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height="11.003472222222221in"}

VHA Comprehensive Emergency Management Program Analysis

The National Incident Management System Scoring Tool

Department of Veterans Affairs

Veterans Health Administration

Office of Public Health and Environmental Hazards, Emergency Management
Strategic Health Care Group

![](media/image2.png){width="1.0972222222222223in"
height="1.0972222222222223in"}

**February 10, 2009**

Table of Contents

[Directions 2](#directions)

[1 Adoption 3](#adoption)

[2 Preparedness: Planning 3](#preparedness-planning)

[3 Preparedness: Training and Exercise
4](#preparedness-training-and-exercise)

[4 Communications and Information Management
4](#communications-and-information-management)

[5 Command and Management 5](#command-and-management)

 Directions {#directions .list-paragraph}
==========

The purpose of this document is to assist the Assessment Team in scoring
the 2008/2009 National Incident Management System Objectives for
Healthcare Organizations. Please place an "X" in the appropriate Yes/No
box to correlate with the facility's compliance. Each question is mapped
back to the appropriate CEMP capability and listed on the VHA CEMP
"Questions for Site Visit Activity" document. Once this tool is
complete, the score can be transferred to the site final report.

**See example below:**

+----------------+----------------+---------+--------+----------------+
| **2008/2009    |                |         |        |                |
| NIMS           |                |         |        |                |
| Implementation |                |         |        |                |
| Objective**    |                |         |        |                |
|                |                |         |        |                |
| **Command and  |                |         |        |                |
| Management**   |                |         |        |                |
+================+================+=========+========+================+
| **CEMP         | **             | **Yes** | **No** | **No, but in   |
| Capability**   | Implementation |         |        | development**  |
|                | Question**     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Does the EOP   |         |        |                |
|                | define the     |         |        |                |
|                | process to     |         |        |                |
|                | manage all     |         |        |                |
|                | emergency      |         |        |                |
|                | incidents,     |         |        |                |
|                | exercises, and |         |        |                |
|                | preplanned     |         |        |                |
|                | (recu          |         |        |                |
|                | rring/special) |         |        |                |
|                | events in      |         |        |                |
|                | accordance     |         |        |                |
|                | with ICS       |         |        |                |
|                | organizational |         |        |                |
|                | structures,    |         |        |                |
|                | doctrine, and  |         |        |                |
|                | procedures, as |         |        |                |
|                | defined in     |         |        |                |
|                | NIMS?          |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Does ICS       |         |        |                |
|                | implementation |         |        |                |
|                | include the    |         |        |                |
|                | consistent     |         |        |                |
|                | application of |         |        |                |
|                | Incident       |         |        |                |
|                | Action         |         |        |                |
|                | Planning (IAP) |         |        |                |
|                | and common     |         |        |                |
|                | communication  |         |        |                |
|                | plans, as      |         |        |                |
|                | appropriate?   |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 2.2            | Has the        |         |        |                |
|                | facility       |         |        |                |
|                | adopted the    |         |        |                |
|                | principle of   |         |        |                |
|                | Public         |         |        |                |
|                | Information,   |         |        |                |
|                | facilitated by |         |        |                |
|                | the use of the |         |        |                |
|                | Joint          |         |        |                |
|                | Information    |         |        |                |
|                | System (JIS)   |         |        |                |
|                | and Joint      |         |        |                |
|                | Information    |         |        |                |
|                | Center (JIC)   |         |        |                |
|                | during and     |         |        |                |
|                | incident or    |         |        |                |
|                | event?         |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 2.2            | Does the       |         |        |                |
|                | facility       |         |        |                |
|                | ensure that    |         |        |                |
|                | Public         |         |        |                |
|                | Information    |         |        |                |
|                | procedures and |         |        |                |
|                | processes      |         |        |                |
|                | gather,        |         |        |                |
|                | verify,        |         |        |                |
|                | coordinate,    |         |        |                |
|                | and            |         |        |                |
|                | disseminate    |         |        |                |
|                | information    |         |        |                |
|                | during an      |         |        |                |
|                | incident or    |         |        |                |
|                | event?         |         |        |                |
+----------------+----------------+---------+--------+----------------+
| Comments:      |                |         |        |                |
+----------------+----------------+---------+--------+----------------+

