Guidebook - California Emergency Medical Services Authority

1 California Emergency Medical Services AuthorityGuidebook Fifth Edition 2014 Project Sponsored by Contract Support Team With Support from ABOUT THIS Guidebook This Page Intentionally Left Blank Hospital Incident Command System Guidebook Fifth Edition May 2014 i ISBN: 978-0-692-02997-8 Project Sponsor: California Emergency Medical Services Authority Copyright 2014 by California Emergency Medical Services Authority (EMSA). EMSA grants permission for these materials to be reproduced or utilized in whole or in part. Howard Backer, MD, MPH, FACEP Director Daniel R. Smiley Chief Deputy Director Lisa Schoenthal Disaster Medical Services Division Chief EMSA s Project Team consisted of: Patrick Lynch, RN Project Supervisor Lauran Capps Project Specialist Virginia Fowler Project Administrator Eric Fu Information Services Specialist Cover Photograph Contributions: Air Methods; Scripps Health, Janet Bloem, RN, CPN, Imad Dandan, MD, FACS, Ken Leake, RN; Stanford Hospital, Terrie Wieske, RN.

2 Tenet Healthcare, Mary Ann Codeglia, RN, MSN, CDQI Cover design by Brian Bolton Web design by Eric Fu The following organizations are acknowledged for their technical input into portions of the HICS Toolkit: The California Police Chiefs Association and the California Association of Tactical Officers for their review of the Active Shooter Incident Planning and Response Guides; The California Fire Chiefs Association for their review of the Wildland Fire Incident Planning and Response Guides. ii This HICS Guidebook was developed by Kaiser Permanente Healthcare Continuity Management and Washington Hospital Center ER One Institute under contract to the California Emergency Medical Services Authority .

3 The project team consisted of: Project Administration: Skip Skivington, MBA,, Project Administrator Craig DeAtley, PA-C, Project Administrator Dale Thompson, Project Specialist Kristina Spurgeon, MPH, Project Coordinator Wendy Clark, Administrative Coordinator Medical Editor: Catherine Ballay Forms Editors: Mitch Saruwatari, Betty Clayman-DeAtley Portions of the HICS Toolkit were developed by Sacramento State s College of Continuing Education under contract to the California Emergency Medical Services Authority . The HICS Final Review Group consisted of: Lisa Schoenthal California EMSA Skip Skivington, MBA Kaiser Permanente Patrick Lynch California EMSA Dale Thompson Kaiser Permanente Virginia Fowler California EMSA Mitch Saruwatari Kaiser Permanente Mary Massey, BSN, MA, PHN California Hospital Association Kristina Spurgeon, MPH Kaiser Permanente Dean P.

4 Morris, CPP, CHPA Corporate Services Group 360, Inc. Loni Howard, RN, MSN Sutter Medical Center, Sacramento Craig DeAtley, PA-C MedStar Washington Hospital Center Nathan Rodgers National Integration Center, FEMA iii HICS 2013 -14 National Work Group and Advisory Board An effort of this type and magnitude would not be possible without the selfless commitment and hard work of a number of individuals who gave of their time and willingly shared their years of experience and expertise. These persons include: Tracy Buchman Sonday, DHA, CHSP, CHPA HSS Inc. Colorado *Ann M. Potter, RN, CEM, CHEP MedStar Washington Hospital Center Washington DC Cleo L. Castle, RN (Ret) Grand River Medical Center Colorado John D.

5 Prickett, RN LRG Healthcare New Hampshire Craig DeAtley, PA-C MedStar Washington Hospital Center Washington DC Mitch Saruwatari Kaiser Permanente California barbara Dodge BA-E Center for Preparedness Education Nebraska Spencer T. Schoen, MPH, MMS, MA, CEM Virginia *David M. Esterquest, RN, BSN Fermi National Accelerator Laboratory Illinois Skip Skivington, MBA Kaiser Permanente California *Loni Howard, RN, MSN Sutter Medical Center, Sacramento California *Arnie Spanjers III, MD Kaiser Permanente California *Marla R. Kendig, DHA, CEM , CIH Compliance & Risk Management Minnesota Melinda Stibal, MSN, MBA, RN Providence St. Vincent Hospital Oregon Mary Massey, BSN, MA, PHN California Hospital Association Hospital Preparedness Coordinator Dale Thompson Kaiser Permanente California Steven N.

