Incident Management Coordination Structure with Jurisdiction-Level Focus (Tier 3)

Diagram showing the six-tier healthcare and emergency management coordination framework, with Tier 3 (Jurisdiction Incident Management) highlighted to emphasize its role in the overall response structure.

At Tier 1, an individual Healthcare Organization (HCO A) manages incidents using its Emergency Management Program (EMP) and Emergency Operations Plan (EOP) through incident command.

At Tier 2, a healthcare coalition consists of HCO A, HCO B, HCO C, and non-healthcare providers, supporting information sharing, cooperative planning, and mutual aid. An arrow connects HCO A at Tier 1 to the coalition level.

The highlighted Tier 3 includes Jurisdiction I (public health, emergency management, and public safety) and Jurisdiction II (public health, emergency management, and public safety), which coordinate incident management activities. A Medical Support resource is shown beneath the jurisdictions and connected to them, representing emergency support and medical incident command system (ICS) functions, including emergency operations center (EOC) coordination.

At Tier 4, State A coordinates and supports intrastate jurisdictions through state-level management and response activities.

At Tier 5, State A and State B coordinate through interstate regional management coordination and mutual support mechanisms.

At Tier 6, the Federal Response (regional and national) provides support to state and local jurisdictions.

The diagram illustrates how jurisdiction-level incident management serves as the critical coordination point between healthcare coalitions and higher levels of state, regional, and federal response.