Education & Information


Hospital Preparedness Grant

The U.S. Department of Health & Human Services (HHS) Assistant Secretary for Preparedness and Response (ASPR) administers the Hospital Preparedness Program (HPP) through Cooperative Agreements with states.  July 1, 2016 marked the beginning of HPP Budget Period 5 (BP5); the last year in the current five-year project period. $228.5 million in HPP funding was awarded to states in GY2016-17.

New York State Department of Health (NYSDOH) Office of Health Emergency Preparedness (OHEP) was awarded $9,757,860 in GY2016-17.  Hospitals in NYS are reimbursed up to $37,000 for completion of a deliverable based contract. (New York City receives a separate award of $8,033,288.)

The federal Cooperative Agreement also includes Public Health Emergency Preparedness (PHEP) funding totaling $508 million in GY2016-17. NYSDOH OHEP was awarded $14,834,899. (NYC receives a separate award of $13,793,564.)

Federal guidance prioritizes the development of healthcare coalitions. NYSDOH OHEP established four Health Emergency Preparedness Coalitions (HEPC) led by NYSDOH Regional Offices. The core focus of HEPCs is integrating and coordinating ESF-8 activities and developing Healthcare Preparedness Capabilities.

Federal Grant Guidance

HPP Performance Measures  An evaluative tool for states, healthcare coalitions, hospitals and public health departments to measure their progress in developing and refining Healthcare and Public Health Preparedness Capabilities.

Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness  These capabilities are designed to facilitate and guide joint ESF #8 preparedness planning by identifying gaps in preparedness, determining priorities and developing plans for building and sustaining healthcare specific capabilities.

Medical Surge Capacity and Capability: The Healthcare Coalition in Emergency Response and Recovery  The MSCC Coalition document provides guidance on how to develop, implement, and maintain cost-effective and response-oriented Healthcare Coalitions.

  • IROQUOIS Brief - Healthcare Coalitions   Healthcare Coalitions are a focal point of federal and state planning. This Iroquois Brief summarizes key points of the MSCC Coalition document and describes Coalition objectives and functions.

Medical Surge Capacity and Capability Handbook: A Management System for Integrating Medical and Health Resources During Large-Scale Emergencies   Describes a systematic approach for managing the medical and public health response to an emergency or disaster.

Legal Authorities

Pandemic and All Hazards Preparedness Act  Passed in December 2006 (Public Law No. 109-417), the law amended the Public Health Service Act to establish within HHS a new Assistant Secretary for Preparedness and Response (ASPR). It provided new authorities for a number of programs and funding for HPP and PHEP. The Public Service Act is the primary authority for the HHS Secretary to lead federal public health and medical response, declare a public health emergency (PHE), provide assistance to states, and control communicable diseases.

Pandemic and All-Hazards Preparedness Reauthorization Act (2013)  The March 2013 law (Public Law No. 113-5)  authorized continued funding for HPP and PHEP through 2018.

Public Health Emergency Declaration  The HHS Secretary may, under section 319 of the Public Health Service (PHS) Act determine that: a) a disease or disorder presents a public health emergency; or b) that a public health emergency, including significant outbreaks of infectious disease or bioterrorist attacks, otherwise exists.

Preparedness and Response Framework

Homeland Security Presidential Directive 5   The purpose of the 02-28-2003 directive was to enhance the ability of the United States to manage domestic incidents by integrating prevention, preparedness, and response, and recovery plans into one all-discipline, all-hazards plan. It includes the National Incident Management System (NIMS) and the National Response Framework (NRF) which integrate the capabilities and resources of government, emergency response disciplines, NGOs and the private sector.

National Response Framework (NRF)  Provides the framework for Federal interaction with State, Tribal, and local governments; the private sector; and nongovernmental organizations (NGOs) for prevention, preparedness, response, and recovery activities.

Emergency Support Functions (ESFs)  Within the National Response Framework, the Emergency Support Functions (ESFs) provide the mechanism for coordinated Federal assistance to State, Tribal and local resources for potential or actual incidents or events.

ESF 8 – Public Health and Medical Services  Provides the mechanism for coordinated Federal assistance to supplement State, Tribal, and local resources in response to health and medical emergencies.

National Incident Management System (NIMS)  Provides for interoperability and compatibility among Federal, State, Tribal, and local capabilities. NIMS includes a core set of concepts, principles and terminology.

National Health Security Strategy  Developed to address gaps, strengthen and sustain health and emergency response systems through a set of strategic objectives and operational capabilities.

Federal Public Health and Medical Assistance  Consists of federal assets and resources to enhance response capability for the triage, treatment, and transportation of victims or persons with special medical needs; evacuation of patients; infection control; mental health screening and counseling; environmental health services; and other emergency response needs through ESF #8. Federal assets include:



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