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What is a Health Care Coalition (HCC)?

 The Healthcare Preparedness Program of the Assistant Secretary for Preparedness and Response defines HCCs as:

  • "A formal collaboration among healthcare organizations and public and private partners that is organized to prepare for, respond to, and recover from an emergency, mass casualty or catastrophic event."

Key Components

  • Comprehensive healthcare membership with four core entities
  • Regional presence developed within states/territories to cover larger geographic areas
  • Preparedness capability operationalization through plans, exercises, trainings, response and after-action reports.

Planning vs. Response

  • HCCs are primarily viewed as planning organizations, with a limited role in incident response. Major responsibilities include:
    • Regional Emergency Plan Development; 
    • Regional Budget Development and Sustainment;
    • Membership Sustainment and Growth;
    • Incident Response Coordination at the Regional Level (Communications and MAA Process Facilitation);
    • Coordinating and Facilitating HCC Meetings and Records; and
    • Regional Training and Exercising Facilitation.


Centers for Medicare and Medicaid Services Funded Facilities Preparedness Rule

How Pennsylvania Does It

  • HCC Leadership comes from many corners of the preparedness spectrum.
  • Hospital Association of Pennsylvania Partnership
    •  Incident Response and Liaison Team
    •  Financial Planning Team
  • Cooperation from our PHEP partners at BPHP
    • Field Team of Public Health Preparedness Coordinators
  • Close collaboration with EMA Task Forces and EMS Regional Councils
  • Engaged Pennsylvania Department of Health, Bureau of Public Health Preparedness
  • Strong ties to local resources, fire departments, law enforcement and county public health

Where Do You Fit In?

Each of Pennsylvania's nine HCCs set their own criteria for membership, but in general, if you are a part of the medical care delivery system, and are concerned about or have a role to play in emergency preparedness, you'll be welcome in the HCC system.

Section 5.1.3 of the Public Health Emergency site ( supported by the Assistant Secretary for Preparedness and Response outlines the professional entities that should comprise every HCC, to include:

  • Hospitals
  • EMS (including inter-facility and other non-EMS patient transport systems)
  • Emergency management organizations 
  • Public health agencies
    • Behavioral health services and organizations 
    • Community Emergency Response Team (CERT) and Medical Reserve Corps (MRC)
    • Dialysis centers and regional Centers for Medicare & Medicaid Services (CMS)-funded end-stage renal disease (ESRD) networks
    • Federal facilities (e.g., U.S. Department of Veterans Affairs (VA) Medical Centers, Indian Health Service facilities, military treatment facilities)
    • Home health agencies (including home and community-based services)
    • Infrastructure companies (e.g., utility and communication companies)
    • Jurisdictional partners, including cities, counties, and tribes
    • Local chapters of health care professional organizations (e.g., medical society, professional society, hospital association)
    • Local public safety agencies (e.g., law enforcement and fire services)
    • Medical and device manufacturers and distributors
    • Non-governmental organizations (e.g., American Red Cross, voluntary organizations active in disasters, amateur radio operators, etc.)
    • Outpatient health care delivery (e.g., ambulatory care, clinics, community and tribal health centers, Federally Qualified Health Centers (FQHCs), urgent care centers, freestanding emergency rooms, stand-alone surgery centers)
    • Primary care providers, including pediatric and women's health care providers
    • Schools and universities, including academic medical centers
    • Skilled nursing, nursing, and long-term care facilities
    • Support service providers (e.g., clinical laboratories, pharmacies, radiology, blood banks, poison control centers)
    • Other (e.g., child care services, dental clinics, social work services, faith-based organizations)
    • Specialty patient referral centers           

If you're willing to supply or be a resource in larger public health emergencies, and in return, receive guidance, training, exercise and meeting participation opportunities and direct materials to ensure that you and your facility are in compliance with federal regulations, contact your regional coalition today about membership.

Get Involved Today!

Send a short e-mail message to the region in which your operating county is located. You will receive a response within 48 hours. For facility incidents or coalition member business, call the HCC number shown below.

EAST CENTRAL (Berks, Columbia, Luzerne, Montour, Northumberland, Schuylkill, Wyoming Counties)

NORTH CENTRAL (Bradford, Clinton, Lycoming, Potter, Sullivan, Tioga, Union Counties)

NORTHEAST (Carbon, Lackawanna, Lehigh, Monroe, Northampton, Pike, Susquehanna, Wayne Counties)

NORTHWEST (Crawford, Erie, Forest, Venango, Warren Counties)

NORTHWEST CENTRAL (Cameron, Clarion, Clearfield, Elk, Jefferson, McKean Counties)

SOUTHCENTRAL (Adams, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Perry, York Counties)

SOUTHCENTRAL MOUNTAIN (Bedford, Blair, Centre, Fulton, Huntingdon, Juniata, Mifflin, Snyder Counties)

SOUTHEAST (Bucks, Chester, Delaware, Montgomery, Philadelphia Counties)

SOUTHWEST (Allegheny, Armstrong, Beaver, Butler, Cambria, Fayette, Greene, Indiana, Lawrence, Mercer, Somerset, Washington, Westmoreland Counties)