A health care coalition is a group of local health care and responder organizations that collaborate to prepare for emergencies. Health care coalitions reflect the unique needs and characteristics of local jurisdictions. Coalitions are a key requirement to The Hospital Preparedness Program (HPP).

The Hospital Preparedness Program is a division of the Office of the Assistant Secretary for Preparedness and Response (ASPR). Funding from ASPR supports Tennessee’s local-level health care system preparedness, mitigation, response, and recovery as outlined in the health care preparedness capabilities.

The Tennessee Highland Rim Health Care Coalition’s primary mission is to support health care organizations during emergency response and recovery.

An element of this mission is promoting the integration of coalition member organizations into the broader community response. Our service area encompasses all of Tennessee Emergency Medical Services Region 5, which includes Cheatham, Davidson, Dickson, Houston, Humphreys, Montgomery, Robertson, Rutherford, Stewart, Sumner, Trousdale, Williamson, and Wilson Counties.

Our health care coalition includes a full range of health care assets that provide “point of service” medical care and other medically related services during a mass casualty and/or mass effect incident. This includes hospitals, community health centers, integrated health care systems, private physician offices, outpatient clinics, dialysis and other specialty treatment centers, and long-term care facilities (nursing homes and other skilled nursing facilities), and home care/hospice.

What we do

In the event of a mass casualty or natural catastrophe, the coalition conducts a range of activities to achieve its stated objectives. Some examples of possible activities for the coalition’s response organization are provided below.

  • Provide notification to member organizations that an actual or potential incident is developing. This allows for very rapid response (i.e., within minutes) on a 24/7 basis. The notification threshold is set by coalition member organizations such that if one member knows an incident is happening, all will learn of it rapidly.
  • Provide a mechanism to rapidly disseminate information from Incident Command and other authorities to coalition member organizations so that they can effectively and safely participate in emergency response.
  • Rapidly disseminate information from coalition member organizations to Incident Command and other authorities at their request.

City at Night


  • Convene (often virtually) specific personnel (senior executives, technical specialists, etc.) from coalition member organizations at the request of incident command authorities to discuss strategic issues or make policy recommendations related to the Health Care response.
  • Help coalition member organizations obtain incident-related information that is not otherwise readily available. The coalition response organization can serve as the official representative of member organizations to seek incident details that are important to the Health Care response.
  • Disseminate resource needs to members and help match organizations that request mutual aid or other assistance with organizations that can provide the needed assistance.
  • Facilitate the coordination of response actions among member organizations if this is requested by the coalition’s responding members and/or by jurisdictional authorities.