The Division of Emergency Preparedness and Response (DEPR) within the Bureau of EMS, Trauma and Preparedness (BETP) in the Michigan Department of Health and Human Services encompasses both the PHEP and HPP programs, which have been aligned since inception in 2002. Thus, staff, projects, planning and exercising is integrated, which provides maximum efficiencies and collaboration amongst the programs.
Michigan has a decentralized governmental structure. DEPR establishes annual contracts with 45 LHDs, 12 federally recognized tribes, and 8 Medical Control Authorities (MCA) who serve as the fiduciary for the Healthcare Coalitions (HCC). The fiduciary MCAs hold the contract and provide programmatic oversight for the 8 Regional HCCs. The HCCs are comprised of over 180 hospitals, 800 life support agencies, 440 skilled nursing homes, 256 Dialysis Centers, 45 Local Health Departments, 110 Emergency Management Agencies and other healthcare organization partners such as home care, hospice, and more. For each HCC, an advisory committee and planning board serve to support the HCC structure and
governance as outlined through established bylaws. BETP works closely with other State agencies, academic institutions and community-based organizations. Of significant note, are the partnerships established and solidified amongst public health, medical and traditional public safety that have led to improved outcomes in planning, routinely demonstrated during real incident responses.
This application provides clear expectations and priorities that continue to strengthen and enhance readiness to reduce morbidity and mortality during emergencies that exceed day-to-day capacity and capabilities of the public health and medical response system. Michigan continues to invest in strategies based on the HPP Capabilities and with documented data from the JRA, HVA and Capability Self Assessments which inform strategic priorities and investments. Each of the 4 Capabilities: Foundations for Health Care and Medical Readiness, Health Care and Medical Response Coordination, Continuity of Health Care Service Delivery and Medical Surge have identified activities and outputs to improve planning and response coordination, while leveraging available resources across the core partnerships of healthcare, public health, emergency management and EMS.