1. Federal Emergency Management Agency
Department of Homeland Security
Federal Emergency Management Agency

2. What is FEMA?
Since March 2003, part of the Department of Homeland Security
A former independent agency created in 1979
Includes the U.S. Fire Administration and Federal Insurance Administration

3. Sec. Tom Ridge:
“In the new Department of Homeland Security, the Federal Emergency Management Agency will become the nation's all-hazard incident manager. If it's a terrorist incident, if it's a natural disaster, whatever it is, this new department, through FEMA, will be on the scene and manage the response.”

4. DHS Mission Reduce America’s vulnerability to terrorism
Prevent terrorist attacks in the U.S.
Reduce America’s vulnerability to terrorism
Minimize the damage from potential attacks and natural disasters

5. Directorates of DHS: Border and Transportation Security FEMA
Science and Technology
Information Analysis and Infrastructure Protection

6. Also part of DHS: U.S. Secret Service
U.S. Coast Guard
U.S. Secret Service
Citizenship and Immigration Services

7. FEMA’s Mission:
Reduce the loss of life and property and protect our institutions from all hazards by leading and supporting the nation in a comprehensive, risk-based emergency management program of mitigation, preparedness, response and recovery.

8. Who is FEMA?
Under Secretary appointed by the President, confirmed by Congress, reporting to DHS Secretary
2,400 permanent employees
7,000 disaster reserve employees
8,000 NDMS reserve employees

9. What does FEMA do? Disaster response and recovery
Reducing risk from disasters through mitigation
Preparedness training and exercises
Consequence management following terrorist incidents

10. What else does FEMA do? Train fire fighters and first responders
Oversee the National Flood Insurance Program
Manage the National Disaster Medical System

11. Where is FEMA? Ten regional offices Disaster Field Offices
Washington, D.C.
Ten regional offices
Disaster Field Offices
Tele-registration processing centers
Training facilities

12. When does FEMA respond?
When local and state capabilities are overwhelmed
State governors must request a federal disaster declaration
FEMA assesses disaster damage to determine extent of need
Presidential approval of a declaration request allows FEMA to provide response and recovery assistance

13. Man-made vs natural disaster:
FEMA doesn’t differentiate between disasters caused by nature, such as earthquakes, or disasters such as a terrorist event. In all cases, FEMA provides response and recovery assistance geared to the event and in coordination with local, state and federal officials.

14. In a disaster, FEMA:
Provides disaster response aid to individuals, communities and states for immediate needs
Provides disaster aid to individuals, communities and states for recovery
Promotes risk reduction from future disasters through mitigation efforts

15. Emergency Support Functions
Response Resources:
DHS/FEMA activates and manages emergency response assets through the Emergency Support Function Structure established within the National Response Plan
Emergency Support Functions
Transportation – IT and Telecommunications – Infrastructure – Firefighting – Mass Care – Housing – Public Health – Urban Search and Rescue – Hazardous Materials – Agriculture – Energy – Economic Stabilization

16. Response Resources: Mass sheltering and feeding Temporary housing
Supplemental power / generators
Ice and water
Emergency personnel equipment
Medical support
Urban Search and Rescue (USAR)

17. FEMA disaster aid programs:
Public Assistance
Individual Assistance
Hazard Mitigation Grant Program

18. Other assistance: Crisis counseling
Disaster-related unemployment assistance
Legal aid

19. Support for Medical Facilities:
Two Avenues of Support:
Funding reimbursement for certain costs incurred by eligible medical facilities
Personnel, supplies and equipment to augment local medical systems when overwhelmed

20. Medical Response Resources:
FEMA’s Public Assistance Program
Generally does not reimburse for increased costs
May provide reimbursement for extraordinary costs associated with providing temporary facilities
May provide reimbursement to hospitals that need to evacuate special needs patients to another facility

21. Medical Response Resources:
HHS assets can be activated under the National Response Plan (NRP) including:
Surveillance support
Medical care personnel such as the U.S. Public Health Service Commissioned Corps
Supplies and equipment
Support with patient evacuations utilizing DOT assets

22. Medical Response Resources:
Medical Support Teams within NDMS including:
DMAT
DMORT
VMAT
NPRT

23. Medical Response Resources:
A Disaster Medical Assistance Team (DMAT) is a group of professional and para-professional medical personnel (supported by a cadre of logistical and administrative staff) designed to provide medical care during a disaster or other event.
DMATs deploy to disaster sites with sufficient supplies and equipment to sustain themselves for a period of 72 hours while providing medical care at a fixed or temporary medical care site. In mass casualty incidents, their responsibilities may include triaging patients, providing high-quality medical care despite the adverse and austere environment often found at a disaster site, and preparing patients for evacuation. In other types of situations, DMATs may provide primary medical care and/or may serve to augment overloaded local health care staffs.

24. Medical Response Resources:
Disaster Mortuary Operational Response Teams (DMORT0) provide support when local mortuary services are overwhelmed, support provided includes:
Temporary morgue facilities
Victim identification
Forensic dental pathology
Forensic anthropology methods
Processing
Preparation
Disposition of remains

25. Medical Response Resources:
Strategic National Stockpile
HHS/DHS assets include antibiotics, chemical antidotes, life support medications, etc.
Delivery within 12 hours anywhere in U.S. or territories
Over 150 locally stored and controlled caches throughout the Nation
Capable of supporting approximately 100,000 individuals for 10 days
Additional Federal caches controlled by the CDC to augment the locally placed supplies

26. Medical Response Resources:
DOD Assets:
USS Comfort docked in NY following 9/11 attacks
Mobile military hospital utilized in Puerto Rico and Guam
VA assets
Aeromedical Evacuation System

27. Medical Response Resources:
Urban Search and Rescue
In addition to traditional USAR ability, each team has 6 ER doctors and 6 EMT nurses, as well as cache of supplies and equipment, which could be used to support overwhelmed local medical facilities

28. FEMA’s Future:
As part of the Department of Homeland Security, FEMA is leveraging its resources with those of 21 other agencies and departments to ensure a full continuum of response and recovery activities – and to attain a vision of a “nation prepared.”