Discussion Board Responds. Hospital Emergency Management Planning (Emergency Operations Plan)

Discussion Board Responds. Hospital Emergency Management Planning (Emergency Operations Plan)

Discussion Board Question: – Review Ennis’s EMP model. How would you improve it? Is there any crossover with

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other hospital department responsibilities? – Provide a table of contents for your hypothetical emergency management plan. Reading: Attached Files: • • • Blanchard (129.5 KB) Reilly, M., &Markenson, D. S. (2010). Health Care Emergency Management: Principles and Practice Chapter 5: Developing the Hospital Emergency Management Plan Ennis, S.(2001). Model Emergency Management Program Hospitals and Community Emergency Response -What You Need to Know Emergency Response Safety Series, U.S. Department of Labor Occupational Safety and Health Administration OSHA 3152 (1997) http://www.osha.gov/Publications/OSHA3152/osha3152.html Student 1 post: Health facilities should have an Emergency Response Plan (EOP), which explains which hospitals are responding to any emergencies. A typical EOP should include six main points, as defined in the Safety Standards Management Principles. Such standards include communications, goods and services, safety and security, labor commitments, clinical support services and general services. The emergency application should focus on “all accidents”, an emergency response method according to measurement, cause and duration. Therefore, the EOP must respond to any response procedures and opportunities to deal such procedures due to the lack of community-level strategies and the intensification of other disaster risk management sections. The emergency call should be clear to all interested parties. In this regard, it is important to develop a policy for policy-related information and to obtain clear information for all, rapid response and risk recovery over time. It is important to note that the EOP is an accountability and conservation organization for EMP. The Occupational Safety and Health Administration (OSHA) came up with OSA 3152 to help hospitals cope with emergencies. The preparatory stage includes such issues as recommendations for responding to emergency situations in a hospital, personnel training, emergency actions for evaluating personnel adjustments, driving time. This section includes lines of communication and authority, the designation of a liquidation team, the definition of a hospital system, the designation of other hospitals that can provide treatment for emergency contamination in a hospital, termination procedures, and the use of PPE and the prevention of contaminated waste. The focus of EMP at the hospital is hospitals that are open to a wide range of emergencies. Inter-agency interventions are important and are reflected in the OSHA program, as in case of emergency, employees from other departments may be required. Ennis, S. (2001). Model Emergency Management Program Hospitals and Community Emergency Response -What You Need to Know Emergency Response Safety Series, U.S. Department of Labor Occupational Safety and Health Administration OSHA 3152 (1997) Student 2 post: Ennis’s EMP model can be improved by defining the roles and responsibilities of personnel. The description can include the identification of the individuals that are responsible for training and directing the response. Effective communication should be included in the model (Reilly &Markenson, 2010). The plan should identify alternative facilities that could provide treatment in situations where patients need to be rerouted to contamination of the emergency department. The model can also be improved by decontaminating patients before reaching the hospital at the site of the incident. The unit should be set aside while taking the necessary precautions of preventing the spread of the contamination to other units in the hospital (Ennis, 2001). This process should implement in areas that reduce the exposure of the rest of employees, patients, and the medical equipment. The site should, therefore, be outside or designed as a portable decontamination facility, and can include wading pools or outdoor showers. Crossover with other Hospital Department Crossover with other hospital departments responsibilities exists in the model. The different departments in the hospital collaborate to monitor emergencies such as the possibility of contaminations (United States Department of Labor, 1997). An example is an emergency and public health departments that collaborate to examine the prevalence of outbreaks and possible administration of vaccines. The departments also share their responsibilities in disseminating public health information and supporting the evacuation of people from environments that possess risks. Table of Content 1. Purpose, Scope, Situation, and Assumptions 1 1.1 Purpose 1 1.2 Scope 1 1.3 Situation Overview 2 1.3.1 Hazard Analysis Summary 4 1.3.2 Capability Assessment 9 1.3.3 Mitigation Overview 10 1.4 Planning Assumptions 11 2. The conception of Operations 12 2.1 Plan Activation 13 2.2 Disaster and Emergency Declarations 14 2.3 Emergency Operations Center 15 2.4 Local Assistance 16 2.5 State Assistance 17 3. Organization and Assignment of Responsibilities 18 References Ennis, S. (2001). Model Emergency Management Program Hospitals and Community Emergency Response -What You Need to Know Emergency Response Safety Series Reilly, M., &Markenson, D. S. (2010). Health care emergency management: Principles and practice United States Department of Labor. (1997). OSHA 3152 hospitals and community emergency response – what you need to from https://www.osha.gov/Publications/OSHA3152/osha3152.html know. Retrieved TOP TEN COMPETENCIES FOR PROFESSIONAL1 EMERGENCY MANAGEMENT B. Wayne Blanchard October 7, 2005 The purpose of this document is to provide assistance to academicians who have the responsibility of designing or maintaining a collegiate emergency management program (such as a degree, certificate, or concentration). The design of individual college courses and an emergency management curriculum should be