1. Module 7 National Incident Management System:
Compliance Activities for Hospitals and Healthcare Organizations

2. Module 7: Objectives
Define the National Incident Management System (NIMS)
Discuss the purpose of NIMS
Describe the role of the NIMS Integration Center (NIC)
Understand the 17 elements found in the compliance guidance for hospitals and healthcare organizations
Outline how NIMS education can be obtained

3. Homeland Security Presidential Directive (HSPD-5 ) (1)
Management of domestic incidents
Directed the Department of Homeland Security to develop and administer NIMS
A consistent nationwide template
Federal, state, local and tribal governments
Private sector
Nongovernmental organizations
Applicable across “all hazards” of all size and complexity
Improve coordination and cooperation

4. Homeland Security Presidential Directive (HSPD-5 ) (2)
Management of Domestic Incidents
Requires all Federal departments and agencies to adopt NIMS
State and local organizations must adopt NIMS as a condition of Federal preparedness assistance (FY 2005)

5. NIMS Incident Management Structure
Establishes framework for:
Incident Command System (ICS)
Multi-Agency Coordination System (MACS)
Public Information System (PIS)

6. NIMS Integration Center (NIC)
Division of the Department of Homeland Security
Has five operating branches
Role of the NIC:
Coordinate development, revision and distribution of NIMS information
Facilitate development of NIMS materials
Develop national standards, guidelines and protocols for Incident Management training and exercises
Collaborates with the Emergency Management Institute to present training and education courses

7. NIMS Implementation Activities for Hospitals
Similar to expectations placed on government agencies
Consists of seven categories and seventeen elements
The Hospital Emergency Incident Command System-Version IV (HEICS IV) incorporates NIMS terminology, principles and practices

8. Category I. Organization Adoption
Element 1 - Adoption of NIMS at all organizational levels
Implementation Guidance
Plan for full implementation
A “Phased in approach”
National Bioterrorism Hospital Preparedness Program (BHPP) outlines implementation elements

9. Category II. Command and Management (1)
Element 2 - Manage incidents in accordance with the Incident Command System
Incident Action Planning
Communication Planning
Element 3 - Multi-Agency Coordination (MAC)
Integrate with
Local Emergency Operations Centers (EOC)
911 Centers
State EOCs

10. Category II. Command and Management (2)
Element 4 - Public Information System (PIS)
Timely and accurate communication through Joint Information System (JIS) and Joint Information Center (JIC)

11. Category III. Preparedness Planning (1)
Element 5 - NIMS implementation activities tracking done annually as part of Emergency Management Program (EMP)
Element 6 - Develop and implement system to coordinate preparedness funding
Address local, state and federal funding
Demonstrates that funding commitments are met

12. Category III. Preparedness Planning (2)
Element 7- Revise and update plans to incorporate NIMS
Emergency Operations Plan (EOP)
Standard Operating Procedures (SOP)
Element 8- Participate in and promote mutual aid agreements with
Private sector
Governmental agencies
Nongovernmental agencies

13. Category IV. Preparedness Training (1)
Hospital personnel in a leadership role should complete
Element 9: Independent Study (IS) 700
Introduction to NIMS
Element 10: IS 800
Introduction to NRP
Element 11: ICS 100 and 200
Introduction to ICS
Basics of ICS

14. Category IV. Preparedness Training (2)
IS 700- Introduction to NIMS
Who should be trained:
“Personnel likely to assume an incident command position described in the hospital’s emergency management plan”
IS 100/200- Introduction to and Basic ICS
“Personnel who have a direct role in emergency management, middle management, or incident management and /or emergency response”

15. Category IV. Preparedness Training (3)
IS 800- Introduction to the National Response Plan
Who should be trained:
Individual(s) responsible for Emergency Management Plan
The hospital makes a deliberate decision on which personnel complete which coursework
Hospitals must track the training completed

16. Training Resources (1) Online In the classroom
EMI –
New courses forthcoming for hospital personnel
Can download the information
In the classroom
EMI in Emmittsburg Maryland
www. training.fema.gov/emiweb

17. Training Resources (2) Other approved or “equivalent” coursework
Check with the NIC
HICS training materials includes information on ICS 100 and 200, IS 700, and IS 800

18. Category V. Preparedness Exercises
Element 12 - Incorporate NIMS into all trainings and exercises
Element 13 - Participate in all hazard exercise program involving multiple partners
Element 14 - Incorporate corrective actions into plans and procedures

19. Category VI. Resource Management
Element 15 - Maintain inventory of response assets
Element 16 - Resource acquisition according to relevant national standards and guidance to achieve interoperability

20. Category VII. Communications
Element 17 - Apply standard and consistent terminology
Internally
With external partners
Use “plain English”

21. NIMS “Fact Sheets”
Intended to be informative and helpful in understanding the NIMS implementation activities
Standardized format
Element
Association to NIMS
Implementation guidance
Implementation examples
References

22. NIMS Value to Hospitals
Promote self assessment and institutional improvement
Facilitate collaboration with community response partners
Improved standardization and interoperability
Hospitals may already meet the NIMS elements or be in progress

23. Additional Resources Documents NIMS Integration Center FEMA website
Contact FEMA at
Press option 4
Ask for FEMA 501: National Incident Management System
NIMS Integration Center
Phone Number:

24. NIMS Compliance for Hospitals: Timelines
Implementation Guidance
Plan for full implementation
A “Phased in approach”
The National Bioterrorism Hospital Preparedness Program (NBHPP) will
Provide guidance on hospital implementation elements and timelines
Phased in over the two federal fiscal years

25. Consequences of NIMS Noncompliance
Will not realize the value of NIMS
Improve institutional preparedness
Develop a relationship with local healthcare systems and other emergency management agencies
Gain further insight about training along with response capabilities (equipment and procedures)
Could impact eligibility for future federal funding

26. Review: Module 7 Key Points
NIMS implementation activities for hospitals include five categories and seventeen elements
Hospitals will implement the NIMS activities in a “phased in” approach
Full implementation expected over 2 years
NIMS principles and elements will improve hospital
Preparedness
Training
Exercises
Response