PHEP Capabilities and Preparedness and Response Core ...

1 PHEP Capabilities and Preparedness and Response Core Competencies: Two Approaches for Applying Organizational-Level Competencies to Public Health Preparedness INTRODUCTION This document presents a summary of organizational-level competencies for the PHEP Capabilities . There are two tables. Table 1 is organized by the three resource elements used in the PHEP Capabilities Standards (CDC, March, 2011): 1) planning; 2) skills and training; and 3) equipment and technology. The goal is to provide organizations with an overview of organization- and team-level competencies to assist in planning activities and measuring performance. The Skills/Training column both reflects training that may be appropriate for all staff, teams, or certain individuals and provides organizations a way to see the range of skills and trainings necessary to achieve the capability standards in their jurisdictions.

2 The broad themes that emerged from this exercise resonate with the seven organizational competencies identified in The Public Health Competency ~ Visionary Leadership ~ Partnership & Collaboration ~ Communication ~ Systems Thinking ~ Information Management ~ Promoting Health/Preventing Disease ~ Assessment, Planning, & Evaluation These competencies are: All seven organizational competencies are important for each of the 15 Preparedness Capabilities . Achieving both the competencies and Capabilities requires concerted effort in communication, coordination, and collaboration across all levels of the organization (Nelson, et al., p. 120). Of particular interest are concepts related to these organizational competencies that are implicit or explicit in statements found in the Knowledge, Skills, and Attitudes for the Public Health Preparedness and Response Core Competencies (PERLCs, Version , September, 2011).

3 Table 2 illustrates these concepts in a crosswalk with the KSA competencies and PHEP Capabilities . While these competencies cut across all the PHEP Capabilities , certain PHEP Capabilities are highlighted for specific organizational-level competencies. Finally, the planning model presented in the PHEP Capabilities Standards (p. 6) can be combined with resources in the Handbook to create an integrated approach to enhancing and improving organizational-level competencies for all-hazards Preparedness . 1 Nelson, , Essien, , Loudermilk, R., & Cohen, D. The Public Health Competency Handbook: Optimizing Individual and Organizational Performance for the Public s Health. Atlanta, GA: Center for Public Health Practice of the Rollins School of Public Health, 2002. 2 LIST OF ABBREVIATIONS AAR After-Action Report CBRNE Chemical, Biological, Radiological, Nuclear and Explosives CDC Centers for Disease Control and Prevention CERC Crisis and Emergency Risk Communication COOP Continuity of Operations Plan EMAC Emergency Management Assistance Compact ESF Emergency Support Function FEMA Federal Emergency Management Agency GIS Geographic Information Systems HSEEP Homeland Security Exercise and Evaluation Program HVA Hazard Vulnerability Analysis IAP Incident Action Plan ICS Incident Command System IP Improvement Plan JITT Just-in-Time Training LRN Laboratory Response Network MAA Mutual Aid Agreement MOA Memorandum of Agreement MOU Memorandum of Understanding MRC Medical Reserve Corps NEDSS National Electronic Surveillance System NIMS National Incident Management System 3 LIST OF ABBREVIATIONS (continued)

4 PERLC Preparedness and Emergency Response Learning Center PHEP Public Health Emergency Preparedness PHIN Public Health Information Network PIO Public Information Officer POD Point of Dispensing PPE Personal Protective Equipment QI Quality Improvement SNS Strategic National Stockpile TABLE 1. PHEP Capabilities : Organizational-Level Competencies by Resource Elements (Planning, Skills and Training, & Equipment and Technology) PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 1: Community Preparedness Community Assessment / HVA GIS Access to GIS resources Access to data about populations with special needs and resources in jurisdiction Partnerships (MOAs, MOUs) Collaboration / partnerships / networks Continuity of Operations (COOP) MRC/Volunteers ~ FEMA IS-546 ~ FEMA Media/Communication Communication ~ CDC CERC ~ FEMA IS-704 Planning Processes Plan Development (Strategic, QI, Assessment/ Social Determinants) Note: Specific P & R Core Competency highlighted for training.

5 #3, Plan for and Improve Practice ( ) 5 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 2: Community Recovery Community Assessment / HVA GIS Access to GIS resources Partnerships (MOAs, MOUs) Collaboration / partnerships / networks Continuity of Operations (COOP) Mental & behavioral health training for MRC ~ FEMA IS-546 ~ FEMA Media/Communication Communications ~ CDC CERC ~ FEMA IS-704 Planning Processes (recovery, relationship-building, restoration of services, and evaluation protocols) Plan Development (Coalitions, access to health & social services, coordination of support services Capability 3: Emergency Operations Coordination Partnerships (Mutual Aid Agreements) Collaboration / partnerships / networks Communications equipment Back-up generator Planning Processes (assessment of incident, decision-making, activation [with matrix], data analysis); protocols for all phases of incident Plan Development (IAPs, AARs, IPs) ~ FEMA , , ICS-300, ICS-400, IS-546, IS.)

