North Country Regional Public Health Emergency Annex
Appendix 1
MACE
Appendix 1: MACE
May 2013 Page 1 of 38
North Country Regional Public Health Emergency Annex
Overview...... 2
Purpose...... 2
Responsibilities...... 3
Location...... 3
MACE supplies...... 3
MACE Communications...... 4
MACE Activation...... 5
Activation Triggers...... 5
Activation Steps...... 5
MACE Activation Team...... 8
MACE Activation Priority Contact Information...... 8
Activation Levels...... 9
MACE Organizational Structure and Staffing...... 10
Job Action Sheets...... 14
Deactivation...... 26
Forms...... 27
Appendix 1: MACE
May 2013 Page 1 of 38
North Country Regional Public Health Emergency Annex
Overview
The NCPHN Multi-Agency Coordination Entity (MACE) serves as the regional public health emergency management team for the North County. Multi Agency Coordination Entities (MACE) coordinate activities above the field level and prioritize the incident demands for critical or competing resources, thereby assisting the coordination of the operations in the field. In addition to the MACE, other command structures may be involved. This will be different in each case, but will be consistent with ICS. Unified Command and Area command are two such command structures that may be in place. Unified Command is a single integrated management organization which involves: co-located command at an Incident Command Post (ICP); an Operations Section Chief to direct tactical efforts; coordinated resource requests and coordinated approval of information releases. Area Command oversees the management of multiple incidents handled individually by separate ICS organizations or to oversee the management of a very large or evolving incident engaging multiple Incident Management Teams. The chart below displays the relationship of the MACE to other incident coordination and command structures.
This MACE Plan only deals with the function of the MACE. Unified Command and Area Command structures will be coordinated by local communities but should maintain communications with the MACE.
Purpose of a Multiagency Coordination Entity (MACE):
To coordinate local and regional resources during a public health emergency within the North Country Public Health Region. Resources are defined as personnel, equipment, supplies or information.
To be the primary contact with the State of New Hampshire Emergency Operation Center, ESF8 desk, DHHS Incident Command Center for the needs of the region
Responsibilities of the Multi-Agency Coordination Entity (MACE):
Setting overall incident-related priorities via Incident Action Plan, in concert with the Incident Command or Unified Command
Establishing priorities between incidents and/or Area Commands in concert with the Incident Command or Unified Command
Ensuring each involved agency is provided situation and resource status information
Providing situation updates to regional partners on a regular basis
Acquiring and allocating resources required by incident management personnel
Coordinating and resolving policy issues among partnering agencies
Coordinating public information within the region
Serving as the lead point of contact between NH DHHS and the Public Health Region’s partners
Providing strategic coordination.
- To support the overall incident management of a public health emergency, support the North Country PHR, and disseminate risk communication throughout the region.
- To communicate and coordinate with the NH DHHS ICC, NH SEOC, Local Emergency Operations Centers, Point of Dispensing sites (PODS), Alternate Care Sites (ACS), and Neighborhood Emergency Help Centers (NEHC).
- Acquire and allocate resources required by the PODS, ACS, and NEHC and identify future resource requirements.
Direct tactical and responsibility for the conduct of the incident management activities rest with Incident Command.
Location
The MACE may exist through a virtual communication structure (e.g. teleconference) or may be established at a physical location with a central meeting room. The Region has identified the following locations which could accommodate a MACE:
- Berlin Police Department, Green Street, Berlin, NH 03570
- 45th Parallel, 46 Ramsay Road, Colebrook, NH
- Lancaster Fire Department, 25 Main Street, Lancaster, NH 03584
- Gregg Public Safety Academy, Littleton Learning Center, 646 Union Street Suite 600, Littleton, NH 03561
- Littleton Fire Department, 230 West Main Street, Littleton, NH 03561
- Grafton County EOC, 3785 DC Highway, North Haverhill, NH 03774
MACE Supplies
All MACE locations have the necessary infrastructure, including computer and internet connections, multiple phone lines, fax line, bathrooms, kitchen facilities, generators, maps and secure access to support emergency operations functions. MACE supplies such as an all-in-one printer/copier/fax, two laptops, and projector are stored at the NCPHN offices in Littleton, NH
MACE Communications
PODs, ACCs, etc will contact MACE directly with requests
Briefings will be scheduled to disseminate updates on a regular basis
The MACE will contact NH State Emergency Operations Center ESF8, NH DHHS Incident Command Center with any requests that can’t be fulfilled locally
The MACE will stay in communications with the local EOCs.
