Sustainability and HCC Value
Sustainability planning is a critical component in HCC development. Strong governance mechanisms, constant regional stakeholder engagement, and sound financial planning help form the foundation to continue HCC activities well into the future.
There are a variety of ways to promote greater community effectiveness and organizational and financial sustainability. Full investment in readiness includes in-kind donation of time, resources, support, and continued engagement with HCC members and the community. Financial strategies, including cost-sharing techniques and other funding options, enhance stability and sustainment. The HCC should:
- Offer HCC members technical assistance or consultative services in meeting the CMS Emergency Preparedness Rule: Medicare and Medicaid Programs; Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers
- Develop materials that identify and articulate the benefits of HCC activities to its members and additional stakeholders and promote HCC preparedness efforts to health care executives, clinicians, community leaders, and other key audiences
- Explore ways to meet individual member’s requirements for tax exemption through community benefit
- Analyze critical functions to preserve and identify financial opportunities beyond federal funding, such as foundations and private funding, dues, and training fees to support or expand HCC functions
- Develop a financing structure, and document the funding models that support HCC activities
- Determine ways to cost share, such as coordinating required exercises with public health agencies, emergency management organizations, and other organizations with similar requirements
- Incorporate leadership succession planning into the HCC governance and structure
- Leverage group buying power to obtain consistent equipment across a region and allow for sharing or emergency allocation of equipment
Executive, Clinician, and Community Leader Engagement
Health care executives can promote coordination and buy-in across all health care facility and organization types, clinical departments, and nonclinical support services. To that end, the HCC should communicate the direct and indirect benefits of HCC membership to health care executives to advance their engagement in preparedness and response and to contribute to their understanding of other day-to-day benefits HCC membership offers.
Health care executives should provide input, acknowledgement, and approval regarding HCC strategic and operational planning. The HCC should regularly inform health care executives of HCC activities and initiatives through reports and regular invitations to participate in meetings, trainings, and exercises. At a minimum, the HCC must engage its members’ health care executives in debriefs (“hot washes”) related to exercises, planned events, and real incidents (See HPP 2017-2022 Performance Measures Implementation Guide).
Further, ASPR encourages HCCs to engage health care delivery system clinical leaders to provide input, acknowledgement, and approval regarding strategic and operational planning. Clinicians from a wide range of specialties should be included in HCC activities on a regular basis to validate medical surge plans and to provide subject matter expertise to ensure realistic training and exercises. Clinicians with relevant expertise should lead health care provider training for assessing and treating various types of illnesses and injuries. Clinicians should be engaged in strategic and operational planning, contribute to committees and advisory boards, and participate in training and education sessions. Additional engagement can include active participation in planning, exercise, and response activities.
Consistent with a whole community approach to preparedness, the HCC should actively work with and engage community leaders outside of its members. The HCC should identify and engage community members, businesses, charitable organizations, and the media in health care preparedness planning and exercises to promote the resilience of the entire community. Community engagement creates greater awareness of the HCC’s role and emergency preparedness activities.