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The U.S. Department of Health and Human Services, Assistant Secretary for Preparedness and Response (ASPR) is transitioning the Hospital Preparedness Program to the National Healthcare Preparedness Program. The change moves the emphasis from facility preparedness to healthcare system preparedness, which requires the establishment of independent regional healthcare coalitions outside the competitive space.
Effective, sustainable healthcare coalitions, whether independent nonprofit corporations or operating under the authority of a third-party fiduciary agent, require a business infrastructure that includes inclusive governance. The caucus governance model can be implemented through the healthcare coalition's bylaws. It allows most decisions to be made at the Executive Council level, reducing bureaucratic delays.