HOSPITAL PREPAREDNESS PROGRAM Hospital Preparedness Program (HPP) Year 16 marked the beginning of the fourth five-year block of the program. While NCTTRAC has historically served as the grantee for TSA-E, HPP Year 16 saw NCTTRAC’s contractual duties expand to cover TSA-C (Wichita Falls) and TSA-D (Abilene). When including the 19 counties within TSA-E, there are now 45 counties under NCTTRAC’s programmatic and administrative responsibility. NCTTRAC secured 140 HPP agreements from regional partners in all three Trauma Service Areas, indicating a high level of programmatic participation throughout each region. Additionally, the Assistant Secretary of Preparedness and Response (ASPR) revealed the new Coalition Assessment Tool (CAT), which provides a single location for each Healthcare Coalition (HCC) to assess and track progress toward achieving the 2017–2022 Health Care Preparedness and Response Capabilities, meeting the requirements of the 2017-2022 HPP Cooperative Agreement, and completing the 2017–2022 HPP Performance Measures. The CAT is a nationwide tool that also provides a more effective avenue for HCCs to request targeted technical assistance. The 2018 NCTTRAC Quality Assurance Review from DSHS provided NCTTRAC the opportunity to showcase some best practices in HCC development and expansion while seeking opportunities for improvement to better service the HCCs. With the advent of the Centers for Medicare & Medicaid Services (CMS) Emergency Preparedness regulation implementation, NCTTRAC continued to provide tools and resources to help HCC members achieve the CMS standards. The table below provides a summary of regional activities including scope, training and exercise events, and asset acquisitions. Activity TSA-C TSA-D TSA-E Total HPP Budget FY18 $164K $164K $2.9M $3.22M Population per HCC Region 218,722 302,047 7,753,090 8,273,859 No. of Counties per HCC 10 16 19 45 HPP Support Staff 1 1 8 10 Hospital Letters of Agreement 11 16 119 149 Contract Deliverables (100% Complete) 17 17 63 97 Regional Sustainment Funds Distributed $40K $36K $668K $744K Facility Visits / Asset Assessments 11 31 16 58 Training / Exercises / Drills 20 / 1 / 3 12 / 1 / 3 65 / 6 / 16 97 / 8 / 22 Distribution of Assets (NCTTRAC Warehouse) N / A N / A $450K $450K DSHS Quality Assurance Rating A+ A+ A+ A+ 16