HomeMy WebLinkAboutExhibit 11t NATIONAL
DISASTER
iii
MEDICAL
SYSTEM
MEMORANDUM OF UNDERSTANDING
BETWEEN
U.S. PUBLIC HEALTH SERVICE
AND
THE CITY OF MIAMI
MIAMI, FLORIDA
Parklawn Building, Room 4.81
5600 Fishers Lane
Rockville, Maryland
20857
Tel (301) 443.1167
FAX (301) 443.5146
purpose
This Memorandum of Understanding establishes procedures and
policies that will guide the parties hereto in the development and
use of organic medical response teams, through the National
Disaster Medical System (NDMS), as part of Federal Emergency
Management Agency (FEMA) designated Federal Urban Search and Rescue
(US&R) Task Forces for disaster relief operations.
The National Disaster Medical System
A national emergency, whether from earthquake, tidal waves,
volcanic eruptions industrial accidents, terrorist attacks or a
conventional militarysonflict, could rapidly overwhelm the health
care resources of any particular area of the nation.
e
possibility of such amass casualty emergency in the United States,
no matter how remote, requires a coordinated response of the
nation's health care system. For this reason the Federal
government has established the National Disaster Medical System
(NDMS) to assist in the delivery of health care for victims of
incidents that exceed the medical care capability of an affected
State, region, or Federal health care system.
The NDMS is a joint effort of the Department of Health
and
FeHuran
Services (HHS), the Department of Defense (DOD),e
l
Emergency Management Agency (FEMA), and the Department of Veterans
Affairs (VA), and each manages a particular component of the
System.
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The NDMS is designed to provide medical aid in the form of medical
response units, a medical evaluation system, and a network of
hospitals that have agreed in advance to accept patients in the
event of such a mass casualty emergency.
The goal of NDMS is to create a medical mutual aid system that
links existing medical resources into a national network of medical
care. To this end, NDMS plans to develop mutual aid alliances with
public and private sector organizations throughout the Nation in an
effort to coordinate the development and use of the disaster
medical resources for national emergencies.
Parties to the Agreement
V.S. Public Health Service
In major disasters or emergencies, the United States Public
Health Service, (hereinafter referred to as the PHS), a
component of HES, has the responsibility to. provide Federal
medical and public health assistance.. On a day-to-day basis
PHS, through its agencies or Regional Offices, may provide
technical advice.and short-term assistance to State and local
health officials upon request, regardless of the magnitude of
the incident.
The. PHS is the agency responsible for developing the medical
response component of NDMS.
THE CITY OF MIAMI DEPARTMENT OF FIRE .RESCUE
The City Miami's Department of Fire Rescue (hereinafter
referred to as the Sponsor) presently provides emergency
medical services, including disaster medical services to the
City of Miami. The sponsor intends to foster development of
a disaster medical response capability and support the NDMS
program in national emergencies utilizing the resources•of the
City of Miami's Urban Search and Rescue Task Force.
ROLE AND RESPONSIBILITIES OF THE SPONSOR
The Sponsor agrees to:
Recruit, organize, train, and maintain a medical team(s)
that will serve as the organic medical component of an
Urban Search and Rescue US&R Task Force, in accordance
with current FEMA US&R Task Force guidance;
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- Periodically verify that credentials of all team members
who are subject to State licensure, certification, or
o
registration requirements are current and valid.
includes physicians, nurses, emergency medical
technicians, etc.;
Mobilize the team(s) for State, regional, or local
disaster service, as appropriate; and
- Release the team(s) to PHS for Federal disaster service
when requested.
The team(s) will function under the day to day control and
supervision of the Sponsor. In the.event of the State or local
emergency, the Sponsor may make the team(s) available to the State
or local agency responsible for disaster urban search and rescue
services, under the terms and conditions of applicable State law
and of agreements it may negotiate with the appropriate State and
local governments:
In the event of a major disaster or a national security emergency,
and upon request from the PHS, the Sponsor agrees. to release the
team(s) and its members as part of.the FEMA Task Force. At that
time the team members will become Federal employees. It is
under -stood .that. during ,,any period o. f ,:,temporary.. Federal service the
medical` component •of the Task Force will function under the
operation control of the PHS; however, the medical component will
remain as a_unit within _the incident command system under 'the
ov.erali command_ o.f. e._..Task__Force. Leader... Following such Federal
service the team(s) will be returned to the control and authority
of the Sponsor.
BOLE AND RESPONSIBILITY Of THE PUBLIC HEALTH SERVICE
The PHS, agrees to:
-- Provide general guidance and assistance on the
development, organization, and composition of teams, as
__appropriate;.._
Provide a personnel system to assist in the
administration and management of the team(s);
Process medical team member applications and related
documentation and enroll qualified applicants in the NDMS
DMAT Personnel system;
Activate medical team members only in conjunction with
FEMA activation of the US&R Task Force that the team
supports (team members will be activated
drillsFederal
volunteers for purposes of training,
exercises).
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When a team has been released from Sponsor control during an
emergency:
o Appoint members to a Federal status as.. PM
employees, issue duty and travel orders as
appropriate;
and
o Compensateimbmembers members for expenses incurred service 'while
reimburse
performing assigned tasks; and
) and
o Return otortheal control of the following the emergency.its
m
membersSponsor
When disengaged from the Sponsor and activated for temporary
Federal service, all of the volunteer participants of team(s)
will function as PHS employees under the management and
supervisory control of a designated Federal official. While
in Federal service, team members will have the same protection
against personal liability as other PHS employees for actions
taken within the scope of their Federal employment.
CONDITIONS AND AMENDMENTS•
Nothing contained in this MoU shall be construed to compel the
Sponsor to respond to any request for mobilization and deployment
when anyteam(s) members are, in the opinion of the sponsor,
requiredto perform emergency services in their own jurisdiction.
It is further agreed by both parties that. this MoU is a part of a
Memorandum of Agreement by and between the Federal Emergency
Management Agency and the City of Miami and that the City of Miami
is a FEMA-sanctioned Urban Search .& Rescue Task Force.
REFERENCES
The NDMS medical response component is established under the
combined authorities of section 311(c) of the PHS Act (41 USC 243
(c)), Executive Order 12656, and the Stafford Act (Pub. L. 93-288,
as amended) and is administered by PHS.
The general organization, personnel, and functions of NDMS Disaster
Medical Assistance Teams, as those terms are used herein, are
described in the Disaster Medical Assistance Team OrganizattioR
Guide, Report NDMS-86/1, July 25, 1986 (the "DMAT Organization
Guide") .
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gffective Date. Modification. and Tgrjnination
This MoU becomes effective on the date of the last party's
signature. It may be amended by agreement of the parties or'
terminated by either party upon thirty days' written notice to the
other.
For the Sponsor
Cesar H. Odio
City Manager
City of Miami
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Date
Approved as to form
and correctness:
A. Qui,
City Attorn
For the Public Health Service
Frank E. Young, M.D., Ph.D.
RADM, U.S. Public Health Service
Director, Office of Emergency
Preparedness/National Disaster
Medical System
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Date