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Medical Surge Planning

Medical Surge Planning in Michigan

Medical surge planning supports Michigan’s ability to respond to emergencies that exceed normal healthcare capacity, including mass casualty incidents, infectious disease outbreaks, and other large-scale public health emergencies.

This page provides information and resources for:

  • Hospitals and health systems
  • Emergency managers
  • Healthcare Coalitions (HCCs)
  • Local health departments
  • EMS agencies

Public health and emergency preparedness partners

Michigan’s medical surge framework is designed to coordinate state-level support, regional healthcare coalition response, and local healthcare system actions to ensure patients receive appropriate care during surge events. 


Michigan's Medical Surge Framework

Michigan uses a coordinated, tiered approach to medical surge planning that integrates:

  • Local healthcare facility response
  • Regional Healthcare Coalition coordination
  • State-level support and resource management
  • Interstate and federal coordination when necessary

This framework supports:

  • Situational awareness
  • Resource coordination
  • Patient movement and placement
  • Staffing and asset support
  • Crisis Standards of Care implementation when required

Michigan Transportable Emergency Surge Assistance (MI-TESA) Medical Unit

MITESA Logo The Michigan Transportable Emergency Surge Assistance (MI-TESA) Medical Unit is a state resource consisting of a 40-bed mobile field hospital that is stored and maintained by the Region 2 South Healthcare Coalition. The MI-TESA Medical Unit expands surge capacity, re-establishes emergency
triage, and treatment in an area where the healthcare infrastructure has been disrupted. The unit may be deployed anywhere within the state and can be deployed to other states through the Emergency Management Assistance Compact (EMAC).


Burn Surge Planning within Michigan

Michigan has been working to develop innovative strategies to provide care to burn patients after an emergency event. The plan develops non-traditional burn care resources to provide surge capacity during a mass casualty incident. This strategy protects those facilities with definitive burn care capacity from being overwhelmed through the use of off-site triage and stabilization. This is done in collaboration and coordination with the University of Michigan Burn Center which serves as the State Burn Coordinating Center.

 


Michigan Crisis Standards of Care

Crisis Standards of Care (CSC) provide ethical and operational guidance when healthcare demand significantly exceeds available resources.

Michigan’s Crisis Standards of Care framework:

  • Supports equitable allocation of scarce resources
  • Provides clinical and ethical decision-making guidance
  • Aligns with regional and national best practices

Healthcare facilities should incorporate CSC principles into internal emergency operations plans and coordinate regionally through their Healthcare Coalition. Learn more about Michigan's crisis standards of care planning. 


MI-MORT

MI-MORT Logo A significant mass casualty event is a challenge for any community. If a mass casualty incident occurs that overwhelms local resources, the Michigan Mortuary Response Team (MI-MORT) can provide assistance to medical examiners, public health, and emergency management. The response team is comprised of diverse professionals including: forensic pathologists, dentists, anthropologists, funeral directors, x-ray technicians, and many others. This team, when activated, provides technical assistance to local and regional jurisdictions to recover, identify, and process deceased victims in a dignified manner. An additional MI-MORT resource is the Disaster Portable Morgue Unit which contains the equipment and supplies necessary to initiate operations of a fully functional morgue when needed.


Pediatric and Specialty Surge Planning

Michigan supports pediatric and specialty surge planning efforts to ensure that vulnerable populations receive appropriate care during emergencies.
These efforts include:

  • Pediatric surge coordination guidance
  • Integration with specialty care networks
  • Regional planning support
  • Coordination with subject matter experts

Healthcare facilities should work with their regional Healthcare Coalition to align pediatric and specialty surge planning with statewide guidance.


Healthcare Coalitions

Michigan’s Healthcare Coalitions play a central role in medical surge planning and response. Coalitions support:

  • Regional coordination
  • Resource tracking and sharing
  • Communication across healthcare partners
  • Planning, training, and exercises
  • Implementation of surge strategies

Healthcare facilities and emergency partners should contact their regional Healthcare Coalition for surge planning support and coordination.


Contact Information

For questions regarding medical surge planning, state-level coordination, or surge assets, please contact:

MDHHS Bureau of Emergency Preparedness, EMS, and Systems of Care
Division of Emergency Preparedness and Response
PO Box 30207
Lansing, MI 48909-0207
Office: 517-335-8150
Fax: 517-335-9434 
www.michigan.gov/depr

For operational coordination during an emergency, partners should work through their established Healthcare Coalition and emergency management channels.