HICS Forms

HICS Fifth Edition

Adopting and standardizing hospital incident response systems

The California Emergency Medical Services Authority (EMSA) is pleased to announce the public release of the Fifth Edition of the Hospital Incident Command System (HICS). This conclusion of the multi-year revision process is the culmination of extensive national stakeholder input. The California EMSA wishes to thank all participants in this endeavor that exemplifies unprecedented collaboration among both public and private healthcare and emergency management partners from communities across the local, regional, state, and national levels. This HICS, Fifth Edition is offered to assist hospitals and the healthcare community nationwide with their emergency management goals.

Special recognition is given to a multitude of individuals and groups for their invaluable contributions. This includes Ex Officio members from the following organizations: the American Hospital Association (AHA); The Joint Commission; the U.S. Department of Veterans’ Affairs, Veterans’ Health Administration, Office of Emergency Management; the U.S. Department of Health and Human Services, Assistant Secretary for Preparedness and Response (ASPR), National Healthcare Preparedness Programs; the U.S. Department of Homeland Security, Federal Emergency Management Agency, National Integration Center; and the American Society for Healthcare Engineering (ASHE).

The California EMSA also extends special gratitude to Kaiser Permanente and MedStar Washington Hospital Center, the HICS Final Review Group, the HICS 2011 National Summit Stakeholders, the HICS National Workgroup and the HICS Secondary Review Group


HICS Templates and Examples

  1. The 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.
  2. The tent cards act as a reminder of the Incident Action Planning Process and assist with completion of the appropriate forms.
  3. 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.