Mid Carolina Regional Healthcare Coalition 2021 Administrative Guidelines
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Mid Carolina Regional Healthcare Coalition
2021 Administrative Guidelines
ARTICLE I
Introduction
The Mid Carolina Regional Healthcare Coalition (MCRHC, or Coalition) is a formal
collaboration among healthcare organizations and public and private partners that is
organized to prepare for, respond to, and recover from an emergency, mass casualty, or
catastrophic event.
Section 1. Authority
The Coalition functions under the auspices of the University of North Carolina Hospitals
(UNCH) through agreements with the North Carolina Department of Health and Human
Services, Division of Health Service Regulation, Office of Emergency Medical Services
(NCOEMS), and the North Carolina Hospital Preparedness Program (HPP) contract number
00039203.
Section 2. Scope
These Guidelines define the organizational structure and processes for the Coalition to
execute activities related to healthcare system integration with the North Carolina HPP and
State Medical Response System (SMRS).
Section 3. Purpose
This framework will enable the Coalition to establish, develop, and maintain or coordinate
the necessary resources and partnerships to effectively prepare for, respond to, and recover
from, a disaster or significant event.
Section 4. Goal
The Coalition will strive to become a sustainable, comprehensive, and resilient, regional
preparedness and response network within the SMRS that is able to address public health and
medical needs throughout the course of a disaster or significant event.
ARTICLE II
Membership
The operational area of the MCRHC is derived from the Mid Carolina Trauma Region which
extends from Piedmont area and Triangle, to Richmond County at the South Carolina border
below the Sandhills, and southeast to beyond the Cape Fear River and I-95 in Sampson
County.
The geographical diversity of the region and the integration of organizations into healthcare
systems has resulted in the emergence of three relatively distinct Health Care Delivery Areas
(HCDA) within the region. The Coalition recognizes partner agencies and organizations of
any HCDA as those with relationships to a common patient population rather than by
jurisdictional borders or other limiting criteria. The MCRHC supports and promotes
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Mid Carolina Regional Healthcare Coalition 2021 Administrative Guidelinescontinued development of HCDA and Coalition membership in keeping with its Purpose and
Goal.
Section 1. Primary Membership
A. University of North Carolina Hospitals serves as the Lead Hospital and is
administratively responsible for program management.
B. Primary members of the Coalition and its HCDAs will consist of representatives from the
following partners:
1. Hospitals and healthcare systems.
2. Emergency Medical Services (EMS).
3. Local Health Departments.
4. Emergency Management Agencies.
Section 2. Associate Membership
A. Associate members of the Coalition and its HCDAs may consist of representatives from
the following partners:
1. Local government and jurisdictional agencies.
Public safety agencies (law enforcement, fire, rescue).
Emergency Communications Centers.
2. Other medical providers and partners
Home Health agencies.
Skilled nursing and long-term care facilities.
Outpatient and primary care providers (Community Health Centers, urgent care,
free-standing EDs, ambulatory care centers, etc.).
Behavioral health services.
Dialysis providers and end-stage renal disease (ESRD) networks.
Ancillary medical services (durable medical equipment suppliers, pharmacies,
laboratories, blood banks, etc.).
Mortuaries and Crematoriums.
3. Business and industry
Public utility and infrastructure companies.
Transportation services.
4. Other agencies and organizations.
Schools and Universities.
Medical Reserve Corps (MRC) and Community Emergency Response Teams
(CERT).
Non-governmental organizations (ARC, faith-based, VOADs, amateur radio,
etc.).
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Mid Carolina Regional Healthcare Coalition 2021 Administrative GuidelinesARTICLE III
Planning and Organization
The Coalition will maintain the necessary plans to meet the goal of becoming a sustainable,
comprehensive, and resilient, regional healthcare preparedness, response, and recovery network.
Those plans may include but not be limited to the following:
Section 1. Preparedness Plan
The objective of the Preparedness Plan is to provide effective and sustainable administrative,
operational, and educational direction for the Coalition.
Section 2. Response and Recovery Plan and Associated Annexes
The objective of the Response and Recovery Plan is to provide a framework for the
coordination of information and resources during response and recovery from a disaster or
major event.
Section 3. Training and Exercise Plan
The objective of the Training and Exercise Plan is to establish the standards and processes by
which the Coalition continuously improves its preparedness and response capabilities.
Section 4. Work Plan
The objective of the Work Plan is to define the specific activities and outcomes that are
designed to meet the objectives and Goal of the Preparedness Plan and other Coalition
guidance.
Section 5. Other Plans, Policies, and Procedures
Other documents may be developed as needed to meet specific objectives, or to support one
or more elements of Coalition activities.
ARTICLE IV
Committees
Section 1. Standing Committees
A. Healthcare Preparedness Committee (HPC) – This committee is intended to represent the
entire body of the Coalition and consist of one designated representative from each of the
Primary and Associate members. The HPC is responsible for the general conduct of the
Coalition, completion of the Work Plan, nominating and electing representatives to the
Executive Committee, sub-committees, and work groups, and taking action by majority
vote when necessary.
B. Executive Committee – This committee consists of the Preparedness Coordinator, a
Clinical Advisor, and three primary member representatives from each of the HCDAs.
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Mid Carolina Regional Healthcare Coalition 2021 Administrative GuidelinesThis Committee is responsible for the maintenance of plans and making planning
decisions, conducting assessments, scheduling and conducting committee meetings, and
assisting with the completion of Coalition activities either directly, or by overseeing sub-
committees and work groups.
Section 2. Sub-committees and work groups
Optional committees and work groups may be put in place by, and report to, either of the
standing committees in order to facilitate the completion of specific activities or projects. The
structure, objectives, performance measures, length of operation, and any other necessary
framework will be established by the responsible committee at the time it is created.
ARTICLE V
Meetings
Section 1. Frequency
The Executive Committee will meet twice annually and establish the overall meeting
schedule for the year based on the needs and requirements of the program. Sub-committees
and work groups will meet in accordance with Article IV, Section 2 above.
Section 2. Location
Meetings may be in person or virtual based on the needs of the respective Committee and in
an effort to accommodate and promote maximum participation.
Section 3. Quorum
Voting by any committee or work group will be decided by a plurality of vote unless an
alternate method is established in accordance with Article IV, Section 2 above.
Section 4. Parliamentary Procedure
The rules contained in The Robert’s Rules of Order, Revised shall govern meetings to the
extent practical and not inconsistent with these guidelines.
ARTICLE VI
Confidentiality
Information provided during the course of committee or work group activities is intended solely
for the purposes set forth in this document.
ARTICLE VII
Amendments to Guidelines
These guidelines will be reviewed annually and may be amended by a majority vote of the
Executive Committee.
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Mid Carolina Regional Healthcare Coalition 2021 Administrative GuidelinesARTICLE VIII
Adoption of Guidelines
We, the undersigned, representing the Executive Committee of the Mid Carolina Regional
Healthcare Coalition consent to, and adopt, the foregoing guidelines as the guidelines of this
Coalition.
SIGNATURES (five required):
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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(Signature) (Print) (Date)
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