Moira Grant, PhD, FCSMLS(D) Richard Bochenek, CEM

Enhancing the relevance of the Incident Management System (IMS)

in public health emergency preparedness

Lessons learned

2014 May

Moira Grant, PhD, FCSMLS(D)Richard Bochenek, CEM

www.publichealthontario.ca

Outline

the challenges of using and promoting IMS in a public health environment

Describe

a responsive and iterative process for applying IMS to a public health-relevant workshop / exercise format

Reflect

on successful strategies and lessons learned for enhancing relevance of IMS to public health

Presentation Objectives


The Incident Management System (IMS) is a standardized approach to emergency management encompassing personnel, facilities, equipment, procedures, and communications operating within a common organizational structure.*

- creates order out of chaos- written for first responders to coordinate wildfires- mandated in public health in Ontario- voluntary in public safety in Ontario

Definition of IMS

*Source:Emergency Management Ontario. Incident Management System (IMS) for Ontario; 2008:106.


Adapting existing course materials

Creating a new workshop platform

Developing Train-the-Trainer & customized scenarios

Supporting delegated workshops

Overview of the project

Phase

1

Phase

2

Phase

4

Phase

3


Responsive Curriculum

Design

Francis (2009): role of the learnerRottman et al (2006): PHEP curriculumSlavcev et al (2013): outcome-based design

Adult Learning

Vygotsky (1978): constructivismKnowles (2005): characteristics of adult learnersBrookfield (2006): teaching adultsSchön (1988): reflective practice

Communities of Practice

Lave & Wenger (1991): learning as a social process

Wenger (2007): communities of learning

Guiding Educational Theories


There is a limited evidence base for IMS in PH

Traditional IMS concepts do not resonate in PH

PH professionals are sophisticated IMS users

PH professionals prefer practical learning activities

Limited relevant learning resources are available

IMS is often seen as compliance-based obligation

Challenges of using IMS in Public Health


Retain IMS200 certification and format

Swap out first responder examples

Replace above with health and public health examples

Seek and incorporate open feedback from learners

Phase One – Adapting existing course materials


Phase One – Outcomes

5 courses delivered to >100 learners(“IMS 200 for Public Health Units”)

March 2011 to January 2012

Lessons learned: • PH incidents are hyper-complex events• We need to focus on IMS concepts and targeted tools

proven in public health investigations• We need to apply adult learning principles• Non-structured evaluations provide helpful feedback• If at first you don’t succeed …


Focus on role of public health in emergencies

Apply public health preparedness plans

Address key concepts in IMS in public health

Use an interactive case study approach

Phase Two – Creating a new workshop platform


Emergency Management Cycle


IncidentManagement

SystemFirst Responders

Public Health


Emergency Plans Mapped to the Emergency Management Cycle

Communications

Training & Exercises

HIRA

ERPCOOP

Incident Management System (IMS)Coordinates these activities in a standardized, flexible manner. IMS


Phase Two – Outcomes

3 courses delivered to ~60 learners(“A Supplementary Training Module”)

February – December 2012

Lessons learned: • New format resonates with PH professionals

- one-day interactive, IMS-based PHEP workshop- it is neither IMS-200, nor a replacement for it- it is IMS applied to PH environment

• PH professionals seek to understand IMS in PH context• PH professionals are eager to share their expertise• Cross-sectoral/cross-disciplinary discussion enriches

understanding of IMS


Shared facilitation model

Train the trainer pilots

Customized-scenario workshops

Basic template for the IMS Structure

Continued workshop enhancement

Phase Three – TTT & Customized Scenarios


Phase Three – Outcomes

4 TTT courses: qualified 42 Facilitators from 26 (of 36) PHUs2 custom and 5 base scenarios. 194 learners(“IMS for Public Health Training Module”)

December 2012 onward

Lessons learned• PHUs have widely varying needs and priorities for

training• PH emergency planners see themselves partly as

educators• IMS training can be a valuable networking and

relationship-building tool


Community of Practice

Delegated facilitation in a hub-based model

PHO EPIR staff provide ongoing support to delegated facilitators

Use of health unit PHEP plans

Phase Four – Supporting Delegated Workshops


Phase Four – Delegated workshops

10 base and 7 custom scenarios. 338 Learners3 meetings of delegated facilitators (web or face-to-face)October 2013 to present

Lessons learned• A hub-based delegated model leverages practitioner

expertise and ensures sustainability of delivery• This PHEP application has relevance/transferability

outside the PH sector• PHEP professionals seek networking opportunities• Ongoing support is a key success factor• Customized scenarios can serve as ‘booster packs’


Workbooks & Guidebook

Base Slide Deck

PHO support/resources for IMS module

Collaborative website‘PHEMTRAC’

PHO workshop observersTemplates

& checklists


Workshop Distribution


Conclusion

For information related to this presentation, contact us at: [email protected]

Thank you!

Brian Schwartz Moira GrantRichard BochenekKyle BouldenCalli CitronFayola CreftAnthea DarychukAvril DishawJudyth GuldenSanjay KhannaAmrita MaharajDawn Williams

And especially to all those who provided their candid feedback!

Moira Grant, PhD, FCSMLS(D) Richard Bochenek, CEM

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