This document provides guidance for state public health departments receiving PHEP funding on updating their preparedness planning process. It outlines a 3-phase planning model to assess capabilities, determine strategies and activities, and develop plans.
The first phase involves assessing organizational roles, capabilities, and performance using tools like the Capabilities Planning Guide. The second phase has states prioritize domains and capabilities based on gaps identified. States then propose outputs to address priorities. The third phase has states plan initiatives, activity types, and evaluations/exercises to achieve outcomes. The goal is for states to strengthen all 6 preparedness domains over 5 years based on their needs and requirements.
Identifying the basic purposes and scope of M&E. Describing the functions of an M&E plan. Identifying and understanding the main components of an M&E plan
The document summarizes a grant writers' workshop that covered the NIH application and scoring process. It discusses major changes to NIH scoring, applications, and the grants process. Workshop sections focused on analyzing request for proposals, preparing and submitting applications, determining allowable costs, and administering grants in compliance with uniform requirements.
The document discusses performance management and measurement best practices and recent initiatives. It covers four main topics: 1) strategic, expenditure, and management performance measurement; 2) evaluation in the Government of Canada including background, policy features, problems with policies, and the new evaluation function; 3) Australia's capability review program; and 4) challenges for evaluation/performance including linking to resource allocation, whole of government strategies, delivery/implementation, control/guidance, and accountability.
Lessons from the US Perfromance Management System by Donald MoynihanOECD Governance
Presentation by Donald Moynihan at the 10th annual meeting of the Senior Budget Officials Performance and Results Network held on 24-25 November 2014. Find more information at http://www.oecd.org/gov/budgeting
The document provides an overview of the Government Performance and Results Act (GPRA) and its modernization through the GPRA Modernization Act of 2010. It discusses GPRA's requirements for strategic planning, performance measurement, and reporting. It also summarizes GPRAMA's additional provisions for federal agency priority goal-setting, quarterly progress reviews, and coordination of cross-agency priority goals and performance reporting across government.
This document outlines the clinical audit policy and strategy for Response Med. It discusses statutory requirements that mandate regular clinical audits to assess quality and ensure patient safety. The purposes are to define a framework for clinical audits and clarify roles and responsibilities. The outcomes aim to provide evidence of a robust audit program, improvements based on audit findings, and adherence to best practices. The procedures describe developing an annual audit plan, conducting audits, and monitoring completion of the plan.
This tool provides a 3-step approach for countries to re-prioritize their public administration reform (PAR) strategies and action plans in response to the COVID-19 pandemic. The tool uses a multi-criteria analysis and Delphi method to systematically review PAR objectives and actions based on criteria related to COVID-19 impacts and overall PAR priorities. Key public administration experts from both inside and outside of government are involved to collectively assess and regroup objectives/actions into a new priority list. The re-prioritized list aims to focus resources on critical reforms that improve the administration's capacity to respond to the current crisis and future crises while taking into account the new constraints faced. The process is designed to supplement existing strategic planning tools and be
Identifying the basic purposes and scope of M&E. Describing the functions of an M&E plan. Identifying and understanding the main components of an M&E plan
The document summarizes a grant writers' workshop that covered the NIH application and scoring process. It discusses major changes to NIH scoring, applications, and the grants process. Workshop sections focused on analyzing request for proposals, preparing and submitting applications, determining allowable costs, and administering grants in compliance with uniform requirements.
The document discusses performance management and measurement best practices and recent initiatives. It covers four main topics: 1) strategic, expenditure, and management performance measurement; 2) evaluation in the Government of Canada including background, policy features, problems with policies, and the new evaluation function; 3) Australia's capability review program; and 4) challenges for evaluation/performance including linking to resource allocation, whole of government strategies, delivery/implementation, control/guidance, and accountability.
Lessons from the US Perfromance Management System by Donald MoynihanOECD Governance
Presentation by Donald Moynihan at the 10th annual meeting of the Senior Budget Officials Performance and Results Network held on 24-25 November 2014. Find more information at http://www.oecd.org/gov/budgeting
The document provides an overview of the Government Performance and Results Act (GPRA) and its modernization through the GPRA Modernization Act of 2010. It discusses GPRA's requirements for strategic planning, performance measurement, and reporting. It also summarizes GPRAMA's additional provisions for federal agency priority goal-setting, quarterly progress reviews, and coordination of cross-agency priority goals and performance reporting across government.
This document outlines the clinical audit policy and strategy for Response Med. It discusses statutory requirements that mandate regular clinical audits to assess quality and ensure patient safety. The purposes are to define a framework for clinical audits and clarify roles and responsibilities. The outcomes aim to provide evidence of a robust audit program, improvements based on audit findings, and adherence to best practices. The procedures describe developing an annual audit plan, conducting audits, and monitoring completion of the plan.
This tool provides a 3-step approach for countries to re-prioritize their public administration reform (PAR) strategies and action plans in response to the COVID-19 pandemic. The tool uses a multi-criteria analysis and Delphi method to systematically review PAR objectives and actions based on criteria related to COVID-19 impacts and overall PAR priorities. Key public administration experts from both inside and outside of government are involved to collectively assess and regroup objectives/actions into a new priority list. The re-prioritized list aims to focus resources on critical reforms that improve the administration's capacity to respond to the current crisis and future crises while taking into account the new constraints faced. The process is designed to supplement existing strategic planning tools and be
The document provides background information on the PHO Performance Programme, including its strategic direction and operation. It discusses the development of the programme from 2002-2005, its key characteristics including voluntarism and joint ownership. The document outlines the benefits the programme can provide to various stakeholders like PHOs, DHBs, and enrolled persons. It discusses the programme's objectives from 2007-2009, including becoming a trusted information source and contributing to gains in health status. Finally, it provides an overview of the programme's process and current set of indicators.
Developing comprehensive health promotion - MedCrave Online PublishingMedCrave
As the global prevalence of obesity and chronic diseases continues to rise, the need for effective health promotion programs is imperative. Whilst research into effectiveness of health promotion programs is needed to improve population health outcomes, translation of these research findings into policy and practice is crucial. Translation requires not only efficacy data around what to implement, but also information on how to implement it.
http://medcraveonline.com/MOJPH/MOJPH-02-00007.pdf
The document provides an overview of the Government Performance and Results Act (GPRA), findings from the Government Accountability Office (GAO) on GPRA implementation, requirements of the GPRA Modernization Act (GPRAMA) including new governmentwide and agency level planning and reporting, and GAO responsibilities and resources related to overseeing GPRAMA implementation.
Planning, monitoring & evaluation of health care programarijitkundu88
this presentation is for the basic idea of planning monitoring and evaluation of health care programs. the details steps of planning is covered. i hope it will help all the persons interested in public health and different health programs.
The National Health Council conducted research, did an analysis, and prepared proposed regulatory language to assist the Secretary of Health and Human Services with the preparation of an essential health benefits (EHB) package that will serve the needs of people with chronic diseases and disabilities. This slide show is from a NHC briefing on EHB, given August 3, 2011.
This document provides the strategic plan for the Substance Abuse and Mental Health Services Administration (SAMHSA) for fiscal years 2006 through 2011. The plan outlines SAMHSA's vision of "A life in the community for everyone", mission to "build resilience and facilitate recovery", and three strategic goals of Accountability, Capacity, and Effectiveness. Key elements of the plan include developing national outcome measures, implementing new grant programs to expand infrastructure and services, and tracking performance measures to ensure accountability. The plan is aimed at increasing availability of and access to effective substance abuse and mental health services.
The Master Plan Support Project final report provides Prince George's County Public Schools with recommendations to update its Educational Facilities Master Plan. The project team assessed school facility conditions, educational functionality, and utilization rates. It developed a weighted facility condition index and analyzed this data along with capital project priorities to create a comprehensive, long-term plan for renovating and constructing new schools. The report organizes the school district into 40 planning areas to address both local and district-wide facility needs.
This document provides an introduction to monitoring and evaluation (M&E) plans. It discusses what an M&E plan is, how it relates to a logic model, and how it can contribute to a program's success. An M&E plan describes a program's approach to implementing M&E activities, including what data will be collected, how and when data collection will occur, and who is responsible. It helps programs measure progress toward objectives and determine if desired results were achieved. The document also provides a template for components to include in an M&E plan and discusses how complexity of M&E plans has increased over time with different requirements from organizations like USAID, CDC, and GAC. It emphasizes involving relevant technical
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...MEASURE Evaluation
This document outlines a 6-step approach for monitoring and evaluating integrated health services at the national level. The steps include: 1) defining public health problems, 2) identifying primary points of care, 3) defining interventions and service packages, 4) creating a logic model, 5) conducting research and evaluation, and 6) using data for decision making. Strong M&E systems are needed to manage complexity, assess progress, generate information, refine programs, and produce evidence. National strategies should drive integration based on mortality and morbidity data. Standardized care, quality indicators, and interoperable health information systems are important for monitoring integrated services. Lessons learned should be shared globally.
Health Informatics Journal - Balanced ScorecardJulius Veracion
The document summarizes the design and evaluation of a balanced scorecard for the health information management department at a large urban hospital in Canada. The creation of the balanced scorecard involved 6 months of planning, development, implementation, and evaluation. Key steps included aligning the scorecard with the hospital's strategy, identifying relevant metrics, gathering staff input, and conducting an evaluation survey. The majority of health information management staff agreed that the balanced scorecard is a useful reporting and management tool, supporting the success of developing it for the department. The process used to identify metrics can help other health information management departments create their own balanced scorecards.
Challenges and Solutions to Conducting High Quality Contract Evaluations for ...Washington Evaluators
Challenges and Solutions to Conducting High Quality Contract Evaluations for the U.S. Government
Washington Evaluators Brown Bag
July 7, 2015
Presenter: David J. Bernstein
Discussant: Kathryn E. Newcomer
The document discusses Intermountain Healthcare's Diabetes Prevention Program (DPP), which aims to prevent the development of type 2 diabetes among those with prediabetes. It summarizes key findings from clinical trials showing lifestyle interventions can reduce diabetes risk by 34-58% over 3-10 years. Intermountain has implemented a DPP based on existing lifestyle programs. Initial results show 20% of participants achieved the 5% weight loss goal. If fully implemented, the DPP could prevent an estimated 900 cases of diabetes over 10 years, saving $7300 per patient annually in healthcare costs.