informed by an appreciation of the functions of emergency management and skill sets needed to perform those functions. A previous and different version of this document was developed in the Spring of 2003, in preparation for a presentation at the 28th Annual Workshop on Hazards Research and Applications in Boulder Colorado.2 Since that time there have been two FEMA Emergency Management Higher Education Project Conferences which included breakout sessions to discuss emergency management competencies and curriculum as well as a workshop in Denver Colorado in the Fall of 2004 on The Hazards Manager of the 21st Century.3 In addition, the recent failure of governments to quickly and adequately respond to Hurricane Katrina in the Gulf and subsequent levee breaks in New Orleans, has caused me to re-evaluate and re-write the earlier document. The format will first be a simple listing, to be followed by amplifying notes. 1. Comprehensive Emergency Management Framework or Philosophy 2. Leadership and Team-Building 3. Management 4. Networking and Coordination 5. Integrated Emergency Management 6. Emergency Management Functions 7. Political, Bureaucratic, Social Contexts 8. Technical Systems and Standards 9. Social Vulnerability Reduction Approach 10. Experience 1 One would think it apparent by now that emergency managers at all levels of government need to have emergency management competencies when obtaining their positions. It should no longer be accepted that anyone, at any level of government, be put into a lead emergency management position without having such competencies as those described herein. 2 Accessible at: http://training.fema.gov/emiweb/downloads/CoreCompetenciesEMHiEd.doc 3 Findings from these events are accessible at: http://training.fema.gov/emiweb/edu/EMCompetencies.asp 3/25/2019 2 1. Adopts “Comprehensive Emergency Management” framework or philosophy. Comprehensive emergency management can best be summarized as “all hazards, all phases,4 all actors.” This is in contrast with a homeland security (terrorism) response primary orientation. It should be obvious by now that an imbalanced focus on uniformed first responders and their response to a terrorism event has harmed the development and maintenance of broader capabilities for a broader audience and broader range of hazards. The best response capability in the world does little or northing to address future disaster losses. Only mitigation, reduction, prevention and readiness activities address the ever increasing vulnerability of the United States to disasters and ever increasing disaster losses.5 2. Leadership and Team-Building The necessity of good leadership is another obvious lesson to be tragically relearned yet once again in the wake of Hurricane Katrina. Especially, but not just, in the immediate pre-impact and early response phases, leadership is needed – not just an ability to provide a command presence, but the demonstration of vision, compassion, flexibility, imagination, resolve and courage.6 Without leadership, bureaucratic organizations and their personnel will tend to stay within more or less business as usual bureaucratic systems and methods of operation. It takes a leader to break down theses barriers to expeditiously move people and resources to where they are needed. Leadership is also needed in the hard-to-sell mitigation, reduction, prevention arena of emergency management – to seek to create an culture of disaster prevention and preparedness. Leadership means fighting for resources so that not only good risk assessments can be made, plans developed, people trained and systems exercised, but equipment, facilities, supplies can be procured which allow plans to be implemented. Without resources, even the best laid plans are but fairy dust. 3. Management Leaders need also to be able to manage, or have managers under them – people who have the ability to implement, to make happen. This was singularly lacking in pre-impact and initial Hurricane Katrina response wherein very detailed plans existed at local, state, federal levels and in the private sector, many hundreds of people had been trained and exercised against those plans, and yet the plans were not adequately implemented. This disconnect between Refers to all phases of the “disaster life cycle” – mitigation, preparedness, response, recovery. See the Emergency Management Higher Education slide presentation at: http://training.fema.gov/emiweb/downloads/highedbrief_course2.ppt#265,1,Slide 1 6 The Hurricane Katrina response at the federal level demonstrates how good systems can fail without good leadership, and how operations improve with good leadership. We reiterate here the 9/11 Commission Report on the importance of imagination and how things can go terribly wrong without it when working out of bureaucratic systems. As an example, picking, this time the local and state levels of government, local and state officials have said that hundreds of buses were not used to move citizens without transportation out of New Orleans prior to hurricane impact (as both local and state plans called for) due to lack of drivers. Yet gathering in such staging areas for evacuation as the Superdome, were thousands of people, many hundreds of whom could have been called upon to drive municipal and school buses filled with evacuees out of New Orleans along with those other citizens who had cars. 4 5 3/25/2019 3 good planning, training and exercising on the one hand and implementation on the other demonstrates, among other things, the criticality of managerial implementation abilities. 