STATE OF HAWAI‘I DEPARTMENT OF HEALTH PUBLIC HEALTH

STATE OF HAWAI‘I DEPARTMENT OF HEALTHPUBLIC HEALTH PREPAREDNESS

STRATEGIC PLAN (2012 - 2017)

Building, Sustaining, and Enhancing Public Health Capabilities

State of Hawai‘i Department of Health

Public Health Preparedness (PHP) Strategic Plan (2012-2017)

Forward Certain events of the past 20 years—Sarin gas attacks in Japan, Anthrax and Salmonella attacks in this country, and influenza outbreaks throughout the world, to name only a few—have dramatically altered the notion of public health preparedness here in the United States. Other events such as Hurricane Katrina remind us that rigorous involvement of public health agencies is absolutely vital to effective emergency management.

Increasing population, the ease with which toxins and pathogens can be introduced and carried, and their virulence or persistence will complicate what are already clear and present dangers to public health. Indeed, natural and human-caused disasters appear to be increasing in frequency and severity. Despite many medical, health, and other system enhancements, we have no reason to believe that preparing for public health emergencies will get any easier. Those who now prepare for these threats appear to be working much harder than before.

As local protectors of public health, we face what appears to be an increasingly critical choice. We can attempt to keep pace with rapid and vast federal program development, which we have been unable to do thus far, or we can develop and maintain a set of fundamental preparedness capabilities in order to do what we can and do it well.

After much deliberation, we believe now is the time for dramatic program change to establish a basic level of public health preparedness that we all need and want. Federal programs now allow, if not encourage, pragmatic evolution of state and local capabilities, starting with the most basic. Thus, a theme for a five-year strategic plan has emerged that sets forth a practical, measured, and adaptive approach to prepare for disaster: establish and maintain a core set of public health preparedness capabilities.

This strategic plan is the product of several meetings with internal and external program stakeholders over the course of several months in 2012. It presents six goals for a new Hawai’i Department of Health (HDOH) Public Health Preparedness (PHP) program to achieve by 2017. It recognizes the many achievements in public health preparedness we have made to date, maintains our shared commitment to sustain the most important capabilities, and envisions responsible development of new capabilities.

HDOH and our partners in preparedness understand that significant program challenges lie ahead—including subsequent disaster events, recovery from the current economic downturn, and future economic downturns. Nevertheless, we believe that there is no better time than now to define, build, maintain, and evolve our most essential disaster response capabilities.

i



Contents Mission ........................................................................................................................................................................1

Vision ..........................................................................................................................................................................1

Overarching Strategy ................................................................................................................................................1

Goal: Improve HDOH Department Operations Center capability ....................................................................1

Goal: Develop an all-hazard emergency response plan .......................................................................................2

Goal: Promote a culture of public health preparedness .......................................................................................2

Goal: Effectively sustain existing capabilities while continuing to build new ones ..........................................3

Goal: Ensure counties develop a standard set of core competencies and capabilities ......................................3

Goal: Engage stakeholders in a public health advisory committee ....................................................................3

Implementing and Maintaining this Plan ..............................................................................................................4

Appendix A: HDOH Strategic Planning Worksheet, September 6, 2012 ..................................................... A-1

ii



Acronyms CDC Centers for Disease Control and Prevention

DOC Department Operations Center

EOP Emergency Operations Plan

HDOH State of Hawai‘i Department of Health

NIMS National Incident Management System

PHP Public Health Preparedness

1



To best mitigate and prepare for public health disaster, the State of Hawai‘i Department of Health (HDOH), has created a Public Health Preparedness (PHP) program and has adopted the following five-year strategic plan.

MISSIONTo promote health and protect Hawai‘i from the effects of disaster.

VISIONResidents, businesses, non-governmental organizations, and governments working together effectively and efficiently to protect Hawai‘i from the effects of disaster.

OVERARCHING STRATEGY Over the next five years, HDOH will develop and maintain emergency management capabilities most critical to public health in Hawai‘i. New capabilities will be developed, when needed, and when doing so does not jeopardize the sustainment of critical capability.

GOAL: IMPROVE HDOH DEPARTMENT OPERATIONS CENTER CAPABILITY

Coordination of emergency response activity is vital to successful public health outcomes during disaster. The HDOH Department Operations Center (DOC) will be organized, equipped, staffed, trained, and exercised through PHP to readily perform this task in response to public health emergencies or in support of State Civil Defense as part of the State’s response system. Development of this DOC capability will require:• Developinganemergencyoperationspolicythat

addresses requirements for successful public health disaster outcomes

• Identifying,organizing,andtrainingindividualsfromthroughoutHDOHandsupportingorganizations needed to operate the DOC

• ExercisingtheDOCeachyeartoensureitcanaccomplishcriticalemergencyresponsetasks• Leveraginginformationtechnology,whichincludesdevelopingandmaintainingoperationaltools

such as incident management and communication systems that are essential to effective response• EnsuringcontinuityofHDOHduringacrisis• DevelopingNationalIncidentManagementSystem(NIMS)compliantprocesses,systems,andtools

2



GOAL: DEVELOP AN ALL-HAZARD EMERGENCY OPERATIONS PLAN

An emergency operations plan (EOP) defines the policy, roles, responsibilities, resources, and practices of a DOC. An HDOH EOP will be developed by PHP to address all likely threats to public health and to indicate how HDOH activity will directly or indirectly support effective disaster response outcomes. Elements of the EOP will include: •Aclear,viableconceptofoperations•Definitionoftheroles,responsibilities,resources,andauthorities

needed to effect successful public health outcomes during disasters•Acomprehensivehazardidentificationandriskassessment•AfocusoninteroperabilityandNIMScompliance•Hazardandfunctionalannexes(e.g.,tsunamiandmassdispensing

annexes)

GOAL: PROMOTE A CULTURE OF PUBLIC HEALTH PREPAREDNESS

Recent research demonstrates that most people in Hawai‘i believe governments are responsible for preparing the public for disaster. Nevertheless, individual responsibility for public health and preparedness is critical to successful health outcomes. PHP will aggressively work with internal and external program stakeholders, businesses and industrial organizations, and various elements of government itself to change the public misconception and improve public preparedness. This work will include:

• Increasinggovernment,business,andpublicawareness by creating new public health preparedness campaigns and initiatives while sustaining existing ones

• Developingpartnershipsthatfosterasharedcultureofpublichealthpreparedness• Establishingamitigationprogramtopursueopportunitiesthateliminateorreducevulnerability

before it creates public health impacts

3



GOAL: EFFECTIVELY SUSTAIN EXISTING CAPABILITIES WHILE CONTINUING TO BUILD NEW ONES

HDOH investments of federal funding over the last 10 years in laboratory analysis, epidemiology, medical material management, response planning, and volunteer coordination have facilitated tremendous accomplishments in preparedness. As part of the annual HDOH budget development process, PHP will:

• ContinuetospecifythemostcriticalstatewideHDOHcapabilities• ManageaPHPbudgettomaintainthesecapabilities

• Exercisethesecapabilitiestosustainreadiness• Exploreopportunitiestoeffectivelydistributecapability• Effectivelymeasureprogressoncapabilities

