Purpose: The Hospital Surge Exercise Toolkit is designed to help participants assess their plans and procedures to support the need to accommodate a major surge in medical care need in the community. Toolkit Description: The exercise toolkit is a tabletop exercise/evaluation tool that tests and assesses the response to a simulated major surge in outpatient and inpatient hospital care capability. It is focused on the following five objectives: 1. Discuss the trigger points and relevant plans/policies/procedures related to the sequential transitions from normal operations to escalating hospital surge activities and evaluate the mechanisms used for internal and external information exchange for obtaining and maintaining situational awareness at the hospital, local, regional and state levels 2. Demonstrate and discuss the relevant roles and responsibilities of internal staff and associated mechanisms for efficient integration of community partners during escalating hospital surge activities 3. Evaluate the strategies available for hospital staff to optimize the caching and use of potentially scarce critical resources in accordance to existing plans/policies 4. Explore the options for outpatient surge mitigation and discuss the efficient integration of nearby health systems during a surge response in accordance to existing plans/policies 5. Outline and discuss the strategies and mechanisms for efficiently requesting, receiving and utilizing scarce and/or critical resources in the context of surge mitigation activities. Discuss and identify the anticipated/envisioned roles of both DPH and emergency management agency in support of hospital surge coordination and operations continuity at both the regional and state levels Who should use it?: The exercise is intended for public health officials, hospital leaders, fire officials, and EMS. The tool can be implemented at hospital coalitions, hospital.