Public Health Emergency - Leading a Nation Prepared
An important function of the Tier 2 coalition is to integrate community medical assets with non-medical response organizations in the jurisdiction. This is accomplished through a Tier 2 liaison function. Having one liaison to represent the collective interests of HCOs (Tier 2) at the jurisdiction (Tier 3) level enables non-medical response assets to more easily interface with and understand the concerns of the healthcare community. If the Tier 2 coalition covers multiple local jurisdictions, a Tier 2 liaison should be assigned to each Tier 3 incident command post or EOC (as indicated) to represent the coalition's interests.
Depending on specific incident circumstances, Tier 2 coordination with the following agencies might be considered:
To promote an organized response system, the Tier 2 liaison is best assigned to the local EOC (a MACC for Tier 3) or to the jurisdictional incident command post (Tier 3), depending on the incident. In a primarily non-medical event, the Tier 2 liaison will likely integrate at the EOC; in a major medical event, integration should occur within the jurisdiction's ICS (see Figure 4-1). If a jurisdiction operates using principles outlined in the next chapter, representatives from all of the just-listed agencies would be present and available to work with the Tier 2 liaison.
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