MACE personnel will be trained and use the webEOC server to communicate activities of the MACE.
For further instruction See reference document webEOC user guide
The MACE will stay in contact with the State EOC through the ESF 8 desk located there
State EOC ESF 8 desk(603)223-3729
The MACE will coordinate and collaborate with the DHHS PIO to develop press releases and supporting material to ensure accurate and consistent messaging.
- In Coordination with the entities involved, the MACE will collect and disseminate information detailing the event. The MACE will communicate the information to the State Public Information Officer (PIO).
The MACE will conduct briefings with regional responders to inseminate updates on a regular basis. Methods of communicating to/from the MACE will be via phone, Email, Ham radio, dispatch, text messaging, webEOC, etc.
MACE Activation
Activation will be incident-specific. The NCPHN Coordinator is the point of communication between the state and the North Country Public Health Region. Depending on the size and scope of the incident, at its smallest (i.e. during Normal Operations and possibly during Level 1 incidents), the NCPHN Coordinator will act as the MACE until it is determined that the incident requires additional staffing.
NCPHN Coordinator:
Amy Holmes, (w) 603.259.3700; (c) 603.616.9128
Activation Triggers
More than one town is involved in a public health incident
A town has an incident and requests MACE to activate to assist
State has requested the region to open the MACE, POD, ACS, NEHC etc
A threat outside region likely to affect our region
An event is occurring which requires resources greater than are available
Entities Authorized to Request MACE Activation
State of New Hampshire EOC Health and Medical Support Desk
State of New Hampshire Department of Health and Human Services’ Incident Command Center (ICC)
State of New Hampshire Emergency Operations Center (EOC)
Littleton Regional Hospital / Cottage Hospital / Androscoggin Valley Hospital / Weeks Memorial Hospital / Upper Connecticut Valley Hospital
Emergency Management Directors from communities located in the North Country Public Health Region
Regional partners may contact their local Emergency Management Director to request activation of the MACE.
MACE Activation Steps
Call Grafton County Sheriff's Department dispatch at 603-787-2111
Indicate that you are requesting MACE activation in response to a public health emergency.
Provide the following information: Agency Requesting assistance, Reason for activation, Contact name and phone number for agency(s) requesting assistance. Dispatch will make contacts as highlighted below with the optional message of:
"We have received a request from ______to activate the regional MACE due to a public health emergency. This call is to notify you of this request and to make you aware of the public health emergency. You will receive further information about regional response from the North Country MACE Activation Team."
Dispatch will contact :
1. The Public Health Region Coordinator or designee
a. Coordinator is then responsible for contacting MACE Activation Team members and provide them with conference call call-in information: Call 1 866 866 2244, enter code# 2519073 and time to call in or a meeting place and time to meet.
2. The following Primary Contacts:
Berlin/Colebrook/Lancaster POD Groups
Primary: Berlin Police Department, 603.752.3131
Alternate 1: Berlin Fire Chief, Randy Trull, 603.752.3135
Alternate 2: Berlin Assistant Fire Chief, 603.752.3135
Littleton POD Group
Primary: Littleton EMD: Chief Joe Mercieri, 603.444.2137
Alternate 1: Littleton Fire Department Captain: 603.444.2137
Alternate 2: Littleton Fire Department Lieutenant: 603.444.2137
Bethlehem POD Group
Primary: Bethlehem EMD/Fire Chief, Jack Anderson, 603.869.5822 / 603.869.2272 (h)
Alternate 1: Franconia EMD: Chief Mark Taylor, 603.823.7025
Alternate 2: Sugar Hill Police Chief: Chief Allan Clark, 603.823.8123
Haverhill POD Group
Primary: Haverhill EMD: Stephen Robbins, Pager (802)250-2104
Alternate 1: Haverhill Assistant EMD: Town Mgr. Glenn English 603.787.6800
Alternate 2: Haverhill Police Chief: Byron Charles, 603.787.2222
Once the above notifications have been made by Grafton County Dispatch, the Berlin Police Department will notify:
Colebrook POD Group
Primary: Colebrook Police Department, 603.237.4487
Alternate 1: Colebrook EMD, Wayne Frizzell, 603.237-5551
Alternate 2: 45th Parallel EMS, 603.237.5593
Lancaster POD Group
Primary: Lancaster Dispatch, 603.788.3282
Alternate 1: Lancaster Police Department, 603.788.4402
Alternate 2: Lancaster EMD, Ron Wert, 603.788.3221 ambulance bay, 788-3391 town hall, 723-2050 cell, 788-3007 home, 615-5220 pager
The primary contact from each POD group will contact the remaining towns in their POD Group Area. The Primary contact in each town should subsequently notify their EMD and Health Officer.
