Briefing-level participants: [plans require awareness-level knowledge by these entities]

• Major local media; and

• Representative(s) from all local chambers of commerce.

Key Questions: Slow-Onset Scenario

The questions below are focused on the slow-onset influenza pandemic scenario presented in Chapter 3:3

1. What ESF-8 system information can the EOC and/or emergency management access? Do these systems integrate into the state-level incident management system (WebEOC®, ETeam®, etc.)?

2. How are hospitals, public health, EMS, and the rest of the medical care sector (dialysis clinics, nursing homes, etc.) represented at the jurisdictional EOC? If they do not have an assigned “seat” in the EOC, who represents their interests, and how are coordination and two-way communications maintained?

3. Is there a clearly delineated process by which these ESF-8 stakeholders advance resource requests to the local or state EOC?

4. What is the process by which the EOC communicates back to ESF-8 stakeholders about potential resource shortages and other challenges in other organizations/sectors (security issues, travel restrictions, etc.) that will affect their ability to function?

5. What declarations or legal/regulatory relief can help support ESF-8 response strategies during a major disaster (e.g., suspension of ordinances requiring transport to hospital by EMS)? What agency (local, state, or federal) has the authority to waive such requirements? Based on what information and at what point is the decision made to pursue these declarations?

6. How is a COP maintained during a prolonged incident or event?

7. What process is in place to ensure that timely, accurate risk communication is available and disseminated to media outlets?

8. What information from ESF-8 systems or other sources would lead emergency management to begin rumor control and management during a health event, and how would this be handled? Are health public information officials integrated into Joint Information Systems?

9. What information is used to monitor whether resources (e.g., law enforcement) are becoming overtaxed? What adaptive strategies and/or personnel can be used? Are Memorandums of Understanding in place to gain additional resources?

10. When does emergency management reach out to ESF-8 stakeholders to determine needs during a purely health-related event? At what point are virtual versus physical coordination locations used?

11. Does the jurisdiction have an active health care coalition that coordinates the medical aspects of incident response, and how can emergency management maximize these coordination resources?

____________________

3 These questions are provided to help start discussion; additional important questions may arise during the course of discussion. The questions are aimed at raising issues related to indicators and triggers, and are not comprehensive of all important questions related to disaster preparedness and response.



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