U.S. Department of Homeland Security

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U.S. Department of Homeland Security How
Healthcare Providers and Plans Can Work With FEMA
To Make Emergency Response Successful National
Emergency Management SummitNew Orleans,
LouisianaMarch 5, 2007

Glenn M. CannonDirector, Response Division
Federal Emergency Management Agency
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FEMA Mission

• Lead the Federal Governments response to
  emergencies and major disasters, natural and
  manmade, including acts of terrorism
  All-Hazards

• Save lives
• Protect property
• Ensure basic human
• needs are met

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NIMS and NRP
National Incident Management System (NIMS)
Standardized process and procedures for
incident management
NIMS aligns command control, organization
structure, terminology, communication protocols,
resources and resource typing to enable
synchronization of efforts in response to
an incident at all echelons of government
Incident
Local Support or Response
Resources, knowledge, and abilities come from
independent Federal Departments and Agencies
DHS integrates and applies Federal resources
both pre- and post-incident
Healthcare Community
State Support or Response
Federal Support or Response
National Response Plan (NRP) Activation and
proactive application of integrated Federal
resources-activated for Incidents of National
Significance
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Disaster Response
Joint Preliminary Damage and Needs Assessment
Mayor/County Executive
Emergency/Disaster
Local First Responders
Governor
DHS/FEMA Regional Director
Requests Aid from
Informs
Alert
Reports To
Governor Declares State Emergency/ Disaster
DHS Secretary/ FEMA Director
Activate State EOC
Activate Local EOC
Activate local EOC and coordinate with local
public health, medical, volunteer, and other
organizations
IIMG, NRCC, OFAs
FEMA Regional Operations
Gov. Requests Emergency/Major Disaster Declaration
Contacts
President of the United States
Local State Federal
Emergency Support Functions
Disaster Declaration
Provides
PFO, FCO, SFLEO
Emergency Response Team
Sets Up
Supports
Appoints
Joint Field Office
State Coordinating Officer
Joins
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Hurricanes Katrina and Rita Overview

• FIRST time the US government evacuated US
  citizens on US soil
• 220,000 to 230,000 citizens were evacuated by
  boat, air, bus, and train in 5 days
• The largest air evacuation operation on US soil
  in US History
• The largest disaster response deployment of US
  Military forces on US soil
• The largest bus fleet assembled in US in a 4 day
  period of time
• FIRST use of the National Defense Reserve Fleet.
• FIRST use of all NDMS components in response to a
  Catastrophic Event
• 163,000 Patients treated (72,420 for
  Immunizations) 15,658 Animals Treated
• 9,740 patients were treated during the 2004
  hurricanes
• FIRST use of NDMS patient evacuation system for a
  mass casualty event in US
• 5,059 patients and 700 litter patients evacuated
  by NDMS and DOD
• FIRST time all 28 Urban Search and Rescue Task
  Forces deployed
• 6,538 rescues--Katrina response was 5.75 times
  greater than 2004 hurricane responses

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Hurricane Katrina Lessons Learned

• Federal-level review led by Presidents Homeland
  Security Advisor
• Assessed the Federal response
• Issued report in February 2006 with
• lessons learned and recommendations
• 17 Executive Branch Challenges
• 125 Specific Recommendations for
• Federal departments and agencies
• 14 Critical Actions for immediate
• correction
• Other After Action Reports and Analyses
• DHS Inspector General
• General Accountability Office
• Congressional
• Internal

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Functional Areas Identified for Improvement

• Operational Response Doctrine, Policies and
  Procedures
• Operational Response and Team Capabilities
• Interagency and Intra-agency Coordination
• Common Operating Picture, Situational Awareness,
  and Deployable/Interoperable Communications
• Logistics Enterprise and Resource Tracking
• Improved Business Practices/Private Sector
  Involvement
• Disaster Surge Workforce
• Catastrophic Planning
• Victim Assistance, Registration, Housing, and
  Care
• Debris Removal

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Future Vision for FEMA

• FEMA-The Nations Preeminent
• Emergency Management Agency
• Leader and model agency in developing emergency
  management competencies at all levels of
  government
• Actively reducing the impact of all-hazard events
  on the Nation
• Ready and capable of supporting all-hazards
  incident management, recovery, mitigation and
  continuity programs
• Strengthened disaster response operational
  competencies
• Leveraging capabilities of DHS components
• Credible and respected at the inter-agency level,
  by State and Local governments, industry and
  non-governmental organizations

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Successful Emergency Response

• Building successful emergency response
  capabilities requires
• Detailed planning in advance of events
• Focused training and exercises
• Development and continual refinement of disaster
  response procedures, and capabilities with
  adequate staffing and equipment

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Planning Should Be Contingency Based
Flood Earthquake Tornado Hurricane
Typhoon Landslide Tsunami Ice
Storm Drought Wildfire Disease Epidemic
Terrorist / Criminal
Natural
CBRNE Attack Cyber Attack Other Terrorism
Strike
Protest
Chemical Spill Utility Outage Transportation
Accident Industrial Accident Radiological
Incident Nuclear Incident Explosion
Domestic Effects of War
Public Demonstration
Nation-State Attack
Inaugural State of the Union Olympics Major
Sporting Event Summit Conference
Civil Disturbance
Mass Migration
Accidental
Civil / Political
Special Event / Special Security Event
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Pandemic Influenza Planning Initiative

• Supports National Strategy for Pandemic
  Influenza and the HSC Interagency Implementation
  Plan
• Each Federal department is required to develop
  supplemental contingency/operational plans to
  address its operational approach to
• Protect the health of employees
• Maintain essential functions and
• services
• Support Federal response
• and that of States/communities
• Communicate to stakeholders

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Successful Emergency Response

• Plan ahead--coordinate closely with your local
  emergency
• management and public health authorities
• Participate in local hazard and risk assessments
• Conduct realistic capacity assessments
• Establish close working relationships and mutual
  aid
• agreements in the community
• Participate in the development and implementation
  of
• comprehensive EMS plans and implementation of
  regional
• protocols for the triage, treatment, transport
  and transfer
• of patients.
• Know what equipment and supplies you have, what
  you

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Successful Emergency Response

• Acquire resources and develop your own surge
  capacity
• Share your plans with EVERYONE!
• Participate in the planning, design, and conduct
  of exercises
• Conduct after action briefings---listen to what
  others tell you---institute corrective actions
• Exercise your plans after changes are made
• Develop risk communications/public affairs
  strategies
• Remember, if it doesnt work during an exercise
  it wont work in the real event
• Consequences of Complacency It cant happen
  here!

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