1. Assessing Hospital and Health System Preparedness and Response Paul Halverson, Dr.P.H. Director Division of Public Health Systems Development and Research Public Health Practice Program Office Centers for Disease Control and Prevention

2. A public health system includes: all public, private, and voluntary entities that contribute to the delivery of public health services within a jurisdiction. u A public health system is: a network of entities with differing roles, relationships, and interactions. u All entities that contribute to the health and well-being of the community are included. Public Health System

3. Health Department Hospitals Public Info Fire State Partners MDs Mental Health Voluntary Agencies Social Services Churches Medical Examiner EMS Emergency Management Federal Partners Civil Defense Funeral Homes Labs An Example of the Local Public Health System: Bioterrorism Police

4. Assessing Local Public Health Capacities uPartnership with the Department of Justice uAn assessment tool to identify emergency response capabilities and needs for local public health systems uBased on Ten Essential Public Health Services

5. Public Health System Infrastructure Model Basic infrastructure Essential capabilities Public Health Response u Bioterrorism u Emerging infections u Other health threats Information & Knowledge Systems Information & Knowledge Systems Workforce Competency Organizational Capacity Surveillance Laboratory Practice Epidemic Investigation

6. HHS ANNOUNCES $1.1 BILLION IN FUNDING TO STATES FOR BIOTERRORISM PREPAREDNESS uHHS Secretary Tommy G. Thompson today sent letters to governors detailing how much each state will receive of the $1.1 billion to help them strengthen their capacity to respond to bioterrorism and other public health emergencies resulting from terrorism. The money will allow states to begin planning and building the public health systems necessary to respond. (January 31, 2002)

7. Public Health Focus Areas uA: Preparedness and Planning uB: Surveillance & Epidemiology uC: Laboratory uD: Chemical Lab (not applicable) uE: HAN/IT uF: Risk Communication uG: Training & Education

8. Public Health Assessment Web Resources uhttp://www.phppo.cdc.gov/documents/stateinventory.PDF uhttp://www.phppo.cdc.gov/documents/localinventory.PDF uhttp://www.phf.org/PerformanceTools/NPHPSPtools- EPHS.pdf uhttp://www.astho.org/phiip/pdf/pmstate.pdf uhttp://www.naccho.org/files/documents/NPHPSP_ Local_Final_11-29-01.PDF uhttp://nacchoweb.naccho.org/MAPP_Home.asp uhttp://www.nalboh.org/perfstds/perfstds.htm