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U.S. Department of Health and Human Services

Performance Measure 23


Percent of HCC core member organizations participating in the Command Center Table Top and Emergency Department Table Top during the Hospital Surge Test


Goal or Target

One hundred percent of each HCC’s core member organizations are participating in the Command Center Table Top and Emergency Department Table Top during the HST every fiscal year.


Operational Intent

Other than actual events, exercises are the primary method for HCCs and their member organizations to demonstrate their ability to perform under emergency scenarios. Therefore, a number of HPP performance indicators are based on exercises. Participation of HCC members is crucial to truly test preparedness and response capabilities; thus, this indicator is intended to gauge the extent to which HCC core member organizations are engaged in coalition exercises..


Data Reporting

Each HCC should report the following data in the CAT. During the specified time period for end-of-year reporting, recipients should enter this information on behalf of each HCC into the end-of-year performance measure module in PERFORMS. SPPR will calculate percentages.


Data Point Data Entity Data Source Response
PM23.1 Total HCC core member organizations participating in the Command Center Table Top and Emergency Department Table Top during the HST (sum of PM23.2 to PM23.5) HCCSum of PM 23.2 to PM 23.5

HCC Name: _______

# _______ (organizations)

PM23.2 Number of acute care hospitals participating in the Command Center Table Top and Emergency Department Table Top of the HSTHCC​Attendance log for the Command Center Table Top and Emergency Department Table Top of the HST

HCC Name:________

# ________ (acute care hospitals)

PM23.3 Number of EMS participating in the Command Center Table Top and Emergency Department Table Top of the HSTHCC​Attendance log for the Command Center Table Top and Emergency Department Table Top of the HST

HCC Name:________

# ________ (EMS)

PM23.4 Number of emergency management agencies participating in the Command Center Table Top and Emergency Department Table Top of the HSTHCC​Attendance log for the Command Center Table Top and Emergency Department Table Top of the HST

HCC Name:________

# ________ (emergency management agencies)

PM23.5 Number of public health agencies participating in the Command Center Table Top and Emergency Department Table Top of the HSTHCC​Attendance log for the Command Center Table Top and Emergency Department Table Top of the HST

HCC Name:________

# ________ (public health agencies)



Definitions and Interpretation

  • Participating: A member organization is considered to be participating if they are physically or remotely connected to the execution of the exercise in real time.

  • Command Center Table Top: The Command Center component requires incident command leadership and necessary staff to respond and to assess capabilities, such as bed availability within the facility. These may also be referred to as “players.” Both the Command Center and ED components of an exercise are run concurrently.

  • Emergency Department Table Top: The ED component requires that the “players” in the exercise, typically a nurse and physician, be free of clinical duties and able to take instructions from the Command Center “players” during the course of the exercise. They will be asked to triage the auto- generated list of patients who are presenting. The ED must be able to communicate with the hospital’s Command Center.

  • HST: The HST is a user-friendly peer assessment designed to identify gaps in a hospital’s preparedness and help assess its ability to respond to a mass casualty event. The exercise is a low- to no-notice exercise and incorporates the real-life considerations of health care delivery in acute care settings. The exercise is intended for use by hospital emergency managers, hospital administrators, and clinical staff to assess and improve their hospital’s surge plans. Hospitals need to exercise their preparedness for a mass casualty incident regularly. This exercise can help hospital emergency managers make recurring table top exercises a reality by providing a fully-developed table top exercise that can be used at their facilities.


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  • This page last reviewed: November 05, 2020