Massachusetts Hospital Preparedness Program - Purpose. The Massachusetts Department of Public Health Office of Preparedness and Emergency Management (MDPH OPEM) with its Health Care Coalition (HCC)and sub-regional HCC partners is committed to work together to identify and meet community needs, foster connections among members, and strengthen the health care delivery system’s ability to continue to provide care during a disaster or emergency, improve patient outcomes, and save lives. MDPH with its HCC partners will conduct the following four major activities: 1. Strengthen Governance. MDPH with its HCC partners has established a governance structure and function to meet the requirements of emergency preparedness throughout Massachusetts and will carry out strategies to sustain and grow the HCC and the sub-regional HCC partnerships. MDPH will conduct the Core Functions of Organizational Development by supporting and growing its HCC partnerships. Outcomes: MDPH’s work on Governance will result in HCC governance, management, and operations that reflect community collaborations. 2. Assess Readiness. MDPH, along with the HCC, will perform the Core Functions of: a) Assessment and risk mitigation by anticipating challenges and mitigate risks to support decision-making that meets community health care needs during a disaster or emergency; b) Information sharing by collecting and sharing near real-time information to provide multidirectional health care situational awareness during an emergency; and c) Health care workforce support by equipping, protecting, and supporting the health care workforce by providing access to health care readiness resources, training, and exercises. Expected Outcomes from these activities include assuring a) a resilient health care workforce able to safely meet response and recovery demands; b) sufficient space, systems, staff and resources to support patient movement and patient care delivery during response and recovery; and c) health care delivery system readiness to respond to shifting threats and community needs over multiple years. 3. Plan and Implement. MDPH will continue and expand its planning and implementation activities by conducting the Core Functions of a) Specialty care planning and coordination by incorporating expertise to support health care readiness planning, disaster and incident management, including specialty care delivery, and to address specific hazards or events; b) Respond by coordinating the implementation of plans, policies, and procedures among recipients, the HCC and their partners to address patient care during an emergency; c) Resource management by facilitating resource management among recipients, the HCC members, and its sub-regional HCC partners to mitigate shortfalls, maintain operations, and sustain delivery of patient care during a disaster; and d) Continuity and recovery by supporting the improvement of processes that promote continuity of health care operations and aid in recovery. Expected Outcomes include assuring coordinated planning among health care partners and state, local, tribal, and territorial agencies, through the HCC and providing integrated health care response incident management within the Emergency Support Function (ESF) 8, Public Health and Medical Services structure. 4. Exercise and Improve. MDPH will exercise and improve its emergency preparedness activities by conducting Core Functions of Training, exercise, and evaluation that incorporate input from assessments, plans, policies, and previous trainings and exercises to evaluate, validate, and improve readiness and response processes. Expected Outcomes will result in continuous programmatic and administrative improvement on multi-year priorities.