More than 76 percent of hospitals participating in the National Hospital Preparedness Program (HPP) met 90 percent or more of all program measures for all-hazards preparedness in 2009, according to a report released today by the U.S. Department of Health and Human Services’ Assistant Secretary for Preparedness and Response. From Hospitals to Healthcare Coalitions: Transforming Health Preparedness and Response in Our Communities, the program’s first state-by-state report, identifies the advances that states have made in preparing hospitals for all types of disasters. The report also discusses the next steps the program will take to boost community resilience.

All states, eight U.S. territories and four large metropolitan areas participated in the cooperative agreement grant program, which provides federal funds, technical assistance, and guidelines for hospital preparedness. Of the more than 6,300 hospitals across the nation, more than 85 percent take advantage of the program. Hospitals meeting preparedness performance measures have dedicated redundant, inter-operable systems in place to communicate between hospitals, public health agencies and emergency managers.

This means reporting the number of available beds to a state, territory or city emergency operations center within 60 minutes of a request during a disaster, as well as having plans in place to handle a surge in demand, hospital evacuation, sheltering considerations, staffing during a disaster, and responding to mass fatalities.

Hospitals must demonstrate their response capability during emergency exercises, including statewide or regional exercises, or actual incidents. The hospitals develop improvement plans based on after-action reports from these events. During a disaster, they use the incident command system, and have adopted the National Incident Management System through the hospital organization. These systems standardize response terminology and command-and-control structure across the emergency response.

To meet some of these performance measures and enhance the response capability, states, territories, cities, and participating hospitals also use HPP funding to purchase emergency equipment, such as mobile medical units to bring medical care to survivors during disaster response and back-up generators to keep participating hospitals running when power is otherwise unavailable. The report suggests that, as an increasing number of hospitals meet performance measures program, participants also focus on building coalitions within communities so that hospitals, government agencies, non-government organizations, businesses and community residents work as a team to prepare for and respond to disasters.

In July 2010, states, territories, and large metropolitan areas received HPP grants totaling $390.5 million to help hospitals and other health care organizations strengthen the medical surge capability across the nation. HPP funding focuses on enhancing planning, increasing integration between public and private sector medical planning and assets, and improving infrastructure.

HHS established the program in 2002 as the National Bioterrorism Hospital Preparedness Program to enhance hospitals’ ability to respond to a biological attack by increasing stockpiles of equipment, supplies, and pharmaceuticals that would not have been purchased by financially strained institutions without the program. Since that time, the program evolved to support preparedness for all hazards.

To learn more about the program, visit