The Incident Command System is part of the emergency management system in many levels (federal, state, and local). Every significant incident or event, whether large or small, and whether it is even defined as an emergency, requires certain management functions to be performed. Building on the work of the Florida Health Care Association (FHCA), the California Association of Health Facilities has developed the Nursing Home Incident Command System (NHICS) Manual and Train-the-Trainer Program as a method of organizing and coordinating emergency efforts in the Long-Term Care community.