 Adoption
========

**Scoring Tool**

+----------------+----------------+---------+--------+----------------+
| **2008/2009    |                |         |        |                |
| NIMS           |                |         |        |                |
| Implementation |                |         |        |                |
| Objective**    |                |         |        |                |
|                |                |         |        |                |
| **Adoption**   |                |         |        |                |
+================+================+=========+========+================+
| **CEMP         | **             | **Yes** | **No** | **No, but in   |
| Capability**   | Implementation |         |        | development**  |
|                | Question**     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.2            | Has the VAMC   |         |        |                |
|                | adopted the    |         |        |                |
|                | NIMS           |         |        |                |
|                | throughout the |         |        |                |
|                | organization   |         |        |                |
|                | including all  |         |        |                |
|                | appropriate    |         |        |                |
|                | departments    |         |        |                |
|                | and business   |         |        |                |
|                | units?         |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.6            | Does the VAMC  |         |        |                |
|                | ensure that    |         |        |                |
|                | Federal        |         |        |                |
|                | Preparedness   |         |        |                |
|                | awards support |         |        |                |
|                | NIMS           |         |        |                |
|                | implementation |         |        |                |
|                | (in accordance |         |        |                |
|                | with the       |         |        |                |
|                | eligibility    |         |        |                |
|                | and allowable  |         |        |                |
|                | uses of the    |         |        |                |
|                | awards)?       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| Comments:      |                |         |        |                |
+----------------+----------------+---------+--------+----------------+

Preparedness: Planning
======================

**Scoring Tool**

+----------------+----------------+---------+--------+----------------+
| **2008/2009    |                |         |        |                |
| NIMS           |                |         |        |                |
| Implementation |                |         |        |                |
| Objective**    |                |         |        |                |
|                |                |         |        |                |
| *              |                |         |        |                |
| *Preparedness: |                |         |        |                |
| Planning**     |                |         |        |                |
+================+================+=========+========+================+
| **CEMP         | **             | **Yes** | **No** | **No, but in   |
| Capability**   | Implementation |         |        | development**  |
|                | Question**     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Has the VAMC   |         |        |                |
|                | revised and    |         |        |                |
|                | updated EOPs,  |         |        |                |
|                | SOPs, and SOGs |         |        |                |
|                | to incorporate |         |        |                |
|                | NIMS and the   |         |        |                |
|                | NRF            |         |        |                |
|                | components,    |         |        |                |
|                | principles and |         |        |                |
|                | policies to    |         |        |                |
|                | include:       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Training?      |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Response?      |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Exercises?     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Equipment?     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Evaluation?    |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Corrective     |         |        |                |
|                | Actions?       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.6            | Does the VAMC  |         |        |                |
|                | participate in |         |        |                |
|                | interagency    |         |        |                |
|                | mutual aid     |         |        |                |
|                | and/or         |         |        |                |
|                | assistance     |         |        |                |
|                | agreements, to |         |        |                |
|                | include        |         |        |                |
|                | agreements     |         |        |                |
|                | with public    |         |        |                |
|                | and private    |         |        |                |
|                | sector and     |         |        |                |
|                | n              |         |        |                |
|                | ongovernmental |         |        |                |
|                | organizations? |         |        |                |
+----------------+----------------+---------+--------+----------------+
| Comments:      |                |         |        |                |
+----------------+----------------+---------+--------+----------------+

Preparedness: Training and Exercise
===================================

**Scoring Tool**

+----------------+----------------+---------+--------+----------------+
| **2008/2009    |                |         |        |                |
| NIMS           |                |         |        |                |
| Implementation |                |         |        |                |
| Objective**    |                |         |        |                |
|                |                |         |        |                |
| *              |                |         |        |                |
| *Preparedness: |                |         |        |                |
| Training and   |                |         |        |                |
| Exercises**    |                |         |        |                |
+================+================+=========+========+================+
| **CEMP         | **             | **Yes** | **No** | **No, but in   |
| Capability**   | Implementation |         |        | development**  |
|                | Question**     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | Have           |         |        |                |
|                | appropriate    |         |        |                |
|                | staff          |         |        |                |
|                | completed:     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | ICS-100?       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | ICS-200?       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | IS-700?        |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | IS-800?        |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | Equivalent     |         |        |                |
|                | courses?       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.9            | Does the VAMC  |         |        |                |
|                | promote NIMS   |         |        |                |
|                | concepts and   |         |        |                |
|                | ICS management |         |        |                |
|                | structure in   |         |        |                |
|                | training and   |         |        |                |
|                | exercises?     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| Comments:      |                |         |        |                |
+----------------+----------------+---------+--------+----------------+

Communications and Information Management
=========================================

