Table 2.

Tiers of health care disaster response.

Response Tier	Response Scope	Response Role
Tier 1	Individual health care facility	Facility-based “surge in place” response
Tier 2	Health care coalition	Multiple facility response using facility and coalition agreements/plans
Tier 3	Jurisdictional incident management	Community response, coordination at emergency operations center
Tier 4	Regional incident management	Cooperation between jurisdictions/coalitions
Tier 5	State response	Support to jurisdictions
Tier 6	Federal response	Support to state