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.

1. Eligible organizations,
as defined in the
coalition’s bylaws,
are invited to join
the coalition as a
voting member
each Representative
is assigned to a
caucus based on the
Discipline of the
member organization
they represent
The members of Each
Caucus vote to elect
A chair to lead the
caucus’ meetings and
carry the caucus’
vote on the board
of Directors
The four executive
officers are elected
at-large by The full
body
The elected Chair
of each caucus
serves as a voting
representative on
the boaRD OF
DIRECTORS
governanace got
you feeling a little
beat up?
we’ll facilitate
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Healthcare coalition governancE
third-party Fiduciary Agent: caucus model
discipline caucuses
A third-party fiduciary agent
is a stand-alone legal entity
that can accept and manage a
grant on behalf of the
healthcare coalition
executive council
member organizations
Assign a Representative
to to attend coalition
meetings and carry
their vote
potential member organizations
member organization Representatives
Board of Directors
A healthcare
coalition using a
third-party fiduciary
is not a legally
defined entity in
state statutes
it cannot directly
apply for a grant
It may be either a nonprofit
corporation, such as a hospital,
a regional planning council or
a charitable foundation, or a
governmental agency, such
as a Local health department
or EMS authority
it’s kinda like
a committee
with earmaked
grant funding