Incident Management Coordination Across Healthcare and Government Response Tiers

A six-tier incident management diagram illustrating how healthcare organizations, emergency management agencies, jurisdictions, states, and the federal government coordinate during an emergency.

At the bottom:

Tier 1 – Healthcare Asset Management (EMP+EOP using incident command) shows an individual healthcare organization (HCO A) managing an incident internally.

Above it, 

Tier 2 – Healthcare Coalition (information sharing, cooperative planning, mutual aid) includes multiple healthcare organizations (HCO A, HCO B, HCO C) and non-healthcare providers connected through a healthcare coalition structure.

Tier 3 – Jurisdiction Incident Management (medical ICS and emergency support–EOC) is represented by a Medical Support function coordinating activities between healthcare coalitions and local jurisdictions.

Tier 4 – State Response and Coordination of Intrastate Jurisdictions (management coordination and support to jurisdictions)* includes two jurisdictions, labeled Jurisdiction I and Jurisdiction II, each identified as public health, emergency management, and public safety entities.

Tier 5 – Interstate Regional Coordination (management coordination and mutual support) includes two states, State A and State B, connected to one another and coordinating support across state lines.

At the top, Tier 6 – Federal Response (regional and national) is represented by a federal response entity providing support to states and local jurisdictions.

Lines connect each tier vertically, demonstrating escalation of coordination and resource support from individual healthcare organizations through local, state, regional, and federal levels during emergency response operations.