What We Do

The Northern Virginia Emergency Response System (NVERS) is a 501(c)(3) nonprofit partnership comprised of the region’s local governments and healthcare delivery systems. NVERS builds capacity and capability through regional collaboration, risk-driven investments, and strategic initiatives that enhance local emergency preparedness and response capabilities. This resilient partnership of public safety and healthcare delivery systems saves lives, time, and economic resources during major emergencies and disasters in Northern Virginia.

NVERS’ public safety program focuses on enhancing the region’s ability to respond to high-threat incidents and complex emergencies. The organization develops local response capabilities to ensure that regional public safety agencies are prepared for atypical/high-consequence incidents, such as active shooter events, evacuations, or acts of terrorism. NVERS supports specialty incident command and unified command training, providing responders with the tools and knowledge needed to effectively manage multi-agency operations during major incidents.

Additionally, NVERS enhances responder safety by providing ballistic protection and tactical medical capabilities, ensuring that public safety personnel are adequately equipped to operate in hazardous environments. The organization also coordinates public order and civil disturbance planning, helping agencies maintain control and order during times of crisis. Finally, NVERS supports situational awareness by facilitating the use of regional information platforms, which enable real-time data sharing and decision-making during emergencies.

The Rook – Armored Critical
Incident Vehicle

Supports tactical law enforcement response and safety during high-risk situations such as hostage rescue and barricaded suspects.

High Threat Response (HTR)

Tactical Emergency Casualty Care (TECC) program; Tactical EMS Direct Support Medic courses; Fire-as-a-Weapon training curriculum; High Threat Incidents Database and Information Repository.

AVI Command Training

“First 30 Minutes: Incident Command/Unified Command” training series for frontline supervisor management of Active Violence Incidents.

Public Order Planning

Northern Virginia Public Order Response Plan; Public Order Unit Commanders Committee; public order unit regional training course.

Family Assistance Planning

Family Assistance Working Group; Family Assistance Seminar; FAC Fundamentals curriculum shared statewide.

Uncrewed Aerial Systems (UAS) Detection

NVERS procured and deployed a Dedrone Rapid Response Trailer to support public safety UAS teams. The system provides airspace awareness and UAS detection using radar, RF identification, and visual sensors.

It was deployed during the 2025 Presidential Inauguration to detect nefarious drone activity and can support large-scale public events and high-threat scenarios.

NVERS’ Regional Healthcare Coordination Center (RHCC) serves as a central point of contact for healthcare system emergency response coordination, ensuring real-time communication and coordination among hospitals, EMS, and allied healthcare organizations. NVERS works proactively to identify and mitigate vulnerabilities within the healthcare supply chain, addressing potential disruptions to critical resources. NVERS also leads the coordination of healthcare specialty planning for high-consequence or atypical events, such as pandemics or mass casualty incidents.

NVERS facilitates mutual aid across healthcare organizations, reducing the burden on other community response partners during emergencies. Additionally, NVERS plans for regional medical surge and healthcare facility evacuation, preparing the system to handle large-scale patient influxes or evacuations. The organization operates a comprehensive healthcare training and exercise program to ensure readiness, while continuously assessing potential threats and hazards to the healthcare delivery system through risk-driven evaluations.

Regional Healthcare
Coordination Center (RHCC)

Staffed 24/7/365 single point of contact for real-time coordination with hospitals and healthcare partners during emergencies such as mass casualty incidents like the January 2025 aircraft collision above Reagan National Airport, natural disasters, utility outages impacting healthcare facilities, healthcare facility evacuations, healthcare IT infrastructure disruption, and special events such as presidential inaugurations and other NSSEs.

Supply Chain Assessments

Response to IV fluid shortages (e.g., Hurricane Helen- Baxter plant closure); Regional Resiliency Assessment Program; blood product supply chain assessments, and pharmaceutical supply chain assessments.

Specialty Response Coordination

Hospital Response Task Force for Active Violence Incidents; Dulles Special Pathogens hospital rotation system.

Mutual Aid Plans

Long Term Care Mutual Aid Plan; Hospital MOUs for surge support.