The document discusses the key components of developing a comprehensive monitoring and evaluation (M&E) system for humanitarian and development programs, including developing a causal analysis framework, logical framework (logframe), indicator matrix, and data collection and analysis plan. These components form the foundation of an M&E system by clarifying the desired changes, objectives, indicators, and methods for collecting and analyzing data. The document provides guidance on planning an M&E system early in project design to ensure feasibility, understanding, and ownership of the system.
The PPS [Prospective Payment System] to PDPM Pendulum: An Analysis of PDPM Co...PYA, P.C.
The Skilled Nursing Facility (SNF) industry has faced disruption with Medicare Part A’s transition to the Patient Driven Payment Model (PDPM) in the fall of 2019. Providers seeking additional guidance to further develop and shape their compliance programs are encouraged to view the presentation given by join PYA at the AHLA Long Term Care and the Law program in March of 2020.
PYA Post-Acute Service Line Manager Amy Dalton co-presented with Liz Steffen, MJ CHC CPHRM MBA HCM MA CCC-SLP, Senior Divisional Corporate Compliance Officer of Promedica Health System. “The PPS [Prospective Payment System] to PDPM Pendulum: An Analysis of PDPM Compliance Matters Post Go-Live” covers the following topics:
• Trends in care provision related to value-based outcomes and quality of care.
• Relevant compliance updates from the Department of Health and Human Services, Department of Justice, and Office of Inspector General.
• Clinical operational and compliance-related hurdles for SNFs post-PDPM go-live.
• How PDPM fits into the larger context of a SNF compliance program.
• PDPM recommendations and best practices going forward.
Monitoring and evaluation.
A presentation in Arabic/English prepared the Palestinian Center for Peace and Democracy (PCPD)
اعداد المركز الفلسطيني للسلام والديمقراطية
فلسطين , ديمقراطية , ديموقراطية , monitoring , elections, evaluation , politics
Performance-based financing presentation to the Health Financing AcceleratorReBUILD for Resilience
1) The document reviews evidence on the effectiveness of performance-based financing (PBF) and direct facility financing (DFF) approaches.
2) The Cochrane review found that PBF generally improved utilization and quality of targeted health services, but results were mixed for non-targeted indicators. Impacts on health outcomes were also mixed.
3) Evidence on DFF was limited but other reviews found prospective payment mechanisms like capitation can reduce costs while maintaining service utilization and quality of care.
Paying for performance to improve the delivery of health interventions in LMICsReBUILD for Resilience
This presentation from Sophie Witter & Karin Diaconu of Queen Margaret University, UK outlines the findings from a Cochrane review undertaken by the team on paying for performance to improve the delivery of health interventions in low and middle-income countries.
The document summarizes key points from the Sixth Statement of Work (6SOW) regarding the roles and responsibilities of Peer Review Organizations (PROs) in ensuring quality of care compliance. Under the 6SOW, PROs will lead national quality improvement projects focused on conditions like heart disease and diabetes. They will also conduct local projects to improve care for disadvantaged groups and in alternative care settings like nursing homes. Additionally, PROs will partner with Medicare Advantage plans on quality initiatives and implement a Payment Error Prevention Program to reduce improper billing. Provider, physician, and plan participation in these various compliance activities is considered an indicator of quality care compliance.
Disaster managment can save many lives.This presentation enumerates all steps required for Damage-control.It also stresses upon the importance of Primordial mode of prevention.
If you like this presentation and want to make for yourself,Please do contact me at rohit.bhansalis@gmail.com
HFG Dominican Republic Final Country ReportHFG Project
The Health Finance and Governance (HFG) Project worked in the Dominican Republic from 2016-2018 to help strengthen the country's HIV response and move towards sustainability. Through analyses and stakeholder workshops, HFG helped build consensus around including antiretroviral drugs in national health insurance and expanding treatment coverage nationwide. HFG also provided technical assistance to improve HIV service delivery in areas like supply chain management and clinic operations. As a result of HFG's work, financial sustainability is now a priority and plans are in place to transition the HIV response to domestic financing sources by reforming health insurance.
This document provides an agenda for the 2017 Crisis Response Workshop held in Little Rock, Arkansas on April 27, 2017. The workshop was sponsored by the Arkansas Department of Health and Center for Disease Control and Prevention. The agenda includes welcome remarks, presentations on responding to the Pulse Nightclub tragedy in Orlando and the operations of the Arkansas Crisis Response Team. Additional presentations will cover Louisiana's response to flooding in 2016 from state and local perspectives. The day will conclude with evaluations. Brief biographies are provided for some of the featured presenters with experience responding to disasters and emergencies in various state and local roles.
The document provides an after action review of the Mile High DICE FY-2015 Cybersecurity Domain tabletop exercise, which was comprised of a training session and continuity tabletop exercise focused on cybersecurity. The exercise involved over 40 participating federal, state, local, and private organizations and was held on November 13, 2014 in Aurora, Colorado. The objectives of the exercise were to increase awareness of incorporating cybersecurity into continuity planning, discuss challenges and best practices, examine continuity of essential functions during a cybersecurity emergency, and identify solutions to gaps in organizational plans. The after action review analyzes the results and identifies strengths and areas for improvement.
The document provides background information on the PHO Performance Programme, including its strategic direction and operation. It discusses the development of the programme from 2002-2005, its key characteristics including voluntarism and joint ownership. The document outlines the benefits the programme can provide to various stakeholders like PHOs, DHBs, and enrolled persons. It discusses the programme's objectives from 2007-2009, including becoming a trusted information source and contributing to gains in health status. Finally, it provides an overview of the programme's process and current set of indicators.
Developing comprehensive health promotion - MedCrave Online PublishingMedCrave
As the global prevalence of obesity and chronic diseases continues to rise, the need for effective health promotion programs is imperative. Whilst research into effectiveness of health promotion programs is needed to improve population health outcomes, translation of these research findings into policy and practice is crucial. Translation requires not only efficacy data around what to implement, but also information on how to implement it.
http://medcraveonline.com/MOJPH/MOJPH-02-00007.pdf
The document provides an overview of the Government Performance and Results Act (GPRA), findings from the Government Accountability Office (GAO) on GPRA implementation, requirements of the GPRA Modernization Act (GPRAMA) including new governmentwide and agency level planning and reporting, and GAO responsibilities and resources related to overseeing GPRAMA implementation.
Planning, monitoring & evaluation of health care programarijitkundu88
this presentation is for the basic idea of planning monitoring and evaluation of health care programs. the details steps of planning is covered. i hope it will help all the persons interested in public health and different health programs.
The National Health Council conducted research, did an analysis, and prepared proposed regulatory language to assist the Secretary of Health and Human Services with the preparation of an essential health benefits (EHB) package that will serve the needs of people with chronic diseases and disabilities. This slide show is from a NHC briefing on EHB, given August 3, 2011.
This document provides the strategic plan for the Substance Abuse and Mental Health Services Administration (SAMHSA) for fiscal years 2006 through 2011. The plan outlines SAMHSA's vision of "A life in the community for everyone", mission to "build resilience and facilitate recovery", and three strategic goals of Accountability, Capacity, and Effectiveness. Key elements of the plan include developing national outcome measures, implementing new grant programs to expand infrastructure and services, and tracking performance measures to ensure accountability. The plan is aimed at increasing availability of and access to effective substance abuse and mental health services.
The Master Plan Support Project final report provides Prince George's County Public Schools with recommendations to update its Educational Facilities Master Plan. The project team assessed school facility conditions, educational functionality, and utilization rates. It developed a weighted facility condition index and analyzed this data along with capital project priorities to create a comprehensive, long-term plan for renovating and constructing new schools. The report organizes the school district into 40 planning areas to address both local and district-wide facility needs.
This document provides an introduction to monitoring and evaluation (M&E) plans. It discusses what an M&E plan is, how it relates to a logic model, and how it can contribute to a program's success. An M&E plan describes a program's approach to implementing M&E activities, including what data will be collected, how and when data collection will occur, and who is responsible. It helps programs measure progress toward objectives and determine if desired results were achieved. The document also provides a template for components to include in an M&E plan and discusses how complexity of M&E plans has increased over time with different requirements from organizations like USAID, CDC, and GAC. It emphasizes involving relevant technical
A Systematic Approach to the Planning, Implementation, Monitoring, and Evalua...MEASURE Evaluation
This document outlines a 6-step approach for monitoring and evaluating integrated health services at the national level. The steps include: 1) defining public health problems, 2) identifying primary points of care, 3) defining interventions and service packages, 4) creating a logic model, 5) conducting research and evaluation, and 6) using data for decision making. Strong M&E systems are needed to manage complexity, assess progress, generate information, refine programs, and produce evidence. National strategies should drive integration based on mortality and morbidity data. Standardized care, quality indicators, and interoperable health information systems are important for monitoring integrated services. Lessons learned should be shared globally.
Health Informatics Journal - Balanced ScorecardJulius Veracion
The document summarizes the design and evaluation of a balanced scorecard for the health information management department at a large urban hospital in Canada. The creation of the balanced scorecard involved 6 months of planning, development, implementation, and evaluation. Key steps included aligning the scorecard with the hospital's strategy, identifying relevant metrics, gathering staff input, and conducting an evaluation survey. The majority of health information management staff agreed that the balanced scorecard is a useful reporting and management tool, supporting the success of developing it for the department. The process used to identify metrics can help other health information management departments create their own balanced scorecards.
