This study describes how a regional hospital coalition improved surge capacity by coordinating multiple hospitals, EMS, and emergency agencies. The partnership focused on planning, communication, training, and shared resource use. As shown in program results (table on page 7), preparedness improved across all goals, including communication systems, mutual aid agreements, and trained staff. Regional exercises and simulations helped identify gaps and strengthen response. The coalition also expanded volunteer systems and real-time information sharing. Overall, building formal partnerships across facilities increased coordination and allowed the region to handle large patient surges more effectively during emergencies. 

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