Hawaii Healthcare Emergency Management

Hawaii Healthcare Emergency Management Coalition (formerly HAH Emergency Services Coalition) is a statewide federally qualified all hazards comprehensive emergency management healthcare coalition program which sits inside of the Hawaii Hospital Education and Research Foundation (HHERF), a nonprofit 501(c)(3) organization.   The program was commissioned in 2003 by the federal government with the support of the Hawaii State Department of Health.

The coalition provides a unique array of statewide services and capabilities such as integrated communication and information sharing systems, coordination of healthcare response and recovery operations, patient tracking system,  deployment of a variety of emergency response teams such as Kalawao Rescue, HERT, IMAT, IMTs and various specialized strike teams, mobilization of healthcare delivery systems, learning management system for training, logistic support, medical countermeasures, planning and preparedness activities such as training, workshops, tabletop, functional and full scale exercises, etc.

The coalition is led by a program director and operates with a small permanent staff of 3.0 FTE and other support personnel that include three area coordinators (counties of Kauai, Maui and Hawaii) and over 160 emergency managers representing each member organization.  The Emergency Management Committee which consists of emergency managers representing each of the healthcare organizations is chaired by the program director and provides governance for coalition.

Program funding is 100% dependent on federal grant money through the Hospital Preparedness program.  The program currently receives no county or state funding.

Membership consists of over 160 healthcare organizations statewide in all of the counties.  Those organizations include all of the hospitals, all of of the dialysis centers, most of the long term care facilities, most of the home health providers, most of the long term care facilities, most of the home health providers, all of the hospice providers, all of the community health centers, most of the assisted living facilities, air and ground ambulance providers, pharmaceutical providers, medical gas providers, durable medical equipment providers, ambulatory surgical center providers, blood bank, clinical laboratories, etc.  The roles and responsibilities of members and Hawaii Healthcare Emergency Management are defined and described in a MOU or Memorandum of Understanding signed by each organization.

The goal is to sustain and maintain essential and critical healthcare system services statewide during and after a major emergency or disasters through strong coordination, collaboration and leveraging all of the statewide healthcare resources and information sharing.

The program has its own web site www.hhemc.net

HAH Emergency Services Core Missions

HAH Emergency Services Fact Sheet


Hawaii Hospitals Participate in RIMPAC 2018

Oct. 13, 2017 (WASHINGTON) The exercise Rim of the Pacific (RIMPAC) 2018 logo. Twenty-six nations, 47 surface ships, five submarines, 18 national land forces, and more than 200 aircraft and 25,000 personnel will participate in the biennial exercise scheduled June 27 to Aug. 2, in and around the Hawaiian Islands and Southern California. (U.S. Navy graphic by Mass Communication Specialist 2nd Class David Ortiz/Released)

Hawaii Healthcare Emergency Management, a division of the Hawaii Hospital Education and Research Foundation, is coordinating the participation of 27 Hawaii hospitals on four islands in the Humanitarian Assistance and Disaster Relief (HA/DR) which is part of RIMPAC 2018 exercise on July 12 and 13.

Prepare for Active Shooters and Other Threats

The recent shooting at and Orland nightclub has highlighted the need for organizations to be prepared in case of an active shooter or other active threat on their premises.

An active shooter event resulting in mass casualties has unfortunately happened before in Hawaii, when a gunman killed seven people in Kakaako in 1999, and could happen again.

HAH Emergency Services has assisted Hawaii’s hospitals, nursing homes and other healthcare organizations with advance preparations for this scenario through active member education and assistance with planning, drills and tabletop exercises.

Online education on the Learning Management System is accessible via the HAH Emergency Services web page, and in-person awareness level briefings on this topic are available at no cost to members.

A hazard vulnerability assessment conducted for the healthcare coalition has included the possibility of an active shooter as a “high risk” and “high vulnerability” for more than two years.

For any HAH members wanting to know more about resources, please contact Chris Crabtree, DrPH, CEM, Interim Director, HAH Emergency Services, at 808-599-2899, or director@hah-emergency.net.

Press Talking Points and Training Resources

Press Active Shooter Talking Points

HAH Emergency Services Online Active Shooter Course

Simulated Crash at Hilo International Airport

HAH Emergency Services supported a disaster preparedness exercise at Hilo International Airport coordinated by the Department of Transportation. In October Airport Rescue Fire Fighting (ARFF), local police, fire and EMS conducted an exercise where they simulated response to the crash of a Boeing 737 upon landing.

HAH Emergency Services deployed a 15-person Kalawao Rescue Enhanced Strike Team aboard a US Coast Guard HC-130, in order to establish a Disaster Aeromedical Staging Facility (DASF) on the airport tarmac, thanks to the aviation support of USCG Air Station Barbers Point. The Kalawao Rescue team set up a DASF within 15 minutes of arrival in Hilo and began triaging and providing stabilizing care to simulated casualties. A liaison officer was also deployed to Hilo Medical Center to coordinate casualty movement. A Sim-Man 3G computerized manikin stepped in as a simulated casualty, and was flown back to Honolulu aboard the HC-130 within 90 minutes.

The exercise allowed the participating agencies to practice a coordinated response under a unified command with on-scene responders and to test interoperable communications. The exercise was a great success and part of local responding agencies’ efforts to maintain the highest level of disaster preparedness.