5A2 (Please read all parts of the question before answering) Please stop spammin
ID: 106222 • Letter: 5
Question
5A2
(Please read all parts of the question before answering) Please stop spamming my post.)
Review the Public Health Preparedness Capabilities at got to the CDC.gov website. Pick any state in the United States you choose. Pay specific attention to the Public Health Preparedness Capabilities Planning Model. Your report should identify and plan for a state of your choosing with an emphasis on the three defined phases:
Assess current state Pick any state of your choice: Assess organizational roles and responsibilities, resource elements, and performance.
Determine goals: Review jurisdictional inputs, prioritize capabilities and functions, and develop short- and long-term goals.
Develop plans: Plan organizational initiatives, capability building/sustain activities, and capability evaluations/demonstrations.
Each of the three phases and associated steps must be explored in depth and presented in a 4- to 6-page report. Format your report in APA style, citing appropriate references.
Explanation / Answer
Assess Current State
Step 1a: Assess Organizational Roles and Responsibilities The first step in the assessment phase is to determine which organizational entities within the jurisdiction are responsible for each capability and function. These entities may include state agencies, partner organizations, local and tribal health departments, and others. For instance, in some jurisdictions the medical examiner traditionally takes a lead role in fatality management activities; public health should, therefore, seek this partner when identifying what role public health contributes to this capability.
Step 1b: Assess Resource Elements Each function within the capabilities includes a list of priority and recommended resource elements, divided into three categories: Planning, Skills and Training, and Equipment and Technology. These are the resources that CDC and subject matter experts have determined are the most critical for being able to build and maintain the associated capabilities. To assess public health’s current capability, it is necessary to review the resource elements to determine the extent that these elements exist in the jurisdiction. Not all public health agencies are expected to own each resource element; jurisdictions are encouraged to partner with both internal and external jurisdictional partners to assure access to resources as needed. Jurisdictions are encouraged to first self-assess their ability to address the prioritized resource elements of each capability followed by their ability to demonstrate the functions and tasks within each capability. Successfully addressing prioritized resource elements is defined as a public health agency either has the ability to demonstrate that they have or have access to the resource element. For each resource element, if not fully present as described in the capability definitions, any challenges or barriers to the full attainment of that resource element should be noted. In addition, CDC has crosswalked the resource element content with the Project Public Health Ready (PPHR) 2011 criteria and the Public Health Accreditation Board (PHAB) measures (July 2009 beta test version) – these appear in the Endnotes section where applicable. Jurisdictions which have or are pursuing PPHR or PHAB certification may be able to use this information to further facilitate their assessments. The resource elements described for each function are not intended to be an exhaustive list of all possible types of resources required; nor do they give any indication of quantity of resources required (e.g., number of staff). Therefore, it is critical that in addition to assessing the defined resource elements, each jurisdiction notes the presence or absence of any other critical resources needed to meet its needs and any challenges or barriers.
Step 1c: Assess Performance After completing the resource element assessment, the next suggested step is to assess the performance of each capability and function, and whether or not it meets the jurisdiction’s needs. Performance demonstration and evaluation may be collected via activities to address CDC-defined performance measures or documented exercises or real incident activities.
USING THIS DOCUMENT FOR STRATEGIC PLANNING U.S. Department of Health and Human Services Centers for Disease Control and Prevention 8 Public Health Preparedness Capabilities: National Standards for State and Local Planning.
Determining Goals
Phase 2: Determine Goals Step
2a: Review Jurisdictional Inputs After assessing the jurisdiction’s current level resource elements and performance, the next step is to identify needs and gaps. In addition to the resource element assessment from the previous phase, there are a number of additional inputs which can be used, including (but not limited to) the following: • Existing data from jurisdictional hazards and vulnerability analyses • Emergency management plans • Funding considerations (e.g., guidance or funding requirements from related federal preparedness programs) • Previous strategic plans or planning efforts • Previous state and local accreditation efforts • CDC’s Strategic National Stockpile Technical Assistance Review results • After Action Reports/Improvement Plans • Previous performance measure results See Capability 1: Community Preparedness priority resource element requirements for additional detail on this topic.
