Version 8.1 Criteria Comparison Document This document compares the current PPHR Criteria Version 8.1 with Version 8. The criteria were updated to increase alignment with changes to federal preparedness guidelines, such the Operational Readiness Review tool. NACCHO s Preparedness Planning, Outcomes, and Measurement Workgroup, comprised of local public health practitioners, also provided ideas, feedback, and subject matter expertise to ensure that PPHR remains the best possible program to improve all-hazards preparedness at the local level. The purpose of this document is to assist agencies applying for PPHR recognition to understand the latest standards for preparedness planning, training, and exercising initiatives that are required of new applicants. It will also help LHDs familiar with older versions of the criteria create applications that comply with the current criteria. Versions 8.1 of the PPHR Criteria are located on the PPHR website at: http://www.naccho.org/pphr Application Revisions Revised/updated guidance for criteria elements Revised/updated glossary links and terms Revised/updated references and hyperlinks Use of consistent language, structure, and numbering 1
Goal I: All-Hazards Preparedness Planning PPHR Measure 1: Possession and Maintenance of a Written All-Hazard Response Plan New criteria elements/sub-measures: f1. The plan contains a diagram (i.e. flow chart, decision tree, matrix) and a narrative that describes triggers for activation of the all-hazards EOP. g4. The application describes the agency s process for assimilating and integrating into the Operations Center (i.e. departmental operations or emergency operations center). k3. The plan includes a template for developing messages to be communicated to the public or the plan includes a message map.* Revisions to Criteria language (changes or new language in bold, deletions struck out) d3. guidance added d4. The plan describes the monitoring and reporting procedures in place to manage for the expedited administrative processes described in d3. e1: moved to v3 f1. f2. The plan contains standard operating procedures that may include decision matrices, flow charts, or decision trees that describe an all-hazards response. [guidance added] f2: moved to m3 g4 g3. The application contains evidence that the agency has completed, or has collaborated with emergency management to complete, an baseline assessment of NIMS implementation requirements. g6. g5. g7. g6. h7. The application includes evidence of procedures for protecting responders under the direction of the agency from probable safety and health risks, including the following: Recommendations for personal protective equipment; Conduct of Documented process for medical readiness screening; and Monitoring of responder exposure, injury, and intervention/treatment. h7: definition added for medical readiness screening j2. The application contains a policy or process for continuous development and maintenance of continued participation in new or existing community partnerships. k1: moved to k2 k2: moved to k4 k3: moved to k5 k4: moved to k6 2
k5: moved to k7 k6: moved k8 k7. k1. The evidence demonstrates a concept of operations for emergency public information and warning by addressinges the five items listed as cross-cutting with the concept of operations: k7i-k7v: moved to k1i-k1v l1. l2. The plan describes the process and procedures necessary to coordinate the communication and development of messages among process among partners during an emergency or the plan includes a message map.* l2: moved to l3 l3: moved to l4 l4: moved to l5 l5: moved to l6 l6: moved to l7 l7. l1. The evidence demonstrates a concept of operations for information sharing by addressinges the five items listed as cross-cutting with the concept of operations: l7i-l7v: moved to l1i-l1v m1: moved to m2 m1i and m1ii. m2i. The plan describes the protocol(s) for hazard-specific collection of health data for active surveillance and regular passive surveillance of the following: communicable disease (for example, influenza and foodborne illness). incidents involving technological hazards (chemical or radiological hazards). m1iii and m1iv. m2ii. The plan describes the early incident detection system in place (e.g., the use and monitoring of regular surveillance data) for the following: communicable diseases. chemical or radiological agents. m1v: moved to m2iii m2: moved to m4 m2i-m2x: moved to m4i-m4x m3: moved to m5 m4: moved to m6 3
m5 m1. The evidence demonstrates a concept of operations for epidemiology by addressesing the five items listed as cross-cutting with the concept of operations: m5i-5v: moved to m1i-1v n1: moved to n2 n1-n1iv: moved to n2i-n2iv n2: moved to n3 n3: moved to n4 n4. n1. The evidence demonstrates a concept of operations for laboratory data and sample testing by addressinges the five items listed as cross-cutting with the concept of operations: n4i-n4v: moved to n1i-n1v o1: moved to o2 o2: moved to o3 o3: moved to o4 o4 :moved to o5 o5: moved to o6 o6: moved to o7 o7: moved to o8 o8: moved to o9 o9: moved to o10 o10: moved to o11 o11: moved to 012 o12: moved to o13 o13: moved to o14 o14: moved to o15 o15. o1. The evidence demonstrates a concept of operations for medical countermeasure dispensing by addressesing the five items listed as cross-cutting with the concept of operations: o15i-o15v: moved to o1i-o1v p1: moved to p2 p2: moved to p3 p3: moved to p4 4