6 Matles, MA, OHST, CHSP, CHEP University of Nevada School of Medicine Nevada Sheri L. Waldron, RN, BSN Carson City Hospital Michigan Dean P. Morris, CPP, CHPA Corporate Services Group 360, Inc. California *Individual also served as a Work Group Chairperson iv ABOUT THIS Guidebook This Page Intentionally Left Blank v ABOUT THIS Guidebook TABLE OF CONTENTS ABOUT THIS Guidebook .. 1 CHAPTER 1 INTRODUCTION TO THE HOSPITAL INCIDENT COMMAND SYSTEM .. 4 What is HICS? .. 4 Relationship to the Incident Command System (ICS) .. 4 History of HICS .. 5 Components of HICS .. 5 Characteristics of HICS .. 5 Benefits of Using HICS .. 7 Efficient and Coordinated Response to Emergencies .. 7 Multi-Agency Coordination System (MACS).

7 8 National Incident Management System (NIMS) Consistence .. 8 Federal Preparedness and Response Grant Consistence .. 9 Accreditation Consistence .. 9 CHAPTER 2 THE Emergency MANAGEMENT PROGRAM .. 11 Emergency Management Program .. 11 Emergency Program Manager .. 12 Emergency Management Committee .. 13 Planning .. 14 All-Hazards Emergency Operations Plan (EOP) .. 16 Hazard Vulnerability Analysis (HVA) .. 17 Evaluation of Incident Planning Guides (IPGs) and Incident Response Guides (IRGs) 18 Coordination with External Partners .. 19 Regional Hospital Coordination Centers (RHCC) and Other Coalitions .. 20 Fire and Emergency Medical Services (EMS) .. 20 Law Enforcement .. 22 Local Health Department.

8 23 Medical Examiner or Coroner's Office .. 23 Behavioral Health Specialists .. 24 Local Emergency Management Agency (EMA).. 24 Local Emergency Operations Center (EOC) .. 25 State Emergency Operations Center (EOC) .. 26 State Response Teams .. 26 Federal Response Teams .. 26 American Red Cross (ARC) .. 27 Print and Television Media .. 28 Social 28 Community Strategies for Expanding Emergency Healthcare Services .. 29 vi ABOUT THIS Guidebook CHAPTER 3 OPERATIONALIZING HICS .. 33 Appoint Individual or Committee to Review HICS Tools .. 33 Review and Customize HICS Tools .. 33 Key Requirements .. 35 Training .. 35 Exercises .. 37 Integration with Community Emergency Response Partners.

9 38 Integration of HICS with external Incident Command System (ICS) .. 38 Unified Command .. 40 Integration with Corporate Healthcare Systems .. 41 CHAPTER 4 HOSPITAL INCIDENT MANAGEMENT TEAM OVERVIEW .. 43 The Hospital Incident Management Team (HIMT) .. 43 Efficient Transfer of 44 Command .. 48 Incident Commander .. 48 Command Staff .. 48 General Staff/Sections .. 48 Operations Section .. 49 Patient Care Operations .. 51 Infrastructure Operations .. 52 Security Operations .. 53 Hazardous Materials (HazMat) Branch .. 56 Business Continuity Operations .. 56 Patient Family Assistance Branch .. 57 Additional Branch Options .. 58 Planning Section .. 58 Documentation.

10 60 Logistics Section .. 63 Finance/Administration Section .. 64 Additional HICS Practices .. 65 Chain of Command and Unity of Command .. 65 Identifying Hospital Incident Management Team (HIMT) Members .. 65 Building Hospital Incident Management Team (HIMT) Depth .. 66 Job Action Sheets (JAS) .. 66 Department Level Leadership .. 67 CHAPTER 5 INCIDENT RESPONSE: PUTTING IT ALL TOGETHER .. 70 Alerts and Notification .. 70 Situation Assessment, Reporting and Monitoring .. 72 Emergency Operations Plan (EOP) Activation .. 72 vii ABOUT THIS Guidebook Activating HICS .. 73 Building the HICS Structure .. 74 Establishing the Hospital Command Center (HCC) .. 75 Design Features.