Phase 1 Actions/Issues |
Lead/Support Agency |
A. PLANNING AND COORDINATION |
1. Activate Emergency Support Functions (ESF)s in support of the even
|
FEMA/DHS |
2. Consider declaring a public health emergency
|
HHS Secretary |
3. Activate all components of the EMG to include selected liaisons and specialties
- Expand Ops, Planning, Log, and SME cells as required
- Request LNO from ESF #8 partners as required (e.g. DOT, DoD, VA, DHS/FEMA, ARC, DOE, EPA, OSHA, FEMA Recovery LNO)
- Request LNO from operating/staff divisions
- Working with State & Local Authorities and DHS determine the event as an RDD/RED and the type of radiological agent to determine the appropriate countermeasures
|
ASPR |
4. Provide representative to ERT-A and Deploy IRCT –A, IRCT (including SHO)
- Operations Section
- Initiate regular HHS-EMG Coordination Call
- Alert rostered teams (RDF, APHT, MHT, NDMS IRCT, HHS Human Services technical assistance team and subject matter expert assessment team)
- Planning Section
- Prepare Incident Action Plan and assure plans are coordinated with ESF #8 support agencies, IRTC, OpDivs/Staff Divs and DHS/FEMA.
- Analyze vulnerability of critical health care infrastructure in the expected impact zone.
- Logistics Section
- Coordinate medical support within HHS
- Coordinate non-medical support with FEMA
- Administration and Finance
- Ensure that funds are available to support operations
- Process Mission Assignments and Sub Tasks
- Track mission assignments
- Institute tracking of deployed personnel
|
EMG EMG-OPS
EMG/OFRD EMG/HSC liaison
EMG Plans/OPEO CIKR and FEMA recovery liaison
EMG LOG/DHS/FEMA EMG LOG/DoD EMG A&F
|
5. Upon receipt of the NOC/NRCC Activation Order
- Update situational awareness and ensure visibility of the common operating picture is maintained.
- Staff the ESF #8 desks at the NRCC, IMPT, NOC, as requested
- Ensure that all essential functions can be performed and all related services can be provided.
- Initiate incident-specific information and data collection, analysis, and assessment
- Perform effects and consequences modeling and simulation analysis on the geography, demographics, and population, including the at-risk population and critical infrastructures. Coordinate with IMAAC.
- Confirm essential communication and coordination links with Other Federal Agencies (OFA) to ensure optimal information sharing, and a common understanding of the expected mission and objectives.
- Establish initial Battle Rhythm video teleconferences and other conference calls within ESF #8 emergency management community concerning the situation, mission and objectives
- Confirm lines of communication and coordination with non-collocated command and control entities.
- Continue to review and validate internal and interagency senior officials’ “playbooks” and “checklists” including:
- Essential Elements of Information (EEI)
- Information collection requirements and capabilities;
- Information analysis and intelligence procedures; and
- Reporting requirements
- Prepare to execute Pre-Scripted Statements of Work (PSOWs) and Sub Tasks to ESF#8 partner departments and agencies and HHS OpDivs/StaffDivs and ensure existing interagency and contractual vehicles are available for rapid implementation and execution
- Disseminate IMACC products as appropriate
|
EMG ALL, IMAAC |
6. Compare pre-impact with initial post-impact of the likely consequences to the public health, medical and human services critical infrastructures
|
EMG |
7. Provide all ESF#8 partners with specific reporting/requesting guidance on dosimetry and personal protective equipment for entry into the area of operations.
|
EMG, SME Cell |
8. Deploy supplies and equipment packages (logistics support) for all ESF #8 teams / personnel deployed in support of ESF #8 missions
|
OPEO/LOG CDC/DSNS |
9. Coordinate with the potentially deployed IRCTs to stage FMS and advance personnel to set-up and install FMS Installation Team
|
OPEO/IRCT/CDC/JFO/ARC CDC/DSNS/OFRD |
10. Establish and maintain contact with key public health, healthcare, and community partners, including partners serving the at-risk population
|
ASPR/CDC/CMS/OCR/ IGA/SME |
11. Develop, release and communicate guidance to public health officials and community partners, EMS for response, including counter-measures, concepts of operations, protective action guidelines, triage information, food safety, shelter in place, water safety, etc.
