Hospital Preparedness Program (HPP) Cooperative Agreement - 2024 - 2029 HPP Cooperative Agreement EP-U3R-24-001 Tennessee Department of Health Project Abstract Background: Public health and medical threats of potentially catastrophic proportion underscore the importance of effective planning and response capabilities that can be applied to all hazards. As new threats emerge, including novel infectious diseases, the Tennessee Department of Health (TDH) must ensure that both medical and public health systems are not only integral parts of emergency response activities but also part of emergency preparedness planning with all relevant partners. Increased cooperation among responders, including state and local public health officials, emergency medical services (EMS), health care coalitions (HCCs), emergency management agencies (EMAs), and private health care organizations, ensure the nation is better prepared to respond to all hazards. Governmental public health departments and the mostly private health care delivery systems are now recognized as essential partners in emergency response, increasing their ability to identify and mitigate potential threats to the public’s health. During each previous budget year, the HPP cooperative agreement provided technical assistance and resources to support Tennessee HCCs and health care organizations show measurable and sustainable progress toward achieving preparedness and response capabilities that promote resilient communities. Tennessee has experienced a wide range of threats and public health emergencies requiring decisive response action by our HPP funded Emergency Preparedness program staff, health care coalitions, and partners. Methods: This 2024-2029 HPP funding opportunity provides consistent funding to Tennessee to sustain Health Care Coalitions (HCCs) and prepare the health care delivery system to save lives during emergencies that exceed the day-to-day capacity of health care and emergency response systems. HPP facilitates the formation of public-private partnerships among various health care, public health, and emergency management organizations, empowering health care entities across the nation to save lives during disasters and emergencies. Improved planning and response coordination at all levels will present new opportunities to leverage resources while maximizing effort, resulting in increased efficiency. Results: Short term outcomes will include timely situational awareness of statewide public health and medical resources, rapid collection and assessment of essential elements of information, assessments of risks and needs, planning steps to mitigate hazards, timely implementation of interventions to manage medical surge, provide immediate communication of information to at-risk populations, and fostering a learning environment that includes an integrated stakeholder-driven planning process for developing trainings and exercises. Conclusion: TDH and subrecipient HCCs aim to demonstrate superior health and medical planning, training, operational readiness and ultimately improved outcomes through mitigated impacts on our communities.