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Incident Command System (ICS) & the National Incident Management System (NIMS)

Implementation Activities for Hospitals and Medical Systems

On September 12, 2006 the National Incident Management System (NIMS) Integration Center released the initial version of the NIMS Implementation Activities for Hospitals and Healthcare Systems, which identified specific implementation measures for healthcare organizations. The Health Resources and Services Administration (HRSA) required that participating hospitals complete Elements 7, 9, 10 and 11 by the end of FY 2006 (August 30, 2007).

On June 13, 2008 FEMA's Incident Management System Integration Division (formerly NIMS Integration Center) released a revised NIMS Implementation Objectives specific for Hospital and Healthcare Organizations.  These revised standards now include 14 objectives that healthcare organizations are encouraged to work toward in order to achieve NIMS compliance. Information on these revised standards is posted below.

2008 NIMS Alert (PDF)

2008 NIMS Implementation Objectives (PDF)

NOTE:  The U.S. Department of Health and Human Services (HHS), Office of the Assistant Secretary for Preparedness and Response (ASPR), Hospital Preparedness Program (HHP) requires all hospitals receiving funds or services under the HPP grant to demonstrate they are working toward full compliance.  ASPR has revised their compliance requirements to allow hospitals to work toward full compliance with these newly revised standards during the FY08 and FY09 grant cycles. 

Hospital Incident Command System (HICS) Update

On October 19, 2006 the newest version of HICS was posted on the California EMSA website. This version of HICS consists of 8 Learning Modules (HICS Learning Modules 5-12). Modules 1-4 are the EMI courses (IS 100, 200, 700 and 800) required under FEMA’s NIMS Implementation Activities for Hospitals and Healthcare Systems. HICS Learning Modules 5-12 are eight additional incident management courses tailored for hospital staff and medical staff. As outlined under Elements 9, 10 and 11 of NIMS Implementation Activities Hospitals and Healthcare Systems, hospital staff and medical staff who have a role in emergency preparedness, incident management and disaster response must have IS 100, 200, 700 and 800 training (as applicable). The new HICS training is not designed as a substitute for this training, but incorporates the EMI training into the HICS program as HICS Modules1-4.

NIMS Training Resources

Incident Command System (ICS) courses can be taken online at: www.training.fema.gov/emiweb/is/crslist.asp

Oklahoma Office of Homeland Security website lists additional training opportunities available in Oklahoma.  Check it out at:

Training FAQ's

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