In talking with some hospitals recently I am quite surprised that NIMS and ICS are not more widely adopted in this sector. In fact, outside of a some major response agencies such as Emergency Management agencies, the US Coast Guard, etc., widespread understanding, training and adoption are very mixed. I'm also finding that there are continuing problems in a variety of agencies with understanding some of the core concepts of NIMS--a primary one being Command authority and responsibility. Things just don't go very well when there is a lot of freelancing or when members of the JIC or response pick and choose when to respect the Command role and when not to.
Overall I would say that establishing the National Incident Management System and accomplishing the training levels, adoption and use that we now have vs. five years ago is a major accomplishment for DHS. But, there is still is a long ways to go and I would encourage communicators and emergency managers alike to strongly encourage private organizations, non-profits, and all government agencies such as SF Muni, to get on board as soon as possible.