|
ASPA/CDC |
12. Upon receipt of Mission Assignment from FEMA execute the appropriate sub tasks as required.
|
DHS/FEMA/OPEO-EMG/ ESF #8 partners |
13. Deploy other logistics assets for ESF #8 teams/personnel to staging locations
|
EMG-LOG |
14. Assess and coordinate Security Requirements for ESF #8 assets
|
EMG-OPS |
B. HEALTHCARE, EMERGENCY RESPONSE AND HUMAN SERVICES |
15. Activate and deploy NDMS teams and patient movement components as appropriate.
|
OPEO |
16. Request NDMS , HaVBED and BARTs bed counts
|
OPEO |
17. Activate the American Association of Blood Banks Interagency Task Force on Domestic Disasters and Acts of Terrorism (AABB) to assess the current blood supply levels throughout the country
|
HHS/OPHS |
18. Coordinate with AABB Task Force to identify supply levels at the supporting medical facilities for the incident. Activate supply distribution plans for affected region(s).
|
HHS/OPHS |
19. Obtain approval for AABB Task Force coordinated public information assistance announcement re: the adequacy and safety of the nation’s blood supply.
|
HHS/OPHS |
20. Request assessment of healthcare infrastructure from the IRCT(s).
|
HHS/ASPR CIKR |
21. Identify sites of opportunity for RTR 1-3,and MC and AC sites (as needed)
|
IRCT |
22. Obtain evacuation and patient transportation routes
|
. |
23. Obtain decontamination sites for support at extraction points and/or at Triage locations.
|
. |
24. Obtain receiving, distribution and transportation Hubs (logistics Stand-up)
|
. |
25. Stage/Deploy ESF #8 teams and equipment caches as required in support of MC sites.
|
NDMS/OPEO-LOG & NDMS |
26. Coordinate with FEMA requirements for medical personnel augmentation at general/mass care shelters
|
HHS Human Services/ARC/ESF #6 |
27. Activate the Ambulance Contract for medical transportation (ground, air and para-transit ambulances)
|
EMG/FEMA |
28. Activate Radiation Injury Treatment Network to potentially receive patients with Acute Radiation Syndrome.
|
OPEO |
29. Activate the Rapid Response Victim Registry
|
CDC |
30. Request DOJ to establish missing persons HOTLINE or integrate with the National Center for Missing and Exploited Children for tracking of patients, persons looking for family members
|
ACF |
C. SURVEILLANCE, INVESTIGATION, AND PROTECTIVE HEALTH MEASURES |
31. Deploy the Interagency Advisory Team (A Team)
|
EMG - SME |
32. Provide recommendations regarding decontamination and medical management
|
EMG - SME |
D. PHARMACEUTICALS, MEDICAL SUPPLIES AND EQUIPMENT: |
33. If SNS assets required, deploy CDC TARU team and/or FMS teams as necessary
|
EMG/CDC/DSNS/OFRD |
34. Deploy SNS radiation countermeasures as indicated by type of radionuclide and types of injury
|
CDC/DSNS |
35. Alert VA to be prepared to provide health and medical logistics/supply support via National Acquisition Center (NAC).
|
EMG- LOG/VA |
36. Submit EUA /IND for countermeasures that are not FDA approved. (EUA Playbook)
|
EMG FDA |
E. PATIENT EVACUATION |
37. Convene Medical Interagency Coordinating Group (MIACG) to evaluate and make recommendations regarding the medical need and patient evacuation, including evacuation of members of the at-risk population.
|
OPEO/NDMS |
F. COMMUNICATION AND OUTREACH |
38. Participate in the National Incident Communications Conference Line (NICCL) composed of Federal public affairs officers as well as local and state public affairs officers. The goal of the NICCL is to develop and implement a coordinated communications plan that ensures the provision of timely and accurate information across all levels of government (“one voice”).
|
. |
39. Provide information on medical and public health response activities with as much granularity as possible
|
SEC HHS, ASPR, ASPA, CDC, DHS, SHO, OCR |
40. Provide anticipatory guidance on how the public health and medical response (including mass fatality management) will unfold over time
|
41. Explain the rationale for difficult decisions that must be made due to overwhelming need in the context of resource scarcity (e.g., first priority is to save as many lives as possible)
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42. Provide behavioral health expertise to help craft messages
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43. Provide talking points that give protective guidance (“Protective Action Guidelines” (PAG) e.g., worker health and safety; decontamination, evacuation vs. shelter-in-place); information on the zone of exclusion, and where/how to seek care
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44. Provide information (when available) for Medical Providers seeking treatment and management guidance and algorithms.(REMM)
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45. Identify SMEs on medical and public health aspects of radiation health
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46. Identify HHS spokesperson(s)
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47. Ensure that in communicating with the public, the needs of at risk, such as individuals with disabilities and individuals with limited English proficiency, are taken into account
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48. Ensure communication with the at risk population, including limited English proficient individuals and individuals with disabilities
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