GOAL: ENSURE COUNTIES DEVELOP A STANDARD SET OF CORE COMPETENCIES AND CAPABILITIES

Much of the history of Hawai‘i is proudly shared as stories of self-reliance, community, and stewardship—values as evident today as in previous centuries. No county in Hawai‘i depends on another to direct its disaster response, but all rely on each other for assistance when help is needed. PHP will work each year to prioritize development of fundamental public health preparedness capabilities for all islands. This work will include:

• Defining,developingandmaintainingcorecapabilitiesthroughoutthestate• ReviewingthePHPbudgeteachyeartoensurethatnonewcapabilitiesarecreatedatthecostof

losing a basic capability elsewhere• WorkingwithspecificHDOHDistrictHealthOfficestodevelop,maintain,andsharecertain

capabilities for all that would otherwise be impractical for each to develop and maintain alone

GOAL: ENGAGE STAKEHOLDERS IN A PUBLIC HEALTH ADVISORY COMMITTEE

The diversity of public, private, and non-governmental responsibilities for public health preparedness requires extensive engagement. To achieve the best collaborative public health preparedness outcomes, PHP will:

• EstablishaHawai‘iDisasterPublicHealthAdvisoryCommitteetoadviseandprovide recommendations to HDOH

• Regularlymonitorthestatusofpublichealthpreparednessbyestablishingand sharing program metrics with the advisory committee and other program stakeholders

• Developandimplementinitiativeswithadvisorycommitteememberagencies• Encourageandemployadvisorycommitteemembers—andbyextensiontheiraffiliated

organizations—to collect program information, collaborate, communicate program success, and thereby promote a culture of preparedness

4



IMPLEMENTING AND MAINTAINING THIS PLANPHP will maintain this plan and complementary annual work plans (example attached). PHP and HDOH executives will review the plan each year during the budget development process to define priorities for investment. Review of this plan will also be a standing quarterly agenda item for the Public Health Preparedness Advisory Committee so that progress and revisions to the plan may be considered and incorporated.

This plan is not considered a static or irrevocable document. It is designed to guide many agencies and organizations on a shared path to better public health preparedness for the State of Hawai‘i. When work specified in this plan is completed or no longer becomes necessary, HDOH and its advisory committees may elect to revise the plan in whole or in part.

A-1



App

endi

x A

: H

DO

H S

trat

egic

Pla

nnin

g W

orks

heet

Se

ptem

ber 6

, 201

2G

oal

Obj

ectiv

eSp

ecifi

c Out

com

e(s)

Res

pons

ible

Pa

rty

Sche

dule

Link

to P

HEP

/HPP

Wor

k Pl

anD

epen

denc

y on

oth

er

Stra

tegi

c Goa

l or O

bjec

tive

Com

men

t

1. Im

prov

e H

DO

H

Dep

artm

ent

Ope

ratio

ns

Cen

ter

Cap

abili

ty

1.1

Dev

elop

and

enh

ance

ad

ditio

nal d

epar

tmen

t [e

mer

genc

y] o

pera

tions

ce

nter

cap

abili

ty th

at

faci

litat

es a

ccom

plish

men

t of

all

HD

OH

em

erge

ncy

activ

ities

wel

l.

1.1.

1 A

ppro

ved

Emer

genc

y O

pera

ting

Proc

edur

es

(EO

P) /

Sta

ndar

d O

pera

ting

Proc

edur

es (S

OP)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

Em

erge

ncy

Ope

ratio

ns

Coo

rdin

atio

n Pl

anne

r

BP2

3.2.

2, 3

.4.2

, 3.4

.3, 4

.1.1

, 4.1

.4, 4

.1.2

, 4.1

.7,

4.4.

1, 4

.4.5

, 4.5

.1, 6

.1.3

, 6.2

.1, 6

.2.2

, 6.2

.3,

6.2.

8, 6

.3.2

, 6.3

.3, 6

.3.5

, 6.3

.6, 7

.3.9

, 8.1

.1,

8.2.

1, 9

.1.6

, 10.

1.13

,10.

2.2,

10.

2.3,

10.

3.1,

10

.3.5

, 1

0.4.

6. 1

2.4.

2, 1

2.5.

3,13

.1.1

, 13

.1.2

, 13.

1.3,

15.

3.3,

15.

3.6

This

shou

ld d

epen

d on

out

com

e 2.

1.2.

This

outc

ome

prod

uces

a g

ener

al se

t of p

roce

dure

s to

com

plem

ent t

he E

OP.

Mor

e sp

ecifi

c se

ts o

f SO

Ps (i

.e., h

ow to

ope

rate

a P

oint

of

Dist

ribut

ion

[PO

D])

are

add

ress

ed b

elow

in

outc

ome

2.5.

3.

1.1.

2 Ap

prov

ed fo

rm-s

ets t

o co

mpl

emen

t SO

P Po

licy,

Ass

essm

ent,

and

Impl

emen

tatio

n Se

ctio

n/

Emer

genc

y O

pera

tions

C

oord

inat

ion

Plan

ner

BP2

3.3.

1, 4

.4.6

, 4.

1.2,

6.3

.8, 7

.2.1

1, 8

.4.6

, 9.

1.9,

13.

2.1,

15.

3.1,

Th

is sh

ould

dep

end

on o

utco

me

1.1.

1. Th

is ou

tcom

e pr

oduc

es fo

rms o

r oth

er to

ols

nece

ssar

y to

follo

w p

roce

dure

s. Th

ese

form

s sh

ould

be

final

ized

as t

heir

corr

espo

ndin

g pr

oced

ures

are

fina

lized

.

1.1.

3 A

ppro

ved

PHP

A

dmin

istra

tive

Polic

y an

d Pr

oced

ures

Man

ual

Fisc

al S

peci

alist

BP5

12.5

.1, 1

5.1.

3, 1

5.1.

4, 1

5.2.

2, 1

5.2.

3,

15.3

.3Th

is de

pend

s on

outc

ome

2.1.

1. Th

is ou

tcom

e pr

oduc

es a

man

ual t

hat d

escr

ibes

all

sort

s of

polic

ies,

role

s, re

spon

sibili

ties,

proc

esse

s, et

c.

It w

ill b

e a

perp

etua

l wor

k in

pro

gres

s but

will

be

use

ful i

n de

scrib

ing,

for e

xam

ple,

who

get

s as

signe

d a

stat

e ce

ll ph

one,

who

get

s a ta

ke-

hom

e ca

r, ho

w d

uty-

office

r com

pens

atio

n is

man

aged

, etc

. Th

e m

anua

l will

also

hel

p w

ith

cont

inui

ty a

s nor

mal

staff

tran

sitio

ns o

ccur

.

1.1.

4 A

ctiv

ely

man

aged

no

tifica

tion

and

activ

atio

n ro

ster

s

IT S

ectio

nA

lread

y in

pl

ace.

Mon

thly

no

tifica

tion

drill

s co

nduc

ted

on

an o

ngoi

ng

basis

3.2.