Surge and Evacuation Planning

“Categories of Care”/hospital service line assessment; Hospital Surge Planning Assessments, Alternate Care Site Planning, Facility Evacuation Decision Support Tool.

Training and Exercises

Custom Hospital Decontamination Training Course; Long Term Care Facility Evacuation Full-Scale Exercise; National Capital Region Pediatric Patient Surge Exercise.

Hazard and Vulnerability Analysis

Conduct an annual HVA to identify the hazards that pose the greatest risk to the regional healthcare delivery system; tailor regional programming and training/exercises to address the risks associated with those hazards.

NVERS’ Emergency Medical Services (EMS) program provides regional leadership and coordination to strengthen prehospital care, support EMS agencies, and ensure system-level readiness across Northern Virginia. NVERS is the designated Regional EMS Council for Northern Virginia, and its programmatic mission area includes EMS system development, performance improvement, and emergency preparedness integration with the healthcare delivery system. The EMS program focuses on unifying diverse EMS stakeholders- including local government fire/EMS departments, commercial EMS agencies, EMS educations, hospitals, and operational medical directors- into a cohesive regional framework.

NVERS supports these stakeholders by convening a multi-disciplinary EMS Advisory Committee and associated subcommittees/working groups, ensuring the collaborative development of regional protocol guidelines, innovative leading practices, special pathogens preparedness, and performance improvement initiatives. NVERS EMS program ensures that Northern Virginia EMS agencies operate within a well-coordinated, high-performing system that integrates with broader public safety and healthcare disciplines. This work strengthens the region’s capacity to deliver life-saving care in both day-to-day emergencies and critical incidents.

Hospital Response
Taskforce (HRTF):

Deploys fire/EMS resources to support hospitals during active shooter and mass casualty incidents. Pre-identified complements of fire/EMS resources assist with triage and stabilization care outside the closest emergency departments to the incident scene to help relieve surge pressure.

Field Whole Blood Transfusion Program

Equips EMS agencies to administer whole blood in the field, improving survival for trauma patients affected by severe hemorrhage.

Special Pathogens Preparedness

Operationalizes the Dulles Rotation for distribution of PUIs to specially-equipped treatment centers upon arrival at Dulles International Airport; equips EMS units with ISOVAC Patient Isolation Units to ensure safe EMS transport of special pathogens patients.

Fire/EMS COVID-19 Response Framework

Region-wide policy guidance to unify response and establish common objectives, standardized PPE/infection control processes, and ensure continuity of EMS operations in coordination with hospitals and public health.

Patient Tracking System

Provides interoperable system to track patients from incident scene through transport, ensuring accountability, reunifications, and continuity of care during MCIs.

Training and Education

NVERS delivers certification and continuing education programs, including Tactical Emergency Casualty Care (TECC), Tactical Emergency Medical Services (TEMS) Advanced Burn Life Support, Stroke Smart education, and annual EMS training symposiums.

Performance Improvement

Medical and Trauma Performance Improvement Committees to facilitate collaboration between EMS agencies and specialty care centers to review system performance, track key metrics, and implement improvements to support better patient outcomes.

Regional Protocol Guidelines

NVERS maintains and updates regional EMS protocols in coordination with the Regional Medical Director and agency Operational Medical Directors to ensure standardized, evidence-based care across jurisdictions.

NVERS support regional operational coordination by facilitating collaboration and the development of capable systems among public safety, healthcare, and emergency management agencies across the region. The organization supports unified response efforts through coordinated planning across disciplines and jurisdictions, interoperable and redundant communication systems, and shared resources, allowing for an effective and efficient response to major incidents. By promoting real-time information sharing and cross-sector partnerships, NVERS enhances the region’s ability to respond to day-to-day and major emergencies, improving overall situational awareness and operational effectiveness.

RHCC Operations

Managed 1600+ real-world and exercise coordination calls since 2020; 40+ NSSE activations.

Redundant Communications

Deployment of NVERS Emergency Radio System across 45 hospitals/freestanding emergency departments and 96 SNFs. The system provides rapid notification of community emergencies and coordinates regional responses to major incidents and healthcare facility evacuations.

