Public Health Emergency - Leading a Nation Prepared
The concepts presented in the MSCC Management System are designed to complement ongoing initiatives to establish individual components of medical surge, such as identifying pools of qualified healthcare personnel. This handbook provides the management processes necessary to enhance coordination and integration of these components. Implementation of these concepts should take full advantage of the assets and processes already in place to address medical surge. Important areas of focus for implementation strategies include:
Once the concepts of the MSCC Management System are implemented, responder training should examine how they are applied within tiers and across tiers to shape the overall response system. Training sessions should include representatives from each of the major organizations involved in mass casualty or mass effect incident response. The training may be structured in stages of varying complexity and difficulty so that participants of similar knowledge level and experience can learn together. Both didactic instruction and drills might be used to maximize comprehension and retention of key concepts. Trainers should have significant experience and demonstrated expertise in large-scale incident response, and they should be able to motivate people from diverse professions to work together.
The lack of system change after thorough incident review has been a major challenge for all response entities from the local to the Federal levels. To achieve and maintain effectiveness, the response system must continually evolve to incorporate best-demonstrated practices identified through exercises or after-action report processes. A mechanism should be built into the system to provide feedback on ways to address deficiencies. In all after-action analyses, input from medical and public health disciplines should be sought and incorporated with the recommendations of other disciplines. Findings must then be translated into organizational learning, where improvement in processes, procedures, training, equipment and supplies, EOP guidance, or other areas will create lasting organizational learning rather than the less permanent "lessons learned."
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