National Health Security Strategy Mike Harryman Health Preparedness

National Health Security Strategy Mike Harryman Health Preparedness Manager Public Health Division September 29, 2010 DHS | Independent. Healthy. Safe 1

Purpose of National Health Security Strategy The purpose of the NHSS is to guide the Nation’s efforts to minimize the risks associated with a wide range of potential large-scale incidents that put the health and well-being of the Nation’s people at risk, whether at home, in the workplace, or in any other setting. DHS | Independent. Healthy. Safe 2

2011 to 2016 Program Direction Public Health HHS 10 Essential Services of Public Health 3 Public Health Emergency Preparedness CDC/HPP PHEP Program Emergency Preparedness DHS National Preparedness Guidelines (NPG) and Target Capabilities List (TCL)

Vision & Goals of National Health Security Strategy The HNSS defined national health security as follows: National health security is achieved when the Nation and its people are prepared for, protected from, respond effectively to, and are able to recover from incidents with potentially negative health consequences The NHSS is designed to achieve two goals: ~ Build community resilience ~ Strengthen and sustain health and emergency response systems DHS | Independent. Healthy. Safe 4

Building Blocks for Community Resiliency Key components “Building Blocks” of community resilience include: • Physical & psychological health of the population • Social connectedness of community members • Level of social integration of government & nongovernment organizations (NGO) DHS | Independent. Healthy. Safe 5

Needs of At-Risk Individuals U. S. Department of Health & Human Services: • • • Children, senior citizens, & pregnant women Those who have disabilities Live in institutionalized settings Are from diverse cultures Have limited English proficiency Non-English speaking Transportation disadvantaged Chronic medical disorders Pharmacological dependency DHS | Independent. Healthy. Safe 6

NHSS: Community Resiliency Emphasis on “a healthy community is a resilient community” concept: Community resilience is supported by the promotion of healthy lifestyles; disease prevention; access to culturally informed, timely and high-quality health care; and a robust public health system. DHS | Independent. Healthy. Safe 7

National Health Security Strategy Health security is the responsibility of governments at all levels, for-profit and not-for-profit organizations, communities and individuals. The Strategy expresses the need to develop and implement capability-based performance measures. These measures will support monitoring for purposes of both accountability and needed improvements in national health security systems. DHS | Independent. Healthy. Safe 8

NHSS: Implementation Plan Principles: • Improving the coordination of and streamlining federal funding sources for national health security • Developing incentives and supports for non-governmental investments in health security • Identifying and disseminating promising practices for governmental and nongovernmental resource coordination • Developing workable funding sources for non-governmental partners • Employing sound fiscal management, accounting, and budgeting principles DHS | Independent. Healthy. Safe 9

NHSS: Implementation Plan Key Themes & Assumptions ~ Achieving national health security requires an “enterprise” approach ~ A high level of integration & coordination is essential to national health security ~ National health security is built on a foundation of community resilience ~ The need of at-risk individuals must be addressed ~ Like most public endeavors, national health security must be achieved & DHS | Independent. Healthy. Safe 10

HNSS: Biennial Implementation Plan (BIP) for HNSS ~ Draft – July 19, 2010 ~ Federal Register/Vol. 75, No. 142 – Notice ~ Comments were due by August 25, 2010 • The target audience for the BIP ~ Individuals, families, communities, and ~ All sectors and governments, state & federal government DHS | Independent. Healthy. Safe 11

Next Steps Selected CDC partners participating in Planning Tool Work Groups: • • Sep 9 – Community Preparedness & Community Recovery Sep 10 – Public Health Surveillance & Epidemiological Investigation Sep 14 – Emergency Operations Coordination Sep 16 – Emergency Public Information & Warning DHS | Independent. Healthy. Safe 12

Next Steps Selected CDC partners participating in Planning Tool Work Groups (still pending): • • • Public Health Laboratory Testing Information Sharing Responder Safety & Health Fatality Management Non-Pharmaceutical Interventions Mass Care Medical Supplies Management & Distribution Volunteer Management Medical Surge DHS | Independent. Healthy. Safe 13

Tentative - CDC Timeline PHEP Capabilities Development Timeline: • Late Summer/Fall: Partner-Awardee Review • Early 2011: PHEP Planning Tool Release • Spring 2011: PHEP Guidance Release DHS | Independent. Healthy. Safe 14

National Health Security Strategy DHS | Independent. Healthy. Safe 15

PHEP Capabilities Overview * Surge Management Countermeasures and Mitigation Medical Supplies Management and Distribution Responder Safety and Health Volunteer Management and Recruitment Emergency Management Capabilities Medical Surge Medical Countermeasure Dispensing Fatality Management Non-Pharmaceutical Interventions Incident Management Mass Care Emergency Operations Coordination Biosurveillance Surveillance & Intervention Capabilities Public Health Surveillance and Epidemiologic Investigation ** Public Health Laboratory Testing * For alignment purposes, we are using the defined DHS TCL capability names as a baseline, which can sometimes be misleading. Please refer to the Target Capabilities List for detailed definitions for each capability. Also note that the capability names are subject to change based on workgroup feedback. ** The Biosurveillance aspects of “Animal Disease and Emergency Support”, “Food and Agriculture Safety and Defense”, and “Environmental Health” are included in “Public Health Surveillance and Epidemiologic Investigation” 16 Information Management Emergency Public Information and Warning Information Sharing Community Resilience Community Preparedness Community Recovery General Program Capabilities

Strategic Planning and Objectives Process Steps CDC Sets 5 -Year Goals in the Form of Capabilities and Target Outcomes Develop Work Plan Awardee Performs Assessment of Current Capabilities and Identifies Gaps Awardee Develops 5 -Year Strategic Plan to Close Gaps and Sustain Capabilities Determine Annual Objectives Annual Grants Management Lifecycle Update Strategic Plan (if necessary) DHS | Independent. Healthy. Safe Allocate Budget Implement Assess Progress 17

Point of Contact Mike Harryman Mike. harryman@state. or. us 971. 673. 1320 (office) 503. 975. 1911 (cell) DHS | Independent. Healthy. Safe 18