About HICS
Hospital Incident Command System (HICS) is a standardized approach to incident management tailored specifically for hospitals and health care organizations. HICS provides a framework for hospitals to respond quickly and effectively to various incidents and supports hospitals in emergency management planning, response, and recovery capabilities. Key elements of HICS include:
- Identifying needs and establishing objectives to resolve the incident
- Developing a command structure that can be scaled to fit the needs of the incident
- Integrating personnel from different parts of the hospital and outside agencies into the command structure
- Developing strategies to achieve the objectives
- Providing support and direction to those responsible for carrying out the objectives (tactical response)
HICS is commonly used in the U.S., particularly after the implementation of the National Incident Management System (NIMS), an essential support for hospitals in efficiently managing large-scale incidents while ensuring the safety and well-being of patients, staff, and visitors during emergencies.
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Updated in 2014, the Hospital Incident Command System (HICS) has introduced several notable changes to enhance its functionality and effectiveness. Key updates include:
- Mechanism to indicate pending XOSC help desk cases: This feature is intended to help track and manage ongoing support issues, ensuring that they are addressed in a timely manner
- Stand-alone application ID field: The inclusion of a unique identifier for applications can streamline processes and improve the organization of records
- Identifier for when new information has been added to an existing case: This change is intended to aid in maintaining the accuracy and currency of case information, allowing for better tracking of updates
- Mass upload feature to allow bulk closures: This functionality is intended to improve efficiency by enabling the closure of multiple cases simultaneously
- Navigation and search improvements: Enhancements to the user interface and search capabilities can facilitate easier access to information and improve the overall user experience
- Updated User Guide: An updated manual can provide clearer instructions and reflect the latest changes, ensuring that users can effectively utilize the system
These changes reflect a commitment to continuous improvement and adaptation of the HICS to meet the evolving needs of health care organizations in emergency management.
Psychological Simple Triage and Rapid Treatment
Provides methods to link mental health to disaster system of care, mental health triage tag, IT, and ICS/HICS compliant job action sheets.
The “Disaster Response Using HICS: An Introduction for Physicians” video was provided courtesy of Stanford Hospital and Clinics and Lucile Packard Children’s Hospital at the 2011 Disaster Planning for California Hospitals conference.
The Incident Action Plan contains objectives reflecting the overall incident strategy and specific tactical actions and supporting information for the next operational period. The hospital’s IAP is generally made up, at a minimum, of the following forms:
- 200: IAP Cover Sheet
- 201: Incident Briefing
- 202: Incident Objectives
- 203: Organizational Assignments
- 204: Branch Assignment List
- 215A: Incident Action Plan (IAP) Safety Analysis
- IAP Quick Start (combines forms 201, 202, 203, 204, and 215A)
The IAP may also have a number of other forms as attachments such as traffic plans. Element 12 of NIMS Compliance for Healthcare states that hospitals must utilize IAPs for all incidents and exercises along with the plans to communicate through the ICS chain-of-command. The Joint Commission’s EM 01.01.01 requires an ICS that is integrated into, and is consistent with, its community’s command structure.
- HICS Role Table Tents can be used during actual events or for exercises. They identify the name of each person filling the top nine roles.
- The tent cards act as a reminder of the Incident Action Planning Process and assist with completion of the appropriate forms.
- When it comes to completing The Joint Commission table top survey, TJC states that they want name plates/table tents with the role and name of person in the table top. This will also provide those personnel with a reminder on the role of that position and the Incident Action Planning Process.
Attached is a diagram intended for use in context to the TJC 2009 EM Standards. (Note that the term “Emergency Management Plan” is no longer in TJC EM Standards or a part of NIMS terminology.)
National Emerging Special Pathogens Training and Education Center
The National Emerging Special Pathogens Training and Education Center (NETEC) has released a podcast, “HICS for Special Pathogen Preparedness.”
Ryan Tuchmayer, the Director of Emergency Management for Cedars-Sinai Medical Center, joined several other health care professionals to discuss how the Hospital Incident Command System (HICS) ensures their hospitals are ready to respond effectively in emergencies involving special pathogens.
The podcast is available on the NETEC website and all major listening platforms.
HICS Courses
This course was developed as an introduction to the Hospital Incident Command System.
Course Description
This 4.5 hour course provides an overview of the Hospital Incident Command System (HICS) and the operation of the Hospital Command Center (HCC) during emergencies. The course includes hands-on training and use of HICS forms and tools.
The course prepares all levels of hospital management to meet the following:
- Joint Commission Standard EM.01.01.01, EP 7: The hospital’s incident command structure is integrated and consistent with its community’s command structure.
- NIMS Compliance Objective #7: Demonstrated the use of NIMS principles and ICS Management structure in training and exercises.
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The course materials and handouts have been developed for training purposes only; by accessing these documents, you agree not to share, distribute, transmit or reproduce without prior written consent of California Hospital Association. No part of this course or related materials shall be copied or utilized for monetary gain.
Course Description
This 2.5 hour course was developed to provide instruction specific to hospital incident action plan development.
The topics of this course are also covered within the “HICS Basics” course, however this session focuses primarily on the topic of incident action planning.
Part 1 Objectives:
- Describe the nine steps of Incident Action Planning
- Identify the components of an Incident Action Plan
Part 2 Objectives:
- Demonstrate the Incident Action Planning Process
- Demonstrate the use of Hospital Incident Command System forms
- Implement Incident Response Guides
This course is intended for middle‐ to upper‐management level personnel, or individuals who are likely to perform in one of the HICS roles. Prerequisites: “HICS Basics” course completion, or basic knowledge of HICS.
Download Course Materials from Right Sidebar
The course materials and handouts have been developed for training purposes only; by accessing these documents, you agree not to share, distribute, transmit or reproduce without prior written consent of CHA. No part of this course or related materials are to be copied or used in any way for monetary gain.
HICS Resources and FAQs
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Using Microsoft Teams in Hospital Incident Command
Hospital Disaster PreparednessDetails -
Customizing HICS for Everyone
Hospital Disaster PreparednessDetails -
What are the NIMS IS training requirements for hospital staff and how can these requirements be met?
Hospital Disaster PreparednessDetails -
Can a hospital utilize a vendor-created NIMS training course? If so, how does the hospital verify that it is NIMS compliant?
Hospital Disaster PreparednessDetails
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HICS Basic Course Materials
IAP Course Materials