Nonurban HCC Resources

Health care coalitions are promoted as a method to prepare for and respond to incidents among diverse health care organizations within a geographic region. Tiered, scalable and flexible coordination among varied HCOs will facilitate more effective, efficient and timely situational awareness and coordination of resources, resulting in an overall improved health care emergency response. The role of HCCs is to communicate and coordinate; HCCs do not replace or interfere with official command and control structure authorized by state and local emergency management.

Through effective vertical and horizontal planning integration, each HCC aspires to be recognized by its regional partners as having a formally defined and exercised role that is integrated into the state emergency operations plan to facilitate the communication and coordination of health care response during a disaster.

MHA facilitates health care emergency preparedness planning efforts in Missouri Planning Regions B, D, E, F, G, H and I (nonurban).


 Nonurban Health Care Coalitions Map Sept. 2019

Healthcare Coalition Involvement in Mass Gatherings
Mass gatherings can be regular events or special occasions, involving dozens to thousands of people, in stable or escalating conditions, in a single location or moving between locations in an expected or unexpected manner or route. This ASPR presentation describes the essential role health care coalitions play in preparing for and responding to health care emergencies in mass gatherings, with detailed discussions of the Super Bowl, the Papal visit and national political conventions. View the presentation.

  • Exercises
  • Preparedness Plan
  • HCC Governance
  • Resource Guides
  • Assets

MHA, through a subcontract with the Missouri Department of Health and Senior Services, serves as the fiduciary agent and program manager for the non-urban regions of Missouri. In this role, MHA staff provide guidance and support for coalition planning, training and exercises to meet Hospital Preparedness Program performance measures. In this capacity, MHA facilitates the non-urban coalition exercise planning for the HPP coalition surge exercise requirement. Taking into consideration that hospitals and other coalition members have individual exercise and training requirements, these coalition exercises are being developed to reduce additional exercise burden where possible. As coalitions choose to expand their coalition surge exercise to assist members to meet individual regulatory or accreditation requirements, the additional exercise planning components would be the responsibility of the individual hospital or healthcare organization seeking those additional compliance metrics. CMS- related exercise requirements are addressed further in a separate section of MHA’s website.

To assist all HCC members with further understanding the HPP coalition surge exercise that they may elect to participate in, we have developed the following guidance (click to enlarge):

Exercise Requirement Breakouts

Exercise Tools

Hospital Exercise Templates

The Emergency Preparedness Plan was drafted in 2018 to provide framework to guide the regional health care coalitions in nonurban Missouri communities to prepare for and respond to incidents among diverse health and medical entities supporting ESF-8 functions. In conjunction with the preparedness plan, each region developed a governance document, which outlines more details for some components of the preparedness plan. The governance documents will be published soon.

NACCHO Fact Sheet

The National Association of County and City Health Officials (NACCHO) conducted key informant interviews with rural and frontier HCCs from nine states to document the responsibilities, capabilities and challenges of HCCs in these areas. NACCHO developed the fact sheet, "Rural and Frontier Healthcare Coalitions: A Preparedness and Response Snapshot" to demonstrate the study's key findings. Highlights of the fact sheet include coverage of HCC characteristics and response roles, as well as HCC strengths and jurisdictional benefits.
Information coming soon.

Decontamination Training Centers

There are five non-urban health care coalition decontamination training facilities equipped with materials for training and real-world response. Each location hosts, at a minimum, quarterly operations-level training for hospital staff, as well as external health staff. Below are the locations of the five training facilities.

  • Region B: Hannibal Regional Healthcare System
  • Region F: SSM St. Mary’s Health Center, Jefferson City
  • Region H: Mosaic Life Care, St. Joseph
  • Southeast Region: Saint Francis Medical Center, Cape Girardeau
  • Southwest Region: CoxHealth, Mercy Joplin

Fatality Management Caches

Currently, the State of Missouri (Department of Health and Senior Services and Department of Public Safety) is collaborating with the Missouri Disaster Response System to develop a statewide mass fatality response system, using the federal team as a model. The State is currently developing agreements with many communities and organizations that currently have equipment and expertise. The new resource will be introduced to communities once the necessary systems are in place.

In addition to state level programs/resources described above, Missouri hospitals have secured regional fatality resources to increase hospital surge of decedents.

More information about the fatality management caches is available under the Resource Guides tab.

Infectious Disease

There are six regional infection disease caches maintained by hospitals to serve as regionally-based deployable infectious disease caches that include ISO-PODs, PAPR Respirator Kits, filters and visors. The hospitals maintain the assets, as well as support, and coordinate training and exercising of the assets with funds from the ASPR Hospital Preparedness Program, CFDA 93.889.

The caches are located in the following out-state areas.

  • Region B: Hannibal Regional Hospital
  • Region F: SSM St. Mary’s Jefferson City
  • Region H: Mosaic Life Care, St. Joseph
  • Southeast Region: Saint Francis Medical Center, Cape Girardeau
  • Southwest Region: CoxHealth, Springfield and Mercy Joplin

Mass Casualty Incident/Communication Trailers

There are 16 mobile communication trailers staged at various locations throughout the state. Each unit has an ACU-M interconnect bridge that is on a network connection via satellite. There are two ACU-2000 bridges in the ERC. MOSWIN radios also are in each trailer to provide connectivity into the statewide radio network.

More information about the MCI and Communication trailers is available under the Resource Guides tab.

Medical Surge Caches

This resource includes cots, bedding and basic medical supplies for responding to an expected patient surge. The cache contains basic medical necessities, from common medications to durable equipment such as wheelchairs, and includes temporary bedding for approximately 5,500 individuals statewide. A portable water filtration system was recently added to the cache to support operations.

More information about the medical surge caches is available under the Resource Guides tab.

Respiratory Caches

This resource provides oxygen generation in the capacity of filing tanks, ventilator support or cannula support.

More information about the respiratory caches is available under the Resource Guides tab.