The HHS Secretary's Operations Center (SOC) is the hub of information management and strategic-level command and control for ESF #8. On behalf of the Secretary of HHS, the Assistant Secretary for Preparedness and Response (ASPR) coordinates all aspects of Federal public health and medical assistance under ESF #8. The Federal Government closely coordinates this proactive mobilization with affected States, Tribal Nations, and jurisdictions. The Catastrophic Incident Supplement of the NRP establishes the policies, procedures, and mechanisms by which this may occur. In a catastrophic event, however, Federal assets may be mobilized and deployed to Federal installations in advance of a formal request for assistance. When the NRP is triggered by a Presidential declaration of a major disaster or emergency under the Stafford Act, Federal assistance generally is provided at the request of the Governor (or his/her designee) of an affected State. The primary role of Federal resources in providing medical surge capacity and capability (MSCC) is to support, not supplant, State, Tribal, and jurisdictional response efforts. HHS can also provide public health and medical assistance during an emergency or disaster under the independent authority of the Secretary of HHS. This assistance can be activated by a Presidential declaration of a major disaster or emergency, declaration of an Incident of National Significance by the Secretary of the Department of Homeland Security (DHS), or at the request of another Federal department or agency. The Federal Government may provide public health and medical assistance during an emergency or disaster under ESF #8 of the NRP. Department of Health and Human Services (HHS) is the Primary Agency for ESF #8 and coordinates Federal public health and medical assistance in support of State, Tribal, and jurisdictional response efforts. Tier 6 consists of Federal public health and medical assets (e.g., supplies, equipment, facilities, and personnel) organized under Emergency Support Function (ESF) #8 of the National Response Plan (NRP). 7.4 HHS Concept of Operations for ESF #8įederal Support to State, Tribal, and Jurisdiction Management(Tier 6).7.1 The Role of the Federal Government in MSCC.
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