1. The NIUSR High Level Reference Model for Disaster Management National Institute of Urban Search & Rescue B. L. Hartway Requirements Chairman, NIUSR June 14, 2001

2. EOC Operational Concept Model for Emergency Response Information Packages

3. Catastrophic Medical Disaster Emergency Management Public Safety (First Responder) Emergency Management All Hazards Emergency Management C6I C6I = C4I + Multi-Agency Cooperation and Coordination Disaster Emergency Management Support Agencies The updated NIUSR High Level Reference Model (HLRM) - Showing the many faces of “Emergency Management”

4. Cmd 911 Operations C6I Response Teams/Cmd Concerned Public(may be victims and not know it), Officials, and Media Field Medical care Crisis, Consequence, and Emergency Management Infrastructure Hot Zone Response and Aid Victims & Worried Well (know they’re victims or think they are) Incident Scene (UNKNOWN) 911 CAD UnifiedCmd County EOC State EOC FederalEOCs GDIN/NDIN THREAT  Public Health  Care Centers  Clinics  Physicians Response Teams/Cmd Health Care Community Hospital EDs C4I Medical Management Infrastructure Response Teams/Cmd C4I Support Infrastructure County Agencies State Agencies Federal Agencies Int’l Agencies Municipal Agencies Govt/NGO/Private Agencies (Everybody calling everybody about everything – CNN everywhere) WHO The updated NIUSR High Level Reference Model (HLRM) 911 call Hospitals Response Teams/Cmd Triaged, Treated, Transported

5. C6I Crisis, Consequence, and Emergency Management Infrastructure Victims & Worried Well (know they’re victims or think they are) Scene THREAT Health Care Community C4I Medical Management Infrastructure C4I Support Infrastructure Govt/NGO/Private Agencies Concerned Public(may be victims and not know it), Officials, and Media Incident (UNKNOWN) Basic HLRM Model “Foundation” SUPPORT AGENCIES DISASTER COMMAND / CONTROL MEDICAL CARE INCIDENT SITE Response Teams/Cmd Response Teams/Cmd

6. C6I Crisis, Consequence, and Emergency Management Infrastructure Victims & Worried Well (know they’re victims or think they are) Scene THREAT Health Care Community C4I Medical Management Infrastructure C4I Support Infrastructure Govt/NGO/Private Agencies 911 Operations Response Teams/Cmd 911 CAD Cmd Concerned Public(may be victims and not know it), Officials, and Media Incident (UNKNOWN)     Hospital EDs HLRM Model for Simple 911 (or the beginning of WMD?) Response Teams/Cmd Response Teams/Cmd SUPPORT AGENCIES DISASTER COMMAND / CONTROL MEDICAL CARE INCIDENT SITE 911 call

7. Cmd 911 Operations C6I Response Teams/Cmd Concerned Public(may be victims and not know it), Officials, and Media Field Medical care Crisis, Consequence, and Emergency Management Infrastructure Hot Zone Response and Aid Victims & Worried Well (know they’re victims or think they are) Incident Scene (UNKNOWN) 911 CAD UnifiedCmd THREAT    Response Teams/Cmd Health Care Community Hospital EDs C4I Medical Management Infrastructure Response Teams/Cmd C4I Support Infrastructure Municipal Agencies Govt/NGO/Private Agencies An Expanded On-Site Casualty Situation (Mutual-Aid) 911 call Response Teams/Cmd Triaged, Treated, Transported

8. C6I Crisis, Consequence, and Emergency Management Infrastructure Victims & Worried Well (know they’re victims or think they are) Scene THREAT Health Care Community C4I Medical Management Infrastructure C4I Support Infrastructure Govt/NGO/Private Agencies 911 Operations 911 CAD Concerned Public(may be victims and not know it), Officials, and Media Incident (UNKNOWN)     Hospital EDs Model for Beginnings of (Unrecognized) Covert Bio-Event Response Teams/Cmd 911 call SUPPORT AGENCIES DISASTER COMMAND / CONTROL MEDICAL CARE INCIDENT SITE

9. C6I Crisis, Consequence, and Emergency Management Infrastructure Victims & Worried Well (know they’re victims or think they are) Scene THREAT Health Care Community C4I Medical Management Infrastructure C4I Support Infrastructure Govt/NGO/Private Agencies 911 Operations 911 CAD Concerned Public(may be victims and not know it), Officials, and Media Incident (UNKNOWN)     Hospital EDs Bio-Situation Recognized as Some Kind of Perpetrated Event Response Teams/Cmd 911 call SUPPORT AGENCIES DISASTER COMMAND / CONTROL MEDICAL CARE INCIDENT SITE Public Health Clinics Physicians Hospitals County EOC County Agencies Municipal Agencies Unified Cmd Response Teams/Cmd Response Teams/Cmd

10. Cmd 911 Operations C6I Response Teams/Cmd Concerned Public(may be victims and not know it), Officials, and Media Field Medical care Crisis, Consequence, and Emergency Management Infrastructure Hot Zone Response and Aid Victims & Worried Well (know they’re victims or think they are) Incident Scene (UNKNOWN) 911 CAD UnifiedCmd County EOC State EOC FederalEOCs THREAT  Public Health  Care Centers  Clinics  Physicians Response Teams/Cmd Health Care Community Hospital EDs C4I Medical Management Infrastructure Response Teams/Cmd C4I Support Infrastructure County Agencies State Agencies Federal Agencies Municipal Agencies Govt/NGO/Private Agencies (Everybody calling everybody about everything – CNN everywhere) A “Homeland Defense” Situation for a Recognized Attack 911 call Hospitals Response Teams/Cmd Triaged, Treated, Transported

11. Cmd 911 Operations C6I Response Teams/Cmd Concerned Public(may be victims and not know it), Officials, and Media Field Medical care Crisis, Consequence, and Emergency Management Infrastructure Hot Zone Response and Aid Victims & Worried Well (know they’re victims or think they are) Incident Scene (UNKNOWN) 911 CAD UnifiedCmd County EOC State EOC FederalEOCs GDIN/NDIN THREAT  Public Health  Care Centers  Clinics  Physicians Response Teams/Cmd Health Care Community Hospital EDs C4I Medical Management Infrastructure Response Teams/Cmd C4I Support Infrastructure County Agencies State Agencies Federal Agencies Int’l Agencies Municipal Agencies Govt/NGO/Private Agencies (Everybody calling everybody about everything – CNN everywhere) WHO The updated NIUSR High Level Reference Model (HLRM) 911 call Hospitals Response Teams/Cmd Triaged, Treated, Transported