Rocky Mountain Regional Care Model for Bioterrorist Events: Locate Alternate Care Sites During an Emergency: Table 16. Comparison of Bioterrorism to an "All Hazards" Approach

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Rocky Mountain Regional Care Model for Bioterrorist Event

Table 16. Comparison of Bioterrorism to an "All Hazards" Approach

Note: X = Primary; O = Secondary

Type of Event	Factors to Be Considered When Developing Preparedness Plan	Biological	Chemical	Nuclear	Conventional
1. Command and Control	Medical Operations Center	X	X	X	O
	Predictable chain of management (HEICS)	X	X	X	X
	Centralize and coordinate command to maximize use of assets	X	X	X	X
	Common language (HEICS)	X	X	X	X
	Streamline decision making	X	X	X	X
	Accountability of position function (HEICS)	X	X	X	X
	Documentation of accountability (HEICS)
2. Communications	How to keep all players current	X	X	X	X
	Early detection and communication/warning	X	X	X	O
	Specific preplanned messages	X	X	X
	Physical communication systems	X	X	X	X
	Scalable communication systems	X	X	X	X
	Prevent/address mass hysteria	X	X	X	X
	Risk communication	X	X	X
	Practice and test communication methods	X	X	X	X
	Public information	X	X	X	X
3. Mobilization	Local resources	X	X	X	X
	How to mobilize civilian response teams	X	X	X	X
	How to utilize civilian responders/volunteers	X	X	X	X
	Process to track/validate skills	X	X	X	X
4. Operational Sustainability	How to plan for sustained staffing and support	X	X	X	X
4. Operational Sustainability	What to do when maxed out	X	X	X	X
5. Isolation/Quarantine	Quarantine and isolation plans	X
	Quarantine levels—room, building, local, state	X
	Education—public, law enforcement	X
6. Resources Inventory	Define region and assets	X	X	X	X
	Maintain inventory of assets	X	X	X	X
	Tracking of resources during incident	X	X	X	X
	Distribution of resources	X	X	X	X
7. Knowledge Use and Sharing	Overcome reluctance to share info/expertise	X	X	X	O
	Widespread knowledge sharing-don't reinvent the wheel	X	X	X	O
	Share and disseminate best practices	X	X	X	O
	Coordinate with others-don't duplicate effort	X	X	X	X
	Learn language and implement emergency management	X	X	X	X
8. Decontamination	Decontamination	O	X	O
8. Decontamination	Personal Protective Equipment	X	X	X
9. Financial	Reimbursement	X	X	X	X
	Liability	X	X	X	X
	Employee compensation	X	X	X	X
	Infrastructure limitations/crowding	X	X	X	X
	Cost effective activation (HEICS)	X	X	X
10. Evaluation	Determine measures of preparedness	X	X	X	X
	Ability to test measures of preparedness (drills, exercises)	X	X	X	X

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