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U.S. Department of Health and Human Services

Performance Measure 4


Membership representation rate of HCC core (acute care hospitals, EMS, emergency management agencies, and public health agencies) and additional member organizations by member type


Goal or Target

Per the FOA, recipients are not permitted to use HPP funds to make subawards to any HCC that does not have core member representation. Core member organizations include, at least, the following:

  • Acute care hospitals (a minimum of two)
  • EMS (including interfacility and other non-EMS patient transport systems)
  • Emergency management agencies
  • Public health agencies

SPPR will establish a baseline for the participation of additional members based on performance data collected in initial fiscal years, which will be used to set targets and goals for subsequent years.

Operational Intent

The intent of this PM is to determine if HCCs meet program requirements for core membership, assess membership rates by member type, and track HCC membership trends over time. ASPR understands that HCCs may have different membership compositions based on population characteristics, geography, and types of hazards. ASPR recognizes that simply having more members does not necessarily mean greater capacity to prepare and respond to hazards. Therefore, the intent of this measure is to assess appropriate HCC membership representation, including mix of member organizations and types, based on the unique preparedness and responses needs of the HCC’s communities.

Data Reporting

Recipients should enter this information for each HCC into the end-of-year performance measure module in PERFORMS during the specified time period for end-of-year reporting. SPPR will calculate percentages. See Appendix 2: List of Core and Additional HCC Member Types for a full list of member types.


Data Point Data Entity Data Source Response
Core member organizations represented in the HCC, disaggregated by member type HCC HCC Governance Documents

Member type, legal name (no abbreviations), and address for each HCC core member organization

​Total number of core member organizations within recipient boundaries, disaggregated by member typeRecipient​Recipient Documentation ​Enumerate how many total of the core member organization type are within jurisdiction​
Additional member organizations represented in the HCC, disaggregated by member typeHCC​​HCC Governance Documents Member type, legal name (no abbreviations), and address for each HCC additional member organization​
​Total number of additional member organizations within recipient boundaries, disaggregated by member typeRecipient​​Recipient Documentation Enumerate how many total of the core member organization type are within jurisdiction​


Definitions and Interpretation

  • Membership representation: Membership is evidenced by memoranda of understanding (MOU), letters of agreement, and/or attendance at an HCC meeting in the past fiscal year. Representation can be achieved through an authorized representative from the member organization or an authorized representative of a group or network of member organizations (e.g., an integrated health care delivery system or corporate network). In instances where there are multiple entities of an HCC member type, there may be a subcommittee structure that establishes a lead entity to communicate common interests to the HCC (e.g., multiple dialysis centers forming a subcommittee). For example, if a subcommittee lead participates in an HCC meeting, the members engaged in that subcommittee (through MOU, letters of agreement, and/or attendance at a subcommittee meeting in the past budget year) are also considered represented.

  • HCC core member organizations: Core members are defined in the 2017-2022 Health Care Preparedness and Response Capabilities as acute care hospitals, EMS, emergency management agencies, and public health agencies. See Appendix 2: List of Core and Additional HCC Member Types for a full list.

  • Acute care hospitals: A hospital that provides inpatient medical care and other related services for surgery, acute medical conditions or injuries (usually for a short-term illness or condition).

  • HCC additional member organizations: See Appendix 2: List of Core and Additional HCC Member Types for a full list.


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  • This page last reviewed: November 05, 2020