Creating a crosswalk to home care Demystifying ICS Creating a crosswalk to home care Supported with Funding from the New York State Department of Health

Home Care Association of NYS Incident Command System 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Objectives for Today Adapting ICS to home care Create a user friendly cross walk for home care ICS 2/18/2019 Home Care Association of NYS

Home Care Association of NYS WHY ICS? - Reduce chaos Too many people reporting to one supervisor. Different emergency response organizational structures. Lack of reliable incident information. Inadequate and incompatible communications. Lack of a structure for coordinated planning between agencies. Unclear lines of authority. Terminology differences between agencies. Unclear or unspecified incident objectives. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Real Reason Everyone else uses it 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Get Rid of “Them vs Us” Us Them 2/18/2019 Home Care Association of NYS

Home Care Association of NYS ICS Used at all levels of government and private industry – the Standard Now renamed NIIMS (National Interagency Incident Management System) Mention Alan Brunacini, FGC Military Derivation from German Staff (Prussian Officers) and U.S. WWII. Firefighting Resources of California Organized for Potential Emergencies. ICS is now widely used throughout the United States by fire agencies, and is increasingly used for law enforcement, other public safety applications, and for emergency and event management. 2/18/2019 Home Care Association of NYS

ICS is About Organizing Responsibilities Creates an organizational framework Unity of Command Every individual reports to one boss, and one boss only Span of Control 3-7 personnel, groups, etc. 5 is optimum, based on experience, complexity, etc. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Two Types of Staff Command General 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Command Staff Incident Commander – overall responsibility for incident management Liaison – point of contact between agency and partners. Should be radio/phone contact for local authorities Public Information (PIO) – media contact Safety and Security – minimize risk to staff 1. 2. 3. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS General Staff Directed by Incident Commander (IC) Operations Planning Logistics Finance 2/18/2019 Home Care Association of NYS

Home Care Association of NYS What about the CEO? Role of the CEO Not necessarily IC Varies according to skills, organization Often administrative function - backup Clarifies agency polities Evaluates response Ensures collaboration Receives briefings 2/18/2019 Home Care Association of NYS

Functional Responsibilities Command = overall responsibility Operations, Actions = direct tactical Planning, Intelligence = collect/analyze data; prepare action plan Logistics = provide support Finance/Accounting= cost accounting and procurement 2/18/2019 Home Care Association of NYS

Operations Activities Carries out Plans Triage & Treatment Transport Coordination Directs all operations Implements the Incident Action Plant (IAP) Requests or releases resources 1. 2. 3. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Planning Prompts and drives short- and long-range action plans Collects, evaluates, disseminates data regarding resources Plans for resource utilization Develops IAP 1. 2. 3. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Logistics Provides for a working environment and adequate materials to meet the overall objective Delivers equipment, supplies, services, personnel and other resources Pre - plans with vendors for critical supplies 1. 2. 3. 2/18/2019 Home Care Association of NYS

Finance/Administration Provides funding and stresses organization -wide documentation to maximize financial recovery and reduction of liability Provides cost tracking and analysis Recovery, time recording, resource procurement Personnel costs such as overtime Lost revenue Supply allocations Coordinates billing practice changes 1. 2. 3. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Tools Incident Action Plan Job Action Sheets HEICS Forms The 5 highlighted functions must always be filled/addressed. There are Job Action Sheets for each position. See page vii of Volume 1, HEICS for a better picture. This is your ICS fully expanded. See pages 2-4 and 2-5 for a cross-over chart. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Job Action Sheets Prioritized checklist - Should assign as closely related to normal position if situation permits Immediate Responsibilities Intermediate Responsibilities Extended Responsibilities The system only allows for Unified command at the highest levels. This does not prevent crosstalk among sub-units. In fact, it is encouraged. 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Job Action Sheets One for each position Focused objectives Concise mission statement Prioritized activities Can be customized to some extent Many have added Infection Control to the Ops and a MERC Liaison to the Command Staff Who else? 2/18/2019 Home Care Association of NYS

Your Agency – Using Job Action Sheets 2/18/2019 Home Care Association of NYS

Home Care Association of NYS Additional Forms Activity Log Personnel Time Sheet Procurement Summary Report Volunteer Staff Registration/Credentialing Form Status Report Resource Accounting Record Patient Tracking Sheet Emergency Incident Message Forms 2/18/2019 Home Care Association of NYS