Medical Aspects of Chemical Warfare (2008) - The Black Vault

Domestic PreparednessNIMS FrameworkThe structure for NRP coordination is based on the NIMS construct:ICS/Unified Command on-scene supported by an Area Command (if needed)multi-agency coordination centers, and multi-agency coordination entities.Field Land Regional Land National LandCommand Structures Coordination StructuresMultiagency Coordination Entity• Strategic coordination• Prioritization between incidents and• associated resource allocation• Focal point for issue resolutionBOCs/MultiagencyCoordination Centers• Support and coordination• Identifying resource shortages• and issues• Gathering and providing information• Implementing MAC Entity decisionsIncident Command• Directing on-scene• emergency managementIncidentCommand PostAreaCommandIncidentCommand PostLocalEmergencyOps CenterIncidentCommand PostStateEmergencyOps CenterJFDCoordinationGroupJoint FieldOfficeThe focal point for coordination ofFederal support is the Joint Field Office.As appropriate, the JFO maintainsconnectivity with Federal elements inthe ICP in support of State, local, andtribal efforts.An Area Command is established whenthe complexity of the incident andincident management span-of-controlconsiderations so dictate.RegionalResponseCoordinationCenterInteragencyIncidentManagementGroupHomelandSecurityOperationCenterThe role of regionalcoordinating structuresvaries depending on thesituation. Many incidentsmay be coordinated byregional structures usingregional assets. Larger,more complex incidentsmay require directcoordination between theJFO and national level,with regional componentscontinuing to play asupporting role.Fig. 23-3. Organizational outline for incident management command and coordinating centers. The structure addresses local(or field) to national incident management. Gray areas are established when the complexity of the incident has expanded.Blue areas indicate the national structure for managing the incident, establishing a clear progression of coordination andcommunication from the local level to the national headquarters level.Reproduced from: US Department of Homeland Security. National Response Plan. Washington, DC: DHS; 2004.EOC: emergency operations centerICS: incident command systemJFO: joint field officeMAC: multiagency coordinationNIMS: National Incident Management SystemNRP: National Response PlanOps: operations(Figure 23-4). 12,18 The initial response is handled locallyusing available resources. After expending thoseresources, the local jurisdictions notify the state. Stateofficials review the situation and respond by mobilizingstate resources, keeping DHS and FEMA regionaloffices informed. When the situation becomes of sucha magnitude that the governor requests a presidentialdirective for more support, regional staffing is coordinatedusing deployments, such as emergency responseteams. A federal coordinating officer from the DHSidentifies requirements and coordinates the overallfederal interagency management. 12DoD’s role in a domestic emergency depends on thescope of the incident, but it executes its responsibilitiesunder the NRP, either as lead agency or in supportof other lead agencies. 12 The DoD may first becomeinvolved in a limited role in small contingency missions,working with or under leading agencies. If theemergency is more serious (eg, a major natural disasteror a terrorist event), large-scale or specific, the DoD will759