Where does Health and Human Services fit in?
The U.S. Department of Health and Human Services, Assistant Secretary for Preparedness and Response, Office of Emergency Management (HHS/ASPR/OEM) coordinates the NDMS efforts to provide assistance to supplement state and local resources in response to public health and medical care needs following a disaster or event. The NDMS is a partnership of federal entities: Department of Defense (DOD), Department of Health and Human Services (HHS), Department of Homeland Security (DHS), Department of Veterans Affairs (VA), and an interagency agreement between the Centers for Medicare & Medicaid Services (CMS) and the Federal Emergency Management Agency (FEMA).

Major Components of the NDMS Medical Response
The lead responsiblity of Health and Human Services is to provide medical assessment and response (personnel, equipment, supplies) by deploying various types of response teams: Disaster Medical Assistance Teams (DMATs) for medical care capability, International Medical/Surgical Teams (IMSuRTs) for surgical and critical care support, veterinary care by National Veterinary Response Teams (NVRTs), and victim identification / mortuary services utilizing Disaster Mortuary teams (DMORTs).

Patient Evacuation
The lead responsiblity of DOD is to evacuate patients from an affected region to an unaffected region. DOD utilizes all types of transportation to accomplish this task. Other functions during the medical evacuation include patient reporting, regulating and movement from staging areas or casualty clearing points utilizing assets of the US military and Civil Reserve Air Fleet (CRAF).