Challenges and Solutions to Conducting High Quality Contract Evaluations for ...Washington Evaluators
Challenges and Solutions to Conducting High Quality Contract Evaluations for the U.S. Government
Washington Evaluators Brown Bag
July 7, 2015
Presenter: David J. Bernstein
Discussant: Kathryn E. Newcomer
The document discusses Intermountain Healthcare's Diabetes Prevention Program (DPP), which aims to prevent the development of type 2 diabetes among those with prediabetes. It summarizes key findings from clinical trials showing lifestyle interventions can reduce diabetes risk by 34-58% over 3-10 years. Intermountain has implemented a DPP based on existing lifestyle programs. Initial results show 20% of participants achieved the 5% weight loss goal. If fully implemented, the DPP could prevent an estimated 900 cases of diabetes over 10 years, saving $7300 per patient annually in healthcare costs.
The document discusses the key components of developing a comprehensive monitoring and evaluation (M&E) system for humanitarian and development programs, including developing a causal analysis framework, logical framework (logframe), indicator matrix, and data collection and analysis plan. These components form the foundation of an M&E system by clarifying the desired changes, objectives, indicators, and methods for collecting and analyzing data. The document provides guidance on planning an M&E system early in project design to ensure feasibility, understanding, and ownership of the system.
The PPS [Prospective Payment System] to PDPM Pendulum: An Analysis of PDPM Co...PYA, P.C.
The Skilled Nursing Facility (SNF) industry has faced disruption with Medicare Part A’s transition to the Patient Driven Payment Model (PDPM) in the fall of 2019. Providers seeking additional guidance to further develop and shape their compliance programs are encouraged to view the presentation given by join PYA at the AHLA Long Term Care and the Law program in March of 2020.
PYA Post-Acute Service Line Manager Amy Dalton co-presented with Liz Steffen, MJ CHC CPHRM MBA HCM MA CCC-SLP, Senior Divisional Corporate Compliance Officer of Promedica Health System. “The PPS [Prospective Payment System] to PDPM Pendulum: An Analysis of PDPM Compliance Matters Post Go-Live” covers the following topics:
• Trends in care provision related to value-based outcomes and quality of care.
• Relevant compliance updates from the Department of Health and Human Services, Department of Justice, and Office of Inspector General.
• Clinical operational and compliance-related hurdles for SNFs post-PDPM go-live.
• How PDPM fits into the larger context of a SNF compliance program.
• PDPM recommendations and best practices going forward.
Monitoring and evaluation.
A presentation in Arabic/English prepared the Palestinian Center for Peace and Democracy (PCPD)
اعداد المركز الفلسطيني للسلام والديمقراطية
فلسطين , ديمقراطية , ديموقراطية , monitoring , elections, evaluation , politics
Performance-based financing presentation to the Health Financing AcceleratorReBUILD for Resilience
1) The document reviews evidence on the effectiveness of performance-based financing (PBF) and direct facility financing (DFF) approaches.
2) The Cochrane review found that PBF generally improved utilization and quality of targeted health services, but results were mixed for non-targeted indicators. Impacts on health outcomes were also mixed.
3) Evidence on DFF was limited but other reviews found prospective payment mechanisms like capitation can reduce costs while maintaining service utilization and quality of care.
Paying for performance to improve the delivery of health interventions in LMICsReBUILD for Resilience
This presentation from Sophie Witter & Karin Diaconu of Queen Margaret University, UK outlines the findings from a Cochrane review undertaken by the team on paying for performance to improve the delivery of health interventions in low and middle-income countries.
The document summarizes key points from the Sixth Statement of Work (6SOW) regarding the roles and responsibilities of Peer Review Organizations (PROs) in ensuring quality of care compliance. Under the 6SOW, PROs will lead national quality improvement projects focused on conditions like heart disease and diabetes. They will also conduct local projects to improve care for disadvantaged groups and in alternative care settings like nursing homes. Additionally, PROs will partner with Medicare Advantage plans on quality initiatives and implement a Payment Error Prevention Program to reduce improper billing. Provider, physician, and plan participation in these various compliance activities is considered an indicator of quality care compliance.
Disaster managment can save many lives.This presentation enumerates all steps required for Damage-control.It also stresses upon the importance of Primordial mode of prevention.
If you like this presentation and want to make for yourself,Please do contact me at rohit.bhansalis@gmail.com
HFG Dominican Republic Final Country ReportHFG Project
The Health Finance and Governance (HFG) Project worked in the Dominican Republic from 2016-2018 to help strengthen the country's HIV response and move towards sustainability. Through analyses and stakeholder workshops, HFG helped build consensus around including antiretroviral drugs in national health insurance and expanding treatment coverage nationwide. HFG also provided technical assistance to improve HIV service delivery in areas like supply chain management and clinic operations. As a result of HFG's work, financial sustainability is now a priority and plans are in place to transition the HIV response to domestic financing sources by reforming health insurance.
This document provides an agenda for the 2017 Crisis Response Workshop held in Little Rock, Arkansas on April 27, 2017. The workshop was sponsored by the Arkansas Department of Health and Center for Disease Control and Prevention. The agenda includes welcome remarks, presentations on responding to the Pulse Nightclub tragedy in Orlando and the operations of the Arkansas Crisis Response Team. Additional presentations will cover Louisiana's response to flooding in 2016 from state and local perspectives. The day will conclude with evaluations. Brief biographies are provided for some of the featured presenters with experience responding to disasters and emergencies in various state and local roles.
The document provides an after action review of the Mile High DICE FY-2015 Cybersecurity Domain tabletop exercise, which was comprised of a training session and continuity tabletop exercise focused on cybersecurity. The exercise involved over 40 participating federal, state, local, and private organizations and was held on November 13, 2014 in Aurora, Colorado. The objectives of the exercise were to increase awareness of incorporating cybersecurity into continuity planning, discuss challenges and best practices, examine continuity of essential functions during a cybersecurity emergency, and identify solutions to gaps in organizational plans. The after action review analyzes the results and identifies strengths and areas for improvement.
After Action Reports (AARs) provide a retrospective analysis of critical actions to evaluate performance, document effectiveness and efficiency, and analyze procedures and policies to recommend improvements. AARs benefit policymakers, administrators, responders, and communities by providing a broad understanding of events and enhancing future planning. They should be used anytime an organization undertakes a project, event, or incident, both large and small. AARs have a simple structure including an overview, goals/objectives, performance analysis, lessons learned, and recommendations. Their value is in preventing future issues and improving responses.
Building New Opportunity
Jerry Hembd, University of Wisconsin-Superior; Ron Hustedde, University of Kentucky; Sharon Gulick, University of Missouri Extension; Mary Simon Leuci, University of Missouri Extension
This interactive workshop will explore innovation approaches and strategies for regional development and, through a facilitated process, participants will be asked to share their experiences, challenges and approaches. Anticipated results include greater understanding of regional development, sharing of ideas, new learning and possibly creation of information networks.
1:30-3:00pm Monday July 27th
This document discusses leveraging NGO resources through knowledge management. It covers how knowledge structures relate to social, business, and technology structures. It defines knowledge management and knowledge work, and outlines a knowledge infrastructure including people, content, tools, processes, and governance. The document then discusses how knowledge management relates to knowledge assets, sharing, collaboration, resources, and stakeholders. It provides examples of understanding, managing, and storing content, as well as retrieving and sharing explicit and collaborative content. The document concludes with the main messages that managing knowledge assets leverages an NGO's capacity, social interaction includes sharing, collaboration, negotiation and competition, and knowledge work involves both technical and social aspects.
incident analysis - procedure and approachDerek Chang
This document provides guidance on conducting post-mortem analyses of outages. It discusses establishing standard procedures and templates to minimize defensiveness and promote learning. Key recommendations include focusing analyses on process improvement rather than blame, having a third party lead investigations, and ensuring action is taken on findings through follow up. Templates are provided to structure data collection, including timelines, root cause analysis, and review of monitoring and logging. The overall goal is for teams to walk away from outages looking like heroes by continually improving based on lessons learned.
The document summarizes housing statistics for Wisconsin in April 2015. It shows that statewide, median home sales prices increased 10.7% compared to April 2014 to $154,900, while total closed home sales rose 16.8%. Inventory levels remained stable, declining only 0.4% year-over-year. Regional housing data is also provided showing median home price and sales volume trends in counties across Wisconsin.
Vulnerability Management: What You Need to Know to Prioritize RiskAlienVault
Abstract:
While vulnerability assessments are an essential part of understanding your risk profile, it's simply not realistic to expect to eliminate all vulnerabilities from your environment. So, when your scan produces a long list of vulnerabilities, how do you prioritize which ones to remediate first? By data criticality? CVSS score? Asset value? Patch availability? Without understanding the context of the vulnerable systems on your network, you may waste time checking things off the list without really improving security.
Join AlienVault for this session to learn:
*The pros & cons of different types of vulnerability scans - passive, active, authenticated, unauthenticated
*Vulnerability scores and how to interpret them
*Best practices for prioritizing vulnerability remediation
*How threat intelligence can help you pinpoint the vulnerabilities that matter most
The document describes the QualysGuard Vulnerability Management Module which contains a vulnerability knowledgebase and descriptions. It also outlines the 6 step vulnerability management lifecycle workflow of discovery, asset prioritization, assessment and analysis, remediation, verification, and policy compliance.
Responsible use of ict brief project report - feb 2011Mel Tan
This document summarizes a pilot project in the Philippines that tested educational materials on responsible ICT use from the Asia-Pacific Economic Cooperation (APEC). A training of trainers was conducted to prepare local educators to deliver workshops. Three workshops then trained over 60 participants from different groups. Feedback found that incorporating activities helped novice ICT users learn. Videos and examples from the APEC materials engaged participants. Overall, the pilot showed the value of the materials for teaching responsible and safe ICT use.
Derek Milroy, IS Security Architect at U.S. Cellular Corporation, defined “vulnerability management” and how it affects today’s organizations during his presentation at the 2014 Chief Information Security Officer (CISO) Leadership Forum in Chicago on Nov. 19. In his presentation, “Enterprise Vulnerability Management/Security Incident Response,” Milroy noted vulnerability management has different meanings to different organizations, but an organization that utilizes vulnerability management processes can effectively safeguard its data.