3, 4

.1.4

, 4.3

.1, 1

3.2.

6, 6

.1.2

, 6.1

.4,

9.1.

6, 9

.1.7

, 9.2

.6, 9

.4.3

, 9.5

.2, 1

0.1.

1,

10.2

.1

This

shou

ld d

epen

d on

out

com

e 1.

1.1-

1.1.

4.

This

outc

ome

prod

uces

mul

tiple

list

s tha

t id

entif

y al

l who

pos

sibly

shou

ld b

e co

ntac

ted

durin

g an

em

erge

ncy,

and

desc

ribes

how

they

w

ill b

e co

ntac

ted.

A-2



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

1.2

Ide

ntify

, org

aniz

e, tr

ain,

an

d ex

erci

se in

divi

dual

s fr

om th

roug

hout

HD

OH

an

d ot

her s

uppo

rtin

g or

gani

zatio

ns n

eede

d to

op

erat

e th

e D

epar

tmen

t O

pera

tions

Cen

ter (

DO

C)

1.2.

1 A

sses

smen

t of

com

preh

ensiv

e, st

atew

ide

PHP

trai

ning

(all

capa

bilit

y do

mai

ns)

Educ

atio

n an

d Tr

aini

ng S

ectio

nBP

31.

4.3,

3.3

.1, 3

.3.2

, 3.4

.4, 3

.4.5

, 4.1

.9,

4.1.

10, 4

.3.3

, 4.4

.8, 7

.2.1

0, 7

.3.9

, 8.1

.4,

8.5.

3, 9

.2.5

, 9.3

.3, 9

.6.4

, 10.

1.10

, 10

.1.1

1,10

.2.1

3, 1

2.1.

1, 1

2.1.

4, 1

2.1.

5,

12.2

.5, 1

2.2.

6, 1

2.2.

7, 1

2.3.

10, 1

2.3.

11,

12.3

.13,

12.

3.9,

12.

3,15

, 12.

4.3

12.4

.3,

13.1

.7, 1

5.1.

5, 1

5.1.

6, 1

5.1.

7

This

outc

ome

prod

uces

the

defin

itive

list

of

trai

ning

nee

ded

by P

HP

to su

ppor

t or

othe

rwise

faci

litat

e .

1.2.

2 A

n ap

prov

ed, s

tate

wid

e PH

P tr

aini

ng p

olic

y, pr

ogra

m, c

urric

ulum

, and

sc

hedu

le

Educ

atio

n an

d Tr

aini

ng S

ectio

nBP

31.

4.3,

1.4

.4, 3

.3.1

, 3.3

.2, 3

.4.4

, 3.4

.5, 3

.4.1

, 3.

4.4,

3.4

.5, 3

.4.6

, 4.1

.9, 4

.1.1

0, 4

.3.3

, 4.

4.8,

6.3

.11,

7.2

.10,

7.3

.9, 8

.1.4

, 8.5

.3,

9.3.

3, 9

.6.4

, 10.

1.10

, 10.

1.11

, 10.

2.13

, 12

.1.4

, 12.

1.5,

12.2

.5, 1

2.2.

6, 1

2.2.

7,

12.3

.9, 1

2.3,

15, 1

2.4.

313.

3.4,

13.

1.7,

15

.1.5

, 15.

1.6

This

outc

ome

deta

ils h

ow H

DO

H w

ill m

eet

trai

ning

requ

irem

ents

.

1.2.

3. A

n ap

prov

ed, s

tate

wid

e M

edic

al R

eser

ve C

orps

(M

RC) t

rain

ing

polic

y, pr

ogra

m, c

urric

ulum

, and

sc

hedu

le

MRC

C

oord

inat

orBP

2

1.2.

4 R

evise

d po

sitio

n de

scrip

tions

and

dut

y st

atem

ents

for s

taff

with

re

spon

sibili

ty d

urin

g an

em

erge

ncy

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

BP2

13.1

.7Th

is ou

tcom

e he

lps e

nsur

e pr

oper

alig

nmen

t of

peo

ple/

prog

ram

s dur

ing

emer

genc

y.

1.2.

5 Sp

ecia

lized

and

co

nsist

ent t

rain

ing

prog

ram

s de

velo

ped

for H

DO

H

emer

genc

y m

anag

emen

t and

re

spon

se te

ams (

DO

C, P

ublic

H

ealth

Ass

essm

ent T

eam

s [P

HA

STea

m],

Con

tinui

ty o

f O

pera

tions

Pla

n [C

OO

P]

Coo

rdin

ator

s)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

Seni

or

Plan

ner

BP4

One

of t

he id

entifi

ed

stra

tegi

es u

nder

the

HD

OH

w

ork

plan

—O

bjec

tive

1:

Incr

ease

the

Stat

e’s re

adin

ess

to m

itiga

te e

xter

nal t

hrea

ts.

Incr

ease

DO

H st

aff a

nd

part

ner a

genc

ies’

know

ledg

e of

how

to m

itiga

te h

ealth

and

en

viro

nmen

tal t

hrea

ts.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

1.3L

everageinform

ation

tech

nolo

gy, w

hich

incl

udes

de

velo

ping

and

mai

ntai

ning

op

erat

iona

l too

ls su

ch a

s in

cide

nt m

anag

emen

t and

co

mm

unic

atio

n sy

stem

s es

sent

ial t

o eff

ectiv

e re

spon

se

1.3.

1 Sp

ecifi

catio

ns o

f in

form

atio

n te

chno

logy

(I

T) re

quire

men

ts fo

r pub

lic

heal

th p

repa

redn

ess a

genc

ies,

and

a lis

t of b

est p

ract

ices

IT S

ectio

nBP

34.

5.8,

6.1

.5, 6

.2.1

, 6.

2.1,

6.2

.2, 6

.2.3

, 6.

2.4,

6.2

.8, 6

.2.1

0, 6

.3.2

, 6.3

.4, 6

.3.5

, 6.

3.6,

6.3

.8, 6

.3.1

0, 6

.3.1

2, 6

.3.1

3, 8

.1.5

, 8.

2.3,

8.4

.8, 9

.1.1

1, 9

.3.4

, 10.

1.8,

10.

1.12

, 10

.1.1

3, 1

0.1.

14, 1

0.3.

7, 1

0.3.

8, 1

2.1.

1,

12.1

.6, 1

2.4.

2, 1

2.5.

1, 1

2.5.

2, 1

2.5.

5,

12.5

.6, 1

2.5.

7, 1

2.5.

8, 1

3.1.

1, 1

3.1.

8,

13.1

.9, 1

5.1.

8, 1

5.2.

2, 1

5.3.

8,

One

of t

he id

entifi

ed st

rate

gies

un

der t

he H

DO

H w

ork

plan

—O

bjec

tive

1: I

ncre

ase

the

Stat

e’s re

adin

ess t

o m

itiga

te

exte

rnal

thre

ats.

Dev

elop

da

ta sh

arin

g sy

stem

s to

repo

rt

timel

y, ac

cura

te, c

lear

, and

us

eful

info

rmat

ion

to m

onito

r th

reat

s and

mak

e de

cisio

ns.