Plan Development

20+ plans and annexes (e.g., burn care, radiation surge, pediatric surge, special pathogens response); DC Pedestrian Walkout Evacuation Plan.

Standardized Operational Manuals

Supports the development of regional, standardized operational manuals for fifteen (15) Northern Virginia fire and rescue departments.

Cross-Disciplinary Coordination

Supports 48+ regional committees and working groups, such as High Threat Response Committee, Water Utility Emergency Preparedness Committee, Emerging Technologies Committee, Emergency Management Committees, Fire/EMS Committees, IT Committees, Healthcare Preparedness Committees, Law Enforcement Committees.

Mutual Aid Planning

Patient/Individual Tracking System, Suspicious Activity Reporting System, Network Intrusion Detection Systems, Pre-Incident Planning Systems, Situational Awareness Dashboards.

Performance Improvement

Hosts the Northern Virginia Fire/EMS Mutual Response Agreement and the Northern Virginia Law Enforcement Mutual Aid Agreement.

Regional Protocol Guidelines

NVERS maintains and updates regional EMS protocols in coordination with the Regional Medical Director and agency Operational Medical Directors to ensure standardized, evidence-based care across jurisdictions.

NVERS maintains a regional pharmaceutical cache to ensure a coordinated and timely response to public health emergencies, including both terrorist and non-terrorist events such as anthrax attacks or chemical spills. This cache provides essential medications and supplies to public safety agencies and hospitals, enabling them to save lives in time-sensitive emergencies and maintain continuity of operations until federal resources, like those from the CDC’s Strategic National Stockpile, are deployed. By centralizing procurement and management, NVERS ensures equitable pharmaceutical coverage across the region, enhances mutual aid coordination, and reduces individual jurisdictional costs.

Hospital Pharmaceutical Disaster Cache

Common disaster medications for initial 72-hour response to catastrophic patient surge.

Responder Cache

Forward-deployed DuoDotes and Cyanokits; responder antibiotic and potassium iodide prophylaxis cache and protocols.

Cache Optimization

GIS-assisted reallocation of nerve agent treatments based on 15-minute deployment coverage.

Supply Chain Response

In 2024, NVERS led the regional response to the IV fluid shortage caused by the Baxter plant closure following Hurricane Helene.

NVERS’ response became the basis for the statewide efforts. NVERS developed and distributed a sector-wide impact survey, launched data collection to assess downstream effects on care delivery, and procured emergency IV fluid shipments to backfill critically low EMS and hospital inventories.

Medical Supply and Pharmaceutical Working Group

A multi-disciplinary committee of fire/EMS, pharmacy, and public health partners to guide the identification of regional medical supply and pharmaceutical gaps and recommendations for solutions to “buy down” regional risk.

Mutual Aid Planning

Patient/Individual Tracking System, Suspicious Activity Reporting System, Network Intrusion Detection Systems, Pre-Incident Planning Systems, Situational Awareness Dashboards.

NVERS’ logistics program plays a crucial role in ensuring the region’s preparedness and response capabilities by managing regional disaster stockpiles and warehousing. The organization serves as a point of distribution for critical resources, ensuring that essential supplies are quickly and efficiently delivered during emergencies. NVERS enhances facility and agency-level continuity by maintaining both forward-deployed resource caches and centrally housing shared, specialty resources. Additionally, the organization maintains emergency vendor directories and inventory systems, ensuring that its partners have multiple, redundant avenues to secure critical resources during emergencies.

Stockpile Management

Forward-deployed mobile vehicle barriers, PPE caches, ventilators, isolation equipment, and TECC kits.

Emergency Backup Power

Maintains emergency backup power solutions and distribution systems for healthcare organizations and critical infrastructure.

Fatality Management Systems

Maintains portable morgues and fatality management systems for community MFIs.

Special Pathogens Critical Resources

Portable isolation units, decontamination systems, PPE, and decedent management supplies for special pathogens response.

Disaster Vendor Directory

238 vetted vendors for emergency services.

Logistics Distribution

Rapid procurement and distribution of IV fluids, PPE, and pharmaceuticals during shortages; PPE point of distribution for Northern Virginia during COVID-19.