4. Networking and Coordination Emergency management offices are typically short staffed or no staff at all – just someone with the responsibility but insufficient resources. This situation requires that emergency managers network and coordinate with a broad range of other organizations — up, down and laterally in government levels, private sector, voluntary associations and community based organizations. Particularly in large scale disasters, the failure of emergency management officials and their supervisors to adequately network beforehand with other levels of government, will prescribe a second governmental failure disaster. Within a jurisdiction or an organization, stakeholder organizations need to plan, train and exercise together. Indeed, one disaster researcher has suggested that successful and unsuccessful disaster response operations can be predicted beforehand based on knowledge of two variables alone – (1) the extent and variety of an emergency managers network (how many different stakeholders are communicated with and involved), and (2) the frequency of contact – once a year, twice, monthly, weekly, daily.7 5. Integrated Emergency Management Beyond the importance of networking and coordinating with a broad range of stakeholders, is the need to integrate hazard, disaster and emergency management concerns into broad range of organizational entities. In the local government context, for example, this means integrating emergency management planning into not just all the emergency services, but such other organizations as public works, public health, human services, transportation, planning, etc.). Emergency managers are seldom thought of until a threat looms, are too few, and typically have too little in the way of resources. This requires that emergency management organizations work to get other governmental organizations within their jurisdiction to “integrate” emergency management concerns (such as risk assessment, planning, training, exercise participation) into their thinking, systems and operations. The more heads the better. 6. Key Emergency Management Functions Emergency management functions are variously described and enumerated – as in lists of 10 or a dozen or 16, etc. These should be consulted. Herein will be stressed several key functions: ◼ Risk Assessment – what are the hazards facing ones jurisdiction/organization, their scope and probability, and the demographics, capabilities and resources of ones jurisdiction or organization ◼ Planning – emergency operations, mitigation, tie in to comprehensive plan ◼ Training 7 Drabek, Thomas E. 2003. Strategies for Coordinating Disaster Responses. Boulder, CO: Program on Environment and Behavior, Monograph 61, Institute of Behavioral Science, University of Colorado. 3/25/2019 ◼ ◼ ◼ ◼ 4 Exercising Emergency Operations Center Operations – setting up, equipping and managing Establishing interoperable communications within jurisdiction/organization Applying lessons learned and research findings to emergency management functions on an on-going basis 7. Political, Bureaucratic, and Social Contexts Emergency management is situated and must operate within various constraining and enabling circumstances. Key among them are the political, bureaucratic (or organizational), and social contexts of a jurisdiction/organization and those of lower and higher jurisdictions. Thus there is a great need to instruct on forms of government and bureaucratic politics, but also a need to understand the social dimensions of a jurisdiction/organizations and the social dimensions of disaster (how people and organizations react to disaster). 8. Technical Systems and Standards Students need to learn the tools of the trade, which today include such subjects as: ◼ National Incident Management System (NIMS) ◼ National Response Plan (NRP) ◼ NFPA 1600 (National Fire Protection Association “Standard for Disaster/Emergency Management and Business Continuity Programs” ◼ Certified Emergency Manager credential administered by the International Association of Emergency Managers ◼ Geospatial and geographical information systems (GPS and GIS) ◼ Communications systems ◼ Warning systems ◼ Computers and hazard and emergency management related software packages 9. Social Vulnerability Reduction Approach The Hurricane Katrina experience provides yet again the lesson that there are groupings of people in most, if not all jurisdictions, who are more vulnerable than others and are differentially impacted when a disaster crosses a community. The make-up of highly vulnerable groups varies across communities, so there is no simple listing of poverty, race or gender, for example, that allows one to simply “fill in the blanks.” The prevailing emergency management approach in the U.S. has been variously label, but a label that can be found in the academic community is “technocratic” – getting at reliance on traditional governmental managerial approaches, technology, and engineering to solve the problems of hazards. In looking at how many emergency management organizations spend their too-limited resources, there is frequently to be found a utilitarian, or biggest-bang-for-the-buck approach. This often translates into what can be done for the largest numbers of people in a community – for the most people. Frequently, though, “the most” does not translate into “the most vulnerable” and in need of assistance – “the most” often translates into white middle class. The social vulnerability perspective teaches practitioners to focus first and foremost on those most vulnerable to disasters in their communities, instead of the largest number of people, in recognition of the fact of life that most emergency management organizations have 3/25/2019 5 traditionally not had, and probably will not have in the future, the resources to do both things well – to do their job adequately. There is an upper division college course on the FEMA Emergency Management Higher Education website precisely on this topic – entitled “A Social Vulnerability Approach to Disaster” – and accessible at: http://training.fema.gov/emiweb/edu/completeCourses.asp In my opinion, no upper division or graduate degree program in emergency management should be viewed as complete without the inclusion of this or a similar course. 