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CAPT Jim Imholte, RP MPH Supervisory REC, Region VII HHS/ASPR/OPEO

Regional Emergency Coordinators COA Category Day 21 June 2012. CAPT Jim Imholte, RP MPH Supervisory REC, Region VII HHS/ASPR/OPEO. Objectives. History of REC Program Structure of ASPR REC Backgrounds REC Response Roles REC “Peace Time” Roles. Regional ESF #8 Standard Federal Regions.

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CAPT Jim Imholte, RP MPH Supervisory REC, Region VII HHS/ASPR/OPEO

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  1. Regional Emergency Coordinators COA Category Day 21 June 2012 CAPT Jim Imholte, RP MPH Supervisory REC, Region VII HHS/ASPR/OPEO

  2. Objectives • History of REC Program • Structure of ASPR • REC Backgrounds • REC Response Roles • REC “Peace Time” Roles

  3. Regional ESF #8 Standard Federal Regions

  4. REC History • 1980’s – Office of Emergency Preparedness • 2003 – Transferred to DHS/FEMA as NDMS • 2005 – Office of Public Health Emergency Preparedness • 2007 - ASPR created, NDMS reunited in HHS

  5. ASPR Organization • Mission - Lead the nation in preventing, preparing for, and responding to the adverse health effects of public health emergencies and disasters. • Vision - “A Nation Prepared” to prevent, respond to, and reduce the adverse health effects of public health emergencies and disasters.

  6. Office of Preparedness andEmergency Operations (OPEO)

  7. ESF#8 ResponseCoordination and Control • Emergency Management Group (EMG) • Operates from the SOC or virtually • Includes Operations, Plans, Logistics, Admin & Finance • Federal and Interagency partner LNOs • Disaster Leadership Group (DLG) • Provides executive decision support to the Secretary

  8. Emergency Management Group (EMG) • Headquarters personnel who manage day-to-day and initiate emergency response requirements • Provides a link between deployed resources and HHS leadership • Liaisons from HHS Operating Divisions and ESF #8 Primary Partners • Resources requests for ESF#8 Assistance (RFAs) and Mission Assignments (MAs) • Aligned with ICS Sections to facilitate interoperability

  9. REC Backgrounds • 33 in 10 Regions and NCR (1 open position) • 17 Commissioned Officers – 16 Civil Servants • Varied Backgrounds • Nurses – 8 • Environmental Health Officers – 6 • Administration – 2 • Psychologist – 1 • Engineers – 3 • Physician Assistants – 3 • State HD/NGO – 5 • EMS – 3 • Pharmacists – 2 • Retired Military – 6, Includes 2 PHS Officers

  10. Regional Emergency Coordinators (RECs) • ASPR’s representatives at the regional level and in the field. • Coordinate preparedness and response activities with federal, state, local, private sector and tribal officials within their region. • Serve as liaison between state and local health officials and ASPR headquarters in Washington DC during emergency preparedness and response. • Assume the role of Incident Response Coordination Team (IRCT) commander during public health emergencies. 11

  11. Regional Emergency Coordinators • Coordinate with departmental, interagency, state, local and Tribal counterparts • Co-located with/near FEMA regional coordinators • Identify capabilities, gaps, capacity and community resiliency thru deliberate planning at the state and regional levels • Recommend courses of action to take during an incident • Identify potential requirements for federal support • Assist in matching requirements with federal capabilities

  12. Regional Emergency Coordinators (RECs) • Response activities include: • Serving as the National Response Framework ESF #8 (Public Health and Medical Services) coordinator and Incident Response Coordination Team (IRCT) commander in the affected region during an emergency. • Holding operational responsibility for deployed federal public health and medical assets. • Deploying from home region to support the RECs in the affected region in roles such as the ESF #8 planning or operations chief, or in a key liaison capacity at a state EOC. 13

  13. ESF#8 Coordination and Control in the Field • Federal Public Health and Medical Official – JFO/UCG • ESF #8 Unit Leader – JFO Operations Section • Incident Response Coordination Team (IRCT) – forward deployed at/near operational site

  14. Incident Response Coordination Team (IRCT) • Forward deployed coordination & control element at the incident/operations site • Directs and coordinates activities of all HHS / ESF #8 personnel deployed to the incident/operations site • IRCT Liaisons (as needed) • Liaisons dependent on situation • Typically sent to state Emergency Operations Centers and Health Departments • We bring in: Department of Veterans Affairs (VA), Department of Defense (DoD), American Red Cross (ARC), CDC, FDA

  15. Regional Response to PH Emergencies • It’s about building networks and being able to leverage those networks to achieve favorable public health outcomes • Proximity and availability of resources is key

  16. The Regional Offices • The RegionalOffices are critical to the effective management of a public health emergency: • They know the people • They control the local federal resources • They know the turf

  17. Regional Strengths • Established networks that extend into every aspect of public health • Ability to coordinate regional OPDIV resources • Regional OPDIVs further extendHHS’sreach into State governments and communities • OPDIVs have developed valuable relationships that are much different then those developed by RHA, REC or RD • Regional Advisory Committee provides the structure to tap into this regional capacity • Established trust with constituents

  18. Regional Strengths • Established working relationship with elected officials • Long standing relationships with non-elected public health officials • Able to establish working relationship with regional media • Provides forum to discuss and coordinate interstate mutual assistance during disasters

  19. Regional Networks Local Health Officials State Health Officers Tribes Community Volunteer Based Organizations Faith Based Organizations RHA Universities Private Industry FEMA DHS Local Elected Officials VA Regional Leadership Network Congress State EMA Governor’s Offices DoD REC RD ESF #8 Response Assets Reg OPDIVS Public Affairs Public Health Preparedness Directors Other Federal Agencies Regional OPDIV Partners: ACF, FDA, CMS, HRSA, FOH, OGC, OCR, IHS, AoA, SAMHSA

  20. Local Health Officials State Health Officers Tribes Community Volunteer Based Organizations Faith Based Organizations RHA Universities Private Industry FEMA DHS Local Elected Officials VA Regional Leadership Network Congress State EMA Governor’s Offices DoD REC RD ESF #8 Response Assets Other Federal Agencies Public Affairs Public Health Preparedness Directors Overlapping Spheres of Influence

  21. Spheres of Influence Regional Advisory Committee Public Health Emergency Preparedness and Operations Intergovernmental Affairs Regional OPDIVS Public Health Infrastructure and Programs RAC is located where the spheres of influence converge

  22. Response Cycle

  23. “Peace Time” Cycle

  24. Questions CAPT Jim Imholte, RP MPH Supervisory REC, Region VII 601 East 12th St., Room S1801 Kansas City, MO 64106 816-426-3490 816-985-5589 cell Jim.Imholte@hhs.gov

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