Conceptual Framework for Understanding Incident Management Systems During Public Health Emergencies

Disaster Med Public Health Prep. 2022 May 27:17:e158. doi: 10.1017/dmp.2022.77.

Abstract

Objective: Effective incident management is essential for coordinating efforts of multiple disciplines and stakeholders when responding to emergencies, including public health disasters such as the ongoing coronavirus disease 2019 (COVID-19) pandemic.

Methods: Existing research frameworks tend to focus on formal structures and doctrine (eg, ICS-NIMS); however, organizational processes that underlie incident management have not been systematically assessed and synthesized into a coherent conceptual framework.

Results: The lack of a framework has hindered the development of measures of performance that could be used to further develop the evidence base and facilitate process improvement. To address this gap, we present a conceptual framework of incident management drawn from expert feedback and a review of literature on incident management and related fields. The framework features 23 measurement constructs grouped into 5 domains: (1) situational awareness and information sharing, (2) incident action and implementation planning, (3) resource management and mobilization, (4) coordination and collaboration, and (5) feedback and continuous quality improvement.

Conclusions: As such, the article provides a first step toward the development of robust measures for assessing the performance and effectiveness of incident management systems.

Keywords: COVID-19 pandemic; disaster response; incident management; performance evaluation; public health emergency preparedness.

Publication types

  • Review
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • COVID-19* / epidemiology
  • COVID-19* / therapy
  • Disaster Planning*
  • Emergencies
  • Humans
  • Pandemics / prevention & control
  • Public Health

Grants and funding