Colebrook POD Group - Colebrook Police Department will contact
Town of Colebrook EMD, Wayne Frizzell, W: 603.237.5551 / H: 603.237.8639
45th Parallel EMS, Rob Darling, 603.237.5593
Town of Pittsburg, Police Department: 603.538-7003
Town of Clarksville, Town Clerk, 603.246.7751
Town of Stewartstown, Town Clerk: 603.246 3329
Columbia Town Office, Town Clerk,Marcia Parkhurst (Primary) 603.237.5255
Berlin POD Group - Berlin Police Department will contact
Berlin EMD, Berlin Fire Chief, Randy Trull, 603.752.3135
Town of Errol EMD, Chip Joseph, 603.651.8513 (c), 603.482.3223(h)
Town of Dummer EMD, Diane Labbe, 603.723.8550 (c), 603.466.3322 (w)
Town of Milan Fire Dept., Ted Tichy, 603.449.3461
Town of Randolph Police Dept., G. Allen Lowe Jr., 603.466.3950
Town of Gorham Police Dept. Chief PJ Cyr, 603.466.2334
Town of Shelburne Police Dept., Chief Tom Hayes, 603.466.3345
Lancaster POD Group - Lancaster Police Department will contact
Town of Lancaster EMD, Ron Wert, 603.788.3221ambulance bay, 788-3391 town hall, 723-2050 cell, 788-3007 home, 615-5220 pager
Town of Stratford, Stewart Walling, 603.922.3821
Town of Stark, Town Clerk Susan Croteau, 603.636.2118
Town of Northumberland, Chief Marcel Platt, 603.636.1430
Town of Jefferson, Chief Charles Huntington 603.586-4553
Town of Whitefield, Chief William Colburn, 603.837.9266
Town of Dalton, Chief John Tholl, 603.837.2703
Town of Carroll, Chief John Trammell, 603.846.2200
Littleton POD Group - Littleton EMD/Fire Chief will contact
Town of Monroe, Fire Chief, Rick Ames, 603.747-3530(H).
Bethlehem POD Group - Bethlehem EMD/Fire Chief will contact
Town of Franconia EMD: Chief Mark Taylor, 603.823.7025
Town of Easton, Fire Chief, Charles Casey, 603.823.5531 / 823.5045 (H)
Town of Sugar Hill, EMD/Fire Chief, Allan Clark, 603.823.8415
Haverhill EMD will contact
Town of Bath Police Chief, 603-747-6911
Town of Benton, EMD, Sam Boutin, 603.787.6541
Town of Landaff, EMD Patrick Web, 603.838.6406
Town of Lisbon, EMD, Regan Pride 603.838.6377
Upon receiving a request to activate the MACE, the MACE Activation Team will assemble in person, phone or email.
MACE Activation Team
Composition
North Country Public Health Coordinator
One Hospital representative
One first responder/ EMD representative
Requirements
Trained in MACE roles and responsibilities and Incident Command Systems (ICS)
Provide 24/7 contact information
Responsibilities
Upon notification, the Activation Team will meet (in person or via conference call) conference call call-in information: Call 1 866 866 2244, enter code# 2519073
Contact the impacted communities point of contact for incident information and resource needs
Make determination of
- If and when to activate/open MACE
- If and when to activate/open POD(s)
- Appropriate activation level
- Appropriate staffing level
- The mission of the operation and the initial message
- Notify ESF 8 desk that MACE is activated at (603)223-3729
(This # answered or forwarded 24/7)
- Begin call down of MACE staff
Notify Primary Contacts for Berlin/Lancaster/Colebrook, Littleton, Bethlehem and Haverhill POD Group Areas with updated information.
