Stress individual and family preparedness, rather than government. It's more effective in a deep crisis where government resources are overwhelmed.
In this the anniversary of Katrina/Rita, the need for coordinated planning and response guidelines that are universal for medical facilities is more important than ever before. The medical community gets input from HHS, DHS, FEMA, OSHA, CMS, Joint Commission, ISO, and many others on what is the "best practice" but as of yet there has been NO definitive single authority from which all others take direction. It is time... more »
Create a unified, web-based, application that involves all DHS enforcement and Emergency Management agencies. This application would allow local & regional citizens, responders and government personnel access to critical emergency information without needing to access numerous websites or data resources. Additionally, give participants the opportunity to sign up for e-mail & text updates for certain agencies or departments... more »
I suggest that when triaging significant numbers of patients at extremely large incidents (sometimes called Mass Casualty Events as opposed to Mass Casualty Incidents), there can be a need for an additional level of triage. Years ago, that was incorporated in some triage plans as a "Yellow Prime" category. The concept was similar to Expectant. Victims whose injuries were so severe that their chances of survival were... more »
There are probably thousands of jurisdictions in the USA that have no access to Crisis Information Management Systems (CIMS) due to excessive software and I.T. support labor costs. Even those with access to CIMS commonly don’t use them due to the application’s difficulty of use and/or a lack of cohesive training programs. Counties or States should maintain a CIMS which is available to all first responder organizations... more »
I suggest we need to modernize triage training and planning. START has been around now for many years. Studies to validate the system have been inconsistent. With a huge body of material now available on Altered or Crisis Standards of Care and extremely large incidents (sometimes called Mass Casualty Events), it's time to incorporate some of this work into EMS and ED plans.
Improve industry involvement with governmental agencies in conduting both table top and field exercises using their techniucal expertise personel,
Dispatch centers and 9-1-1 agencies are not funded properly. 9-1-1 telecommunicators are the first first responders and without them no one would know about an emergency. FEMA does not recognize telecommunicators as a resource. 9-1-1 centers are not eligible for homeland security funding. Design a funding stream like the FEMA Fire Grants. They are not bogged down by online requirements, no passwords to remember... more »
Training that is specifically tailored to agencies with fewer than 20 employees would be beneficial. In the event of a disaster a significant number of agencies and departments would be required to utilize their entire work force to fill the required NIMS positions, leaving no one to actually mitigate the disaster. A large number of fire department or rural fire protection districts are comprised of a hand full of... more »
Make the NIMS a little more user friendly. The documentation should be streamlined to make it easier to use. I believe this would encourage people to use it more often.
We have spent the almost a decade trying to decide how to spend billions of dollars on how to mitigate (prevent) terrorism. We need DHS and FEMA to clearly outline the future of how we can become a truly sustainable country from both natural and human-caused threats. Take programs like the UASI or Regional Catastrophic and make these all hazard regional resources. What are we vulnerable too...
Do a huge PR promotion on Prepping ala the old "School House Rock" PSAs or the "Fitness Participaction" PSAs on the Canadian CBC channels.
Show that the government wants us to prep; How to do it correctly; and that it can be fun in a non threatening manner.
Create a McGyver meets Boy Scout character to sell the message.
Create a means for private companies and people who have something that can provide critical support to a disaster or emergency a way to expeditiously provide said support. There is to much red tape in the way currently and we should strive to provide the best response to disasters from the various levels of government, response agencies, and private businesses and people. If a company or citizen has something that... more »
I suggest that the federal government take charge of identity theft technology. Identity theft is a major contributor to the economic loss of power by our citizens and businesses. As it stand right now identity theft protection can only be purchased through private vendors. The federal government gave us our identity through our SSN, they have the computer wherewithal l to monitor all of our transactions and our taxes.... more »
Local government entities have created outstanding templates for crisis response, lets stop reinventing the wheel and use these templates to assist jurisdictions that do not have the time or manpower resources to develop their own.