This

outc

ome

prod

uces

the

defin

itive

list

of

IT p

rogr

am su

ppor

t req

uire

men

ts—

need

ed

for a

sses

smen

t of a

nd a

stra

tegi

c pla

n fo

r a

PHP-

IT.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

1.3.

2 A

ppro

ved

HD

OH

and

PH

P C

OO

P fo

r IT

IT S

ectio

nC

ompl

eted

6.3.

13

1.3.

3 A

stat

ewid

e El

ectr

onic

Pa

tient

Tra

ckin

g Sy

stem

Hea

lthca

re

Ass

ocia

tion

of

Haw

aii

BP3

10.3

.7, 1

2.5.

5, 1

2.5.

7, 1

2.5.

8,Th

is is

one

of th

e in

itiat

ives

cal

led

out i

n BP

1.

A-3



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

1.3.

4 A

n El

ectr

onic

Dise

ase

Surv

eilla

nce

Syst

emIT

Sec

tion

Com

plet

ed;

Trai

ning

on

goin

g

13.1

.8, 1

3.1.

9O

ne o

f the

iden

tified

DO

CD

ou

tcom

es fo

r the

HD

OH

St

rate

gic P

lan:

Int

egra

te

mea

ning

ful u

se o

f pat

ient

he

alth

dat

a in

to in

fect

ious

di

seas

e su

rvei

llanc

e an

d ou

tbre

ak re

spon

se

by co

mpl

etin

g fu

ll ba

se

impl

emen

tatio

n of

the

new,

up

date

d el

ectr

onic

dise

ase

surv

eilla

nce

syst

em (M

AVEN

) by

Dec

embe

r 201

2.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

1.3.

5 T

rans

ition

of t

he M

RC

volu

ntee

r reg

istry

to a

new

, m

ore

effici

ent s

yste

m th

at

mee

ts E

mer

genc

y Sy

stem

fo

r Adv

ance

Reg

istra

tion

of V

olun

teer

Hea

lth

Prof

essio

nals

(ESA

R-V

HP)

pr

ogra

m re

quire

men

ts.

IT S

ectio

nBP

115

.2.2

, 15.

3.8

This

is on

e of

the

initi

ativ

es c

alle

d ou

t in

BP1.

1.3.

6 T

rans

ition

of t

he P

acifi

c Is

land

Juris

dict

ions

(PIJ

) A

mer

ican

Sam

oa, G

uam

, and

th

e Re

publ

ic o

f Pal

au to

the

new

ESA

R-V

HP

syst

em.

IT S

ectio

nBP

1

1.3.

7 D

evel

opm

ent o

f in

form

atio

n ex

chan

ge

proc

edur

es fo

r int

egra

tion

of p

ublic

hea

lth a

nd h

ealth

ca

re in

to th

e Fu

sion

Cen

ter

proc

ess.

IT S

ectio

nBP

2

1.4

Ensu

re co

ntin

uity

of

HD

OH

dur

ing

crisi

s1.

4.1

Cur

rent

dep

artm

ent

and

unit-

leve

l CO

OPs

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

Ong

oing

th

roug

h an

nual

up

date

s

12.1

.3Th

is is

one

of th

e in

itiat

ives

cal

led

out i

n BP

1.

1.4.

2 A

softw

are

syst

em fo

r up

datin

g C

OO

PPo

licy,

Ass

essm

ent,

and

Impl

emen

tatio

n Se

ctio

n

BP2

A-4



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

2. D

evel

op

an a

ll-ha

zard

em

erge

ncy

resp

onse

pla

n

2.1

Dev

elop

a cl

ear

miss

ion,

pol

icy

goal

s, an

d vi

able

conc

ept o

f op

erat

ions

for p

ublic

hea

lth

prep

ared

ness

2.1.

1 A

n ap

prov

ed st

atem

ent

of p

olic

y th

at d

efine

s the

role

, re

spon

sibili

ties,

capa

bilit

ies,

activ

ities

and

inte

ract

ions

of

HD

OH

bef

ore,

durin

g, a

nd

after

disa

ster

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

EO

C

Plan

ner/

Seni

or

Plan

ner

BP1

1.2.

4, 3

.1.1

, 6.1

.3, 6

.3.7

, 7.1

.1, 9

.1.8

, 9.

5.4,

9.6

.5,

10.1

.6, 1

0.2.

1, 1

0.2.

4, 1

2.4.

1,

13.1

.1, 1

5.1.

1, 1

5.1.

1

One

of t

he id

entifi

ed st

rate

gies

un

der t

he H

DO

H w

ork

plan

—O

bjec

tive

2: I

ncre

ase

the

Stat

e’s re

adin

ess t

o re

spon

d to

ext

erna

l thr

eats

. Inc

reas

e D

OH

staff

cap

acity

to re

spon

d to

hea

lth a

nd e

nviro

nmen

tal

emer

genc

ies.

This

is ar

guab

ly th

e fir

st st

ep in

futu

re

prog

ram

dev

elop

men

t. Th

e ou

tcom

es o

f m

any

othe

r act

iviti

es d

epen

d on

this

outc

ome,

whi

ch sh

ould

also

reso

lve

issue

s lik

e di

visio

n of

resp

onsib

ility

for M

ass C

are

and

Fata

lity

Man

agem

ent w

ith S

CD

.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

2.2

Dev

elop

an

emer

genc

y op

erat

ions

pla

n th

at d

efine

s th

e ro

les,

resp

onsib

ilitie

s, an

d au

thor

ities

nee

ded

to e

ffect

succ

essf

ul p

ublic

he

alth

out

com

es d

urin

g di

sast

er

2.2.

1 A

n ap

prov

ed

Emer

genc

y O

pera

tions

Pla

n

(EO

P)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

EO

C

Plan

ner/

Seni

or

Plan

ner

BP1

3.1.

1, 4

.4.5

, 6.1

.1, 6

.3.7

This

depe

nds o

n th

e ou

tcom

e of

2.1

.1

2.2.

2 F

orm

al M

emor

anda

of

Und

erst

andi

ng (M

OU

) with

ke

y pa

rtne

r age

ncie

s (m

ove

this

unde

r the

All

Haz

ards

pl

an d

evel

opm

ent g

oal)

PHP

Bran

chBP

51.

2.1,

1.4

.2, 4

.4.2

, 4.5

.6, 6

.2.4

, 6.3

.9, 7

.1.1

, 7.

2.9,

7.3

.1, 8

.3.1

, 8.5

.2, 9

.1.4

, 9.1

.10,

9.

4.4,

9.5

.3, 1

2.3.

4, 1

5.1.

2, 1

5.3.

6

Is o

ne o

f the

iden

tified

DO

CD

ou

tcom

es fo

r the

HD

OH

St

rate

gic P

lan:

Est

ablis

h sp

ecifi

c pla

ns a

nd a

gree

men

ts

by Ju

ne 2

013

to id

entif

y ro

les

and

resp

onsib

ilitie

s with

key

co

mm

unity

par

tner

s (e.g

. A

mer

ican

Red

Cro

ss, c

ount

y em

erge

ncy

man

agem

ents

, A

loha

Uni

ted

Way

) to

assu

re

the

Stat

e’s re

cove

ry to

from

po

tent

ial h

azar

ds a

nd th

reat

s w

heth

er m

an-m

ade

or n

atur

al.

