HICS 2015 Survey

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* 1. What is your role at your organization?

Emergency Manager

Safety Officer

Department Head

Administrator

Clinical Care Provider

Other (please specify)

Question Title

* 2. What is the size of your organization?

< 25 beds

>25-100 beds

>100-250 beds

>250-500 beds

>500 beds

Not applicable

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* 3. Which of the following services would you consider important for your organization? Please rank in order with 1 being the highest importance.

	1	2	3	4	5
Education on HICS materials	Education on HICS materials 1	Education on HICS materials 2	Education on HICS materials 3	Education on HICS materials 4	Education on HICS materials 5
HICS Training reinforced with exercise for hospital	HICS Training reinforced with exercise for hospital 1	HICS Training reinforced with exercise for hospital 2	HICS Training reinforced with exercise for hospital 3	HICS Training reinforced with exercise for hospital 4	HICS Training reinforced with exercise for hospital 5
Exercises with community involvement	Exercises with community involvement 1	Exercises with community involvement 2	Exercises with community involvement 3	Exercises with community involvement 4	Exercises with community involvement 5
Consultation for assessment and development of plans	Consultation for assessment and development of plans 1	Consultation for assessment and development of plans 2	Consultation for assessment and development of plans 3	Consultation for assessment and development of plans 4	Consultation for assessment and development of plans 5
Other	Other 1	Other 2	Other 3	Other 4	Other 5

Please specify

Question Title

* 4. What type of emergency preparedness training would best serve the needs of your organization? Please rank in order with 1 being the highest importance.

	1	2	3	4	5	6
HICS incorporation into Emergency Operations Plan	HICS incorporation into Emergency Operations Plan 1	HICS incorporation into Emergency Operations Plan 2	HICS incorporation into Emergency Operations Plan 3	HICS incorporation into Emergency Operations Plan 4	HICS incorporation into Emergency Operations Plan 5	HICS incorporation into Emergency Operations Plan 6
Internal tabletop exercises	Internal tabletop exercises 1	Internal tabletop exercises 2	Internal tabletop exercises 3	Internal tabletop exercises 4	Internal tabletop exercises 5	Internal tabletop exercises 6
Drills	Drills 1	Drills 2	Drills 3	Drills 4	Drills 5	Drills 6
Full scale	Full scale 1	Full scale 2	Full scale 3	Full scale 4	Full scale 5	Full scale 6
Community exercises	Community exercises 1	Community exercises 2	Community exercises 3	Community exercises 4	Community exercises 5	Community exercises 6
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other 6

Please Specify

Question Title

* 5. Of the below items, which focus areas would your organization seek assistance with? Please rank in order with 1 being the highest importance.

	1	2	3	4	5	6	7	8
Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS)	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 1	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 2	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 3	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 4	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 5	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 6	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 7	Basic HICS (HICS concepts and tools, HICS Management Team design, alignment with NIMS) 8
Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise)	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 1	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 2	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 3	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 4	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 5	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 6	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 7	Advanced HICS (HICS implementation strategies, Incident Action Planning, training, incorporation into organization, tabletop exercise) 8
Development of Emergency Operations Plan	Development of Emergency Operations Plan 1	Development of Emergency Operations Plan 2	Development of Emergency Operations Plan 3	Development of Emergency Operations Plan 4	Development of Emergency Operations Plan 5	Development of Emergency Operations Plan 6	Development of Emergency Operations Plan 7	Development of Emergency Operations Plan 8
96 hour stand-alone capabilities	96 hour stand-alone capabilities 1	96 hour stand-alone capabilities 2	96 hour stand-alone capabilities 3	96 hour stand-alone capabilities 4	96 hour stand-alone capabilities 5	96 hour stand-alone capabilities 6	96 hour stand-alone capabilities 7	96 hour stand-alone capabilities 8
Contingency plans based on Hazard Vulnerability Assessment	Contingency plans based on Hazard Vulnerability Assessment 1	Contingency plans based on Hazard Vulnerability Assessment 2	Contingency plans based on Hazard Vulnerability Assessment 3	Contingency plans based on Hazard Vulnerability Assessment 4	Contingency plans based on Hazard Vulnerability Assessment 5	Contingency plans based on Hazard Vulnerability Assessment 6	Contingency plans based on Hazard Vulnerability Assessment 7	Contingency plans based on Hazard Vulnerability Assessment 8
Community response integration	Community response integration 1	Community response integration 2	Community response integration 3	Community response integration 4	Community response integration 5	Community response integration 6	Community response integration 7	Community response integration 8
Train the trainer programs	Train the trainer programs 1	Train the trainer programs 2	Train the trainer programs 3	Train the trainer programs 4	Train the trainer programs 5	Train the trainer programs 6	Train the trainer programs 7	Train the trainer programs 8
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other 6	Other 7	Other 8

Please Specify

Question Title

* 6. Which incident types do you need training for your organization? Please rank in order with 1 being the highest importance.