According to Milroy, an organization should develop its own vulnerability management baselines to monitor its security levels. By doing so, Milroy said an organization can launch and control vulnerability management systems successfully. In addition, Milroy pointed out that vulnerability management problems occasionally will arise, but a well-prepared organization will be equipped to handle such issues: “Problems are going to happen … You have to work with your people. This can translate to any tool that you’re putting in place. Make sure your people have plans for what happens when it goes wrong, because it’s going to [happen] every single time.”
Milroy also noted that having actionable vulnerability management data is important for organizations of all sizes. If an organization evaluates its vulnerability management processes regularly, Milroy said, it can collect data and use this information to improve its security: “The simplest rule of thumb for vulnerability management, click the report, hand the report to someone. Don’t ever do that. There is no such thing as a report from a tool that you can just click and hand to someone until you first tune it and pare it down.”
- See more at: http://www.argylejournal.com/chief-information-security-officer/enterprise-vulnerability-managementsecurity-incident-response-derek-milroy-is-security-architect-u-s-cellular-corporation/#sthash.Buh6CzLS.dpuf
Sap tech ed_Delivering Continuous SAP Solution Availability Robert Max
With the adoption of the enhanced functionality of Solution Manager 7.1, our SAP Infrastructure Team supported an initial go-live followed by rollouts and enhancements while delivering 99.96% SAP application availability. This presentation helps you identify investments in Solution Manager Functionality and ITIL processes that deliver continuous availability for your federated SAP infrastructure.
A Practical Approach to Implementing ICH Q10 Pharmaceutical Quality Systemswtgevents
The document provides an overview of implementing a pharmaceutical quality system according to ICH Q10 guidelines. It discusses establishing the foundation through following procedures and defining a quality policy. It then outlines a "simple process" to implement key elements like quality objectives, continual improvement plans, and management reviews. The goal is to enhance quality and facilitate innovation using a risk-based approach throughout the product lifecycle.
This document provides information about bookkeeping, accounting, tax preparation, and business consulting services offered by SmallBizHouston. The services include QuickBooks setup and training, monthly bookkeeping such as bank and credit card reconciliation and financial report generation, quarterly reporting, franchise tax reports, and tax preparation for individuals, corporations, estates, non-profits, and strategic planning and business consulting.
Redbrick safety sneakers Redbrick veiligheidsschoenen - werkschoenen by woltexWoltex.nl
New models Redbrick safety sneakers. The instant hit, bringing your feet both double protection (sole and nose) and fashion. Be protected and yet look fashionable in your Redbrick Safety Shoes, the sasuals of every season!
De nieuwe Redbrick modellen safety sneakers, die uw voeten zowel dubbele bescherming (voet en zool), als mode bieden. De grote hit in veiligheidsschoenen mode in Nederland.
The Microsoft Platform for Education Analytics (MPEA) is an integrated technology architecture connecting all people across primary and secondary schools with the information they need to direct their actions in a manner consistent with the goals and priorities of the educational institution. The model is differentiated from more common approaches that focus primarily on business intelligence (BI) tools. The Microsoft® approach incorporates BI as a component of a more comprehensive architecture that unifies quantitative analytics with qualitative assessment within a familiar collaborative environment. The integrated architecture is targeted at aligning daily activities with strategic priorities and capturing front-line observations that inform strategic planning. The MPEA is not something that educational institutions need to “go buy.” In fact, the overwhelming majority of primary and secondary schools already license and use many of the Microsoft products that comprise the key components of the architecture. It is the underlying Microsoft technologies that enable broad and impactful adoption across educational institutions because they are both affordable and familiar. This is, however, a comprehensive approach that educational executives must lead. Successful utilisation of this model is primarily dependent upon executive leadership guiding a scholastic commitment to foster a culture of evidence and accountability corresponding directly to mission, vision, and goals. This paper describes the Microsoft Platform for Education Analytics and explains how technology that is already owned (affordable) and already used (familiar) can be broadly adopted across primary and secondary schools. This platform supports a culture where goal-focused and evidence-based behaviour optimises school resources toward balanced goal attainment across administrative efficiencies (business), academic outcomes (learning), and constituent relationships (lifestyle). Working towards goals across the educational institution leads to fulfilling the primary and secondary schools’ mission and advancing the institutional vision.
Do you get alerts before your contracts expirePractice-League
Contract management software can help lawyers track contracts from creation through expiration by providing features to generate, review, and renew contracts efficiently. Contract reminder software additionally allows for contract assembly, templates, and alerts about expiring contracts to ensure smooth renewals. The document discusses how different software solutions can aid lawyers in contract lifecycle management.
9 Claves para comprender los cambios a la Ley de Cestaticket Socialista en Venezuela ¿Cuál es el monto? ¿Si tengo comedor, debo pagar cestaticket? Estas dudas y más son aclaradas por Mariela Llovera, Abogado y Profesional de RRHH
8 Places to use Keywords on Your WebsiteWired Flare
This document outlines important on-page SEO elements including the title tag, meta description, image alt text, internal and external links, heading tags, bold and italics text, main content, and social media profiles with hashtags and backlinks that can help optimize a website for search engines like Google. It also includes the website and social media profiles of wiredflare.com as an example.
This document outlines the 8-stage planning process for health programs:
1. Form a competent working team of various health professionals and stakeholders.
2. Develop statements of health policies and broad goals that are politically supported.
3. Gather necessary demographic, epidemiological, economic, and administrative information.
4. Prioritize key health problems based on factors like mortality, public preferences, and costs.
5. Propose major alternative approaches to address priorities, detailing technical aspects, organization, costs and benefits.
The document discusses health planning, including defining health planning, its purpose, health needs and demands, objectives and goals. It explains the planning cycle of planning, implementation, and evaluation. Key aspects of planning covered include analyzing the health situation, establishing objectives and goals, assessing resources, prioritizing, formulating the plan, programming and implementation, and evaluation. Monitoring and different types of evaluation are also defined. The document concludes by discussing India's National Health Policy of 2002 and its goals.
Final performance improvement plan for ODH. Contains the final agreed upon project purpose, scope, and detailed workplan (including major activities to be accomplished and key deliverables)
Draft evaluation plan provided to client that contains a summary, evaluation needs, evaluation content, purpose, evaluation model design, and evaluation schedule
- - -
CMS Innovation Center
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We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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This document outlines a strategic plan for an organization called Sohail Trust Hospital. It identifies internal and external stakeholders and sets SMART strategic objectives. The logical framework defines the goal of enhancing awareness of Sohail Trust Hospital's services, with the objective of increasing familiarity among 70% of the target population within 2-4 months. Key outputs include increased awareness and patient flow. Activities to achieve the objectives are community awareness campaigns, health education workshops, and mobile medical camps over 1-2 months and 2-4 months. The logical framework also identifies indicators, means of verification, and risks.
The document discusses performance improvement projects (PIPs) conducted by external quality review organizations (EQROs) for Medicaid managed care organizations. It provides background on federal EQR requirements and outlines the four mandatory and five optional EQR activities, including validating PIPs and performance measures. PIPs must target both clinical and non-clinical areas, and EQROs validate PIPs through a three-step process assessing methodology, verifying findings, and evaluating validity of results. The document also discusses using PDSA cycles in quality improvement and providing technical assistance for PIPs.
The Health Finance and Governance (HFG) Project organized a multi-country workshop to support policymakers from public health and finance agencies in developing concrete action plans for mobilizing domestic resources for health. This presentation on the HFG toolkit addresses gaps in the Ministry of Health and Ministry of Finance relationship. The toolkit presents a set of strategies, self assessment methodologies and performance management processes to help the MOH better manage their own resources and to help foster more effective coordination between the MOH and the MOF.
Running head DELIVERABLES AND CRITICAL SUCCESS FACTORS 1 .docxtodd271
Running head: DELIVERABLES AND CRITICAL SUCCESS FACTORS 1
Deliverables and Critical Success Factors
Chamberlain College of Nursing
Student Name here
NR 631: Nurse Executive Concluding Graduate Experience
September/October 2018
DELIVERABLES AND CRITICAL SUCCESS FACTORS 2
Deliverables and Critical Success Factors
Project deliverables and critical success factors (CSF’s) play an important role to
successful project management. Following a large number of hospital acquired pressure injuries
(HAPI) (Stage 2 or greater) acquired by patients while in the care of one of the units within the
Critical Care Division (Medical Intensive Care Unit, Surgical Intensive Care Unit, Cardiac
Intermediate Care Unit, or Neuro-Trauma Intermediate Care Unit) during the preceding fiscal
year – a decision to implement HRO (high-reliability) principles in conjunction with traditional
HAPI prevention strategies as a strategy to reduce HAPI was made.
HAPI’s can be a source of discomfort, pain, and altered body image for a patient. HAPI
development can negatively impact patient experience. Some studies estimate that the
prevalence of HAPI development within Critical Care could be as high as 43% (Krapfl, Langin,
Pike, & Pezzella, 2017). HAPI development within Critical Care can be extremely costly – costs
which will not be reimbursed by Centers for Medicare and Medicaid Services (CMS) (Boyle,
Bergquist-Beringer, & Cramer, 2017). Most HAPI’s are highly preventable and as clinicians -we
have an ethical and moral responsibility to prevent harm to our patients. In the paper below,
discussion surrounding project deliverables, critical success factors (CSF’s), and summarized
conclusion will be provided.
