National Bioterrorism Hospital Preparedness - The Virginia Department of Health’s overall preparedness strategy for the project period is to coordinate with hospitals and health systems, state and local emergency management, public health, emergency medical services, mental/behavioral health care providers, community and faith-based partners, at-risk populations, and state, local, and federal government agencies to provide and sustain a tiered, scalable, and flexible approach to optimism disaster preparedness, response, mitigation, and recovery capabilities. To accomplish this, the Virginia Department of Health (VDH) will utilize the existing structure of Hospital Preparedness (HPP) Programs under the purview of the Office of Emergency Preparedness. The VDH collaborates with the Virginia Hospital & Healthcare Association (VHHA) for the administration and execution of the Hospital Preparedness Program (HPP). Through this collaboration, Virginia has four multidisciplinary Healthcare Coalitions (HCCs) across the commonwealth to assist the healthcare system plan, prepare, and respond, and recover to emergency events and preparing for and mitigating the cascading effects of medical surge. Virginia has adopted, and will continue to operate, a coordinated, collaborative, all-hazards planning approach. Coordination of emergency response planning, funding allocation, surge capacity preparedness activities, and response actions have, and continue to be, focused primarily at the sub-state (local and regional) level. The collaborative effort in all program activities is supported through the combined resources of VDH, the Virginia Hospital and Healthcare Association (VHHA), healthcare providers, and other state, regional, and local stakeholders and partners. Public health clinicians, functional experts, scientists, public and private sector healthcare and behavioral health providers, health care administrators, emergency coordinators, public information/risk communication specialists, Medical Reserve Corps (MRC) volunteers and coordinators, information technology managers and technicians work collaboratively under leadership within the VDH/VHHA partnership structure to accomplish program goals. Overarching HPP outcomes for this period of performance include (but are not limited to): Bolster and strengthen healthcare coalition governance. Affirm readiness though the hazard vulnerability assessment, supply chain integrity, workforce, cyber, and extended downtime healthcare delivery impact assessments. Refine, enhance, and implement plans and planning to include strategic, readiness, response, continuity and recovery. Demonstrate the ability to rapidly respond to health and medical threats and emergencies, to include performance of exercises.