	1	2	3	4	5	6	7
Highly Infectious Disease	Highly Infectious Disease 1	Highly Infectious Disease 2	Highly Infectious Disease 3	Highly Infectious Disease 4	Highly Infectious Disease 5	Highly Infectious Disease 6	Highly Infectious Disease 7
Active Shooter	Active Shooter 1	Active Shooter 2	Active Shooter 3	Active Shooter 4	Active Shooter 5	Active Shooter 6	Active Shooter 7
Evacuation	Evacuation 1	Evacuation 2	Evacuation 3	Evacuation 4	Evacuation 5	Evacuation 6	Evacuation 7
Mass Casualty	Mass Casualty 1	Mass Casualty 2	Mass Casualty 3	Mass Casualty 4	Mass Casualty 5	Mass Casualty 6	Mass Casualty 7
Communication	Communication 1	Communication 2	Communication 3	Communication 4	Communication 5	Communication 6	Communication 7
National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives)	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 1	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 2	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 3	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 4	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 5	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 6	National Planning Scenarios (Pandemic Influenza; Natural Disaster; or Attack from Cyber, Chemical, Biological, Radiological, Nuclear, or Explosives) 7
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other 6	Other 7

Please Specify

Question Title

* 7. Who would be the target audience for the training? Please rank in order with 1 being the highest importance.

	1	2	3	4	5	6
Executive leadership / Administrators	Executive leadership / Administrators 1	Executive leadership / Administrators 2	Executive leadership / Administrators 3	Executive leadership / Administrators 4	Executive leadership / Administrators 5	Executive leadership / Administrators 6
HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs)	HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs) 1	HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs) 2	HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs) 3	HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs) 4	HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs) 5	HICS leadership positions (Incident Commander, Safety Officer, Public Information Officer, Liaison Officer, Section Chiefs) 6
All staff with defined roles in HICS/HIMT in emergency response	All staff with defined roles in HICS/HIMT in emergency response 1	All staff with defined roles in HICS/HIMT in emergency response 2	All staff with defined roles in HICS/HIMT in emergency response 3	All staff with defined roles in HICS/HIMT in emergency response 4	All staff with defined roles in HICS/HIMT in emergency response 5	All staff with defined roles in HICS/HIMT in emergency response 6
All staff positions in organization	All staff positions in organization 1	All staff positions in organization 2	All staff positions in organization 3	All staff positions in organization 4	All staff positions in organization 5	All staff positions in organization 6
Internal and external emergency response partners	Internal and external emergency response partners 1	Internal and external emergency response partners 2	Internal and external emergency response partners 3	Internal and external emergency response partners 4	Internal and external emergency response partners 5	Internal and external emergency response partners 6
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other 6

Please Specify

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* 8. What delivery method of training would best serve the needs of your organization? Please rank in order with 1 being the highest importance.

	1	2
Class room	Class room 1	Class room 2
Distance learning	Distance learning 1	Distance learning 2

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* 9. What would you consider the most suitable length for training classes at your organization for in-person Class Room Instruction? Please rank in order with 1 being the highest importance.

	1	2	3	4	5
< 2 hour	< 2 hour 1	< 2 hour 2	< 2 hour 3	< 2 hour 4	< 2 hour 5
< 4 hour	< 4 hour 1	< 4 hour 2	< 4 hour 3	< 4 hour 4	< 4 hour 5
< 6 hour	< 6 hour 1	< 6 hour 2	< 6 hour 3	< 6 hour 4	< 6 hour 5
< 8 hour	< 8 hour 1	< 8 hour 2	< 8 hour 3	< 8 hour 4	< 8 hour 5
Other	Other 1	Other 2	Other 3	Other 4	Other 5

Please Specify

Question Title

* 10. What distance is acceptable to travel for training? Please rank in order with 1 being the highest importance.

