Summer Public Health Preparedness Webinar Series Presents: Emergency Management and Public Health Preparedness
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1 Summer Public Health Preparedness Webinar Series Presents: Emergency Management and Public Health Preparedness
2 Alignment of Public Health, Healthcare, and Emergency Management Preparedness Todd Talbert, MA Associate Director Program Planning and Development CDC Division of State and Local Readiness June, 2013
3 Background The history of the collaboration between public health and emergency management Identifying social vulnerability CIKR
4 Segment Objectives Highlight the history of the CDC Public Health Emergency Preparedness Cooperative Agreement (PHEP) and the capabilitybased approach implemented in 2011 Communicate the relationship of preparedness capabilities to preparedness and response Describe the current status of PHEP program alignment with the HHS/ASPR Hospital Preparedness Program and the DHS/FEMA Homeland Security Grant Program (HSGP) Identify synergies between a CDC/PHEP funded risk-based pilot project and the HSGP Threat Hazard Identification Risk Assessment (THIRA) initiative
5 Public Health Emergency Preparedness Cooperative Agreement
6 Division of State and Local Readiness Public Health Emergency Preparedness (PHEP) Cooperative Agreement Strengthens national preparedness through state/local interface 62 participating public health departments (state, local, territorial) Funding guidance and technical assistance Preparedness science and measurement 15 public health preparedness capabilities
7 National Public Health Preparedness Standards
8 Public Health Emergency Preparedness Cooperative Agreement Started in 1999 as a $40 million bioterrorism competitive grant 2013: formula-based all-hazards preparedness program $9 billion as of FY 2012 in Congressional investments $619 million in FY 2012 funding $580 million in FY 2013 funding (provisional) Carve-out funding for the Cities Readiness Initiative Carve-out funding for Level I chemical laboratory capacity Based upon capability-based planning standards Public Health Preparedness Capabilities: National Standards for State and Local Planning, March 2011
9 National Public Health Preparedness Standards 1 Community Preparedness 2 Community Recovery 3 Emergency Operations Coordination 4 Emergency Public Information and Warning 5 Fatality Management 6 Information Sharing 7 Mass Care 8 Medical Countermeasure Dispensing 9 Medical Materiel Management and Distribution 10 Medical Surge 11 Non-Pharmaceutical Interventions 12 Public Health Laboratory Testing 13 Public Health Surv and Epi Investigation 14 Responder Safety and Health 15 Volunteer Management
10 All Response is Local
11 West, Texas Explosion Public Health Prepareadness Capabilities Fatality Management Community Preparedness Medical Surge
12 Boston Marathon Explosion Public Health Preparedness Capabilities Community Preparedness Emergency Operations Public Info/Warning Information Sharing Medical Surge Public Health Surveillance Responder Safety Volunteer Management
13 Hurricane Sandy Public Health Preparedness Capabilities Community Preparedness Community Recovery Emergency Operations Public Info/Warning Information Sharing Mass Care Medical Surge Public Health Surveillance Responder Safety Volunteer Management
14 Federal Preparedness Alignment
15 Federal Preparedness Alignment Alignment with ASPR/Hospital Preparedness Program In second year Single application and funding award Joint site visits Joint measures/synergistic capabilities Alignment with FEMA Recently initiated Reciprocal grant/cooperative agreement language Capability crosswalk Risk Assessment (THIRA)
16 National Public Health Preparedness Standards 1 2 Community Preparedness (PHEP) Healthcare System Preparedness (HPP) Community Recovery (PHEP) Healthcare System Recovery (HPP) 3 Emergency Operations Coordination 4 Emergency Public Information and Warning (PHEP/HPP) 5 Fatality Management (PHEP/HPP) 6 Information Sharing (PHEP/HPP) 7 Mass Care 8 Medical Countermeasure Dispensing 9 Medical Materiel Management and Distribution 10 Medical Surge (PHEP/HPP) 11 Non-Pharmaceutical Interventions 12 Public Health Laboratory Testing 13 Public Health Surv and Epi Investigation 14 Responder Safety and Health (PHEP/HPP) 15 Volunteer Management (PHEP/HPP)
17 Common Language in Respective Funding Opportunity Announcements - HSGP States must ensure SPRs reflect THIRA targets activities and input from emergency management agency partners, such as the public health department, the health care sector (pg14) CDC s 15 public health preparedness capabilities and ASPR s eight healthcare preparedness capabilities serve as operational components for NPG core capabilities (pg. 45) States and Urban Areas must coordinate among Federal partners, national initiatives and grant programs to identify opportunities to leverage resources when implementing their preparedness programs. (pg. 47)
18 Common Language in Respective Funding Opportunity Announcements HPP/PHEP Public health department and the healthcare sector awardees must actively participate in FEMA s annual State Preparedness Report (SPR) a self-assessment of preparedness capabilities in comparison with capabilities established in the state THIRA (pg. 5) HPP and PHEP awardees must coordinate activities with their emergency management and homeland security counterparts (pg. 6) Budget Period 2 will focus on collaboration with the U.S. Department of Homeland Security s (DHS) Federal Emergency Management Agency (FEMA) and other federal emergency preparedness programs.
