Courses & Speaking Engagements: Integrated Healthcare Disaster Response

Synopsis:  This course uses an “All-Hazards” approach and prepares attendees to develop ever-widening integrated responses to man-made and natural disasters and specific actions Healthcare Emergency Managers must take at each level of integration.  This competency-based course includes recommended actions for Healthcare Emergency Managers to take at each level of integration.

Who should attend?

  1. Healthcare Emergency Managers / Disaster Preparedness Coordinators.
  2. Chief Operating Officers (COO)
  3. Chief Executive Officers (CEO)
  4. Directors of Nursing (DON)
  5. Directors of Medical Materials Management
  6. Directors of Environmental Services
  7. Public Health Officers
  8. EMA Directors
  9. Director Volunteer Services
  10. Director Community Services
  11. Other Healthcare Directors assigned to Emergency Management or Continuity of operations


  1. Attendees will attain a high level of understanding of the federal guidance designed to improve healthcare preparedness.
  2. Attendees will be able to list the level of integration associated with each level of the 6-Tiered Healthcare Response System.
  3. Attendees will be able to build levels of integrated response from Tier 1 through Tier 5 when they return to their place of work.
  4. Attendees will understand the components needed to attain a Tier 6 nationally integrated healthcare resnse to all-hazards events.

Course Modules:

Tier 1.  Build a robust individual healthcare emergency preparedness program for response to disasters. Tier 1 is the building block upon which further integrated relationships can be built.

  • Overview of the Hospital Emergency Plan (EMP).
  • “Ten Steps to Healthcare Readiness”
  • Developing robust support systems to remain operational throughout a disaster and resume normal operations as soon as possible afterward.
  • Developing strong community relationships to fortify the community’s healthcare assets.
  • Hospitals respond as separate entity
  • Linkages with Public Health established
  • Linkage with EMS
  • Hospital Incident Command (HICS)
  • PPE and decontamination capable

Exercise: Attendees will be grouped by Hospital “A”  “B”  “C” Etc.   Each hospital will develop their hospital Tier 1 Capabilities Plan.  After the exercise, each hospital will brief their “Tier 1 Capabilities Plan” to the attendees.

Tier 2.  Build coalitions with other healthcare organizations in order to develop a Healthcare organic response to disasters.

  • Multiple healthcare entities group together
  • Shared resources within coalition
  • Train and exercise as an organic unit
  • EMS integration
  • Integrated with Public Health
  • Integration with Emergency Management Agency for non-medical resources

Tier 3. Integrate with sub-state regions, healthcare, public works, emergency management agencies etc. in order to integrate a sub-state response to disasters

  • Healthcare communication and response within separate regions/counties of a state.
  • Plans well developed - coordinated
  • Healthcare/Public Health/EMS
  • Emergency Management Agency
  • Training and regional exercises - full participation
  • Requirements and resources shared
  • Unmet requirements elevated to state EOC

Tier 4. Integrate with statewide healthcare efforts to become part of a statewide organic response including:

  1. All healthcare entities
  2. All Public Health Departments
  3. All EMS resources
  4. State EMA
  5. Healthcare unmet requirements communicated to state EMA
  6. State EMA - unmet requirements elevated to
    1. HHS
    2. DHS

Tier 5. Integrated regional response including all adjacent states to broaden and enhance the regional organic responses to disasters

  1. States’ plans include adjacent states
  2. Federal region interface
  3. Seamless communication among states
  4. Shared resources
  5. Unmet requirements elevated to federal agencies
  6. Training and exercises with adjacent states
  7. Interstate workshops - with deliverables
    1. Measurement of unified response
    2. Lessons learned - followed up in subsequent exercises
    3. National sharing of best practices

Tier 6. National organic response to all-hazards events

  • Seamless national “all-hazards” responses across all states and federal regions
  • A Goal Worth Working Toward
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