Purpose: The Hospital Evacuation Toolkit is designed to help individual hospitals, communities, regions and/or states assess their plans and procedures to support the emergency evacuation of a hospital. This is done by qualitatively and quantitatively measuring performance. Toolkit Description: The exercise toolkit is a tabletop exercise/ evaluation tool that supports emergency response planning to test and assess the response to a simulated need for the evacuation of a hospital as well as the need for local, regional, and state support. It does so by providing guidance on how to: 1. Evaluate and discuss the trigger points and issues related to hospital leadership deciding when to evacuate the facility during full power/HVAC failure in accordance with current plans/policies 2. Discuss the options and issues with the triage of patients by clinical staff for evacuation in accordance with current plans/policies and best practice guidelines 3. Discuss and explore the options for the efficient integration of response partners into evacuation operations by all responding hospital staff in alignment with HICS/NIMS 4. Outline the methods and mechanisms used by hospital staff (and co-responders) to support patient needs during the evacuation process based on existing standards of care and with consideration for crisis standards of care concepts 5. Demonstrate and discuss the methods and mechanisms used by hospital staff to perform comprehensive patient tracking during and after the evacuation in accordance with existing policies/procedures Who should use it?: The Hospital Evacuation exercise toolkit is intended for public health officials, EMS, emergency managers, and fire officials in hospitals, communities, coalitions, and hospital associations. Benefits: By assessing the performance of the evacuation plans for those involved, it is hoped that this tool will improve these plans and increase performance in the advent of a real hospital evacuation scenario.