directs staff to develop the Incident Action Plan.
operations section chief
Operations Section Chief
  • Is typically one of the first positions to be assigned.
  • Develops and implements strategy and tactics to carry out the incident objectives.
  • Organizes, assigns, and supervises the tactical field resources.

Incident

Commander

Operations

Section

Staging Area

Group

Division

Branch

planning section chief
Planning Section Chief
  • Gathers, analyzes, and disseminates information and intelligence.
  • Manages the incident action planning process.
  • Compiles the Incident Action Plan.

Planning Section

Resources

Unit

Demobilization

Unit

Situation

Unit

DocumentationUnit

logistics section chief
Logistics Section Chief
  • Provides resources and services required to support incident activities:
    • Communications.
    • Medical support to incident personnel.
    • Food for incident personnel.
    • Supplies.
    • Facilities.
    • Ground support.

Logistics Section

Service

Branch

Support

Branch

Commun.

Unit

Supply

Unit

Medical

Unit

Facilities

Unit

Food

Unit

Ground

Unit

finance administration section chief
Finance/AdministrationSection Chief
  • Is responsible for financial and cost analysis.
  • Oversees contract negotiations.
  • Tracks personnel and equipment time.
  • Processes claims for accidents and injuries.
  • Works with Logistics to ensure resources are procured.

Finance/AdminSection

Time

Unit

Compensation/

Claims Unit

Procurement

Unit

Cost

Unit

slide14

Incident Action Planning Cycle

Operations Briefing

Implement

Incident

Action Plan,

Assess

Effectiveness

Planning Meeting

Management

Meeting

Situation Briefing/

Shift Change Briefing

Situation Reports

situation briefing process
Situation Briefing Process

1. Plans – Coordinates the briefing, sets up conference calls, keeps information on point and on time.

2. Others, listen and think about:

  • Command – Defines the organization’s role, overall priorities and objectives for next 24 hours.
  • Operations – Resources and tactics/assignments that may address the apparent issues/problems.
  • Logistics – Supplies, services that may be needed.
  • Finance – Likely administrative and financial issues.
slide16

Situation Briefing:Who Does What?

Command: Pays attention to the objectives that were established.

Finance/Admin: Pays attention to finance and administrative issues.

Incident

Commander

Operations

Section

Planning

Section

Logistics

Section

Finance/Admin

Section

Operations: Pays attention to the tactics and resources used to accomplish/make progress towards objectives.

Planning: Provides documentation and delivers briefing.

Logistics: Pays attention to the logistics that are required to support tactics and resources.

preparing for the management meeting
Preparing for the Management Meeting
  • Command:
    • Define the organization’s role in the response.
    • Identify overall priorities.
    • List several overall objectives for next 24 hours.
  • Operations:
    • Identify strategies, resources and assignments to carry out the objectives.
  • Logistics:
    • Identify support services needed to carry out tactics.
  • Finance/Admin:
    • Identify likely administrative and financial issues.
    • Prepare a general cost estimate for operations and logistics.
  • Plans:
    • Record decisions. Summarize impact data.
slide18

Prep for Management Meeting:Who Does What?

Command: Develops ideas for new/changes to overall priorities and/or the operational periodobjectives.

Finance/Admin: Identifies finance and administrative issues.

Incident

Commander

Operations

Section

Planning

Section

Logistics

Section

Finance/Admin

Section

Operations: Develops ideas for new/changes to tactics and resources used to accomplish/make progress towards objectives.

Planning: Documents proposed changes to priorities, objectives, tactics, resources, logistics and finance/admin issues.

Logistics: Identifies the logistics that are required to support priorities, objectives, tactics and resources.

management meeting process
Management Meeting Process
  • Plans convenes meeting.
  • Command briefs the Agency Executive on:
    • Problem(s)
    • Role of organization
    • Priorities
    • Objectives for the next 24 hours.
    • Strategies and tactics to carry out objectives.
    • Cost estimate
  • Operations, Logistics, Finance.Admin are available to clarify questions.
  • Agency Executive provides feedback on overall priorities and objectives.
slide20

Management Meeting: Who Does What?

Agency Executive: After IC briefing, provides feedback on overall priorities and objectives.

Agency

Executive

Command: Proposes new/changes to overall priorities, objectives, tactics and resources for the next operational period.

Finance/Admin: Clarifies any significant finance/admin issues.

Incident

Commander

Operations

Section

Planning

Section

Logistics

Section

Finance/Admin

Section

Operations: Clarifies questions on proposed tactics and resources.

Planning: Documents decisions.

Logistics: Clarifies any significant logistics

Issues.

planning meeting process
Planning Meeting Process
  • Plans – Coordinates meeting. Finalize Plan.
  • Command:
    • Determines the ICS Organization Structure.
    • Sets the operational period.
    • Establishes the overall objectives.
    • Approves the IAP.
  • Operations
    • Identify strategies, resources and assignments to carry out the objectives.
  • Logistics:
    • Identify support services needed to carry out tactics.
  • Finance/Admin:
    • Determine the cost for the activities in the IAP.
planning meeting who does what
Planning Meeting: Who Does What?

Finance/Admin: With operations and logistics, identifies cost estimates for resources and logistics.

Command: Sets objectives. Ensures Safety Analysis is completed. Approves IAP.

Incident

Commander

Operations

Section

Planning

Section

Logistics

Section

Finance/Admin

Section

Operations: Identifies resources and assignments to meet operational period objectives.

Planning: Coordinates the meeting. Produces the final IAP.

Logistics: With operations, identifies and lists the logistics requirements.

operations briefing process
Operations Briefing Process
  • Command: Begins the briefing by discussing the overall priorities and operational period objectives.
  • Operations: Conducts the briefing, discussing the various assignments to the unit/group supervisors, safety messages and other information.

3. Logistics and Finance/Admin – Clarify questions or issues.

slide24

Operations Briefing:Who Does What?

Command: Begins briefing by clarifying overall priorities, operational period objectives, and safety issues.

Finance/Admin: Clarifies finance and administrative issues.

Incident

Commander

Operations

Section

Planning

Section

Logistics

Section

Finance/Admin

Section

Operations: Delivers the briefing. Clarifies operations issues.

Planning: Provides the IAP to those being briefed.

Logistics: Clartifies logistics issues.

implement incident action plan
Implement Incident Action Plan
  • Section/Branch chiefs brief staff on their assignments.
    • Operations section works towards tactical objectives.
    • Logistics section supports the requirements of operations.
    • Plans section keeps track of all resources and the current situation.
    • Finance tracks costs.
  • Supervisors assess progress and report back to Section Chief. This input is used for the next Situation Briefing and/or Shift Change Briefing.
slide26

Incident Action Planning Cycle

Operations Briefing

Implement

Incident

Action Plan,

Assess

Effectiveness

Planning Meeting

Management

Meeting

Situation Briefing/

Shift Change Briefing

Situation Reports