Shots Fired: Managing an On-Campus Shooting at a Hospital

When violence impacts a healthcare campus, success depends on far more than the actions of a single agency. Hospitals must simultaneously support patient care, protect staff and visitors, maintain critical operations, coordinate with public safety partners, and manage rapidly evolving information. This presentation explores a realworld shooting incident at Corewell Health Beaumont Troy Hospital and examines how healthcare leaders, emergency managers, security personnel, and law enforcement partners worked together through a rapidly unfolding crisis. Using the incident as a case study, attendees will gain practical insights into the application of Unified Command in a healthcare setting, including the coordination of hospital incident command, law enforcement operations, emergency communications, executive leadership engagement, and recovery activities. The session will highlight key lessons learned from both successes and challenges encountered during the response, emphasizing the importance of preestablished partnerships, shared situational awareness, clear communication, and coordinated decision-making under pressure.