In 2022, over 600 Practice Greenhealth facilities signed onto the HHS Health Sector Climate Pledge and publicly committed to "develop and release a climate resilience plan for continuous operations by the end of 2023, anticipating the needs of groups in their community that experience a disproportionate risk of climate-related harm." Drawing from Health Care Without Harm's resilience framework of "facilities, community, and public infrastructure," this cohort provides guidance and a structured approach for drafting climate resilience plans for health systems that have signed onto the HHS Pledge.

At a CleanMed session on climate resilience planning, Dr. Aparna Bole at OCCHE shared that the Dec 31, 2023 deadline for the resilience portion of the Health Sector Climate Pledge does not pertain to the development of a final comprehensive climate resilience plan. By the deadline, pledge signers should aim to have a draft plan, including having taken steps such as performing a hazard vulnerability assessment, integrating aspects of climate resilience into existing emergency operations planning, developing or strengthening community partnerships, and a schedule for plan re-evaluation and refinement - with each step being undertaken with community needs in mind.

Cohort participants are responsible for contributing and/or guiding the development of their plan for their organization.