a blank chart for participants to complete. The scenarios, questions, and example chart are intended to provoke discussion that will help participants fill in the blank chart for their own agency.1 Participants may choose to complete a single, general blank chart, or one each for various scenarios from their jurisdictional Hazard Vulnerability Analysis.

Discussion Participants

Suggested participants and key stakeholders for a discussion focused on emergency management are listed below.

Key discussion stakeholders: [suggested agency/jurisdiction primary participants]

• Jurisdictional EMS entities (public and private), including key medical direction personnel for each discipline;

• Jurisdictional fire/rescue;

• Local public health;2

• Hospitals/health care coalition(s);

• Local government legal counsel/authority;

• Medical examiner/coroner;

• 911 answering point(s)/public safety answering points (PSAPs); and

• County commissioner/board.

Secondary-level discussion stakeholders: [plans require integration with these partners]

• State emergency management;

• State public health;

• State EMS authority;

• State hospital and other associations;

• Elected officials and executive officers;

• State’s attorney office or state legal representative;

• Law enforcement and corrections;

• Funeral and mortuary services associations;

• Faith-based and community volunteer agencies;

• Representative(s) from utility service providers; and

• Community stakeholders involved with management of large planned events.


1 The blank table for participants to complete can be downloaded from the project’s website: www.iom.edu/crisisstandards.

2 As discussed further in the public health toolkit (Chapter 5), in some states there are no local health departments, only a (centralized) state health department that acts as both state and local. Even in those states with both local and state health departments, the state health department needs to be involved in the discussions. As noted in the two previous IOM reports on crisis standards of care (CSC), the local health department will focus on local and regional issues related to CSC planning, while the state health department will help to coordinate the local/regional planning efforts to ensure intrastate coordination and consistency (IOM, 2009, 2012). The discussion participants and stakeholders listed here are provided as a suggestion; discussion organizers should develop a participant list that would be appropriate for the structures and organization of the particular jurisdiction.

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