Step 2b: Prioritize Capabilities and Functions The capability definitions are broad; no jurisdiction is expected to be able to address all issues, gaps, and needs across all capabilities in the immediate short term. Therefore, jurisdictions should choose the order of the capabilities they decide to pursue based upon their jurisdictional risk assessments (see Capability 1: Community Preparedness for additional or supporting detail on the requirements for this risk assessment), but are strongly advised to ensure that they first are able to demonstrate capabilities within the following domains: • Biosurveillance • Community resilience • Countermeasures and mitigation • Incident management • Information management Other prioritization criteria may include the following: • Missing/incomplete priority resource elements • Performance/ability is substantially lower than needed • Risks and threats to the public health, medical, and mental/behavioral health system • Ability to close gaps and develop capability is greatest • Evidence-based practice
Step 2c: Develop Short-term and Long-term Goals This planning model defines short-term goals: one year, and long-term goals: two years to five years. Jurisdictions should review the various inputs described in step 2a, analyze their priorities based on the prioritization criteria described in step 2b, and determine a set of short-term (one year) and long-term (two years to five years) goals. For the purposes of this model, all goals should refer to the capabilities, functions, and resource elements. For example, a short-term goal may be to fully build a particular function within a capability, including ensuring the presence of all priority resource elements. Long-term goals would be to build (individually or via partnerships), demonstrate performance, and, ultimately, sustain all capabilities and functions.
CDC's Community Preparedness for supporting detail on the requirements for this risk assessment) but are strongly advised to ensure that they first are able to demonstrate capabilities within the following domains:
• Biosurveillance
• Community resilience
• Countermeasures and mitigation
• Incident management
• Information management
Developing Plan
The public health preparedness capabilities are numbered and presented alphabetically in this document.
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 Surveillance and Epidemiological Investigation 14. Responder Safety and Health 15. Volunteer Management.
Step 3a: Plan Organizational Initiatives After determining the short-term and long-term goals, the next step is to engage in concrete initiatives and activity planning, particularly for the short-term goals. While in practice jurisdictions may group together related activities to address multiple functions or capabilities within the scope of one project or initiative, for the purposes of this planning model all activities are viewed as related to individual capabilities, functions, and resource elements.
Step 3b: Plan Capacity Building/Sustain Activities For each capability and function, jurisdictions generally will be either building, sustaining, or, perhaps, scaling back the capability and/or function, depending on the needs, gaps, priorities, and goals that have been identified. For build and sustain scenarios, jurisdictions are encouraged to pursue partnerships and memoranda of understanding with other agencies, partners, and jurisdictions. For scale-back scenarios, jurisdictions should identify the challenges and barriers causing them to scale back their efforts. States should consider what types of support are required by their local and tribal health departments and plan assistance or contracts accordingly. Support provided to local health departments should ideally describe which capabilities and functions are intended to be addressed. Jurisdictions should also determine any technical assistance needs they might have, whether from CDC or other sources. Technical assistance may be needed to address challenges, barriers, or other needs. For the purposes of this planning model, activities and technical assistance needs will, in general, relate to specific functions and resource elements (i.e., developing or modifying plans or processes, training staff, or building/buying equipment and technology).
Step 3c: Plan Capability Evaluations/Demonstrations The final step in the planning process is to develop plans for demonstrating and evaluating the capabilities and functions, especially those that have been newly developed. Demonstrations of capabilities can be through many different means such as exercises, planned events, and real incidents. Jurisdictions are strongly encouraged to use routine public health activities to demonstrate and evaluate their capabilities. Documentation of the exercise, event, or incident, and the use of quality improvement-focused After Action Reports/Improvement Plans is a vital part of this process. For those capabilities and functions where CDC-defined performance measures have been developed, jurisdictions are encouraged to collect data for those measures.
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