Project Deliverables
Project deliverables, for the HAPI prevention plan utilizing HRO principles in critical
care, include the following: scope statement, project charter, literature review, formal
communication plan, and critical success factors plan. The scope statement is developed at the
start of project planning; however, should be continuously reviewed and updated as
applicable. This is a crucial document for project planning and provides a comprehensive
DELIVERABLES AND CRITICAL SUCCESS FACTORS 3
outline of the project including project objectives, justification, implementation plan, resources
needed, project timeline, and measures of success (project goals/expected outcomes). Successful
resource planning, as detailed within a project scope statement, can be evaluated through
teamwork, organizational culture/receptivity to change, leadership support, development of
business plan/project vision, effective communication, and identification of project champions
(Orouji, 2016). These aspects can be measure through surveys (pre and post project) as well as
through organizational culture of safety surveys and employee engagement/satisfaction
surveys. Ad.
prelimnary budgetsSALES FORECASTJanFebMarAprMayJunein UnitsPRODUCTION BUDGETSalesEI-BIProduction----RAW MATERIAL PURCHASES (packets--1 per unit)ProductionEIBIPurchases----Purchases in $ (@$80)---COST OF GOODS MANUFACTURED BUDGETProductionDirect Material (@$80)--Direct Labor (10 hrs @$35/hr)---Overhead (50% DL$)---Total CGM---Average Cost/Unit---Projected Sellling Price---
budgeted ISJanuaryFebruaryMarchSales in UnitsSales (@$1210)$ - 0$ - 0$ - 0Cost of Sales (@605)---Gross Margin---Operating Expenses:Administrative salaries (given)Sales commissions (10% of sales)Rent (given)Insurance ($24,000 ÷ 6)Other general and administrative (15% of sales)Depreciation ($564,180 ÷ 60)Totals---Operating Income (Loss)---Inrterest ExpenseCapital LeaseOperating LineIncome (Loss) Before Taxes---Estimated Income TaxesNet Income (Loss)$ - 0$ - 0$ - 0
budgeted cash flowCash ForecastJanuaryFebruaryMarchCash Receipts:Sales (from I/S)collection in month (15%)collection in 2nd month (75%)collection in 3rd month (10%)Total Cash Receipts$ - 0$ - 0$ - 0Cash Disbursements:Direct Labor Costs Incurred (production)paid in mo (50%)paid in 2nd mo (50%)Total direct labor cash payments$ - 0$ - 0$ - 0Administrative Salaries (Expense)paid in mo (50%)paid in 2nd mo (50%)Total adminstrative salary payments$ - 0$ - 0$ - 0Sales commissions (Expense)paid in full in following mo-Material purchases (Procurement)paid in full in following monthMOHpaid in month (25%)paid in 2nd mo (75%)Total MOH$ - 0$ - 0$ - 0Other administrative costs (Expense)paid in full in following month$ - 0$ 90,750$ 108,900Insurance24,000Rent8,0008,0008,000Capital Lease Principal7,2957,356Interest expenseon capital lease (per schedule)-4,7054,644on bank loan*-1,5003,500Total interest$ - 0$ 6,205$ 8,144Total disbursements$ 32,000$ 112,250$ 132,400Cash Receipts Less Cash Disbursements(32,000)(112,250)(132,400)Beginning Balance100,000189,750195,400Cash Available68,00077,50063,000Borrowings300,000100,00050,000Ending Cash Balance$ 368,000$ 177,500$ 113,000*
Budgeted BSAssetsJanuary 1January 31February 28March 31Current Assets:CashAccounts ReceivableRaw Marterial InventoryFinished Goods InventoryPrepaid InsuranceTotal Current Assets----Property and Equipment:Equipment on Capital LeaseAccumulated Depreciation-Net Property and Equipment--------Liabilities and Stockholders' EquityCurrent Liabilities:Accounts PayableWages PayableBank Note PayableInterest PayableIncome Taxes PayableCapital Lease Payable-Current PortionTotal Current Liabilities----Capital Lease - Amount Due After One Year-----Stockholders' Equity:Common StockRetained Earnings (Deficit)Total Stockholders' Equity----$ - 0$ - 0$ - 0$ - 0
Lease calculations
Worksheet
PAGES 235-237
Planned Approach to Community Health, Model Standards, and Community Health Improvement Processes In addition to the essential public health services framework and the APEXPH/MAPP processes, the IOM report stimulated sev.
Quantification is the process of estimating quantities and costs of health commodities needed for a specific health program. It involves three main steps: preparation, forecasting, and supply planning. Preparation involves assembling a team and collecting required data. Forecasting estimates future commodity needs using data on demographics, disease burden, service utilization, and consumption. Supply planning determines delivery schedules to ensure continuous availability. Quantification requires ongoing monitoring and updates, as it is not a one-time process. Accurate and up-to-date data is crucial but not always available, presenting a challenge to effective quantification.
HCM 490 Final Project Rubric
Overview
The final project for this course is the creation of a Strategic Plan Presentation and Professional Reflection. The healthcare industry is constantly changing and
healthcare professionals should be prepared for the challenge. As the final stop in your journey toward your Bachelor of Science in Healthcare Administration,
you will integrate the knowledge and skills you have developed in previous coursework and over the duration of the term into a Capstone Assessment. Your
assessment will consist of two components that will allow you to evidence knowledge, skills, abilities, and dispositional growth you have experienced during your
program.
In the first component, you will select an existing healthcare organization that fits one of the following areas of opportunity and develop a comprehensive
strategic plan for this change.
1. Option 1: Organization is Offering a New Service – Create a strategic plan that will guide the organization in bringing to fruition a new service, such as
offering portable MRIs, starting a new urgent care clinic, opening a new outpatient surgery center, etc.
2. Option 2: Organization is Expanding an Existing Service Area – Create a strategic plan that will guide the organization in expanding an existing service
to an underserved population that needs attention in this area. Examples include: population that has limited access to primary care services,
population-to-provider ratio indicating a shortage, groups of persons who face economic, cultural, or linguistic barriers to healthcare in the local area
and reside in a specific geographic area, and so on
The second component of your Capstone assessment is a professional reflection, in which you will reflect upon your capstone, program, and professional
experiences and draw connections and inferences about your growth, ethical practice, and professional goals.
Evaluation of Capstone
This capstone will be assessed somewhat differently than other courses you have taken online at SNHU. There are two (2) separate components which will be
submitted at different times during the course; however, they all operate together to comprise the whole capstone experience and are not assessed separately.
You will be evaluated on both as a unit in determining whether you have demonstrated proficiency in each outcome. Your instructor will guide you through this
process, keeping a running narrative of your strengths and weaknesses in relation to the outcomes as you progress through the class. You must demonstrate
proficiency in all six (6) outcomes to pass this capstone course. Your work is expected to meet the highest professional standards.
The project is divided into five milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final
submissions. These milestones will be submitted in Modules One, Two, Three, Four, and Five. The final product will be submitted i ...
192020 Capella University Scoring Guide Toolhttpsscor.docxaulasnilda
1/9/2020 Capella University Scoring Guide Tool
https://scoringguide.capella.edu/grading-web/gradingdetails 1/7
MHA-FP5064
u03a1 - Health Information System Implementation
Learner: Monna , Joseph
OVERALL COMMENTS
Mona
This paper is not very clear and specific. You have very genialized explanations of data and are not discussing
data requirements from meaningful use and merit-based incentives. Also you are not supporting the data needs
with CURRENT academic sources. You only have 2 references both from well over 10 years ago. You need
research current trends and best practices from recent sources.
See the rubric below for more specifics.
RUBRICS
1/9/2020 Capella University Scoring Guide Tool
https://scoringguide.capella.edu/grading-web/gradingdetails 2/7
CRITERIA 1
Outline a plan for collecting and analyzing data.
COMPETENCY
Incorporate project management principles into health care administration management and leadership.
NON_PERFORMANCE: Does not outline a plan for collecting and analyzing data.
BASIC:
Outlines a plan for collecting and analyzing data that is impracticable or unlikely to yield limited data for
analysis.
PROFICIENT: Outlines a plan for collecting and analyzing data.
DISTINGUISHED:
Outlines a plan for collecting and analyzing data. Provides a concise and well-articulated outline that
identifies specific data needs and a clear approach to analysis.
Comments:
I am not see a plan that alignes with current trends in health care. Plan needs to address specific data that
would common in an EHR and meet current legislative requirments.
(20%)
1/9/2020 Capella University Scoring Guide Tool
https://scoringguide.capella.edu/grading-web/gradingdetails 3/7
CRITERIA 2
Propose criteria for evaluating organizational needs.
COMPETENCY
Incorporate project management principles into health care administration management and leadership.
NON_PERFORMANCE: Does not propose criteria for evaluating organizational needs.
BASIC:
Proposes criteria for evaluating organizational needs that may lead to erroneous conclusions.
PROFICIENT: Proposes criteria for evaluating organizational needs.
DISTINGUISHED:
Proposes criteria for evaluating organizational needs, and provides relevant, credible evidence that
clearly validates the proposed criteria.
Comments:
Very unclear and is not alinging with best practices from AHIMA, HIMSS or Health IT,gov. Research
current oversight organizations
(16%)
1/9/2020 Capella University Scoring Guide Tool
https://scoringguide.capella.edu/grading-web/gradingdetails 4/7
CRITERIA 3
Outline a plan for generating reports.
COMPETENCY
Incorporate project management principles into health care administration management and leadership.
NON_PERFORMANCE: Does not outline a plan for generating reports.
BASIC:
Outlines a plan for generating reports that is impracticable or unlikely to provide all of the information
necessary to support sound decision making.
PROFICIENT: Outlines a ...
The CMS Innovation Center hosted a webinar on Wednesday, July 2, 2014, from 4:15pm-5:15pm EDT. The webinar reviewed Model Test Proposal Format Requirements, the ‘Population Health Plan’ Portion of the Model Test Project Narrative, and the Population Health Plan Deliverable of the Model Test Project Period.
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CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
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CMS Privacy Policy
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This document outlines the evaluation strategy for the BFDI Legal Advocacy program. The program aims to promote access to justice for low-income African American families in Wayne County. Key goals include providing legal and social services to families in the child welfare system and reducing overrepresentation of African American families. The evaluation will use a performance monitoring approach with data collected from client and stakeholder surveys, interviews, and records reviews. Findings will be used to assess progress towards objectives and improve program implementation.
