Unit 2 - Office of Public Health Practice

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Unit 2 - Office of Public Health Practice

Applied Incident Command forPublic HealthUnit 2Michigan’s Emergency Management and Homeland Security Training CenterMichigan State Police1

Unit 2 ObjectivesUpon completion of this unit student will be ableto:Identify the elements of an effective emergencymanagement system.Define and explain the responsibilities of Command,Operations, Planning, Logistics, andFinance/Administration as functions within ICS or UICSRecognize how the functions of Command, Operations,Planning, Logistics, Finance/Administration, and theCommand Staff positions can provide the tools necessaryto effectively manage any incident2

Unit 2 ObjectivesUpon completion of this unit student will be ableto:Identify the components and elements of ICS necessaryto bring organization to your agency for response to apublic health event.Identify the strategies and tactics necessary to organizeyour agency within a NIMS compliant structure.3

Components of anEmergency Management System• Common Terminology• Modular Organization• Integrated Communications• Command Function• Consolidated Action Plans• Manageable Span of Control• Designated Incident Facilities• Comprehensive Resource Management4


UNIFIED COMMANDDefinition ofUNIFIEDCOMMAND“Shared”responsibilityfor overallmanagementof the incident7

Unified Incident Command (UIC) doesnot relieve any entity of theirjurisdictional or legal responsibilities.8

Command’s Responsibilities• Assess incident priorities• Determine strategic goals• Determine tactical objectives• Develop incident action plan• Develop appropriate organizational structure9

Command’s Responsibilities• Manage incident resources• Coordinate overall emergency activities• Ensure personnel safety• Coordinate activities of outside agencies• Authorize release of information to media10

Characteristics of an effective IC:• Safety oriented• Proactive• Decisive• Objective Calm• Quick thinking• Adaptable and flexible• Realistic about personal limitations11

Incident CommanderExamples• Fire Chief• Police Chief• County Emergency Management DirectorPublic Health examples• County Health Officer• Medical Director• Emergency Preparedness Coordinator12

Incident CommanderWhat would a Public Health IC do?Oversee a disease outbreak investigationHepatitis A (Buncombe County, October 2003)Norovirus (Michigan 2006)Coordinate with traditional first responders in suspectedbioterrorism eventsRicin threat in South Carolina (October 2003)Anthrax outbreak (October 2001)Supervise planning for crisis response within a HealthDepartment13

Planning “P” ApplicabilityPreparing forthe PlanningMeetingPlanningMeetingIAPPrep &ApprovalEventsTacticsMeetingOperationsBriefingNew Start OpsPeriod BeginsIC/UC SetsObjectivesExecute Plan&Assess ProgressIncidentsInitial IC/UCMeetingIncident BriefingICS 201Initial Response& AssessmentNotificationIncident/ThreatInitial ResponseOperationalPeriod PlanningCycle14

15Personnel Accountability

Command StaffPositionsSafety OfficerLiaison OfficerInformation Officer16

Safety OfficerTrumps EVERYONEApproves or vetoes any incident activityOn the basis of safety for responders• Public Health examples• OSHA compliance nurse• Training supervisor• County Health Department Safety Officer17

Public Information Officer (PIO)Produces and releases all announcements,news releases, education materials, etc.Spokesperson for the eventApproval for all releases comes from IC• Public Health PIO• Often Health Educator• Can be Deputy Health Officer...18

LiaisonResponsible for linking with representativesfrom other involved agenciesPublic Health examples--disease outbreak• Assure point of contact with local hospital• Assure communication with Red Cross if shelter involved19

General StaffPositionsOperations SectionPlanning SectionLogisticsFinance/Admin Section20

OperationsResponsible formanagement of alltactical operations for the incidentOperations should be implemented whennecessary to maintain Command’sspan of controlManaged by a “Section Chief” qualified toperform the duties, regardless of position21

Operations• Usually first section to be opened• Responsible for DOING!!• Carry out the mission• Can be divided into branches, divsionsand/or groups22

