1. Healthcare Coalitions

2. Topics and Objectives Topics  Definition  Purpose  Preparedness  Response  Members  Oversight & Structure  Resources Objectives  Define “healthcare coalition”  Discuss the purposes of a HCC  Locate and show Federal guidance pertaining to HCCs  Identify HCC members  Discuss options for structuring a HCC  Describe methods of HCC governance

3.  A Healthcare Coalition is a collaborative network of healthcare organizations and their respective public and private sector preparedness and response partners within a defined region. Definition: A Tool in the Emergency Manager’s Toolkit Source: ASPR HPP Capabilities, Capability #1

4.  The primary function of the Healthcare Coalition is to jointly work on healthcare system emergency preparedness activities involving the member organizations.  Planning  Training  Exercise  Communication  Resource identification, sharing and management. Preparedness Purpose Source: ASPR HPP Capabilities, Capability #1

5.  HCCs serve as a multi-agency coordination group (MACG) that assists Emergency Management and ESF8 activities related to disaster operations.  Preparedness  Response  Recovery  Mitigation  Situational awareness  Resource coordination Response Purpose Source: ASPR HPP Capabilities, Capability #1

6. Members Source: ASPR HPP Capabilities, Capability #1, p. 1 Essential  Emergency management  Hospitals  Public Health  Behavioral Mental Health  EMS/RETAC  Long-term care providers Additional  Primary care providers  Community Health Centers  County Coroner  Private entities associated with healthcare (such as Hospital associations).  Specialty service providers (dialysis, pediatrics, urgent care, etc).  Support services providers (laboratories, pharmacies, etc.)  Tribal healthcare  Public Safety  Federal entities  Volunteer organizations  Assisted Living, Home Health, Hospice

7.  At a minimum, HCC oversight and structure should include:  Leadership structure  Advisory board-like function with representation from multiple agencies.  Structure that can coordinate with EOCs  Clearly defined roles  Documents (bylaws, agreements) that outline the guidelines, participation rules, and roles and responsibilities.  Administrative support to implement and document Oversight and Structure

8. Organizational Structure: Example from West Region HCC

9. Governance Document Example from the West Region HCC West Region Healthcare Coalition Memorandum of Agreement This agreement is entered into among representatives of Colorado’s West Region Healthcare and Emergency Management partners to assure a coordinated response to public health and medical emergencies in the following western Colorado counties: Delta, Gunnison, Hinsdale, Montrose, Ouray and San Miguel. Definitions Colorado’s West Region Healthcare Coalition (WRHCC) is a voluntary collaborative network of healthcare organizations organized to enhance the ability of West Region healthcare and emergency management partners to prepare for and respond to disasters involving a healthcare response. Memorandum of Agreement (MOA) or cooperative agreement is a document written among parties to cooperatively work together on an agreed upon project or meet an agreed upon objective. The purpose of this MOA is to have a written understanding of the agreement among West Region Healthcare Coalition members. Coalition Purpose Preparedness: The primary function of the WRHCC is healthcare system emergency preparedness activities involving member organizations. Response: Assist Emergency Management with ESF8 response activities including situational awareness, communication and resource coordination for healthcare organizations during a response. Membership The membership of WRHCC is made up of the following members, and is open to others associated with or interested in healthcare emergency preparedness and response. Hospitals EMS providers Emergency Management / Public Safety Mental/behavioral health providers Public Health Long Term Care and Assisted Living Medical clinics and private practice Volunteer organizations Other allied healthcare providers Structure Leadership Rotates among leaders from the three hospitals in the West Region General Membership All members of the WRHCC Steering Committee A group of local and regional ESF8 and Emergency Management partners who provide guidance and direction to the WRHCC. Steering committee members are from hospitals, Public Health, Emergency Management, EMS and Mental/Behavioral Health. Workgroups Ad-hoc group (or individual) convened for a brief duration to address a specific area and/or produce a specific product of interest to the Coalition. Also local ESF8 partnerships working on behalf of the regional coalition. The party or parties signed below agree that after meeting their responsibilities to staff, patients and constituents; they will, to the extent of their ability: Attend meetings of the Coalition and any assigned work groups. Support collaborative West Region planning, training and exercise coordination. Support coordination of healthcare resources through sharing of information, activation of staff, provision of medical materials (including the Strategic National Stockpile), and facilities for responding to an emergency. Provide ESF8 resources and representation, information sharing, and leadership for helping direct resources and operations for regional and county emergency response during critical incidents. Support assessment of public health/medical needs (including behavior health). Support public and environmental health surveillance efforts in the county/region. This MOA will take effect when it is signed. This MOA will be reviewed annually and may be amended any time by mutual agreement of all parties. This MOA shall remain in effect until terminated by written notice with 60 days notice from any party.

10.  Strengthen and serve local and regional healthcare coalitions (HCC) statewide through:  Collaboration  Guidance  Leadership  Resource sharing  Support  Membership includes local/regional HCC Leads with support from CDPHE and CHA CO Healthcare Coalition Council

11. HCC Resources 1.ASPR Healthcare Preparedness Capabilities  Capability #1: Healthcare System Preparedness  January 2012 / Office of the Assistant Secretary for Preparedness and Response Hospital Preparedness Program. http://www.phe.gov/Preparedness/planning/hpp/rep orts/Documents/capabilities.pdf http://www.phe.gov/Preparedness/planning/hpp/rep orts/Documents/capabilities.pdf  Function 1: Develop, refine or sustain Healthcare Coalitions 2.CDPHE/OEPR Healthcare Coalition Activities Guidance

12. Questions?? Thank You!