Functionality Matrix for Optimizing Community Health Programs.pdfssuser234f9e
- The Community Health Worker Assessment and Improvement Matrix (CHW AIM) has been updated by USAID, UNICEF, the Community Health Impact Coalition, and Initiatives Inc. to incorporate the latest evidence on effective CHW program design and implementation.
- The updated CHW AIM tool includes a Program Functionality Matrix that assesses CHW programs across 10 components of CHW program design and implementation. Users can score their CHW program's level of functionality for each component on a scale of 1 to 4.
- The CHW AIM tool is intended to help stakeholders like ministries of health, NGOs, and international organizations identify gaps in CHW program design and implementation in order to guide
This document outlines three questions and suggested responses for a PowerPoint presentation case study on implementing a transitional community-based program to manage hospital readmission rates for patients with heart failure.
The first question asks about data input, output, and measures of success. The suggested response identifies community health workers and patients as data input, readmission plans as output, and surveying patient responses as the measure of success.
The second question asks how the model incorporates social context. The suggested response explains that the program will ensure social contexts like support systems, income, and cultural norms are considered and patients will be treated within their social communities.
The third question asks how the population/community will be assessed. The suggested response is
This document outlines three questions and suggested responses for a PowerPoint presentation case study on implementing a transitional community-based program to manage hospital readmission rates for patients with heart failure.
The first question asks about data input, output, and measures of success. The suggested response identifies community health workers and patients as data input, readmission plans as output, and surveying patient responses as the measure of success.
The second question asks how the model incorporates social context. The suggested response explains that the program will ensure social contexts like support systems and cultural norms are considered by treating patients within their own social contexts and communities.
The third question asks how the population/community will be assessed. The suggested response is to use
This document provides an overview of the USAID/India REFORM Project which aimed to strengthen fiscal management capacity in selected Indian states. It did so through hands-on skills transfer in 4 areas: revenue management, expenditure planning, debt/investment management, and project appraisal. Guides and tools were developed for each along with training. Institutional structures like the Fiscal Policy Analysis Cell were also established to sustain the efforts by mainstreaming new analytical capacity into state practices. The objective was to help states make more informed fiscal decisions in a transparent, accountable manner.
Similar to Details on Emergency Support Function no. 8 -- Hospital Emergency Management (20)
This document provides guidance for state, local, tribal, and territorial (SLTT) law enforcement on reporting cyber incidents to federal authorities. It outlines types of incidents that should be reported, such as those affecting critical infrastructure, national security, or public safety. The document details the information that should be included in reports, such as technical details about the incident and impacted systems. It also lists several ways for SLTT law enforcement to report incidents, including email, phone, or online portals, and specifies the federal agencies responsible for accepting different types of reports related to cybercrime, national infrastructure, or investigations.
Sample Network Analysis Report based on Wireshark AnalysisDavid Sweigert
This network analysis report examines a packet capture file containing traffic between two internal hosts downloading a file from a remote server. The analysis found that one internal host, with IP ending in 1.119, experienced significant packet loss during the download, as shown by drops in throughput and bursts of TCP errors. This packet loss indicates a potential failure at an infrastructure device, likely causing the observed retransmissions and degradation in performance. Further analysis of ingress traffic is needed to determine if the packet loss is occurring internally or externally to the network.
Department of Defense standard 8570 - CompTia Advanced Security Practitioner David Sweigert
This document provides notes for the CompTIA CASP exam, organized by exam domain:
1. Enterprise Security topics include placement of firewalls and other security appliances, SELinux mandatory access controls, storage area networks, encryption of multiple operating systems on a solid state drive, and TOCTOU attacks.
2. Risk Management and Incident Response domains cover risk terms.
3. Research and Analysis focuses on cryptographic concepts, enterprise storage technologies, and host and application security controls.
4. Integration of Computing, Communications and Business Disciplines addresses remote access and IPv6 issues.
5. Technical Integration of Enterprise Components involves application integration enablers.
National Cyber Security Awareness Month - October 2017David Sweigert
National Cyber Security Awareness Month is held each October to promote cybersecurity awareness and education. It is a collaborative effort between the Department of Homeland Security and private partners. There are 5 themes highlighted during the month - simple online safety steps, cybersecurity in the workplace, security of connected devices and the internet of things, cybersecurity careers, and protecting critical infrastructure. Each week focuses on one of these themes and provides resources to help organizations and individuals strengthen cybersecurity. The goal is to engage the public and encourage everyone to play a role in cybersecurity.
California Attorney General Notification Penal Code 646.9David Sweigert
This letter requests assistance from the California Attorney General's office for the District Attorney of San Luis Obispo County. It describes activities of an individual named Nathan Ames Stolpman who broadcasts livestreams on YouTube and videos on Patreon directing "crowd stalking" followers to target and harass private citizens by publishing their personal information. Stolpman issues "bounties" for photos of targeted individuals and provides their intended locations. The letter writer believes the District Attorney has not demonstrated a clear understanding of relevant privacy laws and requests the Attorney General's office provide technical assistance to the District Attorney regarding Stolpman's activities.
Congressional support of Ethical Hacking and Cyber SecurityDavid Sweigert
This House resolution expresses support for developing educational programs to better prepare students for cybersecurity careers by promoting ethical hacking skills. It notes the critical shortage of cybersecurity professionals and growing cyber threats facing the US. The resolution states that partnerships between industry, government and academia should collaborate to create programs, competitions and curricula giving students hands-on experience with in-demand cybersecurity skills like ethical hacking to help close this workforce gap.
Application of Racketeering Law to Suppress CrowdStalking ThreatsDavid Sweigert
This document discusses how racketeering and wire fraud laws can be used to combat hoax news sites that engage in "CrowdStalking" to distribute misinformation. These sites target critical infrastructure operators, federal employees, and security advisors. The document provides an example of how social engineering attacks can steal millions from a company. It argues that legal action against hoax news site operators can deter such attacks, and establishes criteria for when racketeering laws may apply to their activities, such as using deception for financial gain. The document identifies specific YouTube personalities like Nathan Stolpman and Jesse Moorefield who operate hoax news sites.
Port of Charleston evacuation case study: The cognitive threat of conspiracy ...David Sweigert
The document summarizes a study on how Live Action Role Play (LARP) simulations can create cognitive threat vectors using the example of two YouTube conspiracy theorists, Jason Goodman and George Webb. In June 2017, they created a sense of hysteria among their online fans by claiming a container ship was sailing into the Port of Charleston with a dirty bomb onboard, leading to the port's evacuation. The document argues this "crowdsourcing" format can weaponize sensationalized information and represents an emerging threat that critical infrastructure operators need to be aware of. It can potentially lead unwitting participants to engage in criminal acts or attacks in response to implied calls for action by the game's controllers.
Cyber Incident Response Team NIMS Public CommentDavid Sweigert
The Cyber Incident Response Team responds to cyber crises and threats. It is composed of 15 personnel including managers, analysts, specialists in areas like forensics and infrastructure. The team investigates incidents, uses mitigation approaches, and documents actions. It requires equipment like laptops, forensics tools, and communications devices and is deployable for up to 14 days.
Cyber Incident Response Team - NIMS - Public CommentDavid Sweigert
The Cyber Incident Response Team responds to cyber crises and threats. It is composed of 15 personnel including managers, analysts, specialists in areas like forensics and infrastructure. The team investigates incidents, uses mitigation approaches, and documents actions. It requires equipment like laptops, forensics tools, and communications devices and is deployable for up to 14 days.
National Incident Management System (NIMS) NQS DRAFTDavid Sweigert
The document provides guidance for a National Qualification System (NQS) to strengthen resource management under the National Incident Management System (NIMS). The NQS will define qualifications for emergency response personnel through common standards and certification processes to enhance coordination during multi-jurisdictional responses. It establishes guidelines for qualification criteria and processes, certification of qualified personnel, and credentialing of certified personnel. Feedback is sought on the draft guidelines over a 30-day period.
National Incident Management System - NQS Public FeedbackDavid Sweigert
The National Qualification System (NQS) provides a common language and approach to qualify emergency personnel in order to facilitate more effective mutual aid response. It establishes standardized job titles, minimum qualifications, and certification processes to help requesting agencies obtain resources with the needed skills and qualifications. The NQS supplements the National Incident Management System by providing guidance on personnel resource typing and supports the goal of a more secure and resilient nation through qualified emergency personnel who can respond across jurisdictions.
Nursing meets Hacking -- Medical Computer Emergency Response Teams -- MedCERTDavid Sweigert
The document discusses establishing Medical Computer Emergency Response Teams (MedCERT) to coordinate responses to cybersecurity incidents affecting medical devices and networks. It argues that healthcare cybersecurity is currently unprepared for emergencies and that response and recovery need to be emphasized in addition to prevention and protection. The document recommends that MedCERT teams receive training in the National Incident Management System and Incident Command System to effectively respond to incidents. It also calls for improved information sharing across the healthcare industry regarding cyber threats.
National Preparedness Goals 2015 2nd editionDavid Sweigert
The National Preparedness Goal outlines core capabilities across five mission areas - Prevention, Protection, Mitigation, Response, and Recovery - that are necessary to deal with risks facing the nation. The document describes each mission area and defines related core capabilities and preliminary targets. Prevention focuses on capabilities to avoid, prevent, or stop terrorist threats, while other mission areas take an all-hazards approach. Key capabilities include planning, public information and warning, operational coordination, intelligence and information sharing, and interdiction and disruption. The goal is for the whole community to achieve a secure and resilient nation through these interdependent capabilities.
The document provides an overview and update of the Healthcare and Public Health (HPH) Sector-Specific Plan (SSP). Key points include:
- The SSP establishes a vision, mission, goals, and activities to guide security and resilience efforts for HPH critical infrastructure.
- Goals focus on risk assessment, risk management, information sharing, partnership development, and response/recovery.
- Metrics will measure progress on priorities like risk analysis, information sharing, and partnership engagement.
- The update reflects maturation of sector partnerships and addresses evolving risks to critical infrastructure.