Operations• Public Health Examples• Mass vaccination clinic• Case investigation in disease outbreaks• Mass prophylaxis for meningitis23

PlanningResponsible for thecollection, evaluation,dissemination, and use ofinformation about thedevelopment of the incidentand the status of resourcesManaged by a “Section Chief”, qualifiedto perform the duties24

Planning• Responsible for– Situation reports (updates)– Forecasting– Anticipating what resources will be needed– Documentation– Demobilization (dismissing participants and/orreturning resources)• Can be subdivided25

Planning “P” ApplicabilityPreparing forthe PlanningMeetingPlanningMeetingIAPPrep &ApprovalEventsTacticsMeetingOperationsBriefingNew Start OpsPeriod BeginsIC/UC SetsObjectivesExecute Plan&Assess ProgressIncidentsInitial IC/UCMeetingIncident BriefingICS 201Initial Response& AssessmentNotificationIncident/ThreatInitial ResponseOperationalPeriod PlanningCycle26

Planning• Public Health Examples• Outbreak investigation– Types of studies to do– Plotting and forecasting epidemic trajectory– Keeping records– Estimating needed prophylactic medications orvaccines• Mapping with GIS (Geographic InformationSystems27

Planning• Public Health example:– Local Health Department crisis planning– Assessing current agency preparedness for disasters– Creating template for crisis plan and recommendingparticipants in planning process28

LogisticsResponsible for providing facilities,services, and materials for the incidentManaged by “Section Chief”, qualified toperform the duties29

Logistics• “Nuts and bolts” of a response• Service Unit that gives respondersservices they need (hotel rooms, food,etc.)• Support Unit that gives responderssupplies they need (radios, computers,clipboards, vehicles, etc.)30

Logistics• Public Health examples—disease outbreakinvestigation– Service:IT help for computer glitchesPizza for late-night data crunching– Support:LaptopsCopyingInternet and email accessExtra telephone lines31

Finance/AdministrationResponsible for all costs and financialaspects of the incidentManaged by a “Section Chief”, qualifiedfor the position32

Finance/Administration• Responsible for– reimbursement– allocation of funds for supply acquisition– time accounting– estimation of costs of response– processing injury claims33

Finance/Administration• Public Health examples—diseaseoutbreak investigation– Logging overtime– Advancing cash for travel– Paying consultants– Allocating funds for purchase of medicationsor vaccines34

Model Unified IncidentCommand SystemUICSafetyLiaisonPIODivision/Group35BranchStrike TeamTask ForceOperations Planning Logistics Finance/AdministrationDivision/GroupSingle ResourceStagingDivision/GroupBranchDivision/GroupStrike TeamTask ForceSingle ResourceServiceBranchResource UnitSituation UnitDocumentation UnitDemobilization UnitTechnical SpecialistSupportBranchCommunications UnitMedical UnitFood UnitTime UnitProcurement UnitComp/Claim UnitCost UnitSupply UnitFacilities UnitGround Support Unit

Sample Public HealthCommand Structure:Street FestivalEnvironmental HealthSupervisorOperationsRestaurant InspectionSupervisorBooth Inspection A TeamBooth Inspection B TeamBooth Inspection C Team36

Sample Public HealthCommand Structure:OutbreakHealth OfficerSafety OfficerPIO – Health Education SupervisorLiaison – Deputy Health OfficerOperationsStaff Epidemiologist orMedical DirectorPlanningDirector ofNursingLogisticsFacilitySupervisorFinance/AdminAccountingSupervisorCase IdentificationVaccine SupplyFacilitiesOvertimeVaccination TeamStaffingVaccine suppliesCostStudy TeamDocumentationTransportProcurement37

SummaryAppropriate use of the UIC providesfor an effective span of control at allorganizational levelsBenefits of using UIC: Respondersafety, effective use of resources, andimproved incident managementThe UIC provides tools for Command.Command should use only the tools thatare needed to manage incident resources38

Group ActivityIdentify the local and regional PublicHealth resources needed to mitigate thebotulism scenarioDevelop a UICS flowchart for a responseto the botulism scenario using theidentified resources39

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