10. Experience It has been stated since the beginning of the FEMA Emergency Management Higher Education Project in late 1994, that the three keys to emergency management are education, training, and experience (preferably disaster experience). Successful disaster operations, for example, work best when standard bureaucratic methods of operating can be modified to act more expeditiously or outside of normal business as usual constraints. This is easier learned through experience than taught. There are many ways administrators of collegiate emergency management programs can assist their traditional (non-emergency management practitioner) students with the gaining of experience – such as through internships, service learning,8 exercise participation, CERT9 Team training and membership, and registration with disaster response organizations (such as the American Red Cross or as a FEMA’s disaster reservist. The gaining of even modest experience will be of assistance to traditional college students who will need to find jobs upon graduation – and will be competing against those without the educational foundation, but with experiential credentials. 8 See, for example the Emergency Management Service Learning section of the FEMA Emergency Management Higher Education Project website — http://training.fema.gov/emiweb/edu/sl_em.asp 9 Community Emergency Response Teams – see: http://www.training.fema.gov/emiweb/CERT/ 3/25/2019 OUTLINES OF COMPETENCIES TO DEVELOP SUCCESSFUL 21st CENTURY HAZARD or DISASTER or EMERGENCY or HAZARD RISK MANAGERS By B. Wayne Blanchard, Ph.D., CEM Higher Education Project Manager Readiness Branch Emergency Management Institute National Emergency Training Center Federal Emergency Management Agency Department of Homeland Security 16825 S. Seton Avenue Emmitsburg, MD 21727 (301) 447-1262 wayne.blanchard@dhs.gov http://training.fema.gov/emiweb/edu 2003 Draft 6 3/25/2019 7 The development of the emergency management competences outlines below began with an invitation to participate on a panel on “Hazard Managers in the 21st Century: Needs in Higher Education,” July 15, 2003 at the 28th Annual Workshop on Hazards Research and Applications, in Boulder Colorado, sponsored by the Hazards Research and Applications Center at the University of Colorado at Boulder. The description of the panel in the Workshop Program document read: “To meet the challenges of disaster reduction in the 21st century, today’s hazard managers must possess some distinctly different characteristics from more traditional emergency managers. Hazard managers must develop a body of knowledge that goes beyond incident response to include expertise in social science and technology. Fostering interdisciplinary opportunities at colleges and universities is one way to build these capabilities. Unfortunately, there is no agreedupon framework that currently exists to guide these programs. This session addresses the fundamentals of an educational framework for refining a hazard management core curriculum.” In that I believe that a hazard or emergency management curriculum should be informed by the expected competencies of a hazard or emergency manager, my approach to preparing for the panel was to put on paper thoughts, in an outline format, on hazard/emergency management core competencies. This is a subject that I have some familiarity with, having collected several attempts to address occupational competencies from a range of perspectives – emergency management, public entity risk management, industrial safety management, and the training and education field – having participated in one of those exercises, and having observed and participated in discussions of this topic at every Emergency Management Higher Education Conference held at the Emergency Management Institute. My own exercise started with the requirement of the Hazards Center for every panelists to submit an abstract of their remarks in no more than one-page (outline acceptable) prior to the workshop – for insertion in participant packages. To accomplish this, I sought to put on the hat of an academic who had the task of developing a curriculum to support a degree in emergency management. Having developed the required one-page document I began to solicit comments from academics, practitioners and other interested parties. The responses, acknowledged at the end of this document, tended to fall into three categories: (1) A one-page treatment is just about right – neither too hot or too cold, as Papa Bear would say – and all that was needed was tinkering here and there, and a variety of recommendations were forthcoming on that score. (2) While essentially on-the-mark, the one-pager struck several reviewers as potentially off-putting to emergency management students or others interested in attempting to join the profession – could be viewed as too daunting, intimidating, or even impossible of accomplishment. Or, it was just too busy or too long. Thus, could I come up with a shorter, simpler treatment. This I did by changing hats from one of a hazard or emergency management academic to that of someone responsible for hiring a future emergency manager for a political jurisdiction, and drafting the second document of ten “things” I would look for in a candidate. (3) The third type of response was that there were many subjects on the one-pager that just cried out for expansion, description, explanation, detail. Thus, would it be possible to expand on the one-pager. In that I was in agreement with such commentaries, I sought to begin the process of expansion – though with absolutely no attempt to aim at comprehensiveness. As comments came across the desk and as additional thoughts came into my own head based on whatever I happened to be reading at the moment, I have attempted to expand – in an illustrative manner. The following is the on-going result. 3/25/2019 8 Document One: Outline of Core Competencies to Develop Successful 21st Century Hazard/Emergency Managers 1. Personal, Interpersonal and Political Skills, Traits and Values a. Listening, Communicating (oral and written – superior level) and Presentation Skills b. Networking, Facilitating, Partnering, Coalition-Building, Community Consultation c. Negotiating, Mediation, and Conflict Resolution Skills d. Representational, Marketing, Salesmanship Skills – Visible, Engaged, Effective e. Bureaucratic, Organizational, Public Policy and Political skills f. Committed, Dedicated, Enthusiastic, Reliable, Imaginative, Creative g. Diverse Social/Cultural/Class/Special Needs/Disadvantaged Sensitivity and Activity h. Leadership and Motivational Skills – walks the talk, compassionate, has integrity i. Proactive, Progressive, Open to Change and New Ideas, Life-Long Learner j. Problem Solving, Critical Thinking, Decision Making k. Flexibility, Adaptability and Improvisational Skills l. Strategic (long term) thinking and planning, visionary, ability to anticipate 2. Administrative, Management, Public Policy Knowledge, Skills and Principles a. Personnel Mgmt.