Notify Regional Partners
See :Attachment 4: Regional Facilities and Services Directory
Littleton Regional Hospital: 603-444-9000
Cottage Hospital (Haverhill) 603-747-9000
Weeks Memorial Hospital (Lancaster) 603-788-5042
Androscoggin Valley Hospital (Berlin) 603.752.2200
Coos County Family Health Services (Berlin): 603.752.4678
Upper Connecticut Valley Hospital (Colebrook)603.237.4971
Department of Health & Human Services
Incident Command Center: 603-271-7522e-mail:
Operations: 603-271-7523
Logistics:603-271-7520
Finance: 603-271-7521
Planning & PIO: 603-271-7524
Activation Levels: the complexity of the event will determine the level
DHHS Incident Command CenterAlert Levels
Operational
Level
/ State Emergency Operations Center / DHHS Incident CommandCenter / Emergency Services UnitandResponse TeamsLevel 1 /
Monitoring or Normal Operations
Daily situational awareness to assure responsiveness in anticipation or occurrence of an emergency incident or large scale event that may require staff support. Includes 24/7 warning point. /Monitoring or Normal Operations
Normal preparedness, planning and training activities are being conducted by ESU Staff. The ICC is not set up or staffed. /Monitoring or Normal Operations
Normal preparedness, planning and training activities are being conducted.Level 2
Triggered by the potential for an event that could threaten the health and safety of the public. /Low Intensity or Unusual Event
Operations and Planning Sections and the Communications Branch monitors the event, collects information and keeps appropriate staff and partners briefed. Selected personnel and ESFs may be present in the SEOC on a 24/hr shift / Low Intensity or Unusual EventThe ICC Situation Room is activated and staffed by ESU members to monitor the event. The ICC is placed on 60-minute standby activation notice. / Low Intensity or Unusual Event
Depending on the type of threat, response team leaders review and update emergency call lists, ensure “Go Kits” are fully equipped, and other gear is functional and available for deployment within 60 minutes of official notification to do so.
Level 3
Triggered by pending conditions or an event that will: 1) threaten the health and safety of the public; or 2) require a tightly coordinated response effort. /High Intensity Event/Alert or Site Area Emergency
SEOC is fully activated on a 24/hr basis and selected ESFs and Support Annex agencies are requested, as the incident warrants. There is anticipation that the incident will require multi-day activation. / High Intensity Event/Alert or Site Area EmergencyThe ICC is activated and partially staffed with DHHS, ESU members who monitor the event. ESF partners are notified. The State EOC is notified that the ICC is partially activated, ESF-6 and ESF-8 represented at the SEOC,. Situation Reports (SitRep) are filed as necessary. / High Intensity Event/Alert or Site Area Emergency
Depending on the type of threat, selected response team leaders are informed by OCOM to notify team members to prepare for deployment. Needed equipment is prepositioned and made ready for deployment. If necessary, selected team members may be requested to go to the ICC to monitor events and to serve as a liaison.
Level 4
Triggered by an extremely hazardous condition that: 1) poses an imminent danger to the health and safety of the public; or 2) requires a tightly coordinated response effort. /Complex, High-Intensity Event/General Emergency
All the attributes of Level 3, but is more complex. It is more likely to result in a Presidential Declaration. The SEOC may be activated into some of the recovery phase of the event. All ESFs and Support Annex agencies are activated / Complex, High-Intensity Event/General EmergencyThe ICC is fully staffed by assigned DHHS, ESU personnel on 6- or 12-hour shifts. / Complex, High-Intensity Event/General Emergency
Emergency-response teams and assets are deployed as necessary with authorization of the Commissioner (or designee). Direction is given by the ICC.
MACE Organizational Structure and Staffing
Organization:
* The number of individuals required to staff the MACE (approximately 1-6 individuals) will be emergency-specific, but should always consider an appropriate and manageable span of control, as is described in the National Incident Management System (NIMS). Membership may include: the North Country Public Health Network Coordinator, Local Fire and Police Departments, Local EMDs, Local Health Officers, Grafton County Dispatch and representative(s) from the medical community.