This

outc

ome

prod

uces

copi

es o

f the

mas

ter

list o

f all

MO

Us,

form

al o

r inf

orm

al.

The w

ork

here

also

invo

lves

scop

ing

and

nego

tiatin

g M

OU

s not

yet

dev

elop

ed.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

2.3

Con

duct

a

com

preh

ensiv

e ha

zard

id

entifi

catio

n an

d ris

k as

sess

men

t

2.3.

1 A

stat

ewid

e, al

l-haz

ard

iden

tifica

tion

and

risk

asse

ssm

ent t

hat c

onsid

ers a

ll th

reat

s to

publ

ic h

ealth

Educ

atio

n an

d Tr

aini

ng S

ectio

nBP

11.

1.2,

9.1

.5,

This

is an

othe

r im

port

ant fi

rst s

tep.

HD

OH

sh

ould

par

tner

with

SC

D in

dev

elop

ing

the

Stat

e H

azar

d M

itiga

tion

Plan

. Re

nder

ing

this

plan

an

all-h

azar

d pl

an w

ould

be

an

outs

tand

ing

natio

nal a

ccom

plish

men

t.

Oth

erw

ise, H

DO

H w

ill h

ave

to d

evel

op it

s ow

n pl

an, a

nd th

at su

rely

wou

ld o

verla

p SC

D

wor

k.

2.4.

Foc

us in

vest

men

t and

pr

actic

e on

inte

rope

rabi

lity

and

Nat

iona

l Inc

iden

t M

anag

emen

t Sys

tem

(NIM

S)

com

plia

nce

2.4.

1 A

n ap

prov

ed d

efini

tion

of N

IMS

com

plia

nce

for

the

HD

OH

DO

C (a

s wel

l as

any

oth

er re

late

d fie

ld

com

pone

nts)

and

a w

ork

plan

to

ach

ieve

com

plia

nce

Educ

atio

n an

d Tr

aini

ng S

ectio

nO

ngoi

ng/

NIM

SCA

ST

repo

rts

subm

itted

to

SCD

ann

ually

3.2.

1, 3

.2.6

, 3.3

.2, 3

.4.4

, 4.1

.9, 4

.3.3

, 10

.1.2

This

is a

fede

ral r

equi

rem

ent c

lose

ly li

nked

w

ith o

utco

mes

of 1

.2.1

and

1.2

.2.

A-5



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

2.5

Dev

elop

haz

ard

and

func

tiona

l ann

exes

(e.g

., ts

unam

i and

alte

rnat

e ca

re

anne

xes t

o be

dev

elop

ed o

ver

the

next

5 y

ears

)

2.5.

1 A

n ap

prov

ed

prio

ritiz

atio

n of

risk

that

gu

ides

ear

liest

inve

stm

ents

in

thre

ats t

hat p

ose

grea

test

ris

k an

d ac

tiviti

es th

at re

quire

co

mpl

ex p

repa

ratio

n (i.

e. m

ass c

are,

shel

ter-

in-p

lace

)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

BP4

4.2.

1, 4

.4.1

, 7.1

.1,

7.2.

2, 7

.2.1

1, 7

.3.1

, 7.

3.2,

7.3

.3, 7

.3.4

, 7.3

.9, 7

.3.9

, 8.1

.1,

9.1.

1, 9

.1.6

, 9.2

.1, 9

.4.2

, 9.4

.4,

9.5.

4,

10.1

.10,

10.

3.6,

10.

3.2,

10.

4.8,

10.

4.9,

12

.4.1

, 12.

4.2,

12.

5.3,

13.

1.1,

13.

1.2,

13

.1.3

, 13.

1.4,

13.

1.5,

13.

2.2,

13.

3.1,

15

.1.1

, 15.

2.2,

15.

2.3,

15.

3.4,

15.

3.6,

15

.4.1

, 15.

4.2

This

depe

nds o

n th

e ou

tcom

e of

2.2

.1-2

.2.3

.

2.5.

2 A

ppro

ved

haza

rd-

spec

ific i

ncid

ent a

nnex

es

to th

e H

DO

H E

OP

(e.g

., H

urric

ane

Ann

ex)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

BP4

1.1.

2, 3

.1.1

, 3.1

.2, 3

.4.3

The

BP1

wor

k pl

an in

clud

es li

ttle

of th

is, b

ut

we

belie

ve th

at cr

eatin

g sp

ecifi

c and

det

aile

d an

nexe

s for

eac

h ha

zard

will

be

very

ben

efici

al

(e.g

., re

ad th

is to

kno

w w

hat t

o do

in c

ase

of

radi

olog

ical

disp

ersa

l dev

ice)

.

2.5.

3 A

ppro

ved

func

tion-

spec

ific a

nnex

es to

HD

OH

EO

P (e

.g.,

publ

ic h

ealth

risk

co

mm

unic

atio

n, e

vacu

atio

n,

shel

ter-

in-p

lace

)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

BP4

4.2.

1, 4

.4.1

, 4.5

.6, 6

.3.2

, 6.3

.7, 6

.3.8

, 6.

3.13

, 7.1

.1,

7.2.

2, 7

.2.1

1, 7

.3.1

, 7.3

.2,

7.3.

3, 7

.3.4

, 7.

3.9,

7.3

.9, 8

.1.1

, 8.2

.1,

8.2.

2, 8

.3.2

, 8.3

.6, 8

.4.1

, 8.4

.2, 8

.4.3

, 8.4

.4,

8.4.

6, 8

.4.7

, 8.5

.1, 9

.1.1

, 9.1

.3, 9

.1.6

, 9.1

.9,

9.1.

10, 9

.2.2

, 9.2

.3, 9

.2.5

, 9.2

.7, 9

.2.8

, 9.

3.1,

9.3

.2,

9.4

.2, 9

.4.4

, 9.4

.4, 9

.5.1

, 9.

5.4,

9.6

.1, 9

.6.2

, 9.6

.3, 1

0.1.

10, 1

0.2.

4,

10.2

.5, 1

0.2.

6, 1

0.2.

7, 1

0.2.

11,

10.3

.6,

10.3

.2,

10.3

.4, 1

0.4.

2, 1

0.4.

4, 1

0.4.

5,

10.4

.6, 1

0.4.

8, 1

0.4.

9, 1

2.1.

2, 1

2.2.

1,

12.2

.2, 1

2.2.

4,12

.3.1

,12.

3.3,

12.

3.4,

12.

3.5,

12

.4.1

, 12.

4.1,

12.

4.2,

12.

4.2,

12.

5.3,

13

.1.1

, 13.

1.4,

13.

1.2,

13.

1.3,

13.

1.4,

13

.1.5

, 13.

2.2,

13.

3.1,

15.

1.1,

15.

2.2,

15

.2.3

, 15.

3.4,

15.

4.1,

15.

4.2,

15.

