Reporting

(BP) Annual Awardee Update

HPP AWARDEE

National Healthcare Preparedness Program (NHPP)
The Hospital Preparedness Program (HPP) enables
health care systems to save lives during emergencies
that exceed day-to-day capacity of health and emergency response systems by promoting a sustained national
focus to improve patient outcomes, minimize the need
for supplemental state and federal resources during
emergencies, and enable rapid recovery. To support
this goal, the Science, Healthcare, Preparedness, Evaluation and Research (SHARPER) branch, and HPP, strive to
maintain a robust and integrated federal, state, and local
disaster health care system that is prepared and ready
to respond to any emergency event.

The goal of this report is to help you determine performance gaps and increase regional communications,
performance, and sustainability on future health care
coalition measures and indicators.
The dashboards include:
• Aspirational targets for achieving HPP process
• Performance goals
We have highlighted these goals in a visual format to
help:
• Identify gaps
• Highlight strengths
• Include technical assistance to help you meet HPP goals

HPP Awardee: Plan, Perform, Progress
HPP Awardee is a home rule state with a strong and
diverse health care system. The state strategically advanced its level of emergency preparedness, planning,
response and recovery resources, assets, and coordinated planning efforts as a direct result of the funds from
the Department of Health and Human Services Office of
the Assistant Secretary for Preparedness and Response
(ASPR). The state is divided into nine terrorism planning
regions and seven HCC’s, with close coordination and
shared responsibilities between HPP Awardee Department of Health and Senior Services and the HPP Awardee State Emergency Management Agency.
While experiencing declining HPP funds, HPP Awardee
continued to work on all 8 capabilities in BP-X, with
a focus on continued development of HCCs and
medical surge capabilities. HPP Awardee found
efficiencies by

sharing tools and best practices developed by one HCC
to share with others regions that are struggling and focused investments on developing trainings, resources,
and consistent operating procedures and protocols.

92%

Hospitals

83%

51%

Local Health Departments

64%

32%

Emergency Management Agencies

42%

1%

Skilled Nursing Facilities

28%

28%

Emergency Medical Services

26%

2%

Home Health Agencies

10%

0%

10%

20%

HPP Awardee

Figure 1: HCC Participation Rate

30%

40%

50%

60%

National HCC Average

70%

80%

90%

100%

Awardee Performance

Million $s

Opportunities for Improvement: Focus on identifying resource short-

$1.600
$1.400
$1.200
$1.000
$0.800
$0.600
$0.400
$0.200
$-

6
$0.838

$0.824

5
4
3
2
1
-

BP2
Budget

7

$1.442

BP3
Performance

BP4
Performance (National)

Figure 2: Awardee Performance

falls during an event and implementing plans to close those re¬source
gaps; Identifying members’ healthcare workforce safety needs through
training and resources; and providing the HCC 2 and Region 1 support
in prioritizing and integrating essential healthcare recovery needs for
its Emergency Operation Plan. Provide peer technical assistance to the
HCC 2 and Region 1 for best practices and lessons learned to continue
improvement and progress development. Utilize TRACIE and ASPR REC
to identify best practices in gap areas. Identify and share, plans and
stories from peers, to illustrate tangible ideas to implement improvement plans, to demonstrate the HCC has prioritized and integrated essential healthcare recovery needs.
Promosing Practices: In December 2020, winter storm Edward

Observations: HPP Awardee has consistently performed well and
continued to effectively demonstrate its ability to exercise the Medical
Surge Capability. Between BP2 and BP4, HPP Awardee has been both
above and at the national level indicators for performance. With a reported continuous ability to demonstrate Medical Surge, HPP Awardee
should begin to focus funding on performance indicator areas with resources and performance gaps. HPP FPO and SHARPER will work with
HPP Awardee in developing SMART goals, objectives, outcomes and
outputs and aligning their budget to support goals.

ravaged the Western United States. Forty HPP Awardee counties
were impacted as a result of the flooding, resulting in a federal
disaster declaration that included public and individual assistance,
a rarity in the case of a declared disaster. As flooding impacts
began to spread, closing major highways and schools, the incident
coordination component of the Region 1 (composed of greater
Mathis and surrounding counties in HPP Awardee State) health care
coalition (HCC), represented in the Mathis Medical Operations
Center, coordinated outreach efforts to ensure Mathis hospitals
were not negatively affected by the flood, and able to effectively
respond through the triage and treatment of all seen patients.

Coalition Performance
Opportunities for Improvement: HPP FPO and Sharper recommends,
HPP Awardee provide peer technical assistance to the HCC Awardee,
Region 1 and Region 2 for best practices and lessons learned to continue improvement and progress development; Share plans and stories,
to illustrate tangible ideas to implement improvement plans, related
to the HCC’s ability to provide members’ healthcare workforce safety
needs through training and resources; Facilitate the coordination of incident response actions for coalition members; and, Promote interaction with multijurisdictional authorities.
Promising Practices: HCC Awardee has 4 non-urban HCCs and 3 bistate ur-ban area HCCs. Through partnership and coalition building,
including the development of a statewide hospital Mutual Aid
Agreement, HPP Awardee has greatly increased their response
Figure 3: Coalition Performance
Observations: HPP Awardee has 7 coalitions, with two of their coalitions, serving urban populations including: major sporting events,
large universities, Level I-II-III trauma centers, and hospitals. These coalitions are performing well, and still in development and improving
coalition performance and coverage.

capabilities. The 5 coa-litions exercise these capabilities quarterly
(also virtually), through the recently developed eICS. HPP Awardee’s
coalitions also participate in ESF-8 training through a secure
website. The computerized program is

a

self-paced/self-study

program, so first responders with unusual schedules can access. The
system includes high-risk exercises, like one for Zika, at the end to see
if participants have a true understanding of ESF8 and ICS.