1. Erik P. Mettler, M.P.A., M.P.H. Associate Commissioner for Food and Veterinary Medicine September 29, 2014

2. Working Definition for a Risk-Informed Decision Making System “a systematic means by which to facilitate decision making to reduce public health risk in light of limited resources and additional factors that may be considered.” Enhancing Food Safety (IOM/NRC 2010) 2

3. Steps in a Risk-Informed Food Safety System 3 Step 1: Strategic Planning Step 2: Public Health Risk Ranking (ranking of hazards) Step 3: Targeted Information Gathering on Risks and Consideration of Other Factors That May Influence Decision Making Step 4: Analysis and Selection of Intervention(s) Step 5: Design of an Intervention Plan Step 6: Monitoring and Review

4. CFSAN Risk Management Framework 4

5. Risk-Informed Decision-Making System/Process/Strategy Criteria (Public Health Risk & Beyond) Transparency/Communication Evaluation Generation of Risk Information Risk Tools Risk Ranking/Risk Assessment 5

6. Risk Ranking The relative risk of multiple hazards are ranked based on public health outcomes 6 Hazard Public Health Criteria Risk Worst risks  Graphic from HG Claycamp

7. Risk-Informed Prioritization Risk management decision-making may consider additional factors 7 Non-Public Health Criteria Risk Worst risks  Management order  Costs Feasibility of Mitigation Mandates Stakeholder Concerns

8. Focus of Meeting 8 Step 1: Strategic Planning Step 2: Public Health Risk Ranking (ranking of hazards) Step 3: Targeted Information Gathering on Risks and Consideration of Other Factors That May Influence Decision Making Step 4: Analysis and Selection of Intervention(s) Step 5: Design of an Intervention Plan Step 6: Monitoring and Review High Risk Foods Most Significant Contaminants Surveillance Programs Sampling Programs Data Collection

9. Focus of Future Meetings 9 Step 1: Strategic Planning Step 2: Public Health Risk Ranking (ranking of hazards) Step 3: Targeted Information Gathering on Risks and Consideration of Other Factors That May Influence Decision Making Step 4: Analysis and Selection of Intervention(s) Step 5: Design of an Intervention Plan Step 6: Monitoring and Review