3.6,

15

.2.4

, 15.

3.5

This

is co

llect

ion

of a

ll th

e fu

nctio

n-sp

ecifi

c an

nexe

s th

at m

ust b

e cr

eate

d (e

.g.,

wha

t to

do

whe

n a

lab

has a

pos

itive

ant

hrax

repo

rt a

nd

som

eone

mus

t com

mun

icat

e w

ith th

e pu

blic

, or

wha

t to

do fo

r mas

sive

shel

ter o

ps, o

r how

to

ope

rate

PO

Ds)

.

3. P

rom

ote

a cu

lture

of

publ

ic h

ealth

pr

epar

edne

ss

3.1

Inc

reas

e go

vern

men

t, bu

sines

s, an

d pu

blic

aw

aren

ess o

f disa

ster

by

crea

ting

new

pub

lic h

ealth

pr

epar

edne

ss c

ampa

igns

and

in

itiat

ives

whi

le su

stai

ning

ex

istin

g on

es

3.1.

1 A

defi

nitio

n an

d a

syst

em to

iden

tify

and

supp

ort

vuln

erab

le

popu

latio

ns

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

HPP

Pla

nner

Ed

ucat

ion

and

Trai

ning

Sec

tion

BP3

1.1.

1, 1

.1.5

, 10.

4.6,

We

belie

ve cr

eatin

g a

defin

ition

is

fund

amen

tal t

o id

entif

ying

pop

ulat

ions

and

, la

ter,

defin

ing

how

bes

t to

supp

ort t

hose

po

pula

tions

.

3.1.

2 P

repa

redn

ess c

ampa

ign

Educ

atio

n an

d Tr

aini

ng S

ectio

n O

ngoi

ng1.

3.2

This

mus

t be

expa

nded

, dep

endi

ng o

n H

DO

H

inte

rest

and

avai

labl

e re

sour

ces.

3.1.

3 En

gage

men

t at

com

mun

ity m

eetin

gs

to p

rom

ote

publ

ic h

ealth

pr

epar

edne

ss

PHP

Bran

chO

ngoi

ng1.

3.1

This

mus

t be

expa

nded

, dep

endi

ng o

n H

DO

H

inte

rest

and

avai

labl

e re

sour

ces.

A-6



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

3.1.

4 A

n ap

prov

ed

soci

al m

edia

pol

icy

that

de

fines

tool

s and

ass

igns

re

spon

sibili

ty fo

r car

ryin

g po

licy

out

DO

HC

ompl

eted

4.4.

5H

DO

H m

ay a

lread

y ha

ve th

is, b

ut th

e de

part

men

t (no

n-em

erge

ncy)

pol

icy

may

be

too

rest

rictiv

e fo

r use

by

DO

C d

urin

g em

erge

ncie

s. Th

is m

ust b

e co

ordi

nate

d w

ith

HD

OH

exe

cutiv

es to

ens

ure

it su

ppor

ts

depa

rtm

ent-

wid

e po

licy.

3.1.

5 O

utre

ach

prog

ram

s tha

t id

entif

y, so

licit,

and

supp

ort

volu

ntee

rs

MRC

C

oord

inat

orBP

2-3

1.2.

2, 4

.5.3

, 10.

2.1,

10.

2.2

We

belie

ve th

is ne

eds m

ore

defin

ition

. It

seem

s tha

t sev

eral

vol

unte

er p

rogr

ams a

nd

HD

OH

may

ben

efit f

rom

som

e un

ifica

tion

or

addi

tiona

l coo

rdin

atio

n.

3.1.

6. P

repa

redn

ess p

rogr

ams

that

targ

et sp

ecifi

c sec

tors

(i.

e., b

usin

ess,

gove

rnm

ent,

non-

profi

t)

PHP

Bran

chO

ngoi

ng1.

2.6

We

belie

ve th

is is

an o

ppor

tuni

ty to

iden

tify

end

user

s of P

HP

info

rmat

ion

and

tool

s, an

d to

dev

elop

a p

acka

ge th

at m

eets

thei

r nee

ds

(and

PH

P ob

ject

ives

).

3.1.

7 O

utre

ach

prog

ram

s th

at id

entif

y, so

licit

and

supp

ort n

ew cl

osed

PO

D

part

ners

to a

ssur

e ra

pid

and

timel

y de

liver

y of

med

ical

co

unte

rmea

sure

s (M

CM

)

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

Stra

tegi

c N

atio

nal

Stoc

kpile

(SN

S)

Coo

rdin

ator

BP4

One

of t

he id

entifi

ed D

OC

D

outc

omes

for t

he H

DO

H

Stra

tegi

c Pla

n: E

stab

lish

stat

ewid

e cl

osed

PO

Ds a

mon

g at

leas

t 50%

of a

ll id

entifi

ed

key

stak

ehol

ders

(e.g

., st

ate

and

coun

ty a

genc

ies,

loca

lly

base

d fe

dera

l age

ncie

s, m

ajor

bus

ines

ses k

ey to

stat

e in

fras

truc

ture

, hos

pita

ls) b

y D

ecem

ber 2

014

to a

ssur

e ra

pid

and

timel

y de

liver

y of

med

ical

co

unte

rmea

sure

s (M

CM

) in

the

even

t of a

mas

s bio

logi

cal,

chem

ical

, or o

ther

exp

osur

e fo

r whi

ch M

CM

s may

be

avai

labl

e.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

3.2

Dev

elop

par

tner

ship

s th

at fo

ster

a sh

ared

cul

ture

of

pub

lic h

ealth

pre

pare

dnes

s

3.2.

1 A

stat

ewid

e lis

t of

prog

ram

par

tner

s kep

t in

the

loop

elec

tron

ical

ly o

r by

quar

terly

new

slette

r

Educ

atio

n an

d Tr

aini

ng S

ectio

nO

ngoi

ng1.

1.2

A n

eces

sary

bas

e-of

-sup

port

act

ion

for a

pr

ogra

m a

s lar

ge a

nd co

mpl

ex a

s PH

P.

3.2.

2 Re

gula

r pre

sent

atio

ns

and

outr

each

to p

rogr

am

part

ners

on

the

PHP

prog

ram

’s m

issio

n, g

oals,

and

ob

ject

ives

.

PHP

Bran

chO

ngoi

ngO

ne o

f the

iden

tified

stra

tegi

es

unde

r the

HD

OH

wor

k pl

an—

Obj

ectiv

e 2:

Inc

reas

e th

e St

ate’s

read

ines

s to

resp

ond

to e

xter

nal t

hrea

ts.

Expa

nd

colla

bora

tion

with

oth

er

agen

cies

.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

3.3

Est

ablis

h a

PHP

miti

gatio

n pr

ogra

m.

This

prog

ram

wou

ld d

iffer

from

pr

epar

edne

ss, a

s it w

ould

pu

rsue

stra

tegi

c and

tact

ical

op

port

uniti

es to

elim

inat

e or

re

duce

vul

nera

bilit

y

3.3.