**Scoring Tool**

+----------------+----------------+---------+--------+----------------+
| **2008/2009    |                |         |        |                |
| NIMS           |                |         |        |                |
| Implementation |                |         |        |                |
| Objective**    |                |         |        |                |
|                |                |         |        |                |
| **             |                |         |        |                |
| Communications |                |         |        |                |
| and            |                |         |        |                |
| Information    |                |         |        |                |
| Management**   |                |         |        |                |
+================+================+=========+========+================+
| **CEMP         | **             | **Yes** | **No** | **No, but in   |
| Capability**   | Implementation |         |        | development**  |
|                | Question**     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.6            | Does the VAMC  |         |        |                |
|                | promote and    |         |        |                |
|                | ensure that    |         |        |                |
|                | equipment,     |         |        |                |
|                | communication, |         |        |                |
|                | and data       |         |        |                |
|                | in             |         |        |                |
|                | teroperability |         |        |                |
|                | are            |         |        |                |
|                | incorporated   |         |        |                |
|                | into the       |         |        |                |
|                | healthcare     |         |        |                |
|                | organization's |         |        |                |
|                | acquisition    |         |        |                |
|                | program?       |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 4.3.4          | Does the       |         |        |                |
|                | facility apply |         |        |                |
|                | common and     |         |        |                |
|                | consistent     |         |        |                |
|                | terminology as |         |        |                |
|                | promoted in    |         |        |                |
|                | NIMS,          |         |        |                |
|                | including the  |         |        |                |
|                | establishment  |         |        |                |
|                | of plain       |         |        |                |
|                | language       |         |        |                |
|                | communication  |         |        |                |
|                | standards?     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 4.3.4          | Does the       |         |        |                |
|                | facility       |         |        |                |
|                | utilize        |         |        |                |
|                | systems,       |         |        |                |
|                | tools, and     |         |        |                |
|                | processes that |         |        |                |
|                | facilitate the |         |        |                |
|                | collection and |         |        |                |
|                | distribution   |         |        |                |
|                | of consistent  |         |        |                |
|                | and accurate   |         |        |                |
|                | information    |         |        |                |
|                | during an      |         |        |                |
|                | incident or    |         |        |                |
|                | event?         |         |        |                |
+----------------+----------------+---------+--------+----------------+
| Comments:      |                |         |        |                |
+----------------+----------------+---------+--------+----------------+

Command and M**a**nagement
==========================

**Scoring Tool**

+----------------+----------------+---------+--------+----------------+
| **2008/2009    |                |         |        |                |
| NIMS           |                |         |        |                |
| Implementation |                |         |        |                |
| Objective**    |                |         |        |                |
|                |                |         |        |                |
| **Command and  |                |         |        |                |
| Management**   |                |         |        |                |
+================+================+=========+========+================+
| **CEMP         | **             | **Yes** | **No** | **No, but in   |
| Capability**   | Implementation |         |        | development**  |
|                | Question**     |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Does the EOP   |         |        |                |
|                | define the     |         |        |                |
|                | process to     |         |        |                |
|                | manage all     |         |        |                |
|                | emergency      |         |        |                |
|                | incidents,     |         |        |                |
|                | exercises, and |         |        |                |
|                | preplanned     |         |        |                |
|                | (recu          |         |        |                |
|                | rring/special) |         |        |                |
|                | events in      |         |        |                |
|                | accordance     |         |        |                |
|                | with ICS       |         |        |                |
|                | organizational |         |        |                |
|                | structures,    |         |        |                |
|                | doctrine, and  |         |        |                |
|                | procedures, as |         |        |                |
|                | defined in     |         |        |                |
|                | NIMS?          |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 1.8            | Does ICS       |         |        |                |
|                | implementation |         |        |                |
|                | include the    |         |        |                |
|                | consistent     |         |        |                |
|                | application of |         |        |                |
|                | Incident       |         |        |                |
|                | Action         |         |        |                |
|                | Planning (IAP) |         |        |                |
|                | and common     |         |        |                |
|                | communication  |         |        |                |
|                | plans, as      |         |        |                |
|                | appropriate?   |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 2.2            | Has the        |         |        |                |
|                | facility       |         |        |                |
|                | adopted the    |         |        |                |
|                | principle of   |         |        |                |
|                | Public         |         |        |                |
|                | Information,   |         |        |                |
|                | facilitated by |         |        |                |
|                | the use of the |         |        |                |
|                | Joint          |         |        |                |
|                | Information    |         |        |                |
|                | System (JIS)   |         |        |                |
|                | and Joint      |         |        |                |
|                | Information    |         |        |                |
|                | Center (JIC)   |         |        |                |
|                | during and     |         |        |                |
|                | incident or    |         |        |                |
|                | event?         |         |        |                |
+----------------+----------------+---------+--------+----------------+
| 2.2            | Does the       |         |        |                |
|                | facility       |         |        |                |
|                | ensure that    |         |        |                |
|                | Public         |         |        |                |
|                | Information    |         |        |                |
|                | procedures and |         |        |                |
|                | processes      |         |        |                |
|                | gather,        |         |        |                |
|                | verify,        |         |        |                |
|                | coordinate,    |         |        |                |
|                | and            |         |        |                |
|                | disseminate    |         |        |                |
|                | information    |         |        |                |
|                | during an      |         |        |                |
|                | incident or    |         |        |                |
|                | event?         |         |        |                |
+----------------+----------------+---------+--------+----------------+
| Comments:      |                |         |        |                |
+----------------+----------------+---------+--------+----------------+