	1	2	3	4	5	6	7	8
Local	Local 1	Local 2	Local 3	Local 4	Local 5	Local 6	Local 7	Local 8
Within 100 miles	Within 100 miles 1	Within 100 miles 2	Within 100 miles 3	Within 100 miles 4	Within 100 miles 5	Within 100 miles 6	Within 100 miles 7	Within 100 miles 8
Within region	Within region 1	Within region 2	Within region 3	Within region 4	Within region 5	Within region 6	Within region 7	Within region 8
Within state	Within state 1	Within state 2	Within state 3	Within state 4	Within state 5	Within state 6	Within state 7	Within state 8
Within US	Within US 1	Within US 2	Within US 3	Within US 4	Within US 5	Within US 6	Within US 7	Within US 8
Prefer training to be part of national conference	Prefer training to be part of national conference 1	Prefer training to be part of national conference 2	Prefer training to be part of national conference 3	Prefer training to be part of national conference 4	Prefer training to be part of national conference 5	Prefer training to be part of national conference 6	Prefer training to be part of national conference 7	Prefer training to be part of national conference 8
Adminstration is not willing to send staff away to training	Adminstration is not willing to send staff away to training 1	Adminstration is not willing to send staff away to training 2	Adminstration is not willing to send staff away to training 3	Adminstration is not willing to send staff away to training 4	Adminstration is not willing to send staff away to training 5	Adminstration is not willing to send staff away to training 6	Adminstration is not willing to send staff away to training 7	Adminstration is not willing to send staff away to training 8
Other	Other 1	Other 2	Other 3	Other 4	Other 5	Other 6	Other 7	Other 8

Please Specify

Question Title

* 11. What would you consider the most suitable length for training classes at your organization for Distance, Self-paced Learning? Please rank in order with 1 being the highest importance.

	1	2	3	4	5
< 2 hours	< 2 hours 1	< 2 hours 2	< 2 hours 3	< 2 hours 4	< 2 hours 5
< 4 hours	< 4 hours 1	< 4 hours 2	< 4 hours 3	< 4 hours 4	< 4 hours 5
< 6 hours	< 6 hours 1	< 6 hours 2	< 6 hours 3	< 6 hours 4	< 6 hours 5
< 8 hours	< 8 hours 1	< 8 hours 2	< 8 hours 3	< 8 hours 4	< 8 hours 5
Other	Other 1	Other 2	Other 3	Other 4	Other 5

Please Specify

Question Title

* 12. What amount of time would be appropriate for various staff for initial HICS training?

	2 hours	4 hours	5 hours	6 hours	8 hours	12 hours
Administrator	Administrator 2 hours	Administrator 4 hours	Administrator 5 hours	Administrator 6 hours	Administrator 8 hours	Administrator 12 hours
Physician	Physician 2 hours	Physician 4 hours	Physician 5 hours	Physician 6 hours	Physician 8 hours	Physician 12 hours
HICS Personnel	HICS Personnel 2 hours	HICS Personnel 4 hours	HICS Personnel 5 hours	HICS Personnel 6 hours	HICS Personnel 8 hours	HICS Personnel 12 hours
Clinical Personnel	Clinical Personnel 2 hours	Clinical Personnel 4 hours	Clinical Personnel 5 hours	Clinical Personnel 6 hours	Clinical Personnel 8 hours	Clinical Personnel 12 hours
Nonclinical Personnel	Nonclinical Personnel 2 hours	Nonclinical Personnel 4 hours	Nonclinical Personnel 5 hours	Nonclinical Personnel 6 hours	Nonclinical Personnel 8 hours	Nonclinical Personnel 12 hours

Other (please specify)

Question Title

* 13. What amount of time would be appropriate to various staff for refresher HICS training?

	1 hour	2 hour	3 hour	4 hour
Administrator	Administrator 1 hour	Administrator 2 hour	Administrator 3 hour	Administrator 4 hour
Physician	Physician 1 hour	Physician 2 hour	Physician 3 hour	Physician 4 hour
HICS Positions	HICS Positions 1 hour	HICS Positions 2 hour	HICS Positions 3 hour	HICS Positions 4 hour
Clinical Personnel	Clinical Personnel 1 hour	Clinical Personnel 2 hour	Clinical Personnel 3 hour	Clinical Personnel 4 hour
Nonclinical Personnel	Nonclinical Personnel 1 hour	Nonclinical Personnel 2 hour	Nonclinical Personnel 3 hour	Nonclinical Personnel 4 hour

Other (please specify)

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* 14. Do you have a funding source for HICS training?

YES

Partial

Unsure

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* 15. Where is your organization located?

State:

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* 16. Are you interested in HICS education for offsite locations? (Please specify: e.g., clinics, nursing homes, corporate headquarters)

YES

Please Specify

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* 17. If you wish to comment further about the HICS survey or HICS materlals; or want to contact the HICS Board, please leave your comment and/or contact information.