–Recruiting, Retaining, Managing People (staff/volunteers), Teams b. Program Management — Developing and Managing Programs c. Fiscal Management — Acquiring and Managing Funding (Budgets) d. Resource Management – technical and physical e. Information Management – gather, analyze, interpret, sort, act upon f. Organizational Management (normal and crisis) g. Creating Public Value Skills – getting others to value and promote disaster reduction 3. Subject Matter Knowledge, Skills, and Abilities – i.e., Theory, Principles, Fundamentals of Hazards, Disasters, and U.S. Hazard, Disaster, Risk, Emergency Management a. What Are Hazards and Disasters, including Related Terms and Definitions b. Hazard Taxonomies or Categorization Schemes (natural, technological, intentional) c. Theories of Disaster (acts of God, acts of nature, social/nature intersection, societal) d. Hazards Foundation, and exposure, risk, vulnerability, risk communication treatment e. History and Theory of Emergency Management f. Hazard/Risk/Emergency/ Management Scope/Approaches, Public and Private Sectors, including Traditional Technocratic, Social Vulnerability, Risk-Based approaches. g. Emergency Management Models, e.g. CD, Emergency Services, Public Administration h. Emergency Management Fundamentals, e.g. CEM, IEM and intra-governmental context, 4-Phases, Intergovernmental (local, state, federal) context i. Emer. Mgmt. Functions/Practice/Operations, e.g. risk assessment, planning, public ed. j. Roles and Responsibilities of Key Players in Emergency Management k. Roles of Other Disciplines (e.g. engineering, geology, sociology, psychology, met.) l. Sustainable Development, Community Organization, and Urban and Regional Planning m. Legal, Ethical, Social, Economic, Ecological, Political Dimensions and Context n. Emergency Management Best Practices – Identification and Application 4. Technical Skills and Standards – i.e., Tools of the Trade a. Technological tools e.g. computers (software), GIS, mapping, modeling, simulations b. Scientific Method; Research, Analysis, Evaluation Tools and Methods c. Experience (practicum, internship, service learning, volunteerism, professional orgs.) d. Professional Standards, Procedures, Certifications, Organizations e. Emergency Management Systems — EOC Operations, ICS, warning, communications 3/25/2019 Document Two: April, 2003 Top Ten Things BWB Would Look For in 21st Century Professional Emergency Manager 1. Philosophy: Disaster Reduction through Building Disaster Resilient Communities 2. A People-Person – Personable with people-oriented skills, traits, and values e.g. communicating, networking, representational, customer service oriented 3. Politically Savvy – Organizational, Community, EM “System” – knows importance of partnerships, networking, inclusiveness, and flexibility 4. A Leader — who walks the talk and demonstrates integrity and compassion. 5. A Professional, with Executive-Level Administrative and Management Skills 6. A Visionary — Strategic, Big-Picture Thinker, Strategic Planning Ability 7. Motivated and Energetic – Positive attitude hard worker – can motivate others 8. Hazards Foundation and Legal, Ethical, Social, Economic, Ecological, Political Contexts 9. Technical Skills and Standards, e.g., computers, GIS, research, analysis, evaluation 10. Has Experience – And Learned From It – Successful at Improvisaton 9 3/25/2019 10 Document Three: Expanded Outline of Competencies for Successful 21st Century Hazard/Emergency Managers 1. PERSONAL SKILLS, TRAITS, ABILITIES AND VALUES a. b. c. d. e. f. g. h. i. j. k. l. m. n. Committed, Dedicated, Reliable, Hark-Working Imaginative, Creative, flexible, can improvise Enthusiastic Proactive, Self-Starter, Displays Independent Initiative, Willing to Take Risks Progressive, Open to Change, New Ideas and Research Findings, Flexible, Adaptable Life-Long Learner Problem Solving – knowing the rational thinking processes that assist problem-solving Demonstrated Decision Making Skills, Decisive Ethical, Responsible, Tolerant, Demonstrates Integrity, Promotes Diversity, Inclusive Compassionate Can Apply Lessons Learned Ability to Respond Appropriately to Criticism, Advise, Guidance, Direction Can Function Under Stressful Conditions Intellectual Versatility – ability to recognize, explore and use a broad range of ideas and practices – thinking logically and creatively without undue influence from personal biases o. Demonstrates Sound Judgment and Discretion p. Can Obtain, Evaluate, Analyze, Synthesize, Organize Data and Information q. Customer Service Oriented 2. INTERPERSONAL SKILLS AND TRAITS a. Listening (sometimes referred to as “Active Listening”) and Observational Skills b. Communicating Skills (oral, written, via visual mediums – superior level) 1. Recognizes that communication is a two-way street 2. Open to participative communication c. Presentation Skills d. Networking, Coordinating, Facilitating, Partnering, Coalition-Building, Community Consultation, Outreach Skills and Abilities 1. Understands Obstacles to Successful Coordination, etc., e.g., independent or egotistical individual or organizational mindsets, competition for scarce resources, personal and organizational rivalries, lack of trust, no history of, lack of upper-level support, lack of common terminologies and understanding. 