The RDHRS structure is conceptualized as a tiered system that builds upon the existing Medical Surge Capacity and Capability (MSCC) foundation for local medical response (e.g. trauma systems and HCCs) by enhancing coordination mechanisms and incorporating discrete clinical and administrative capabilities at the state and regional levels. At the state level, RDHRS specifically aims to establish more robust situational awareness of health care system capability and capacity, coordination and prioritization mechanisms for patient transfers, process and policy for resource management, and access to clinical specialists in areas such as pediatrics, trauma and burn care, and infectious disease. The maturation of these capabilities will better enable states to respond to health care crises within their geographic boundaries and increase their ability to support resource requests from other states.
It is an expectation of this cooperative agreement that applicants will demonstrate the partnerships necessary to build and/or deploy the aforementioned capabilities across the entire state, and not just in one specific town, city, county, or sub-state region.
Letters of support from the following statewide agencies are required as part of the application:
State Offices Public Health/Health
Health care coalitions leaders (or points of contact) in the state
State Trauma Advisory Council (or equivalent)
State Office of Emergency Medical Services
Furthermore, according to the statutory requirements, the Secretary may not award a cooperative agreement to an eligible entity unless the application submitted by the entity is coordinated and consistent with an applicable State All-Hazards Public Health Emergency Preparedness and Response plan and relevant local plans.
Funding preference is able to be applied for applicants that can demonstrate the ability to coordinate among greater than 51% of the health care facilities and hospitals in the geographic area served by the partnership.
It is important to note that the directly funded cities through HPP (New York City, Chicago, and LA County) are not considered states for the purposes of this NOFO. If they wish to apply, they must coordinate with their states, New York State, Illinois, and California.