Cyber Risk Assessment for the Emergency Services Sector - DHSDavid Sweigert
The Emergency Services Sector Cyber Risk Assessment evaluates risks to six critical emergency services disciplines from potential cyber threats. Through a collaborative process, subject matter experts identified seven risk scenarios and assessed their potential consequences. High risks included natural disasters disrupting 9-1-1 systems, loss of critical databases hampering operations, and compromised systems spreading misinformation. The assessment aims to enhance cybersecurity and resilience across the emergency services sector through informed resource allocation and partnership.
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Our Spa Massage Center Ajman prioritizes efficiency to ensure a satisfying massage experience for our clients at Malayali Kerala Spa Ajman. We offer a hassle-free appointment system, effective health issue identification, and precise massage techniques.
Our Spa in Ajman stands out for its effectiveness in enhancing wellness. Our therapists focus on treating the root cause of issues, providing tailored treatments for each client. We take pride in offering the most satisfying Pakistani Spa service, adjusting treatment plans based on client feedback.
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Emotional and Behavioural Problems in Children - Counselling and Family Thera...PsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Basics of Electrocardiogram
CONTENTS
●Conduction System of the Heart
●What is ECG or EKG?
●ECG Leads
●Normal waves of ECG.
●Dimensions of ECG.
● Abnormalities of ECG
CONDUCTION SYSTEM OF THE HEART
ECG:
●ECG is a graphic record of the electrical activity of the heart.
●Electrical activity precedes the mechanical activity of the heart.
●Electrical activity has two phases:
Depolarization- contraction of muscle
Repolarization- relaxation of muscle
ECG Leads:
●6 Chest leads
●6 Limb leads
1. Bipolar Limb Leads:
Lead 1- Between right arm(-ve) and left arm(+ve)
Lead 2- Between right arm(-ve) and left leg(+ve)
Lead 3- Between left arm(-ve)
and left leg(+ve)
2. Augmented unipolar Limb Leads:
AvR- Right arm
AvL- Left arm
AvF- Left leg
3.Chest Leads:
V1 : Over 4th intercostal
space near right sternal margin
V2: Over 4th intercostal space near left sternal margin
V3:In between V2 and V4
V4:Over left 5th intercostal space on the mid
clavicular line
V5:Over left 5th intercostal space on the anterior
axillary line
V6:Over left 5th intercostal space on the mid
axillary line.
Normal ECG:
Waves of ECG:
P Wave
•P Wave is a positive wave and the first wave in ECG.
•It is also called as atrial complex.
Cause: Atrial depolarisation
Duration: 0.1 sec
QRS Complex:
•QRS’ complex is also called the initial ventricular complex.
•‘Q’ wave is a small negative wave. It is continued as the tall ‘R’ wave, which is a positive wave.
‘R’ wave is followed by a small negative wave, the ‘S’ wave.
Cause:Ventricular depolarization and atrial repolarization
Duration: 0.08- 0.10 sec
T Wave:
•‘T’ wave is the final ventricular complex and is a positive wave.
Cause:Ventricular repolarization Duration: 0.2 sec
Intervals and Segments of ECG:
P-R Interval:
•‘P-R’ interval is the interval
between the onset of ‘P’wave and onset of ‘Q’ wave.
•‘P-R’ interval cause atrial depolarization and conduction of impulses through AV node.
Duration:0.18 (0.12 to 0.2) sec
Q-T Interval:
•‘Q-T’ interval is the interval between the onset of ‘Q’
wave and the end of ‘T’ wave.
•‘Q-T’ interval indicates the ventricular depolarization
and ventricular repolarization,
i.e. it signifies the
electrical activity in ventricles.
Duration:0.4-0.42sec
S-T Segment:
•‘S-T’ segment is the time interval between the end of ‘S’ wave and the onset of ‘T’ wave.
Duration: 0.08 sec
R-R Interval:
•‘R-R’ interval is the time interval between two consecutive ‘R’ waves.
•It signifies the duration of one cardiac cycle.
Duration: 0.8 sec
Dimension of ECG:
How to find heart rhytm of the heart?
Regular rhytm:
Irregular rhytm:
More than or less than 4
How to find heart rate using ECG?
If heart Rhytm is Regular :
Heart rate =
300/No.of large b/w 2 QRS complex
= 300/4
=75 beats/mins
How to find heart rate using ECG?
If heart Rhytm is irregular:
Heart rate = 10×No.of QRS complex in 6 sec 5large box = 1sec
5×6=30
10×7 = 70 Beats/min
Abnormalities of ECG:
Cardiac Arrythmias:
1.Tachycardia
Heart Rate more than 100 beats/min
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THE SPECIAL SENCES- Unlocking the Wonders of the Special Senses: Sight, Sound...Nursing Mastery
Title: Unlocking the Wonders of the Special Senses: Sight, Sound, Smell, Taste, and Balance
Introduction:
Welcome to our captivating SlideShare presentation on the Special Senses, where we delve into the extraordinary capabilities that allow us to perceive and interact with the world around us. Join us on a sensory journey as we explore the intricate structures and functions of sight, sound, smell, taste, and balance.
The special senses are our primary means of experiencing and interpreting the environment, each sense providing unique and vital information that shapes our perceptions and responses. These senses are facilitated by highly specialized organs and complex neural pathways, enabling us to see a vibrant sunset, hear a symphony, savor a delicious meal, detect a fragrant flower, and maintain our equilibrium.
In this presentation, we will:
Visual System (Sight): Dive into the anatomy and physiology of the eye, exploring how light is converted into electrical signals and processed by the brain to create the images we see. Understand common vision disorders and the mechanisms behind corrective measures like glasses and contact lenses.
Auditory System (Hearing): Examine the structures of the ear and the process of sound wave transduction, from the outer ear to the cochlea and auditory nerve. Learn about hearing loss, auditory processing, and the advances in hearing aid technology.
Olfactory System (Smell): Discover the olfactory receptors and pathways that enable the detection of thousands of different odors. Explore the connection between smell and memory and the impact of olfactory disorders on quality of life.
Gustatory System (Taste): Uncover the taste buds and the five basic tastes – sweet, salty, sour, bitter, and umami. Delve into the interplay between taste and smell and the factors influencing our food preferences and eating habits.
Vestibular System (Balance): Investigate the inner ear structures responsible for balance and spatial orientation. Understand how the vestibular system helps maintain posture and coordination, and explore common vestibular disorders and their effects.
Through engaging visuals, interactive diagrams, and insightful explanations, we aim to illuminate the complexities of the special senses and their profound impact on our daily lives. Whether you're a student, educator, or simply curious about how we perceive the world, this presentation will provide valuable insights into the remarkable capabilities of the human sensory system.
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The Ultimate Guide to Setting up Market Research in Health Tech part -1
How to effectively start market research in the health tech industry by defining objectives, crafting problem statements, selecting methods, identifying data collection sources, and setting clear timelines. This guide covers all the preliminary steps needed to lay a strong foundation for your research.
This lays foundation of scoping research project what are the
Before embarking on a research project, especially one aimed at scoping and defining parameters like the one described for health tech IT, several crucial considerations should be addressed. Here’s a comprehensive guide covering key aspects to ensure a well-structured and successful research initiative:
1. Define Research Objectives and Scope
Clear Objectives: Define specific goals such as understanding market needs, identifying new opportunities, assessing risks, or refining pricing strategies.
Scope Definition: Clearly outline the boundaries of the research in terms of geographical focus, target demographics (e.g., age, socio-economic status), and industry sectors (e.g., healthcare IT).
3. Review Existing Literature and Resources
Literature Review: Conduct a thorough review of existing research, market reports, and relevant literature to build foundational knowledge.
Gap Analysis: Identify gaps in existing knowledge or areas where further exploration is needed.
4. Select Research Methodology and Tools
Methodological Approach: Choose appropriate research methods such as surveys, interviews, focus groups, or data analytics.
Tools and Resources: Select tools like Google Forms for surveys, analytics platforms (e.g., SimilarWeb, Statista), and expert consultations.
5. Ethical Considerations and Compliance
Ethical Approval: Ensure compliance with ethical guidelines for research involving human subjects.
Data Privacy: Implement measures to protect participant confidentiality and adhere to data protection regulations (e.g., GDPR, HIPAA).
6. Budget and Resource Allocation
Resource Planning: Allocate resources including time, budget, and personnel required for each phase of the research.
Contingency Planning: Anticipate and plan for unforeseen challenges or adjustments to the research plan.
7. Develop Research Instruments
Survey Design: Create well-structured surveys using tools like Google Forms to gather quantitative data.
Interview and Focus Group Guides: Prepare detailed scripts and discussion points for qualitative data collection.
8. Sampling Strategy
Sampling Design: Define the sampling frame, size, and method (e.g., random sampling, stratified sampling) to ensure representation of target demographics.
Participant Recruitment: Plan recruitment strategies to reach and engage the intended participant groups effectively.
9. Data Collection and Analysis Plan
Data Collection: Implement methods for data gathering, ensuring consistency and validity.
Analysis Techniques: Decide on analytical approaches (e.g., statistical
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Details on Emergency Support Function no. 8 -- Hospital Emergency Management
1. 2017-2022 HPP-PHEP Cooperative Agreement
CDC-RFA-TP17-1701
SUPPLEMENTAL GUIDELINES
Updated Public Health Preparedness Capabilities Planning Model
February 2017
2. This following planning model updates the planning roadmap described in CDC’s Public Health Preparedness
Capabilities: National Standards for State and Local Planning, which was published in 2011. This updated
planning roadmap is intended for state, local, and territorial public health departments receiving PHEP
funding; it describes a high-level planning process these public health departments may wish to follow to help
determine their preparedness priorities and plan their preparedness activities in response to the 2017-2022
HPP-PHEP funding opportunity announcement (FOA).
This updated planning model is not intended to be a prescriptive methodology but is intended to
describe a series of suggested preparedness planning activities.The diagram below depicts the model’s
three main phases and associated steps.
