PUBLIC HEALTH
ACCREDITATION AND
EMERGENCY PREPAREDNESS:
LEVERAGING THE LINKAGES
Public Health Preparedness:
Standards and Performance Measures
Resham Patel, MPH
Senior Program Analyst,
Preparedness, NACCHO
COPPHI Open Forum
December 6, 2012
Importance of Standards and Performance
Measures in Preparedness
• Measures progress on preparedness capabilities and
capacities
• Demonstrates return on investment of federal and state
funding
• Informs state and local public health, policy makers, key
preparedness partners and other stakeholders
• Provides a framework to ensure that public health
preparedness is meeting national standards
PPHR, PHEP, and PHAB: An Overview
• Set a standard of achievement for performance for local
health departments
• NACCHO’s PPHR criteria address preparedness and
response, specifically in planning, training, and
demonstration of readiness.
• CDC’s PHEP capabilities assist state and local planners
in identifying gaps, determining priorities, and developing
plans for building and sustaining capabilities.
• PHAB’s standards address global organizational and
system-wide agency capacity and capability.
PPHR, PHEP, and PHAB: A Shared History
• Since the early 2000’s, PPHR and PHEP have focused on
building public health preparedness capacity and capability at
the state and local level.
• PPHR criteria contributed to the development of the PHEP
capabilities, creating strong synergy between the programs.
• PHAB referenced the PPHR criteria, and the newly released
PHEP capabilities, in developing the accreditation standards
and measures.
• The PPHR criteria are updated annually to incorporate local
practices and the most recent national preparedness
initiatives, including PHEP and PHAB.
Project Public Health Ready
Project Public Health Ready (PPHR) is a collaborative activity between the
National Association of County and City Health Officials (NACCHO) and the
Centers for Disease Control and Prevention (CDC).
Vision
Local health departments (LHDs) will be fully integrated into the response
community and prepared to respond to any emergency.
Mission
To protect the public’s health and increase the public health infrastructure by
building local health department preparedness capacity and capability. With
assistance from state health departments, LHDs will use sustainable tools to plan,
train, and exercise using a continuous improvement model.
About PPHR
• Piloting began in 2003
• Collaborative activity between NACCHO and CDC
• PPHR Workgroup
• Committee developed criteria, led by local public health
practitioners
• 285 LHDs recognized individually or as part of a region
• Utilizes a continuous quality improvement process
• Develops Community Partnerships
Project Public Health Ready
* New States
PPHR Criteria
PPHR Criteria are divided into three goals:
1. All-Hazards Response Plan
2. Workforce Development
3. Demonstration of Readiness: Exercise or Event
PPHR Criteria
Updated annually and aligned with federal guidelines
and national initiatives, including:
• National Health Security Strategy (NHSS)
• CDC Public Health Emergency Preparedness (PHEP)
Capabilities
• National Incident Management System (NIMS)
• Homeland Security Exercise & Evaluation Program
(HSEEP)
Public Health Emergency Preparedness (PHEP)
Cooperative Agreement
• Public Health Emergency Preparedness (PHEP) Cooperative
Agreements are between CDC and the 50 states, 8 territories, and
4 directly funded cities (NY, Chicago, DC, and LA)
• Appropriated by Congress in 2002
• In 2011, CDC released 15 Public Health
Preparedness Capabilities which were
designed to align with the National Health
Security Strategy
• PHEP funding will be used by grantees to
work towards these capabilities
PHEP: 15 Capabilities
Community Preparedness
Community Recovery
Emergency Operations
Coordination
Emergency Public Information
and Warning
Fatality Management
Information Sharing
Mass Care
Medical Countermeasure
Dispensing
Medical Materiel Management
and Distribution
Medical Surge
Non-Pharmaceutical
Interventions
Public Health Laboratory
Testing
Public Health Surveillance and
Epidemiological
Investigation
Responder Safety and Health
Volunteer Management
Preparedness Capabilities Structure
15 Preparedness
Capabilities
Capability
3-5 broad
“Functions” per
Capability
Functions
A number of
Essential Tasks for
completion of each
Function
Essential
Tasks
Tasks form the basis
for training and
exercises
Capability
Definition
Resource Elements
include owning or, where
applicable, having access
to:
Resource
Elements
1. Plans (includes
vulnerable populations,
legal authorities)
2. Skills and Training
3. Equipment and
Technology
Application Work Plan Component
Office of Public Health Preparedness and Response
Division of State and Local Readiness
PHAB Framework: Domains, Standards, and Measures
12 Domains (10 Essential PH services plus
administration & governance)
~ Standards
~ Measures
Documentation
Public Health Accreditation Board (PHAB)
NACCHO’s Document Selection Tool:
PPHR and accreditation
NACCHO’s PPHR Workgroup members were involved with
the PHAB Standards and Measures development.
This tool highlights 2012 PPHR Criteria that correlate to
current PHAB Standards and Measures.
Completed in November 2012, and available online at
www.naccho.org/topics/infrastructure/accreditation/upload/
DST-PPHR.pdf
NACCHO’s Document Selection Tool:
PPHR and accreditation
NACCHO’s Document Selection Tool:
PPHR and accreditation
Examples
Questions?
Resham Patel, MPH
Senior Program Analyst, Public Health Preparedness
National Association of County and City Health Officials
Phone: 202-507-4233
E-mail: rpatel@naccho.org