Specifically, greater centralization of command and greater horizontal rather than vertical distribution of various officers and team leaders would present a more flexible and efficient operating scheme than the plan and command chain as currently outlined (AWWA 2009). Inter-organizational communication with the CWS agency and other governmental officials is also essential to the development and implementation of an effective emergency response plan, yet these external contact points have not been adequately included in the hospital's current plan, which will greatly reduce its ability to receive and react to accurate and current information. This in turn creates many inefficiencies in both cost and care (EPA 2004).

EMS:

The Emergency Medical Services emergency response plan is far more comprehensive, and more reflective of the most recent recommended models for small- to mid-sized community water system emergency response plans (AWWA 2009; EPA 2004). The main issues in this plan as it now stands...
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