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Page 1: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems
Page 2: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Christine Kosmos, R.N., B.S.N., M.S.

Director, CDC Division of State and Local Readiness

Harald Pietz

Chief, Health Department and Systems Development,

Office for State, Tribal, Local and Territorial Support

Council of State Governments

December 9, 2014

State and Local Preparedness and

Emergency Response

Office of Public Health Preparedness and Response

Division of State and Local Readiness

Page 3: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Agenda

Division of State and Local Readiness Mission and

Program Components

State and Local Public Health Preparedness

Emergency Response to Ebola and Other Public

Health Threats

Questions

Page 4: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Division of State and Local Readiness (DSLR)

MISSION: To assure the nation's public health system is

prepared to respond to and recover from a public health

event or emergency.

Through:

Partnerships with Health and Human Services (HHS) and

Department of Homeland Security (DHS)

Capabilities-based standards for state and local public health

Funding

Strategic placement of CDC field staff

Technical assistance strategies and guidance

Translation of science into practice

Page 5: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Division of State and Local Readiness (DSLR)

Senior Medical Advisor Christa Singleton

Director

Christine Kosmos

Applied Science and Evaluation Branch

Eric Carbone, Chief Tara Strine, Special Advisor, Science

Data Analysis and Support Team

Measurement and Evaluation Team

Science Integration and Applied Research Team

Program Services Branch

Keesler King, Chief

(acting)

Applied Services Team

Associate Director for Policy and Communication

Linda Tierney

Associate Director for Science Theresa Smith

Associate Director for Training David Hunter

Associate Director for Program Planning and Development

Todd Talbert

Associate Director for Grants Management and Compliance

Sharon Sharpe

Program Management Official Mark Davis

Five Regional Teams

As of May 2014

Deputy Director

Steven Boedigheimer

Division Management Officer Kelly Burkitt

Systems Integration Manager Information Technology Team

Mark Green

Field Services Branch

Randolph Daley, Chief

One PFA Team Two CEFO

Teams

Medical Countermeasures

Team

Page 6: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

DSLR Preparedness Program Components

Funding to state/local

public health agencies

National

standards/capabilities

State/local technical

assistance

Applied science

Program evaluation

Policy and Communication

Coordination with other

federal agencies

Response to public health

emergencies

Public health workforce

training

Page 7: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Funding State and Local Preparedness Programs

* The Hospital Preparedness Program (HPP) cooperative agreement is operated and staffed by the HHS Office of the Assistant Secretary for Preparedness and Response (ASPR).

Taxpayer dollars

to Congress

Congress appropriates

funds to the

Department of Health

and Human Services

(HHS) and CDC

CDC receives funds

from HHS and

issues awards to

state and local

health departments

via the Public Health

Emergency

Preparedness

(PHEP) and Hospital

Preparedness

Program (HPP) *

cooperative

agreements

Page 8: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Strengthens national preparedness through

state/local interface

62 participating public health departments

(state, local, territorial)

Funding, guidance, and technical

assistance

Preparedness science and measurement

15 public health preparedness capabilities

Public Health Emergency Preparedness Cooperative Agreement

Page 9: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Public Health Emergency Preparedness Capabilities Model

DSLR developed a capabilities-based strategy for the nation and linked it to the PHEP cooperative agreement to:

Define preparedness capabilities most relevant to state and local

public health

Assist in setting resource priorities

Clarify and enhance evaluation and research efforts

Provide a more systematic process for subject matter expert engagement

Align with Presidential Policy Directive 8: National Preparedness and the National Health Security Strategy

Support awardee strategic planning

Page 10: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Public Health Preparedness Standards

1 Community Preparedness

2 Community Recovery

3 Emergency Operations Coordination

4 Emergency Public Information and Warning

5 Fatality Management

6 Information Sharing

7 Mass Care

8 Medical Countermeasure Dispensing

9 Medical Materiel Management and Distribution

10 Medical Surge

11 Non-Pharmaceutical Interventions

12 Public Health Laboratory Testing

13 Public Health Surv and Epi Investigation

14 Responder Safety and Health

15 Volunteer Management

Page 11: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems
Page 12: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems
Page 13: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

Division of Emergency Operations

CDC’s command center for domestic and global public health threats

Coordinates preparedness, assessment, response, recovery, and evaluation

Central point of contact for state agencies reporting to CDC

Staffed 24/7/365

Page 14: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

DSLR Response Roles within the

CDC Incident Management System

Three scalable functions:

1. Provide leadership/coordination within the CDC IMS

regarding state/local aspects of the response

2. Provide consultation to CDC IMS on state/local

operations

3. Provide general EOC staff support

Page 15: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

State Coordination Task Force (SCTF)

Page 16: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

SCTF Ebola Domestic Preparedness

Hospital Strategy

Active Monitoring/Direct Active Monitoring

Funding: State and Local

Emergency Medical Services

Situational Awareness

Page 17: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems

For more information, please visit www.cdc.gov/ebola.

1600 Clifton Road NE, Atlanta, GA 30333

Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348

E-mail: [email protected] Web: http://www.cdc.gov

The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of

the Centers for Disease Control and Prevention.

Office of Public Health Preparedness and Response

Division of State and Local Readiness

Questions?

Page 18: Christine Kosmos, R.N., B.S.N., M.S. - CSG Knowledge Centerknowledgecenter.csg.org/kc/system/files/State Responses to Ebola... · Harald Pietz Chief, Health Department and Systems