NDMS Patient Movement

1
NDMS Patient Movement After Action
Review Headquarters, Washington DC View
Mimi Reilly Executive Officer National Disaster
Medical System 12 Dec 2005
2
The Patient Movement Anomaly

• Enigmatic to Federal and Civil responders
• Government vs. Civil
• DOD Large scale, high altitude, fixed wing,
  long distance
• Civil Helo, low altitude, short flight
• Significant discrepancy between what leadership
  understands will happen and what is possible

3
What went well

• People

4
What went well

• FEMA/NDMS/HHS Communication
• Conference at specific times, call in numbers and
  cast of characters
• Broad participation, open lines for other as
  needed
• Came to understanding of COAs before execution

5
What went well

• Interface with NRP ESFs
• All ESF represented
• ESF 8 cell co-located at FEMA HQ
• FCC Response
• Became the de-facto welcome wagon
• Tracking
• First hard data
• Remains some of the most

6
Major Issues

• Doctrine and Marketing
• Command and Control
• Expectation Management
• Patient Tracking
• NDMS Activation/ Mission Assignment Process
• Patient readiness/appropriateness and priority
  authority

7
Major Issues

• Environmental Considerations
• Displaced person planning
• Lines of Communication
• Agency specific ground elements
• Authorities/Command and Control Overlapping and
  broad brush
• Reimbursement

8
Unity of Effort
Key to Future Success
9
Questions?