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Expert Panel on Defining Public Health Emergency Preparedness Christopher Nelson, Ph.D. Nicole Lurie, MD, MSPH Jeffrey W

Expert Panel on Defining Public Health Emergency Preparedness Christopher Nelson, Ph.D. Nicole Lurie, MD, MSPH Jeffrey Wasserman, Ph.D. Sarah Zakowski, BA. Since 2001, Billions Have Been Invested in Public Health Preparedness – But What Is the Result?.

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Expert Panel on Defining Public Health Emergency Preparedness Christopher Nelson, Ph.D. Nicole Lurie, MD, MSPH Jeffrey W

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  1. Expert Panel on Defining Public Health Emergency PreparednessChristopher Nelson, Ph.D.Nicole Lurie, MD, MSPHJeffrey Wasserman, Ph.D.Sarah Zakowski, BA

  2. Since 2001, Billions Have Been Invested in Public Health Preparedness – But What Is the Result? • 7 billion in federal investment since 2001 in state/local readiness • Congress and public have heightened expectations • Yet, we cannot say whether or not communities are ready Difficult to assess without a clear and consistent definition of preparedness

  3. RAND Convened an Expert Panel to Develop a Definition of Preparedness What is apublic healthemergency? What capabilitiesand resourcesare required? Who needsto beinvolved? Panel included thought leaders from public health, hospitals/clinicalmedicine, emergency management, community preparedness

  4. James Gilmore III (chair) Georges Benjamin, MD, FACP Mark Ghilarducci Lewis Goldfrank, MD Lawrence Gostin, JD Shelley A. Hearne, DrPH Nathaniel Hupert, MD, MPH James J. James, MD, DrPH, MHA Ana-Marie Jones Kenneth W. Kizer, MD, MPH Howard Koh, MD, MPH John Lumpkin, MD, MPH Courtney Magnus Panel Included Thought Leaders in Public Health, Health, Emergency Management, Community Preparedness

  5. 1) What Is a Public Health Emergency? Panel adopted the “all hazards” approach Infectious Disease Earthquake Typhoon Bioterrorist Attack Flood Hurricane Tsunami

  6. What Is a Public Health Emergency? However, emergencies are defined by health consequences, not causes • Overwhelms routine capabilities • Scale • Rapid onset • Uncertainty Emergency

  7. 2) What Capabilities and Capacities Are Required? Emergency

  8. What Capabilities and Capacities Are Required? 1 Prevention Reducehazards Prevention Prevention can reduce both hazards and vulnerabilities andbuilds community resiliency Emergency Prevention Reducevulnerabilities

  9. What Capabilities and Capacities Are Required? 2 1 Prevention Response Reducehazards Must be operational and, where possible, should build on routine systems Prevention Response Emergency Prevention Reducevulnerabilities

  10. What Capabilities and Capacities Are Required? 1 2 3 Prevention Response Recovery Reducehazards Prevention Recovery Response Emergency Prevention Reducevulnerabilities All phases require continuous improvement

  11. 3) Who Is Involved in Preparedness? . . . Not Just Government Agencies Public Health& Other Government Agencies

  12. Public Health& Other Government Agencies . . . But a Range of Community Partners EmergencyManagement Hospitals and Health CareProviders Communities Private-SectorEmployersand Business Law Enforcement NongovernmentalOrganizations

  13. The Definition of Preparedness Public health emergency preparedness (PHEP) is the capability of the public health and health care systems, communities, and individuals, to prevent, protect against, quickly respond to, and recover from health emergencies, particularly those whose scale, timing, or unpredictability threatens to overwhelm routine capabilities. Preparedness involves a coordinated and continuous process of planning and implementation that relies on measuring performance and taking correctiveaction.

  14. Expert and Fully Staffed Workforce Operations-ready workers & volunteers Leadership Accountability & Quality Improvement Testing operational capabilities Performance management Financial tracking Preplanned and Coordinated Rapid-Response Capability Health risk assessment Legal climate Roles & responsibilities Incident Command System Public engagement Epidemiology Laboratories Countermeasures & mitigation strategies Mass health care Public Info/Communication Robust supply chains Definition Also Provides Specific, Action-Oriented Elements

  15. Definition Can Provide A Foundation for Improving Preparedness • Provides common language • Rigorous measurement • Clear and consistent policy guidance • Effective corrective actions • Helps stakeholders focus on thebig picture • How elements of preparednessfit together • Provides a context for answering the question: “what is worth measuring?”

  16. Next Steps • Definition published in AJPH online supplement on PHEP (April 2007) • Provided foundation for recent IOM report on research priorities • Informing efforts to develop new Cooperative Agreement metrics http://www.ajph.org/cgi/reprint/97/Supplement_1/S9.pdf

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