1. 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

2. Home Care Association of NYS
Incident Command System
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Home Care Association of NYS

3. Home Care Association of NYS
Objectives for Today
Adapting ICS to home care
Create a user friendly cross walk
for home care ICS
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Home Care Association of NYS

4. 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.
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Home Care Association of NYS

5. Home Care Association of NYS
Real Reason
Everyone else uses it
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6. Home Care Association of NYS
Get Rid of “Them vs Us” Us
Them
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Home Care Association of NYS

7. 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.
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Home Care Association of NYS

8. 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.
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Home Care Association of NYS

9. Home Care Association of NYS
Two Types of Staff
Command
General
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Home Care Association of NYS

10. 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.
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Home Care Association of NYS

11. Home Care Association of NYS
General Staff
Directed by Incident Commander (IC)
Operations
Planning
Logistics
Finance
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Home Care Association of NYS

12. 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
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Home Care Association of NYS

13. 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
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Home Care Association of NYS

14. 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.
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Home Care Association of NYS

15. 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.
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Home Care Association of NYS

16. 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.
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Home Care Association of NYS

17. 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.
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Home Care Association of NYS

18. 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.
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Home Care Association of NYS

19. 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.
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Home Care Association of NYS

20. 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?
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Home Care Association of NYS

21. Your Agency – Using Job Action Sheets
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Home Care Association of NYS

22. 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
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Home Care Association of NYS