Jurisdiction Incident Management (Tier 4)

Diagram showing a five-tier emergency response coordination structure.

On the left, a hierarchical chart begins at the top with “Federal response (regional and national),” branching down to “State A” and “State B.” These connect to another “State A,” which branches to “Jurisdiction I (PH/EM/public safety)” and “Jurisdiction II (PH/EM/public safety).” Jurisdiction I connects downward to healthcare organizations and providers: HCO A, HCO B, HCO C, and “Non-HCO providers.” A smaller “HCO A” box beneath points upward to the larger HCO A box. A “Medical support” box sits between the jurisdiction level and healthcare providers.

On the right, corresponding tiers are labeled from bottom to top:

Tier I: Healthcare asset management, including EMP/EOP using incident command.
Tier II: Healthcare “coalition,” including information sharing, cooperative planning, and mutual aid.
Tier III: Jurisdiction incident management, including medical ICS and emergency support/EOC.
Tier IV: State response and coordination of intrastate jurisdictions, including management, coordination, and support to jurisdictions. This tier is highlighted across the diagram.
Tier V: Interstate regional coordination, including management, coordination, and mutual support.
Tier VI: Federal response, including support to state and locals.