* The number of shifts per day and the duration of the MACE activation will be determined by the incident.
* All towns and agencies will be asked to designate 2-3 people that could serve in MACE roles
MACE Staffing:
The MACE at its fullest capacity would include the following positions:
POSITION / Alternate #1 / Alternate #2MACE Manager / Amy Holmes
603.259.3700
603 616.9128 cell
/ #2 Rob Darling
603.237.5593
#3 Jack Anderson
MRC and Volunteer Coordination / Elaine Belanger
603-259-3700
/ Amy Holmes
603-259-3700
IT Specialist/Scribe / Drew Brown
603.259.3700
/ Chris Collman
603.444.9889 and 603.444.9833fax
Public Information Officer (PIO) / Mark Lindberg
/ Adele Woods
603.752.2040
Liaison Officer / Patty Couture
603.752.2040 x1338
/ Mark Taylor
Safety Officer and Inventory Management / Bob Thompson
603-259-3700
Medical Direction & Control/Subject Matter Expert (SME) / Campbell Maclaren, MD
Planning Section Chief / Chad Miller, Gorham EMS
/ Joe Mercieri
603.444.2137
Operations Section Chief / Rob Darling, Chief , 45th parallel
603.237.5593
/ Jack Anderson, Bethlehem EMS
Logistics Section Chief / Ron Wert, Lancaster EMS
603.788-3221 ambulance bay
603.723.2050 cell
615-5220 pager / Randall Trull
603.767.3136
Finance and Administration Chief / Frank Claffey
/ Colleen Gingue
603-259-3700
QUICK REFERENCE GUIDE to MACE POSITIONS
Position name / Description
MACE Manager
See page 14 / Provides overall leadership for incident response
- Responsible for all activities and functions until delegated and assigned to staff
- Establishes incident objectives
Public Information Officer (PIO)
See page 16 / Provides for effective collection, control, and dissemination of public information.
- Obtains information from NH DHHS, State Incident Command Center (ICC), Homeland Security and Emergency Management (HSEM)Emergency Operations Center (EOC) and provides information to general public and media
Liaison Officer
See page 17 / Coordinates and communicates with other agencies and municipalities.
- Receives incoming requests for assistance
- Reports to planning chief on local needs
Safety Officer and Inventory Management
See page 18 / * Develops and recommends measures for assuring personnel safety.
* Monitors and/or anticipates hazardous and unsafe situations
* Develops overall incident safety and force protection plan
* Coordinates with POD, NEHC, and ACS Safety Officers
* Oversees Inventory Management for Regional POD sites (PODs)
Medical Direction & Control/Subject Matter Expert (SME)
See page 19 / * Oversees medical aspects ofincident response. May be in MACE or working remotely from hospital.
* Receive and interpret medical guidance from NH DHHS ICC and NH HospitalAssociation
* Develop level of care guidance for POD, NEHC, and AC Respond to medical questions from MACE, POD, NEHC, and ACS staff S sites
* Provide or acquire physician orders for POD,ACS and NEHC patients
Planning Chief
See page 20 / Collects and analyzes critical information on emergency operations for decision-making purposes.
- Compiles all requests for resources
- Prepares and updates MACE incident action plan
- Projects future resource needs
Operations Chief
See page 22 / Coordinates the operational component of public health response during a public health event.
- Namely service locations POD, ACS, NEHC
Logistics Section Chief
See Page 21 / Secures resources for all functions, as needed.
- Provides resources and services required to support incident activities (including but not limited to: supplies, equipment, personnel)
- Contracts for and purchases goods and services needed at the incident
- Coordinates hotlines as needed
Finance and Administration Chief
See page 25 /
- Tracks all expenditures and number of hours worked at MACE
- Collects staff time sheets/expenditures from PODs, ACSs, etc.
IT Specialist and Scribe
See pages 23 and 24 / IT Specialist: Responsible for assisting with technology equipment
Scribe: Develops and maintains an accurate and complete record of the activities of the MACE;
Records dates and times of MACE activities and incoming/outgoing calls; Maintain current contact lists
QREFERNCE GUIDE to MACE