EXECUTIVE SUMMARY We hope you find this eighth consecutive NCTTRAC annual report to be enjoyable, interesting, and insightful. This report reflects the activities of our members, partners and regional Health Care Coalition through the period of July 1, 2017 to August 31, 2018. While we are proud of what we accomplished in 2017, a year of unprecedented disaster response, 2018 provided “after-action” opportunities to further strengthen regional and statewide capabilities – we remain grateful and thankful to our partners, each of whom contributed significantly to the overall successful response to which our great state is being credited. In 2018, our Committees, Subcommittees and Workgroups continued their efforts as leaders and change agents for our region as evidenced by their support for national initiatives and commitment to the development of regional best practices. The “Stop the Bleed” program is just one example of a national initiative wholly and fully supported by NCTTRAC members and the Health Care Coalition to which significant funding was committed from the EMS Local Projects Grant and well as the Hospital Preparedness Program. The formation of two addition workgroups this year – Mental Health Workgroup and the Active Threat Workgroup again demonstrates the commitment of our partners to address the contemporary issues and growing needs within our region. Our NCTTRAC Healthcare Coalitions in TSA-C (Wichita Falls), TSA-D (Abilene), and TSA-E (DFW) continue their efforts to build representation reflective of their overall medical community and supporting partners. The creation of two new subcommittees in TSA-E – the HCC Planning Subcommittee and the EMTF Subcommittee both provide the needed opportunity to further develop and solidify disaster preparation, coordination and support to future local, regional and state-wide disasters and events. In the wake of Harvey, TX EMTF received funding from the Texas Department of State Health Services to help address a number of after-action items aimed at increasing response effectiveness and capabilities while also creating standardization measures across EMTF regions. This past year our NCTTRAC Offices received several new audio and visual enhancements to provide our members, partners, and regional Healthcare Coalition a more user-friendly venue to attend NCTTRAC meetings both in-person and virtually. Our office space underwent considerable renovation this year making more efficient use of the existing space to accommodate our meetings and provide the opportunity for future growth as needed. Lastly, I am very proud of our outstanding and continued relationship with the Dallas Fort Worth Hospital Council (DFWHC). Both organizations have shown tremendous commitment to on-going and future collaboration. NCTTRAC is now a standing item on the DFWHC’s meeting agenda allowing NCTTRAC leadership to provide updates on relevant issues and initiatives impacting either or both organizations. In turn, NCTTRAC has created two (2) Hospital Executive seats on the NCTTRAC Board of Directors. As we move into 2019, we look forward to working with our members, partners and Health Care Coalition to build and promote a health care community to effectively and collectively address the present-day and future issues – involving the patients and community it supports – today, tomorrow, together… 1