1 D

evel

opm

ent o

f a

miti

gatio

n pr

ogra

m th

at

iden

tifies

thre

ats a

nd

atte

mpt

s to

man

age

spec

ific

disa

ster

vul

nera

bilit

ies

befo

re d

isast

ers o

ccur

(e.g

., de

velo

ping

a sc

hool

was

h ha

nds p

rogr

am o

r dise

ase

surv

eilla

nce

prog

ram

to

redu

ce v

ulne

rabi

lity

to

biol

ogic

al in

cide

nts)

PHP

Bran

chBP

513

.3.1

This

repr

esen

ts a

par

adig

m sh

ift—

a ne

w

set o

f effo

rts t

o dr

amat

ical

ly re

duce

or

even

elim

inat

e so

me

haza

rds o

r thr

eats

via

in

vest

men

ts p

rior t

o oc

curr

ence

of t

hese

ha

zard

s or t

hrea

ts.

In g

ener

al e

mer

genc

y m

anag

emen

t, th

is ca

n in

clud

e el

evat

ing

hom

es th

at m

ight

oth

erw

ise b

e flo

oded

. W

e re

com

men

d ex

plor

ing

crea

tion

of a

pos

ition

an

d ad

-hoc

wor

k gr

oup

with

a m

issio

n to

av

oid

disa

ster

by

prop

osin

g co

st-e

ffect

ive

solu

tions

.

A-7



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

4. E

ffect

ivel

y su

stai

n ex

istin

g ca

pabi

litie

s whi

le

cont

inui

ng to

bu

ild n

ew o

nes

4. 1

Con

tinue

to sp

ecify

th

e m

ost c

ritic

al st

atew

ide

HD

OH

cap

abili

ties

4.1.

1 A

n ap

prov

ed li

st o

f sy

stem

s an

d se

rvic

es (I

T an

d no

n-IT

) crit

ical

to e

ffect

ive

resp

onse

IT S

ectio

n,

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

BP5

4.1.

3, 4

.1.1

3, 4

.1.1

4, 4

.1.1

6, 1

2.3.

18,

12.3

.2, 1

2.3.

22, 1

2.3.

23, 1

5.2.

5O

ne o

f the

iden

tified

stra

tegi

es

unde

r the

HD

OH

wor

k pl

an—

Obj

ectiv

e 2:

Inc

reas

e th

e St

ate’s

read

ines

s to

resp

ond

to e

xter

nal t

hrea

ts.

Mai

ntai

n ne

cess

ary

resp

onse

supp

lies.

This

list s

houl

d co

rrel

ate

clos

ely

with

C

ontin

uity

of O

pera

tions

Pla

nnin

g.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

4.1.

2 A

defi

ned

list o

f elig

ible

ac

tiviti

es a

nd la

bor c

odes

to

trac

k tim

e ch

arge

d to

eac

h ac

tivity

Fisc

al S

peci

alist

Com

plet

ed4.

4.2

This

is w

ill b

e im

port

ant t

o gr

ant,

wor

k pl

an,

and

stra

tegy

man

agem

ent.

4.2

Man

age

a PH

P bu

dget

to

mai

ntai

n th

ese

capa

bilit

ies

4.2.

1 PH

P St

rate

gic p

lan

Bran

ch C

hief

Com

plet

ed,

Revi

ewed

/U

pdat

ed

Ann

ually

This

will

be

used

to o

utlin

e vi

sion,

miss

ion,

an

d hi

gh-le

vel p

riorit

ies f

or p

repa

redn

ess.

4.2.

2 B

rief B

udge

t nar

rativ

e Fi

scal

Spe

cial

istC

ompl

eted

, Re

view

ed/

Upd

ated

A

nnua

lly

This

will

be

used

to il

lust

rate

how

fund

ing

is di

rect

ed to

prio

ritiz

e PH

P ac

tiviti

es.

4.2.

3 P

HP

Ann

ual W

ork

Plan

Br

anch

Chi

efC

ompl

eted

, Re

view

ed/

Upd

ated

A

nnua

lly

This

will

be

used

to il

lust

rate

and

man

age

cond

uct o

f hig

h-pr

iorit

y w

ork

each

yea

r.

4.3

Exe

rcise

thes

e ca

pabi

litie

s to

sust

ain

read

ines

s

4.3.

1 A

mul

ti-ye

ar, s

tate

wid

e, ex

erci

se p

lan

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

BP1

3.4.

1, 1

2.3.

7

4.3.

2 A

n an

nual

exe

rcise

and

de

velo

pmen

t of a

fter-

actio

n re

port

/impr

ovem

ent p

lan

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion

Ong

oing

4.3.

3 A

syst

em fo

r m

onito

ring

prog

ress

of

impr

ovem

ents

iden

tified

du

ring

exer

cise

s

Polic

y, A

sses

smen

t, an

d Im

plem

enta

tion

Sect

ion/

Seni

or

Plan

ner

BP2

4.4

Exp

lore

op

port

uniti

es to

eff

ectiv

ely

leve

rage

ca

pabi

litie

s

4.4.

1 D

efini

tion

of P

HP

capa

bilit

y to

be

mai

ntai

ned

by D

HO

s an

d H

DO

H

Hea

dqua

rter

s (H

Q) (

Oah

u).

DH

Os,

Bran

ch

Chi

efO

ngoi

ng13

.2.6

The

outp

ut fr

om th

is eff

ort s

houl

d be

di

rect

ed b

ack

into

stra

tegi

c 1.2

.1 a

ctiv

ities

(d

epar

tmen

t-w

ide

trai

ning

).

4.4.

2 H

DO

H a

nd D

HO

ag

reem

ents

for c

apab

ility

sh

arin

g

DH

Os,

Bran

ch

Chi

efO

ngoi

ng

4.5

Effec

tivel

y m

easu

re

prog

ress

on

capa

bilit

ies.

4.5.

1 P

erfo

rman

ce m

easu

re

data

colle

cted

for m

id-t

erm

an

d fin

al p

rogr

ess r

epor

ts.

Bran

ch C

hief

Ong

oing

A-8



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

4.5.

2 D

ocum

enta

tion

of

prog

ress

aga

inst

per

form

ance

m

easu

re b

ench

mar

ks a

nd

iden

tifica

tion

of g

aps

Bran

ch C

hief

Ong

oing

5. E

nsur

e co

untie

s dev

elop

a

stan

dard

se

t of c

ore

com

pete

ncie

s an

d ca

pabi

litie

s

5.1

Dev

elop

and

mai

ntai

n co

re c

apab

ilitie

s thr

ough

out

the

Stat

e

5.1.

1 A

sust

aine

d pr

ogra

m

of a

sses

smen

t and

pol

icy

deve

lopm

ent

PHP

Bran

chO

ngoi

ng

5.2

Rev

iew

the

PHP

budg

et

each

yea

r to

ensu

re th

at n

o ne

wly

crea

ted

capa

bilit

ies

wou

ld re

sult

in lo

ss o

f bas

ic

capa

bilit

y(ie

s) el

sew

here

5.2.

