Effective Incident Command System

Effective Incident Command System Public Health Response to Katrina Evacuees Pam Blackwell, RN Director, Center for Emergency Preparedness and Response Alpha Bryan, MD District Health Director Cobb & Douglas Public Health, Marietta, GA

NDMS Question Atlanta Fed Coordinating Center Activation: Sept. 1, 2005, 0620 Is there a good picture from later in the presentation that could go here?

Cobb Question County Public Health Incident Command: 0645

Question Cobb & Douglas Public Health Cobb & Douglas PH ICS Response ICS Response to Hurricane Katrina ICS Response to Hurricane Katrina State DHR EOC Dr. Alpha Bryan Incident Commander Cobb County EOC Pam Mashburn/Virginia Freeman WebEOC Administrator Dawn Walker Liaison Lisa Crossman Planning Ann Picou Finance/Admin Donna Carson Human Resources

Cobb Question & Douglas PH ICS Response (cont.) Cobb & Douglas Public Health ICS Response to Hurricane Katrina ICS Response to Hurricane Katrina Dr. Alpha Bryan Incident Commander Pam Mashburn/Virginia Freeman WebEOC Administrator Dawn Walker Liaison Matthew Daily PIO Pam Blackwell Operations Lisa Crossman Planning Ty Carlson Logistics Ann Picou Finance/Admin Gwen Hunt Procurement Officer

Organizing Question the Resources Dobbins ARB: 0700 Getting ready to roll.

Question The Partners DoD/VA-NDMS Dobbins ARB Cobb & Douglas Public Health Cobb County Fire & EMS Georgia State Defense Force Cobb County Public Safety GEMA Cobb County Community Services Board Cobb County EMA

The Question Partners (cont.) Cobb County Sheriff Metro Atlanta EMS Providers 36 Metro Atlanta NDMS Hospitals Dekalb Board of Health Metro Atlanta Public Health Depts Region 3 EMS Cobb County Animal Control Georgia Highway Patrol Volunteer Doctors and Nurses FEMA Volunteer clergy

Question Phase 1 Layout

Question Phase 2 Layout

Atlanta Question NDMS Patient Reception Area Flight Line CC Triage Deplane/Escort Security Check Point Triage Medical Needs Shelter Staging Mobile CMD Post Med Supplies Green Team Mass Transpo Staging Evacuee Doc Chairs/ Holding MACC Red Yellow Office Team Team Space Transpo Hangar 746 Transpo Coord Coord Food Hangar 747 Comfort Items EMS Staging Transportation Flow Not to Scale

Question Atlanta FCC NDMS Org Chart Incident Commander Paul Brannigan VA Unified Command MAC Safety Georgia State Defense Forced PIO JIC Liaison Dennis Jones Public Health Legal Operations Pam Blackwell Public Health Plans Leticia Mathis Public Health Logistics Wayne Jones Dobbins ARB Admin Dobbins Asst. Ops Dawn Walker Public Health Shelter Staging Medical VA Security Grayling Livingston Dobbins ARB Transportation Chuck Baird Cobb Cty EMS Documentation Kim King/VA Public Health/VA Resource Management Food/Water/ Ice Sanitation Staging Human Resources Tasking/Action Tracking Triage Flight Ops Chad Dobbins Incident Action Planning Base Storage Finance Dobbins Public Health VA Communications Treatment Med Transport Marty Billings Regional EMS Staffing Vendor Contractng Mobilization Center(s) Epidemiology Mass Transport GEMA State EOC Liaison CISM

Question Atlanta FCC NDMS Org Chart (cont.) Incident Commander Paul Brannigan VA Unified Command MAC Safety Georgia State Defense Forced Liaison Dennis Jones Public Health PIO JIC Legal Operations Pam Blackwell Public Health Plans Leticia Mathis Public Health Asst. Ops Dawn Walker Public Health Shelter Staging Medical VA Security Grayling Livingston Dobbins ARB Transportation Chuck Baird Cobb Cty EMS Documentation Kim King/VA Public Health/VA Tasking/Action Tracking Triage Flight Ops Chad Dobbins Incident Action Planning Communications Treatment Med Transport Marty Billings Regional EMS Staffing Epidemiology Mass Transport GEMA CISM

Question Atlanta FCC NDMS Org Chart (cont.) Incident Commander Paul Brannigan VA Unified Command MAC Safety Georgia State Defense Forced Liaison Dennis Jones Public Health PIO JIC Legal Logistics Wayne Jones Dobbins ARB Admin Dobbins Resource Management Food/Water/ Ice Sanitation Staging Human Resources Base Storage Finance Dobbins PH VA Vendor Contractng Mobilization Center(s) State EOC Liaison

Question The four essential units of a typical incident command system are: Operations, Planning, Logistics, and Finance/Administration. A. True B. False

The Question Mission Provide care and caring to those who have lost everything

Question Briefings Public Health Georgia State Defense Force VA Staff

Question In your opinion, which of the following civilian public agencies is least experienced and competent in executing an effective incident command system? A. Police Department B. Fire Department C. Public Health Department D. Emergency Medical Services

Question Phase I Hangar

EMS Question Staging Area 10 EMS units next to the flight line at all times Cobb County Civic Center 20 units on stand-by

Question VA/NDMS Treatment Area

Question Hospital Bed Status Board

Question Cobb Co. Emergency Operations Center

Transportation Question Cobb County fire-med ops unit

Off-load Question Briefing Briefing by Paul Brannigan VA-NDMS Incident Commander

Question The leaders of the four essential units (operations, planning, logistics and finance/administration) must come from the same agency as the incident commander. A. True B. False

Question Wheels Down

Question The Belly of the Beast

Question Improvisation

Question Public Health Mobile Command

Question In your opinion, which of the following civilian public agencies is most experienced and competent in executing an effective incident command system? A. Police Department B. Fire Department C. Public Health Department D. Emergency Medical Services

Home Question Away From Home Cobb Public Health

Meals Question MREs? Yuck!

Home Question Away From Home (cont.) Chapel Rest and sleeping tents

Question Phase II Hangar: NDMS Treatment Area

Question Public Health Shelter Assessment Hangar

Question Security Screening En Route to Treatment Ambulatory evacuees

Delta Question 757 Evacuee Flight On board orientation and initial medical triage

Question Non-medical Evacuee Hanger

Question Then Along Came Hurricane Rita Reactivation at Dobbins ARB Sept 19 & 20

Question Which of the following are essential characteristics of an effective incident command system? A. Common communication protocols/text B. Clear, consistent chain of command C. Timely and appropriate delegation of authority and resources D. All of the above

Question Critical Care Assessment Team (CCAT)

Question Critical Transport Coordination

Question Temporary Nursery & Assisted Living