US DEPARTMENT OF HEALTH AND HUMAN SERVICES; ASSISTANT SECRETARY FOR PREPAREDNESS AND RESPONSE FEDERAL PARTNER UPDATE National Association of State EMS Officials March 8, 2017 Gregg S. Margolis, PhD, NRP Director, Division of Health System Planning Office of Policy and Planning 1
US Department of Health and Human Services The United States government s principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselves. Thomas E. Price, MD 23 nd Secretary of HHS
Assistant Secretary for Preparedness and Response (ASPR) Created and reauthorized by the Pandemic and All-Hazards Preparedness Act. ASPR primary focuses; Building federal emergency medical operational capabilities Federal ESF8 lead, and National Disaster Medical System. Countermeasures research, advance development, and procurement; and Grants to strengthen the capabilities of hospitals and health care systems in public health emergencies and medical disasters. Guided by the National Health Security Strategy. George W. Korch, Ph.D. Acting Assistant Secretary for Preparedness and Response Edward J. Gabriel, MPA, EMT-P, CEM, CBCP Principal Deputy Assistant Secretary for Preparedness and Response 3
Statutory Requirements The National Health Security Strategy (NHSS) is required by federal law: Pandemic and All-Hazards Preparedness Act (PAHPA) of 2006 Section 2802 of the Public Health Service Act (42 U.S.C. 300hh-1) requires the Secretary of the HHS to submit, every four years, a Strategy, an implementation plan, and an evaluation of progress. Pandemic and All-Hazards Preparedness Reauthorization Act (PAHPRA) of 2013 reaffirmed these requirements to strengthen national preparedness, response, and recovery capabilities for public health emergencies.
Summary: NHSS 2015-2018 Vision A nation that is secure and resilient in the face of diverse incidents with health consequences, with people in all communities enjoying a high level of security against threats to their health and well-being. Goal To strengthen and sustain communities abilities to prevent, protect against, mitigate the effects of, respond to, and recover from incidents with negative health consequences. Build and sustain healthy, resilient communities. Enhance the national capability to produce and effectively use both MCMs and NPIs Ensure comprehensive health situational awareness to support decision-making before incidents and during response and recovery operations. Enhance the integration and effectiveness of the public health, healthcare, and emergency management systems. Strengthen global health security. The 5 objectives consist of 22 Priorities and 159 activities.
NHS Stakeholders 6
Moving Toward a Culture of Resilience To achieve national health security, the nation must cultivate a societal culture of resilience and shift the perception from that of national health security as solely a government responsibility to national health security as a civic responsibility a partnership among individuals, communities and systems.
Until Help Arrives Based on CDC and White House efforts to improve Bystander Care and Stop the Bleed Collaboration between ASPR, FEMA, and USUHS Goal is to increase the proportion of lay persons that help at the scene of an emergency.
Until Help Arrives Initial launch consists of: The program includes traditional instructor lead curricular materials Until Help Arrives interactive video The Berk s Wonderfully Happy Day. Available now at https://community.fema. gov/until-help-arrives
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Enhancing the Ability of EMS to Transfer Patients with Confirmed or Suspected High Consequence Infectious Diseases Cooperative Agreement EP-IDS-16-004 Project Execution Group Ebola and HCID Transport Expert Panel Objectives: Transport Plan Group Exercise Design Group Capabilities Assessment Group A. Prepare a State EMS High Consequence Infectious Disease Transport Plan Template B. Develop exercises that can be used to evaluate a High Consequence Infectious Disease Transport C. Provide an assessment of each state s capacity and capabilities for the ground transportation of patients with high consequence infectious diseases.
Overall Deliverable Schedule October 2016: Initial project briefing April 2017: Develop transport plan template May 2017: Develop capabilities assessment tool July 2017: Develop exercise scenarios August 2017: Distribute the capabilities assessment tool to state EMS Directors October 2017: Conduct focus group to assess transport template and exercises December 2017: Analyze and document the assessment and narrative December 2017: Submit final template draft and dissemination strategy recommendations to Expert Panel for review and approval with the final drafts of the exercise scenarios and toolkits January 2018: Submit final Ebola/HCID Transport Capabilities Assessment Report to Expert Panel for review & approval February 2018: Submit all final work products to ASPR and Project Closeout