2. Capability Cliff Notes Series PHEP Capability 2—Community Recovery What Is It And How Will We Measure It?

3. Learning Objectives Become familiar with Capability Functions Become familiar with Tasks that complete the Functions Understand how these Functions and Tasks are measured or may be measured in the future (Performance Measures)

4. Community Recovery Community recovery is the ability to collaborate with community partners, to plan the rebuilding of public health, medical, and mental/ behavioral health systems and restore their functioning to at least pre-incident levels, if not improve them. How can health departments help their communities plan for recovery? What goes into making communities able to recover from disasters?

5. Community Recovery Functions What Can Health Departments Do to Plan for Community Recovery? 1.Identify and monitor recovery needs covered by public health, medical, and mental/behavioral health systems 2.Coordinate community public health, medical, and mental/behavioral health system recovery operations 3.Implement corrective actions to lessen damages from future incidents

6. Health System Terms For purposes of simplicity, “public health, medical and mental/behavioral health” will be referred to as “ESF 8”, since all of these systems fall within ESF 8.

7. Capabilities and Measures Resources The presentation will be an overview of the functions and tasks. There are no performance measures linked with this capability. One can refer to the Budget Period 2 performance measures for continued voluntary measurement. The BP3 Performance Measures Specifications and Implementation Guidance and BP2 past measures can be found at the following link: https://www.colorado.gov/pacific/cdphe/hpp-and-phep-performance-measures-and- capabilities

8. Function 1: Identify and Monitor Health System Needs Tasks: What things can health departments do to be aware of the ESF 8 (public health, medical, behavioral health) needs? 1.In collaboration with jurisdictional partners, document short-term and long-term health service delivery priorities and goals. 2.Identify the services that can be provided by the public health agency and by community and faith-based partners that were identified before the incident as well as by new community partners that may arise during the incident response. 3.Activate plans previously created with neighboring jurisdictions to provide identified services that the jurisdiction does not have the ability to provide during and after an incident. 4.In conjunction with healthcare organizations (e.g., healthcare facilities and public and private community providers) and based upon recovery operations, determine the community’s health service priorities and goals that are the responsibility of public health.

9. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: Partner collaboration to identify recovery needs Community assessment and follow-up monitoring after an incident Continuity of operations plan Pre-defined statements to address questions and concerns in an emergency Recovery strategies for the repair or rebuilding of public health services Procedures to guide the provision of health, medical, and mental/behavioral care Identification of legal authorities to permit non-jurisdictional clinicians to be credentialed Identification of community sectors that can provide support to the recovery effort

10. Function 2: Coordinate ESF 8 Operations Tasks: What things can health departments do to effectively coordinate operations? 1. Participate with the recovery lead jurisdictional agencies (e.g., emergency management and social service) to ensure that the jurisdiction can provide health services needed to recover from a physical or mental/behavioral injury, illness, or exposure sustained as a result of the incident, with particular attention to the functional needs of at-risk persons 2.In conjunction with partners, inform the community of the availability of mental/behavioral, psychological first aid, and medical services within the community, with particular attention to how these services affect the functional needs of at-risk persons (including but not limited to children, elderly, their care givers, the disabled, or individuals with limited economic resources) 3.Notify the community via community partners of the health agency’s plans for restoration of impacted public health, medical, and mental/behavioral health services. Tasks continued on next slide:

11. Function 2: Coordinate ESF 8 Operations Tasks Cont’d: What things can health departments do to effectively coordinate operations? 4.Solicit community input via community partners regarding health service recovery needs during and after the acute phase of the incident. 5. Partner with public health, medical, and mental/behavioral health professionals and other social networks (e.g., faith-based, volunteer organizations, support groups, and professional organizations) from within and outside the jurisdiction, to educate their population regarding health interventions being recommended by public health. 6. In conjunction with partners, inform the community of the availability of any disaster or community case management services being offered that provide assistance for community members impacted by the incident.

12. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: Incorporation of mental/behavioral health training into MRC and volunteer training programs

13. Function 3: Improve actions to lessen the impact of future incidents Tasks: What things can health departments do to improve? 1.In conjunction with partners, conduct post-incident assessment and planning for short and long-term recovery identifying corrective actions that are within the control and scope of jurisdictional public health, including the mitigation of damages from future incidents. 2.Collaborate with sector leaders to facilitate collection of community feedback to determine corrective actions. 3.Implement corrective actions for items that are within the scope or control of public health to affect short and long-term recovery, including the mitigation of damages from future incidents. 4.Facilitate and advocate for collaborations among government agencies and community partners so that these agencies can fulfill their roles in completing the corrective actions to protect the health of the public.

14. Task Elements There are elements that health departments should keep in mind to address different aspects of the tasks: Process to engage with business, educational, and social services Process for solicitation of feedback and recommendations from community sectors

15. Questions? Please contact: Rachel Coles Program Evaluator--CDPHE 303-692-2764 rachel.coles@state.co.us