p4: moved to p5 p5: moved to p6 p6: moved to p7 p7. p1. The evidence demonstrates a concept of operations for mass care by addressinges the five items listed as cross-cutting with the concept of operations: p7i-p7v: moved to p1i-p1v q1: moved to q2 q2: moved to q3 q3. q1. The evidence demonstrates a concept of operations for mass fatality management by addressinges the five items listed as cross-cutting with the concept of operations: q3i-q3v: moved to q1i-q1v r1: moved to r2 r2i-r2xi: moved to r3-r3xi r3. r1. The evidence demonstrates a concept of operations for environmental health response by addressinges the five items listed as cross-cutting with the concept of operations: r3i-r3v: moved to r1i-r1v s1: moved to s2 s2: moved to s3 s3: moved to s4 s4: moved to s5 s5. s1. The evidence demonstrates a concept of operations for disaster behavioral health by addressinges the five items listed as cross-cutting with the concept of operations: s5i-s5v: moved to s1i-s1v t1: moved to t2 t2i-t2iv: moved to t7i-t7iv t3: moved to t8 t4: moved to t9 t5: moved to t3 t6: moved to t4 t7: moved to t5 t8: moved to t6 5
t9. t1. The evidence demonstrates a concept of operations for non-pharmaceutical interventions by addressinges the five items listed as cross-cutting with the concept of operations: t9i-t9v: moved to t1i-t1v u1: moved to u2 u2: moved to u3 u3: moved to u4 u4: moved to u5 u5. u1. The evidence demonstrates a concept of operations for COOP by addressinges the five items listed as cross-cutting with the concept of operations: u5i-u5v: moved to u1i-u1v v1: moved to v2 v2: moved to v4 v3. v1. The evidence demonstrates a concept of operations for surge capacity by addressinges the five items listed as cross-cutting with the concept of operations: v3i-v3v: moved to v1i-v1v w1: moved to w2 w2: moved to w3 w3: moved to w4 w4: moved to w5 w5: moved to w6 w6: moved to w7 w7: moved to w8 w8: moved to w9 w9: moved to w10 w10. w1. The evidence demonstrates a concept of operations for volunteer management by addressinges the five items listed as cross-cutting with the concept of operations: w10i-w10v: moved to w1i-w1v x1: moved to x2 x2: moved to x3 [guidance added] x3: moved to x4 6
x4: moved to x5 x5: moved to x6 x6. x1. The evidence demonstrates a concept of operations for mutual aid and resource management by addressinges the five items listed as cross-cutting with the concept of operations: x6i-x6v: moved to x1i-x1v y1: moved to y2 y2i-y2v: moved to y3i-y3v y3: moved to y4 y4. y1. The evidence demonstrates a concept of operations for recovery by addressinges the five items listed as cross-cutting with the concept of operations: y4i-y4v: moved to y1i-y1v Removed evidence elements/sub-measures: g3. The application contains evidence that the agency has adopted NIMS through executive order, proclamation, resolution, or legislation as the agency s all-hazards incident response system. g5. The application contains evidence that the departmental operations center or emergency operations center uses the Incident Command System (ICS), as called for by NIMS, to perform core functions such as coordination, communications, resource dispatch, and information collection, analysis, and dissemination. Goal II: Workforce Capacity Development Measure 2: Conduct of Regular Training Needs Assessments New evidence elements/sub-measures: None Revisions to Criteria language (changes or new language in bold, deletions struck out): None Removed evidence elements/sub-measures: None Measure 3: Completion and Maintenance of a Workforce Development Plan New evidence elements/sub-measures: None Revisions to Criteria language (changes or new language in bold, deletions struck out): d3. guidance updated 7
d5. The application contains two examples of activities or exercises wherein staff had the opportunity to demonstrate specific competencies noted in the workforce development plan. Removed evidence elements/sub-measures: None Goal III: Quality Improvement through Exercises and Responses and a Comprehensive Exercise Plan Measure 4: Learning and Improving through Exercises or Responses New evidence elements/sub-measures: None Revisions to Criteria language (changes or new language in bold, deletions struck out): None Removed evidence elements/sub-measures: None Measure 5: Comprehensive Exercise Plan New evidence elements/sub-measures: None Revisions to Criteria language (changes or new language in bold, deletions struck out): b2 moved to b5 b3 moved to b2 b4 moved to b3 b5 moved to b4 Removed evidence elements/sub-measures: None 8