2. Knows how to address networking, coordination obstacles and challenges e. Tactful and Diplomatic Traits f. Negotiating, Mediation, and Conflict Resolution Skills g. Diverse Social/Cultural/Class/Special Needs/Disadvantaged Sensitivity and Activity 3. POLITICAL SKILLS AND TRAITS a. Bureaucratic, Organizational, Public Policy and Political Skills 1. Familiar with political and legal institutions and processes 2. Familiar with economic and social institutions and processes b. Representational, Marketing, Salesmanship Skills – Visible, Engaged, Effective 4. LEADERSHIP AND MOTIVATIONAL SKILLS AND TRAITS 3/25/2019 11 a. b. c. d. e. Visionary Strategic (long term) thinking and planning, ability to anticipate Walks the Talk, sets the example “Creating Public Value” Skills – getting others to value and promote disaster reduction Capacity to act as agent promoting needed change in organizations, communities, society 5. ADMINISTRATIVE, MANAGEMENT, PUBLIC POLICY THEORY, PRINCIPLES, SKILLS a. Understands Basic Management Theory, Principles and Tools b. Familiarity with Organizational Management, Theory, Concepts, Environment and Behavior (Normal and Crisis) c. Familiarity with Public Policy Environment 1. Understanding of policy formulation, implementation and evaluation processes d. Demonstrated knowledge of Administrative Roles of an Emergency Manager 1. Personnel (Human Resource) Management–Job Analysis and Design, Recruiting, Interviewing, Selecting, Placing, Training, Coaching, Retaining, Managing, Delegating, Appraising, Counseling, Rewarding People (staff/volunteers) 2. Team Building – knowing the factors that inhibit team effectiveness and what can be done to promote teamwork 3. Program Management — Developing and Managing Programs 1. Proficiency in program formulation, implementation and evaluation 4. Fiscal Management — Acquiring and Managing Funding (Budgets) 5. Resource Management – technical and physical 6. Information Management – gather, analyze, interpret, sort, act upon 7. Technical Writing Skills (e.g. grants writing) 8. Adult Learning Understanding – knowing how adults acquire and use knowledge, skills, and attitudes – understanding individual differences in learning 9. Time Management 10. Can identify, set, review and assess goals and objectives. 6. SUBJECT MATTER KNOWLEDGE, SKILLS AND ABILITIES–THEORY, PRINCIPLES, AND FUNDAMENTALS OF HAZARDS AND DISASTERS a. b. c. d. What Are Hazards and Disasters, including Related Terms and Definitions Hazard Taxonomies or Categorization Schemes (natural, technological, intentional) Theories of Disaster (acts of God, acts of nature, social/nature intersection, societal) Hazards Foundation – causes, characteristics, consequences, terminology, categorizations (meteorological, hydrological, geological, extra-terrestrial, etc.), countermeasures, trends, stakeholders 1. Can describe and discuss the trends in disaster losses in the US 2. Can describe and discuss major hazard specific stakeholders – Local, State, Regional, National 3. Familiarity with Hazards Terminology, e.g., 1. Fujita scale 2. Mercali scale 3. Richter scale 4. 100-year flood e. Understanding of Key Hazard-Related Concepts, e.g. Exposure, Risk, Vulnerability, Resiliency, Risk Communication f. Understanding of Societal Context of Hazards and Disasters 3/25/2019 12 1. Understanding of the societal variables that bear on hazards exposure, vulnerability, resiliency and risk, e.g., 1. Population growth/decline 2. Development, particularly inappropriate development (location, construction, materials) 3. Interdependencies, particularly technological and infrastructure 4. Countermeasures or lack thereof 5. Extent to which knowledge and lessons learned are or are not applied 7. SUBJECT MATTER KNOWLEDGE, SKILLS, AND ABILITIES–THEORY, PRINCIPLES, FUNDAMENTALS OF HAZARD/DISASTER/RISK/EMERGECNY MANAGENMENT a. Scope of Hazard/Disaster/Risk/Emergency Management (Public and Private Sectors) 1. Terminology and Definitions 1. Understanding major U.S. public sector terms and concepts, e.g. a. Emergency management or services b. Disaster management or services c. Hazards management d. Hazards risk management 2. Understanding of major U.S. private sector terms and concepts, e.g. a. Business contingency planning b. Business continuity planning c. Business crisis or consequence management d. Business disaster recovery planning e. Business impact analysis f. Business resumption planning g. Business risk management 3. Understanding of major International terms and concepts, e.g. a. Civil defense b. Civil emergency preparedness c. Civil protection 2. What Does the Field Cover? 3. History of Emergency Management b. Legal, Ethical, Social, Economic, Ecological, Political Dimensions and Context of EM 1. Social Dimensions and Context of Hazards and Emergency Management: 1. Develop a critical understanding of how society and social institutions operate 2. Acquire basic knowledge of social science research methods, advantages and limitations 3. Understand social science theory of the disaster behavior of organizations 4. Understand social science theory of the disaster behavior of individuals 5. Be able to adequate address “Disaster Mythology” 6. Be able to apply basic principles of sociology to the design of effective community warning systems 2. Knowledge of Economic Development Strategies and Community Impact c. Approaches to Hazard/Risk/Emergency Management (Public and Private Sectors) 1. Traditional Technocratic/Managerial Approach 2. Social Vulnerability Approach 3. Risk-Based Approaches 3/25/2019 13 4. Building Disaster Resistant and Resilient Communities Approach 5. Business Impact Analysis, Business Contingency Planning d. Emergency Management Models 1. Civil Defense Model 2. Emergency Services Model 3. Public Administration Model e. Emergency Management Fundamentals 1. Comprehensive Emergency Management (i.e. all hazards, actors, phases) 2. Integrated Emergency Management and intra-governmental context 1. Understands why it is necessary to integrate hazard/disaster/emergency management and community planning. 