1 A

syst

em o

f cos

t ac

coun

ting

for P

HP-

rela

ted

activ

ities

Div

ision

D

irect

or, F

iscal

Sp

ecia

list,

Bran

ch C

hief

, Br

anch

Sta

ff,

DH

Os

Revi

ewed

an

nual

ly

by D

irect

or

of H

ealth

an

d D

eput

y D

irect

or o

f H

RA

This

is us

ed to

mon

itor P

HP-

rela

ted

inve

stm

ent,

and

cont

inue

s to

dire

ct

inve

stm

ent i

n hi

gh-p

riorit

y ar

eas.

This

syst

em

shou

ld ti

me

inve

stm

ents

to o

utco

mes

. In

this

way

, PH

P ca

n de

term

ine

how

muc

h eff

ort

wen

t int

o cr

eatin

g SO

Ps o

r eng

agin

g pa

rtne

rs.

5.3

Wor

k w

ith sp

ecifi

c H

DO

H D

istric

t Hea

lth

Offi

ces t

o de

velo

p, m

aint

ain,

an

d sh

are

cert

ain

capa

bilit

ies

amon

g al

l tha

t oth

erw

ise

wou

ld b

e im

prac

tical

for

each

to d

evel

op an

d m

aint

ain

5.3.

1 A

n an

nex

to H

DO

H

PHP

and

PHP

budg

et

narr

ativ

e th

at d

escr

ibes

co

mm

on a

nd u

niqu

e re

spon

sibili

ties o

f DH

Os.

Bran

ch C

hief

BP2

This

docu

men

t can

serv

e as

a su

bstit

ute

for

MO

Us s

o H

DO

H d

oes n

ot st

art t

he p

ract

ice

of

nego

tiatin

g in

tern

al M

OU

s.

5.3.

2: S

igne

d ag

reem

ents

w

ith D

HO

s and

oth

er

HD

OH

par

tner

s tha

t out

line

gran

t exp

ecta

tions

and

re

quire

men

ts w

ith w

hich

they

m

ust c

ompl

y

Bran

ch C

hief

BP2

5.3.

3 C

olla

ted

data

re

pres

enta

tive

of a

ll co

untie

s su

bmitt

ed to

mee

t spe

cific

PH

EP a

nd H

PP p

erfo

rman

ce

mea

sure

requ

irem

ents

Bran

ch C

hief

BP5

1.2.

1, 1

.2.4

, 6.1

.1,

6. E

ngag

e st

akeh

olde

rs

in a

pub

lic

heal

th a

dviso

ry

com

mitt

ee

6.1

Est

ablis

h a

Haw

ai‘i

Disa

ster

Pub

lic H

ealth

A

dviso

ry C

omm

ittee

to

adv

ise a

nd p

rovi

de

reco

mm

enda

tions

to H

DO

H

6.1.

1 A

n ap

prov

ed ch

arte

r for

th

e H

awai

‘i D

isast

er P

ublic

H

ealth

Adv

isory

Com

mitt

ee

Bran

ch C

hief

BP2

1.2.

1, 1

.2.4

, 6.1

.1,

6.1.

2 Q

uart

erly

mee

tings

of

the

Haw

ai‘i

Disa

ster

Pub

lic

Hea

lth A

dviso

ry C

omm

ittee

Bran

ch C

hief

BP2

6.2

Reg

ular

ly m

onito

r th

e st

atus

of p

ublic

hea

lth

prep

ared

ness

by

esta

blish

ing

and

shar

ing

prog

ram

met

rics

with

the

advi

sory

com

mitt

ee

and

othe

r pro

gram

st

akeh

olde

rs

6.2.

1 A

regu

larly

-mai

ntai

ned

PHP

perf

orm

ance

das

hboa

rdBr

anch

Chi

efBP

3Th

is bu

ilds u

pon

PHEP

and

HPP

cap

abili

ty

docu

men

ts a

nd in

corp

orat

es B

P w

ork

plan

in

form

atio

n ea

ch y

ear .

A-9



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

6.3

Dev

elop

and

impl

emen

t in

itiat

ives

with

adv

isory

co

mm

ittee

mem

ber a

genc

ies

6.3.

1 In

cide

nt- o

r fun

ctio

n-sp

ecifi

c wor

kgro

ups c

reat

ed

to d

evel

op sp

ecia

lized

pol

icy,

proc

edur

es, a

nd to

ols

PHP

Bran

chO

ngoi

ng.

Som

e of

thes

e fu

nctio

n-sp

ecifi

c w

orkg

roup

s ar

e al

read

y in

pl

ace:

PO

D

Secu

rity,

Alte

rnat

e C

are

Cap

acity

, etc

.

8.1.

2,10

.2.2

,10.

2.5,

12.

1.1,

One

of t

he id

entifi

ed st

rate

gies

un

der t

he H

DO

H w

ork

plan

—O

bjec

tive

2: I

ncre

ase

the

Stat

e’s re

adin

ess t

o re

spon

d to

ext

erna

l thr

eats

. Ex

pand

co

llabo

ratio

n w

ith o

ther

ag

enci

es.

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

6.4

Enc

oura

ge a

nd e

mpl

oy

advi

sory

com

mitt

ee

mem

bers

—an

d by

ex

tens

ion

thei

r affi

liate

d or

gani

zatio

ns—

to co

llect

pr

ogra

m in

form

atio

n,

colla

bora

te, c

omm

unic

ate

prog

ram

succ

ess,

and

ther

eby

prom

ote

a cu

lture

of

prep

ared

ness

6.4.

1 A

pro

gram

that

re

cogn

izes

pro

gram

ac

com

plish

men

t thr

ough

co

llabo

ratio

n

PHP

Bran

chBP

5O

ne o

f the

iden

tified

stra

tegi

es

unde

r the

HD

OH

wor

k pl

an—

Obj

ectiv

e 2:

Inc

reas

e th

e St

ate’s

read

ines

s to

resp

ond

to e

xter

nal t

hrea

ts.

Expa

nd

colla

bora

tion

with

oth

er

agen

cies

.

A lo

w-c

ost r

ewar

d sy

stem

to fo

ster

co

llabo

ratio

n

Supp

orts

Fou

ndat

ion

5 of

the

HD

OH

Str

ateg

ic

Plan

, FY2

011-

2014

: Em

erge

ncy

Resp

onse

&

Pre

pare

dnes

s—M

itiga

te, R

espo

nd to

, and

Re

cove

r fro

m N

atur

al E

xter

nal o

r Man

-mad

e Th

reat

s Im

pact

ing

Indi

vidu

al a

nd C

omm

unity

W

ell-b

eing

.

A-10



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

A-11



Goa

lO

bjec

tive

Spec

ific O

utco

me(

s)R

espo

nsib

le

Part

ySc

hedu

leLi

nk to

PH

EP/H

PP W

ork

Plan

Dep

ende

ncy

on o

ther

St

rate

gic G

oal o

r Obj

ectiv

eC

omm

ent

STATE OF HAWAI‘I DEPARTMENT OF HEALTH

PUBLIC HEALTH PREPAREDNESS

STRATEGIC PLAN (2012- 2017)

Documents

STATE OF HAWAI‘I DEPARTMENT OF HEALTH PUBLIC HEALTH