This Medical Operations Coordination Cells (MOCCs) Toolkit offers flexible and modifiable guidance, developed by the U.S. government, to assist regional, state, local, tribal and territorial (SLTT) governments to ensure load-balancing across healthcare facilities and systems so that the highest possible level of care can be provided to each patient during the coronavirus disease 2019 (COVID-19) pandemic caused by the virus severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).

Medical and other subject-matter experts developed this toolkit as a best-practices reference to support SLTT governments in establishing and operationalizing MOCCs. MOCCs are cells within emergency operations centers (EOCs) at the sub-state regional, state-wide, and federal regional levels (FEMA/HHS regions) that facilitate patient movement, healthcare staffing, and life-saving resource allocation. The MOCCs rely upon a range of stakeholders to provide the healthcare personnel and data needed to understand current capacity and gaps in the healthcare system and facilitate load-balancing through patient transfers.

This Toolkit provides sample Standard Operating Procedures for MOCCs at three levels:

1. Sub-State, Regional Medical Operations Coordination Cells (RMOCCs)
2. State Medical Operations Coordination Cells (SMOCCs)
3. Federal Regional Medical Operations Coordination Cells (FMOCCs)

Sample supporting documents, including forms and checklists, may be found in the appendix. View the toolkit, and watch this webinar to learn how jurisdictions have used the MOCC concept during COVID-19.