3. Four Phases of the Disaster Life Cycle Model 1. Mitigation a. Understand mitigation legal basis, history, philosophy, strategies, methods, programs, obstacles, issues, concerns, and consequences b. Can discuss structural and non-structural mitigation approaches c. Can discuss historical and current trends in mitigation practice d. Can discuss major Federal mitigation programs, including strengths and weaknesses, e.g., i. FEMA, National Flood Insurance Program, major elements 1. Can describe the Community Rating System ii. FEMA pre- and post-disaster mitigation programs iii. National Earthquake Hazard Reduction Program 1. Can summarize roles and responsibilities of the four primary NEHRP agencies/organizations e. Can discuss the Disaster Mitigation Act of 2000 f. Can discuss major mitigation stakeholders — Local, State, Regional, National g. Can discuss major obstacles/challenges to implementing mitigation h. Can discuss the role of insurance in hazards mitigation i. Describe adverse selection 2. Preparedness 3. Response 4. Recovery 4. Functional Approach 5. Intergovernmental Context (i.e., local, state, federal) f. Knowledge of Key Players/Stakeholders in Emer. Mgmt.–Roles and Responsibilities 1. Public Sector 1. Local, State, Federal Legislators 2. Local, State, Federal Policy-Makers 3. Local, State, Regional, Federal, International Decision-Influencers, DecisionMakers, and Stakeholders e.g., a. Budget and Finance b. Building and Inspections Departments c. Communications Centers d. Community Affairs e. Community Right-To Know (Hazardous Materials) Committees f. Convention Center Administration g. Councils of Government 3/25/2019 14 4. 5. 6. 7. 8. 9. h. Economic Development i. Educational Services, such as school districts j. Emergency Services Personnel (Fire, Police, EMS/EMT, SAR, Public Health) k. Floodplain and Storm-Water Management l. Homeland Security m. Land Use, such as planning, zoning n. Law Enforcement o. Legal Affairs p. Military (Federal and State National Guard) q. Natural Resources, e.g., agricultural, timber, water, environmental, fish and wildlife r. Parks and Recreation, especially highly visible tourist attractions s. Planning t. Public Affairs u. Public Health v. Public Works w. Public Utilities x. Risk Management y. Seismic Safety Commissions z. Social and Human Services aa. Transportation bb. United Nations International Strategy for Disaster Reduction, etc.) Emergency Management Personnel Community and Faith-Based Organizations Associations, Professional and Voluntary Organizations (e.g., IAEM, State EM Associations, NEMA, NFPC, PERI, CUSEC, Western States Seismic Policy Council, Association of State Floodplain Managers, Project Impact Coordinators Association, ACP, DRI Inc., American Red Cross) Issue Organizations (e.g. Sierra Club) Business and Industry a. Architects and Engineers b. Better Business Bureaus c. Building Administrators d. Communications Sector e. Construction Industry f. Developers g. Energy and Fuel Sectors h. Health, Medical and Care-Giving i. Insurance Industry j. Safety, Preparedness, Recovery Specialists, e.g. business continuity planners (Association of Contingency Planners), recovery planners (Disaster Recovery International, Inc.), risk managers k. Shopping Mall Administrators l. Special Events Cite Administrators and Organizers, e.g. sports, concerts m. Transportation Sector n. Utilities Academia a. Recognizing, understanding, using contributions from such disciplines as: i. Atmospheric Sciences 3/25/2019 15 ii. iii. iv. v. vi. vii. Communications Studies Earth Sciences Economics Engineering Environmental Science Planning 1. Knowledge of land use planning & strategies 2. Familiarity with community comprehensive plans viii. Political Science ix. Public Administration 1. Knowledge of community organization 2. Knowledge of community development 3. Knowledge of community change processes 4. Understands formal community power structures 5. Understands informal community power structures 6. Understands community norms, values, culture x. Public Health and Medicine xi. Sociology b. Recognizing and using contributions from Disaster Research Orgs. e.g., i. Natural Hazards Center, University of Colorado at Boulder ii. Disaster Research Center, University of Delaware iii. Hazard Reduction and Recovery Center, Texas A&M 10. Media 11. Other Private Sector Entities a. Dam Administrators 12. General Public g. Emergency Management Functional Areas, e.g., 1. Communications 2. Continuity of Government 3. Direction and Control 4. Energy 5. Essential Public Services Maintenance 6. Health and Medical 7. Information and Planning 8. Public Safety Maintenance 9. Public Works and Engineering 10. Resource Support and Management 11. Transportation h. Emergency Management Practice, e.g. 1. Legal Basis (e.g. relevant laws, codes, ordinances, regulations, statutes, standards, governing authorities, standard operating procedures, guiding policies) and Liability Issues a. Be able to identify and discuss local, State and Federal legal provisions relevant to emergency management b. Be able to identify and discuss legal issues relevant to emergency management 2. Hazards Risk Assessment (hazard identification and analysis, community analysis/demographics/resources, risk assessment, vulnerability assessment) 1. Has an awareness of a variety of risk assessment methodologies 3/25/2019 16 2. Can apply at least one risk assessment methodology 3. Hazards Risk Management 1. Plans – e.g., emergency operations plans, mitigation, recovery plans a. Demonstrate knowledge of emergency operations planning 2. Procedures (e.g. standard operation procedures) 3. Policies (e.g. families of emergency services personnel in disaster) 4. Programs, e.g., public education, mitigation, preparedness, training, exercises a. Demonstrate knowledge of emergency management training programs 5. Measures, e.g., insurance, mutual aid agreements 6. Systems, e.g., warning, sheltering, communications, and Equipment 4. Hazards Risk Communication, e.g., 1. Familiarity with risk communication theory, e.g., a. Actively seek to engage publics b. Understand value systems and perceptions of various publics c. Be open, fair, inclusive, transparent, don’t keep secrets d. Treat audience as equals – respect the concerns of others, respect other points of views e. Seek to empower the audience f. Be truthful 2. Familiarity with risk communication models, such as Mileti’s eight steps to new behavior adoption process through risk communication: a. Hearing the warning b. Believing the warning