Hospital Preparedness Program Cooperative Agreement - Minnesota intends to increase the ability of healthcare, local public health, emergency management, emergency medical services, long-term care, and other coalition members to respond. They will do this by strengthening abilities to assess, communicate, and share information on risks and threats, identifying potential threats early, maintaining situational awareness, implementing countermeasures, and providing recommendations to prevent or mitigate negative consequences of incidents. For the HPP grant’s five-year project period, Minnesota will continue to build capacity for response and address gaps. This will be accomplished through enabling health care coalitions to coordinate and build the capacity of healthcare to prepare for and respond to emergency. Minnesota will incorporate lessons learned during recent responses to improve plans and focus training and exercise efforts. These lessons learned helped clarify roles in responses and will lead to improved coordination with partners. Relationships with state, regional, tribal, and local partners will be strengthened. Minnesota will collect data from various partners to monitor and measure performance over the grant period. Minnesota’s top strategic priorities for the next performance period are: 1. Resilient Structure Design resilient HCC structures meeting the needs of the whole community. 2. Membership Engagement, Sustainment, & Growth: Sustain, grow, and promote intentional and productive coalition membership. 3. Back to Basics Services to Members: Ensure that coalitions are providing members with all basic knowledge needed for growing and sustaining emergency preparedness planning. 4. Effectiveness, Collaboration, & Continued Improvement: Increase effectiveness and collaboration among all stakeholders, including MDH, Regional Health Care Preparedness Coordinators (RHPCs), other state/local entities, HCC members, and others. Activities that will be used to fulfill these strategic priorities and accompanying goals in Budget Period 1 will include: completing regional hazard vulnerability analyses (HVAs); completing assessments on general readiness, cybersecurity, extended downtime, and supply chain integrity; finalizing the 2024-2029 HPP Strategic Plan; developing and/or updating plans for readiness, training & exercise, information sharing, pediatric medical surge support, resource management, and continuity of operations; developing, completing, and assessing the Medical Response and Surge Exercise (MRSE). Subsequent budget periods will include activities such as the workforce assessment, patient movement exercise, joint statewide exercise, HPP standalone exercise, cybersecurity support planning & exercise, extended downtime support planning & exercise, recovery planning, and medical surge planning support for radiation surge, special pathogen surge, burn surge, and chemical emergency surge. Due to level funding, Minnesota and its coalitions may be limited in their ability to provide further trainings, exercises, and other services to coalition members. Minnesota will provide the required activities under ASPR’s prescriptive and strenuous requirements; specific regional needs will be met as staffing and funding permit.