6 ~ FEMA HSEEP ( , IS-130, IS-139) 6 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 4: Emergency Public Information and Warning Partnerships (within, across jurisdictions) Collaboration / partnerships / networks Communications equipment (24/7 alerting capacity, wireless devices) Back-up generator Communication protocols & procedures (roles, logistics, media relations, call center, social media) Communications Health Alert System ~ CDC CERC ~ FEMA , IS- , IS 250, IS , , IS-704, Message templates Literacy, cultural, & special populations Capability 5: Fatality Management Partnerships (MOAs, MOUs, MAAs) Collaboration / partnerships / networks Personal Protective Equipment Access to appropriate databases Access to equipment for fatality operations (if appropriate) Protocols, procedures, standard operating procedures (roles, responsibilities, resources) Plan development ~ FEMA IS-808 (Note: trainings dependent on organizational role; would include PPE training) 7 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 6: Information Sharing Partnerships Collaboration / partnerships / networks Database with contact information CDC PHIN Surveillance reporting Protocols & procedures (data elements, exchange, & security.)

7 Communication re health information surveillance) Communications Aware-level training for whole organization re information sharing Plan development for messaging with partners Capability 7: Mass Care Partnerships (MOAs, MOUs, MAAs) Collaboration / partnerships / networks Screening tool for shelter registration Inspections GIS for mapping locations of at-risk populations Protocols, procedures, standard operating procedures (coordination of ESF #6, #8, #11; information flow, sites, staffing, medications, services, food, equipment, animal care) Plan development ~ At-risk populations ~ Training for staff based on roles (registration, inspections, GIS, service referrals, radiation, surveillance, etc.) 8 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 8: Medical Countermeasure Dispensing Partnerships (MOAs, MOUs) Collaboration / partnerships / networks Database for: reporting, surveillance, tracking, inventory, storing (pharmaceuticals & supplies) Supplies (medical, office) & storage equipment Protocols, Procedures, & Standard Operating Procedures (reporting, sharing resources, support activities; storage, staffing; coordinated messages) Communications Plan Development Training: PODs, SNS, volunteer mgt (see Capability 15); state & federal adverse event reporting Capability 9: Medical Material Management and Distribution Partnerships (MOAs, MOUs, MAAs) Collaboration / partnerships / networks Database for: inventory & security Medical & office supplies.

8 Receiving & storage, refrigeration monitoring equipment Interoperable system for coordination of all phases Protocols, procedures, standard operating procedures (communicating, requesting, receiving, storing & securing, staffing, transporting, dispensing, tracking, disposing, returning; evaluating) Plan development: AARs: FEMA IPs: FEMA IS 130 Training for staff & volunteers based on roles (PODs, SNS) ~ FEMA IS-808 9 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 10: Medical Surge Partnerships (MOAs, MOUs) Collaboration / partnerships / networks Database for: surveillance, bed-tracking (situational awareness) Interoperable communications systems Protocols, Procedures, & Standard Operating Procedures (coordination with partners in jurisdiction for communicating among selves & with media; implementing emergency operations; tracking beds; identifying, vetting, supporting, & releasing volunteers.)

9 Reuniting families) ~ Communications re situational awareness ~ Plan Development Training: ICS for whole organization as appropriate ~ FEMA IS-808 (ESF #8), , , , Training for volunteers ~ FEMA IS-244 Capability 11: Non-Pharmaceutical Interventions Partnerships (MOAs, MOUs, MAAs) Collaboration / partnerships / networks Database for collecting, reporting about incident Protocols & procedures (jurisdictional, legal, regulatory issues related to isolation & quarantine, mental/behavioral health support services, school/ child care closures, work- place closures, social distancing, travel restrictions) Plan development: QI, AARs, IPs Training at organizational level based on roles & responsibilities; radiological emergencies 10 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 12: Public Health Laboratory Testing Partnerships (MOAs, MOUs) Collaboration / partnerships / networks Database of state and federal Lab Response Network (LRN) sentinel labs Database for sharing information, keeping records, ordering supplies, maintaining equipment, reporting Protocols, Procedures, & Standard Operating Procedures (human, food, veterinarian, environmental, CBRNE samples testing; COOP for the lab; communications; sample collecting, packaging, shipping, transporting, handling, storing, & disposing.

10 Surge capacity) ~ Plan Development ~ LRN-B, LRN-C, LRN-R & data management training for lab personnel ~ CDC Public Health Law Program 101 & Forensic Epi curricular Capability 13: Public Health Surveillance and Epidemiological Investigation Partnerships (MOAs, MOUs, MAAs) Collaboration / partnerships / networks Database for collecting, reporting about incident Protocols & procedures (jurisdictional, legal, regulatory issues related to isolation & quarantine, mental/behavioral health support services, school/ child care closures, work- place closures, social distancing, travel restrictions) Plan development: QI, AARs, IPs Training at organizational level based on roles & responsibilities; radiological emergencies 11 PHEP Capability Organizational-Level Competencies Planning Skills/Training Equipment/Technology Capability 14: Responder Safety and Health Partnerships (MOAs, MOUs) Collaboration / partnerships / networks Access to safety equipment Access to personal protective equipment (N 95 masks, for example) Protocols & Procedures for public health roles and responsibilities for environmental health, water, field surveillance risk assessment; safety guides; monitoring of incident; effects on responders; screening services ~ Plan Development Population monitoring re environmental & epidemiological effects ~ Training: PPE (N 95); Aware level for all; K & P levels for responder & surge staff.