c. Confirming that the threat exists d. Personalizing the warning, confirming that others are heeding it e. Determining whether protective action is needed f. Determining whether protective action is feasible g. Determining what protective action to take h. Taking the protective action 3. Understand how to tailor information characteristics based on specific communications goals, such as awareness or behavior change a. Can translate technical risk information, terminology and data into the non-technical language of each communication partner or audience 4. Working knowledge of message characteristics, e.g., amount of material, speed of presentation, number of arguments, repetition, style, clarity, ordering, forcefulness, specificity, consistency, accuracy, and extremity of position advocated 5. Working knowledge of the major obstacles to communicating hazards risk and changing behavior, such as competing demands for attention, complacency, denial, the “levee effect,” conflicts with existing beliefs, differing value systems, the “hazard adaptation phenomenon” 6. Conversant with risk averse, risk tolerant and risk seeking typologies i. Emergency Management Systems 1. Knowledgeable of the theory, purpose, design, management of or role in the range of emergency management systems, e.g., a. Emergency Operations Center Operations b. The Incident Command System c. Warning Systems 3/25/2019 17 i. Can distinguish between watches and warnings ii. Can discuss the major components of a wide range of specific hazard warning systems, e.g. hurricane iii. Can discuss the functions of warning systems, e.g., 1. Detection 2. Measurement 3. Collation 4. Interpretation 5. Decision to warn 6. Message content 7. Dissemination iv. Can apply basic principles of sociology to the design of effective community warning systems v. Can discuss the various warning system “players” and stakeholders d. Communications Systems j. Emergency Management Emergency Operations 1. Knowledgeable of Full Range of Emergency Operations Activities, such as: a. Warning b. Emergency Public Information c. Emergency Operations Center Management d. Evacuation e. Mass Care, e.g. sheltering, feeding and provision of emergency services f. Urban Search and Rescue g. Damage Assessment h. Debris Removal i. Donated Goods Management j. Volunteer Management k. Restoration of Essential Services l. Critical Incident Stress Debriefings – possess background and knowledge of the theoretical concepts and practice of critical incident stress management 2. Capable of Coordinating Jurisdictional Emergency Management Operations 3. Knows how to seek immediate and short-term disaster recovery assistance k. Sustainable Development, Community Organization, Urban and Regional Planning l. Emergency Management Best Practices – Identification and Application m. Emergency Management Theory 1. Can discuss the major variables put forth as determinants of successful emergency management 8. TECHNICAL SKILLS AND STANDARDS – i.e., TOOLS OF THE TRADE a. Technological tools e.g. computers (software), GIS, mapping, modeling, simulations 1. Can apply technological tools within an emergency management context 2. Proficiency in state-of-the-art information and communications technology 3/25/2019 18 3. Able to maintain currency in state-of-the-art information and communications technology b. Scientific Method, Research, Analysis, Integration, Evaluation Tools and Methods 1. Ability to understand, evaluate, and analyze scientific data and reports (e.g., earth science and engineering information related to seismic hazards, reports on risks associated with weapons of mass destruction), including the uncertainties associated with such data 2. Ability to clarify choices, tradeoffs, costs and benefits of alternative loss-reduction strategies, so as to improve decision-making by households, businesses, community officials, owners of critical infrastructure facilities, and other stakeholders 3. Ability to perform cost benefit analysis – assessing alternatives in terms of their financial, psychological, social, environmental and strategic advantages and disadvantages c. Experience (practicum, internship, service learning, volunteerism, professional orgs.) d. Professional Standards, Procedures, Certifications, Organizations e. Ability to write clearly for a variety of audiences, including other professionals, decisionmakers, and the general public Key Outcomes of and for Academic Programs: 1. Achieves a balance between academic (theoretical) and practical (applied) aspects of Hazard/Emergency Management 2. Enhanced emergency management professionalism, credentials, and recognition 3. Enhanced Community Outreach and Service mission of schools of higher education. 4. Contributes to multidisciplinary university initiatives. Key Outcomes of and for Students: 1. The knowledge, skills, abilities and traits to efficiently and effectively manage and lead the hazard/disaster/risk/emergency management function. 2. Personable 3. Knowledgeable – hazards, emergency management, research methods, analysis, evaluation 4. Leadership in building disaster resilient and resistant communities 5. Ability to articulate persuasive case for disaster prevention and reduction 6. Ability to find balance between technocratic and social vulnerability approaches to EM 7. Ability to integrate multi-disciplinary and multi-organizational perspectives Acknowledgements I wish to thank the following individuals who have reviewed, commented upon and/or contributed to this outline: Beth Armstrong, Richard Bissell, Jane Bullock, Arrietta Chakos, Louise Comfort, Henry Fischer, George Haddow, Walter Hays, Sam Isenberger, Lorna Jarrett, Ron Kuban, John Lunn, David McEntire, William McPeck, Jim Mullen, Laura Olson, John Peabody, Laurie Pearce, Robert Schneider, Guna Selvaduray, Greg Shaw, Gavin Smith, Stephen Stehr, Richard Sylves, Kathleen Tierney, Frances 3/25/2019 19 Winslow. I also wish to thank the participants of the six annual FEMA Emergency Management Higher Education Conferences who have discussed and shared their thoughts on this subject.
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