1. 1 HEICS IV: A New and Improved Version Coming to Your Hospital?

2. 2 Today’s Objectives Describe the origin of HEICS Describe the origin of HEICS Understand why HEICS is important Understand why HEICS is important Describe the HEICS IV revision process Describe the HEICS IV revision process Update you on the pending changes to HEICS III Update you on the pending changes to HEICS III

3. 3 Just Out of Curiosity!!!! How many of you use HEICS III? How many of you use HEICS III? What do you like best about it? What do you like best about it? What do you like least? What do you like least? For those who don’t use it…..why not? For those who don’t use it…..why not?

4. 4 Brief History on HEICS 1980’s – Firescope – fire service adaptation 1980’s – Firescope – fire service adaptation 1987- Hospital Council of Northern California adapts ICS to hospitals 1987- Hospital Council of Northern California adapts ICS to hospitals 1991- HEICS I 1991- HEICS I 1992/93- 2 nd edition 1992/93- 2 nd edition 1998- 3 rd edition 1998- 3 rd edition 2006- HEICS IV 2006- HEICS IV

5. 5 WHY HEICS? Core of a crisis management system Core of a crisis management system Flexible organizational chart Flexible organizational chart Standardized job descriptions Standardized job descriptions Predictable chain of command Predictable chain of command Common language Common language “ A functional and flexible organizational structure that works” “ A functional and flexible organizational structure that works”

6. 6 Basic Structure of HEICS Current structure of HEICS has 49 positions Current structure of HEICS has 49 positions –Incident Commander –Section Chief(4) –Directors(4) –Supervisors(2) –Unit Leaders(31) –Officer(7) Incident Command LogisticsPlanningOperationsFinance

7. 7 Job Action Sheets Found for each command position Found for each command position Standardized format Standardized format –Title –Reports to –Radio title –Mission –Task checklist Goes w/ a vest Goes w/ a vest

8. 8 HEICS Is More Than Vests /JAS Activity Logs Activity Logs Forms Forms Status sheets Status sheets Patient Tracking sheets Patient Tracking sheets Incident Action Plan Incident Action Plan Emergency Incident Message Form Emergency Incident Message Form

9. 9 Now About HEICS IV Sponsored by Ca EMSA Sponsored by Ca EMSA –Original sponsor –Using HRSA funding –Being done in 2 primary phases –Available in Spring 06

10. 10 Scope Review and modify HEICS III core material to include updates in emergency management practices, new threats and changes in federal emergency incident management. Includes scalable model ranging from large urban hospital to small rural healthcare facility Review and modify HEICS III core material to include updates in emergency management practices, new threats and changes in federal emergency incident management. Includes scalable model ranging from large urban hospital to small rural healthcare facility

11. 11 Objectives Provide the following: Provide the following: –Provide IMS for hospital use during any type of incident –Provide guidance on critical actions and decisions that need to be made during an untoward situation or disaster –Improve coordination among internal and external community response agencies –Provide key principles for providing patient care under stressful and austere conditions –Maximize use of local, state, and federal resources –Ensure eligibility for reimbursement –Insure compliance with NIMS –By agreement of those involved in the project specific details cannot be shared at this point

12. 12 The Work Group HEICS IV Working Group HEICS IV Working Group –20 members –Represent diverse hospital functions ….and sizes –Military involvement –“Volunteers” –Develop the concepts –Review the writing

13. 13 Secondary Review Group More then 60 persons More then 60 persons Variety of backgrounds and agency representatives Variety of backgrounds and agency representatives Will review the products and provide structured feedback Will review the products and provide structured feedback

14. 14 The Project Management Team Kaiser Permanente Kaiser Permanente –Mitch Saruwatari –Skip Skivington Washington Hospital Center Washington Hospital Center –Craig DeAtley PA-C Support personnel from both partners Support personnel from both partners Develop work products Develop work products Facilitate the meetings Facilitate the meetings

15. 15 Some Important Outside Participants NIMS Integration Center NIMS Integration Center JCAHO JCAHO AHA AHA OSHA OSHA EMI EMI Others Others

16. 16 Highlights of the Work Phases Phase I Phase I –Revise the Organizational chart –Review best practices in emergency management incident command –Create COP that outlines core material –Revise and update HEICS IV Core material  Incorporate NIMS  Revise existing JAS  Develop new JAS  Write hospital best practice changes  Incorporate HEICS into rural hospital practice –Describe operational implementation of HEICS

17. 17 Phase II Establish training materials Establish training materials Develop instructor credentialing strategy Develop instructor credentialing strategy Finalize all HEICS IV materials Finalize all HEICS IV materials

18. 18 About Those Rumors Hospitals DO NOT have to dump HEICS to be NIMS compliant!! Hospitals DO NOT have to dump HEICS to be NIMS compliant!! HEICS IV will have a different organizational chart….. is true HEICS IV will have a different organizational chart….. is true –Simpler and smaller –Will provide more flexibility/adaptability JAS will have additional sections JAS will have additional sections –Extended operations and recovery sections added

19. 19 So WHY BUY INTO USING HEICS IV? WE have to be NIMS compliant WE have to be NIMS compliant WE have to be compatible w/ our response colleagues WE have to be compatible w/ our response colleagues Will meet JCAHO expectations and be NIMS compliant Will meet JCAHO expectations and be NIMS compliant Will be a package deal Will be a package deal HEICS III works…….HEICS IV will work better!!! HEICS III works…….HEICS IV will work better!!!

20. 20 Summary HEICS IV is coming Spring 2006 HEICS IV is coming Spring 2006 Will address the incident management needs of those here today Will address the incident management needs of those here today Will help to insure you meet JCAHO and NIMS compliance expectations Will help to insure you meet JCAHO and NIMS compliance expectations Better prepare your staff to successfully manage any kind of an incident Better prepare your staff to successfully manage any kind of an incident

21. 21 Questions ??? Contact the California EMS Authority HEICS IV Project Manager, Cheri Hummel at chummel@emsa.ca.govchummel@emsa.ca.gov