Training and Exercise

The North Central Trauma Regional Advisory Council strives to continuously improve healthcare systems within our region through its Training and Exercise program. Our staff is constantly locating and developing training to assist the region in achieving their goals of preparedness, response, and recovery. Training, drills, and exercises help identify and assess how well a health care delivery system region is prepared to respond to an emergency. These activities also develop the necessary knowledge, skills, and abilities of a HCC member’s workforce. Trainings can cover a wide range of topics including clinical subject matter, incident management, safety and protective equipment, workplace violence, psychological first aid, or planning workshops. The HCC and its members may use the information about these risks and needs to inform training and exercises and prioritize strategies to address preparedness and response gaps in the region.

Healthcare Coalition - E Regional Hazard Vulnerability Analysis (HVA)

A hazard vulnerability analysis (HVA) is a systematic approach to identifying hazards or risks that are most likely to have an impact on the demand for health care services or the health care delivery system’s ability to provide these services. This assessment may also include estimates of potential injured or ill survivors, fatalities, and post-emergency community needs based on the identified risks.
General principles for the HVA process include but are not limited to the following:

  • HCC members should participate in the HVA process, using a variety of HVA tools
  • The HVA process should be coordinated with state and local emergency management organization assessments (e.g., Threat and Hazard Identification and Risk Assessment [THIRA]) and any public health hazard assessments (e.g., jurisdictional risk assessment). The intent is to ensure completion, share risk assessment results, and minimize duplication of effort
  • Health care facilities, EMS, and other health care organizations should provide input into the development of the regional HVA based on their facilities’ or organizations’ HVAs
  • The assessment components should include regional characteristics, such as risks for natural or man-made disasters, geography, and critical infrastructure
  • The assessment components should address population characteristics (including demographics), and consider those individuals who might require additional help in an emergency, such as children; pregnant women; seniors; individuals with access and functional needs, including people with disabilities; and others with unique needs
  • The HCC should regularly review and share the HVA with all members

HCC-E 2021 Hazard Vulnerability Assessment

HCC-E 2020 Hazard Vulnerability Assessment

HCC-E 2019 Hazard Vulnerability Assessment

HCC-E 2018 Hazard Vulnerability Assessment

HCC-E 2017 Hazard Vulnerability Assessment

HCC-E 2016 Hazard Vulnerability Assessment

HCC-E 2014 Hazard Vulnerability Assessment

Multi-Year Training and Exercise Plan

The North Central Texas Trauma Regional Advisory Council’s (NCTTRAC) TSA-E Multi-Year Training and Exercise Plan (MYTEP) is the roadmap to accomplish the organizational priorities in accomplishing the development and maintenance of the overall preparedness capabilities required to facilitate an effective response to all hazards faced by NCTTRAC.

HCC-E coalition stakeholders are engaged in the Health Care Preparedness and Response Capabilities Program through participation in the Training and Exercise Workgroup. The Training and Exercise Workgroup annually conducts a Training and Exercise Planning Workshop (TEPW). This is a collaborative workshop environment for Whole Community stakeholders to engage in the revision of the Training and Exercise Plan.  The TEPW also serves as a forum to coordinate training and exercise activities across organizations in order to maximize the use of resources and prevent duplication of effort. At the TEPW, stakeholders draw on jurisdiction-specific threats and hazards, identified areas for improvement, core capabilities, external requirements, and accreditation standards or regulations to develop or update the Multi-Year TEP.

HCC-E Multi-Year Training and Exercise Plan 2020-2023

HCC-E Multi-Year Training and Exercise Plan 2017-2022

HCC-E Multi-Year Training and Exercise Plan 2016-2017

HCC-E Multi-Year Training and Exercise Plan 2015-2016 71515

HCC-E Multi-Year Training and Exercise Plan 2014-2015






TypeFile Name

202204 Training and Exercise Circular

202205 Training and Exercise Circular