Along with the local public health departments, the healthcare and EMS organizations within the region work in partnership on emergency preparedness initiatives, including exercises, regional purchases, and plan development. While each discipline has a distinct role when responding to an emergency, many times the event will require collaboration between them.

Region 2 has a robust and diverse group of healthcare organizations within its geographical area, from community health centers to hospice services to acute care hospitals. On a monthly basis, Emergency Preparedness Coordinators from these organizations come together to learn from one another and discuss opportunities for joint trainings and workshops.


As defined by the National EMS Management Association, Emergency Medical Services (EMS) is the integrated system of medical response established and designed to respond, assess, treat, and facilitate the disposition of victims of acute injury or illness and those in need of medically safe transportation. The EMS System includes the full spectrum of response from recognition of the emergency to access of the healthcare system, dispatch of an appropriate response, pre-arrival instructions, direct patient care by trained personnel, and appropriate transport or disposition. A provider participating in any component of this response system is practicing EMS. EMS also includes medical response provided in hazardous environments, rescue situations, disasters and mass casualties, mass gathering events, as well as interfacility transfer of patients and participation in community health activities.

Massachusetts EMS providers follow Pre-Hospital Statewide Treatment Protocols which are update at least annually to reflect the current science and practice of pre-hospital medicine.

Central Massachusetts Emergency Medical Systems Corporation (CMEMSC) was designated by the Department of Public Health as the Region II emergency medical services council in 1977 in compliance with 105 CMR 170.102 & 170.103. As a quasi-governmental agency and 501 (c)(3) non-profit organization, CMEMSC’s goal is to foster improvement to and assure the availability of competent EMS services throughout the region.

EMS provides on-scene triage and transport of patients. In the event of a Mass Casualty Incident (MCI), Region 2’s Central Medical Emergency Direction (CMED) coordinates EMS response and the transport of patients from the scene to the hospital. For more information about CMED, please visit

  • There are both public and private EMS entities within Region 2
  • Region 2 CMED conducts weekly tests of the Push to Talk phone system for the ten acute hospitals in the region


There are ten acute care hospitals within Region 2, with each participating in the Assistant Secretary for Preparedness and Response’s (ASPR) Hospital Preparedness Program (HPP). Through this program, hospital Emergency Preparedness Coordinators meet on a monthly basis to discuss lessons learned and work on joint initiatives, such as the purchase of equipment or the development of plans. The Region 2 HMCC staff and OPEM Regional Coordinator work closely with the hospitals to ensure regional alignment and coordination.
  • There are ten acute care hospitals in Region 2
  • Additionally, there are hospitals within the region that provide specialized services, such as rehabilitation and psychiatric care

Long-Term Care

Within Region 2 is a large network of long-term care facilities, including skilled nursing facilities and assisted living facilities. Through participation in MassMAP, these facilities have developed processes and plans for responding to such emergencies as the evacuation of residents. Should assistance from additional disciplines (such as EMS or hospitals) be required, the long-term care facilities may work with the Region 2 Duty Officer to coordinate the response.

  • There are over seventy skilled nursing and assisted living facilities in Region 2
  • Most long-term care facilities in Region 2 are part of a statewide mutual aid plan

Community Health Centers

Community Health Centers provide critical healthcare services to a wide-variety of patients, including those populations that are otherwise difficult to reach. In the event of a large scale emergency, Community Health Centers may serve as Emergency Dispensing Sites (EDS) or assist with treating patients. The Community Health Centers within Region 2 have a close working relationship with the hospitals in the region, and regularly attend joint trainings, workshops, and meetings.

  • The Community Health Centers in Region 2 provide access to key healthcare resources to all in need
  • There are three Community Health organizations within the region