19 Linking HHS Capabilities with Core Capabilities Draft crosswalk of PHEP/HPP capabilities with the FEMA 31 Core Capabilities Jurisdictional approach encouraged to identify capability associations and relationship Qualitative relationship dependent upon jurisdictional lens Recommend partnership with state public health agency and local EMA State public health partnership with state EMA also recommended
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21 PHEP/HPP Capability Crosswalk PREVENT PROTECT MITIGATE RESPOND RECOVER Planning Planning Planning Planning Planning Public Information and Warning Operational Coordination Forensics and Attribution Intelligence and Information Sharing Interdiction and Disruption Screening, Search and Detection Public Information and Warning Operational Coordination Access Control and Identity Verification Cybersecurity Intelligence and Information Sharing Interdiction and Disruption Physical Protective Measures Risk Management for Protection Programs and Activities Screening, Search and Detection Supply Chain Integrity and Security Public Information and Warning Operational Coordination Community Resilience Long-Term Vulnerability Reduction Risk and Disaster Resilience Assessment Threats and Hazard Identification Unofficial Working Draft Public Information and Warning Operational Coordination Critical Transportation Environmental Response / Health and Safety Fatality Management Services Infrastructure Systems Mass Care Services Mass Search and Rescue Operations On-Scene Security and Protection Operational Communications Public and Private Services and Resources Public Health and Medical Services Situational Assessment Public Information and Warning Operational Coordination Economic Recovery Health and Social Services Housing Infrastructure Systems Natural and Cultural Resources
22 CDC Risk-Based Pilot Project Project purpose Provide risk-based funding for select jurisdictions to promote accelerated development of risk reduction strategies that mitigate the public health risks associated with higher population areas Project goals Bring to scale resources, processes and findings that inform risk reduction strategies and advance planning Public health and medical/behavioral health risk reduction models and interventions Promising practices and approaches that can inform the larger HPP/PHEP awardee community Integrate findings that contribute to jurisdictional all-hazards risk reduction.
23 CDC Risk-Based Pilot Project $10 Million 10 Metropolitan Statistical Areas (MSA) Boston; Chicago; Dallas/Fort Worth/Arlington; Houston; State of New Jersey; Los Angeles/Long Beach; New York City; Philadelphia; San Francisco Bay; and National Capital Region (Washington D.C.) Eighteen awardees received funding Nine RBF Pilot Projects New Jersey participating with NYC MSA and Philadelphia MSA Project concludes in August, 2013 Evaluation plan developed; distillation of findings will be available in the fall
24 RBF Projects - geographic areas covered
25 Coordination of CDC Risk-Based Funding Pilot with FEMA THIRA
26 So What? Risk Pilot Project supports PPD-8 Directly supports whole of community planning Potentially will strengthen state THIRA findings through increased emphasis on social vulnerability data Enhances operational partnerships between public health, healthcare systems and emergency management Facilitates comprehensive operational response planning Provides a common point of operational interface between public health, healthcare systems and emergency management Contributes to the requirement to complete a comprehensive state THIRA
27 Go Forth and Prosper: How the Public Health-Emergency Management Partnership Worked in the West Explosion Response
28 A look at McLennan County Population: ~235,000 City of Waco 127,018 City of West 2,831 Located between Dallas and Austin IH35 runs through the middle West, TX located ~15miles north of Waco
29 How West is Unique Strong Czech heritage Tight-knit community Fiercely independent Agrarian based economy Located on a major interstate Incorporated municipality within McLennan County Serviced by Waco-McLennan County Public Health Outside of OEM jurisdiction
30 The Explosion First fire alarm: 7:30pm Explosion: 7:50pm Nursing home and apartment complex located across the street 12 first responders killed in initial response 350 homes damaged 142 of those were destroyed
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37 Key Partnerships Waco-McLennan County OEM - Assumed IC role in West response Heart of Texas Regional Advisory Council Hosts the Regional Healthcare Coalition DSHS Region 7 MHMR Local Mental Health Authority Local VOADs
38 Work with local Emergency Management Yes, it s important! Because: Helps you better understand your role. Helps you understand the role of other agencies. Familiarizes you with local resources.
39 In Real Life! How we benefited Gave us credibility Outside agencies utilized our services and trusted our input. Created mutual trust Emergency Management did not micro-manage our response. Emergency Management trusted us to know our role.
40 Other Lessons Learned You can t anticipate every need, but you can understand the capabilities of your organization and those of your partners. Having a working knowledge of your assets will allow you to utilize them effectively. Don t self deploy!
41 Waco-McLennan County Public Health District Alicia Hernandez, Program Administrator Debbi Parker, PHEP Coordinator Kelly Craine, Planner Stephanie Alvey, PHEP Planner
42 Questions? Thank you for participating today. Please take the webinar survey!
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