Effective Incident Command System

Public Health Response to Katrina Evacuees

Cobb & Douglas Public Health, Marietta, GA

Pam Blackwell, RNDirector, Center for Emergency

Preparedness and Response

Alpha Bryan, MDDistrict Health Director

Question

Activation: Sept. 1, 2005, 0620

NDMS Atlanta Fed Coordinating Center

Is there a good picture from later in

the presentation that could go here?

Question

Incident Command: 0645

Cobb County Public Health

QuestionCobb & Douglas PH ICS Response

ICS Response to Hurricane Katrina

QuestionCobb & Douglas PH ICS Response (cont.)

ICS Response to Hurricane Katrina

Question

Dobbins ARB: 0700 “Getting ready to roll.”

Organizing the Resources

QuestionThe Partners

• DoD/VA-NDMS

• Dobbins ARB

• Cobb & Douglas Public Health

• Cobb County Fire & EMS

• Georgia State Defense Force

• Cobb County Public Safety

• GEMA

• Cobb County Community Services Board

• Cobb County EMA

Question

• Cobb County Sheriff• Metro Atlanta EMS Providers• 36 Metro Atlanta NDMS Hospitals• Dekalb Board of Health• Metro Atlanta Public Health Depts• Region 3 EMS• Cobb County Animal Control• Georgia Highway Patrol• Volunteer Doctors and Nurses• FEMA• Volunteer clergy

The Partners (cont.)

QuestionPhase 1 Layout

QuestionPhase 2 Layout

Question

Hangar 746 Hangar 747

Deplane/EscortCC Triage

Security Check Point

Triage

Flight Line

Shelter StagingMedical Needs

Med Supplies Green

Team

Yellow Team

Red Team

EMS Staging

Transportation Flow

Transpo Coord

MACC

Office Space

Evacuee Doc

Chairs/ Holding

Food

Mass Transpo Staging

Mobile CMD Post

Not to Scale

Atlanta NDMS Patient Reception Area

Transpo Coord

Co

mfo

rt Items

QuestionAtlanta FCC NDMS Org Chart

Unified CommandMAC

OperationsPam BlackwellPublic Health

PlansLeticia MathisPublic Health

LogisticsWayne JonesDobbins ARB

AdminDobbins

SafetyGeorgia State

Defense Forced

PIOJIC

LiaisonDennis JonesPublic Health

Legal

Asst. OpsDawn WalkerPublic Health

ShelterStaging

MedicalVA

SecurityGrayling Livingston

Dobbins ARB

TransportationChuck Baird

Cobb Cty EMS

Tasking/Action Tracking

Communications

Triage

Treatment

Epidemiology

CISM

Flight OpsChad

Dobbins

Med TransportMarty BillingsRegional EMS

Mass TransportGEMA

DocumentationKim King/VA

Public Health/VA

Incident ActionPlanning

Staffing

ResourceManagement

Food/Water/Ice

Sanitation Staging

Base

VendorContractng

State EOCLiaison

Storage

MobilizationCenter(s)

HumanResources

FinanceDobbins

Public HealthVA

IncidentCommander

Paul Brannigan VA

QuestionAtlanta FCC NDMS Org Chart (cont.)

Unified CommandMAC

OperationsPam BlackwellPublic Health

PlansLeticia MathisPublic Health

SafetyGeorgia State

Defense Forced

PIOJIC

LiaisonDennis JonesPublic Health

Legal

Asst. OpsDawn WalkerPublic Health

ShelterStaging

MedicalVA

SecurityGrayling Livingston

Dobbins ARB

TransportationChuck Baird

Cobb Cty EMS

Tasking/Action Tracking

Communications

Triage

Treatment

Epidemiology

CISM

Flight OpsChad

Dobbins

Med TransportMarty BillingsRegional EMS

Mass TransportGEMA

DocumentationKim King/VA

Public Health/VA

Incident ActionPlanning

Staffing

Incident CommanderPaul Brannigan VA

QuestionAtlanta FCC NDMS Org Chart (cont.)

Unified CommandMAC

LogisticsWayne JonesDobbins ARB

AdminDobbins

SafetyGeorgia State

Defense Forced

PIOJIC

LiaisonDennis JonesPublic Health

Legal

ResourceManagement

Food/Water/Ice

Sanitation Staging

Base

VendorContractng

State EOCLiaison

Storage

MobilizationCenter(s)

HumanResources

FinanceDobbins PH VA

Incident CommanderPaul Brannigan VA

QuestionQuestion

The four essential units of a typical incident command system are:

Operations, Planning, Logistics, andFinance/Administration.

A. True

B. False

Question

Provide care and caring to those who have lost everything

The Mission

QuestionBriefings

Public Health Georgia State Defense Force

VA Staff

QuestionQuestion

In your opinion, which of the following civilian public agencies is least experienced and competent in executing an effective incident command system?

A. Police Department

B. Fire Department

C. Public Health Department

D. Emergency Medical Services

QuestionPhase I Hangar

Question

10 EMS units next to the flight line at all times

EMS Staging Area

Cobb County Civic Center 20 units on stand-by

QuestionVA/NDMS Treatment Area

QuestionHospital Bed Status Board

QuestionCobb Co. Emergency Operations Center

Question

Cobb County fire-med ops unit

Transportation

Question

Briefing by Paul BranniganVA-NDMS Incident Commander

Off-load Briefing

QuestionQuestion

The leaders of the four essential units (operations, planning, logistics and finance/administration) must come from the same agency as the incident commander.

A. True

B. False

Question“Wheels Down”

QuestionThe Belly of the Beast

QuestionImprovisation

QuestionPublic Health Mobile Command

QuestionQuestion

In your opinion, which of the following civilian public agencies is most experienced and competent in executing an effective incident command system?

A. Police Department

B. Fire Department

C. Public Health Department

D. Emergency Medical Services

Question

Cobb Public Health

Home Away From Home

Question

MREs? Yuck!

Meals

Question

Rest and sleeping tents

Chapel

Home Away From Home (cont.)

QuestionPhase II Hangar: NDMS Treatment Area

QuestionPublic Health Shelter Assessment Hangar

QuestionSecurity Screening En Route to Treatment

Ambulatory evacuees

Question

On board orientation and initial medical triage

Delta 757 Evacuee Flight

QuestionNon-medical Evacuee Hanger

QuestionThen Along Came Hurricane Rita

Reactivation at Dobbins ARB Sept 19 & 20

QuestionQuestion

Which of the following are essential characteristics of an effective incident command system?

A. Common communication protocols/text

B. Clear, consistent chain of command

C. Timely and appropriate delegation of authority and resources

D. All of the above

QuestionCritical Care Assessment Team (CCAT)

QuestionCritical Transport Coordination

QuestionTemporary Nursery & Assisted Living