Following are descriptions for the suggested steps to complete each of the three phases.
3. Phase 1: Assess Current State
Step 1a: Assess Organizational Roles and Responsibilities
The first step in the assessment phase is to determine which organizational entities within the
jurisdiction are responsible for each domain, capability, and activity. These entities may include
state agencies, partner organizations, local and tribal health departments, health care coalitions
(HCCs), community-based partners, ESF partners, and others. For instance, in some jurisdictions
the coroner/medical examiner traditionally takes a lead role in fatality management activities;
public health should, therefore, seek this partner when identifying what role public health
contributes to this capability.
Step 1b: Assess Capability
The 2017 HHS Capabilities Planning Guide (CPG) provides a platform awardees can use to self-assess
their current programs across all health care and public health preparedness capabilities. Awardees
are required to submit their final CPG data in PERFORMS 30 days before each budget period
application deadline. For example, for Budget Period 1 of the new five-year project period,
awardees must submit their CPG data by March 6, 2017. The intent of the CPG is to serve as one
source of information to help set strategic priorities, inform application goals, objectives, and
planned activities, and guide preparedness investments by helping to identify preparedness
capability gaps. Jurisdictions are encouraged to use tools and local-level input in their planning
processes, such as existing jurisdictional strategic plans, data from current hazard and vulnerability
assessments, and results from after-action reports/improvement plans (AARs/IPs). Other sources of
information include, but are not limited to, jurisdictional risk assessments, site visit observations,
National Health Security Preparedness Index, and other jurisdictional priorities and strategies.
Awardees are encouraged to complete the 2017 CPG tool prior to the submission deadline so that
the data can inform their budget period funding applications.
Awardees are required to assess every function/objective within the 15 public health preparedness
capabilities and the four health care preparedness and response capabilities by submitting
responses to the following questions for each function/objective:
• Function/Objective Importance
• Function/Objective Current Status
• Function/Objective Challenges and Barriers
• Task Gaps (where applicable)
• Resource Element/Activities Gaps
4. Successfully addressing prioritized resource elements is defined as having either the ability to
demonstrate a jurisdiction has (within its own existing plans or other written documents) or has
access to (partner agency has the jurisdictional responsibility for this element in its plans and
evidence exists that there is a formal agreement between the public health agency and this partner
regarding roles and responsibilities for this item) the resource element. If any resource element is
not fully present as described in the capability definitions, awardees should note any challenges or
barriers to fully attaining the resource element.
By completing the CPG, awardees are able to fully assess the performance of each capability and
function and whether or not it meets their jurisdictional needs. CDC uses aggregate CPG assessment
data to better understand the full scope of awardee programs across the nation and as a data
source for national reports and strategies, such as the National Preparedness Report and the
National Health Security Strategy and associated National Health Security Review (NHSR). The U.S.
Department of Health and Human Services also plans to use the aggregate CPG data from all 62
awardees to serve, in part, as evidence of compliance with the World Health Organization (WHO)
International Health Regulations (IHR). Because this data is used to inform national preparedness
decisions, awardees are asked to invest the time necessary to conduct a thorough CPG self-
assessment that best reflects the current status of their preparedness programs.
CDC worked closely with the National Association of County and City Health Organizations
(NACCHO) to compare the resource element content with the Project Public Health Ready (PPHR)
2011 criteria and the Public Health Accreditation Board (PHAB) measures; that crosswalk can be
found online at: NACCHO-PPHR-PHAB Crosswalk. Jurisdictions which have or are pursuing PPHR or
PHAB certification may be able to use this information to further facilitate their assessments.
Step 1c: Assess Performance
CDC will monitor and evaluate progress across all six preparedness domains in the HPP-PHEP logic
model. Awardees are expected to demonstrate and improve response outcomes during exercises
and actual incidents. By the end of the project period, PHEP awardees are expected to build,
maintain, or have access to resource elements necessary to complete the tasks indicated in each
function from the Public Health Preparedness Capabilities: National Standards for State and Local
Planning to achieve substantial, measurable progress in each of the 15 public health preparedness
capabilities (for which they fund), thus strengthening the six domains.
Performance demonstration and evaluation will be collected via activities to address CDC-defined
performance measures, documented exercises, or real incident activities.
5. Phase 2: Determine Strategies and Activities
Step 2a: Review Jurisdictional Inputs
After assessing the jurisdiction’s current level of resource elements and performance, the next step is
to identify needs and gaps. In addition to the CPG assessment from the previous phase, there are a
number of additional inputs which awardees can use, including, but not limited to:
• Existing data from jurisdictional hazards and vulnerability analyses
• Emergency management plans
• Funding considerations, such as guidance or funding requirements from related federal preparedness
programs
• Current state, local, or territorial strategic plans
• Previous strategic plans or planning efforts
• Previous state and local accreditation efforts, including PPHR and PHAB
• CDC’s medical countermeasure Operational readiness review (MCM ORR) results
• CDC’s MCM technical assistance action plan
• AARs/IPs
• Previous performance measure results
Step 2b: Prioritize Domains and Capabilities
Awardees should choose which domains to strengthen based upon their jurisdictional inputs. PHEP
awardees are required to strengthen all six domains over the five-year project period; however,
awardees are not required to address all 15 capabilities in the project period. Other prioritization
criteria may include:
• Missing/incomplete priority resource elements
• Performance/ability is substantially lower than needed
• Risks and threats to the public health, medical, and mental/behavioral health system
• Ability to close gaps and develop capability is greatest
• Evidence-based practice
CDC recommends that, when developing priorities, awardees take the following steps:
• Review the entire FOA and identify all of the requirements set forth for not only the budget period
but also the entire project period. Note the required activities that have already been addressed and
those still outstanding.
• Review the HPP-PHEP logic model to better determine which domains, strategies, and capabilities
will be addressed. Awardees should determine jurisdictional priorities and timelines and develop a
work plan accordingly.
6. Step 2c: Propose Outputs
This planning model encourages awardees to propose outputs that meet jurisdictional needs.
Awardees should review the various inputs described in step 2a, analyze their priorities based on
the prioritization criteria described in step 2b, and determine a set of outputs accordingly.
Awardees should take into consideration that CDC will monitor and evaluate progress on all readiness
outputs, as stated in the logic model. Awardees are expected to document outputs in their project
narratives, work plans, or during program visits. CDC expects that by the end of the project period, PHEP
awardee strategies, activities, and related outputs will lead to the development and maintenance of
established public health emergency management and response programs.
Throughout the project period, CDC will monitor awardee outputs by reviewing operational readiness
data, site visits, and other information to determine progress in:
• Creating and maintaining plans in accordance with CDC guidance and using Federal Emergency
Management Agency’s (FEMA) National Incident Management System (NIMS) fundamentals
across each of the domains;
• Hiring, or otherwise having access to, trained personnel (including volunteers) necessary to
effectively implement plans in the event of an incident;
• Implementing operational plans in exercises and real incidents to improve operations by
identifying gaps and areas where improvement is needed and exercising and retesting to
strengthen gaps and identified areas of weakness;
• Establishing and updating necessary partnerships and partner agreements across all capabilities
where public health emergency preparedness and response has a lead or support role; and,
• Purchasing and/or having access to necessary equipment and keeping this equipment updated.
At the time of application, awardees must describe their planned activities and the respective outputs, with a
focus on: 1) areas for which improvement has been identified in drills, exercises across each of the public
health preparedness capabilities, and MCM action plans; and 2) program requirements for the project period
that are described in more detail in the Strategies and Activities section of the FOA.
Phase 3: Develop Plans to Achieve Outcomes
Step 3a: Plan Organizational Initiatives
After determining priorities, the next step is to engage in concrete initiatives and activity planning,
particularly for the respective domain. For the purposes of this planning model, all activities are
7. viewed as related to individual domains, capabilities, functions, and resource elements. However, in
practice jurisdictions may group together related activities to address multiple functions or
capabilities within the scope of one project or initiative,
Step 3b: Plan Activity Type
For each capability and function, jurisdictions generally will be either building, sustaining, or,
perhaps, scaling back the domain, capability, and/or function, depending on the needs, gaps,
priorities, and goals that have been identified. Some may choose not to have any planned activities
for a specific timeframe or budget period. For build-and-sustain scenarios, jurisdictions are
encouraged to pursue partnerships and memoranda of understanding with other agencies,
partners, and jurisdictions. For scale-back scenarios, jurisdictions should identify the challenges and
barriers causing them to scale back their efforts.
Jurisdictions should consider what types of support are required by their local and tribal health
departments and plan assistance or contracts accordingly. Support provided to local health
departments should ideally describe which capabilities and functions are intended to be addressed.
Jurisdictions should also determine any technical assistance needs they might have, whether from
CDC or other sources. Technical assistance may be needed to address challenges, barriers, or other
needs.
For the purposes of this planning model, activities and technical assistance needs will, in general,
relate to specific functions and resource elements, such as developing or modifying plans or
processes, training staff, or building/buying equipment and technology.
Step 3c: Plan Evaluations, Demonstrations, and Exercises
The final step in the planning process is to develop plans for demonstrating and evaluating newly
developed strategies and activities. Demonstrations of capabilities can be through many different
means such as drills, exercises, planned events, and real incidents. Additionally, planning for such
exercises, planned events, and other activities can be demonstrated through the submission of an
updated multiyear training and exercise plan (MYTEP). CDC strongly encourages jurisdictions to use
routine public health activities to demonstrate and evaluate their capabilities. Documentation of
the exercise, event, or incident, and the use of quality improvement-focused AARs/IPs are vital to
this process.
8. As part of the 2017 funding application, and for each subsequent budget period within the 2017 -
2022 project period, awardees will be required to describe in a brief narrative their plans to affirm
and acknowledge their ability to collect and respond to required CDC-defined performance
measures. For example, awardees may describe:
• Subawardee monitoring process;
• Program monitoring process;
• Training and exercise evaluation process; and/or
• Process for monitoring and responding to required performance measures, potential data
sources, and anticipated barriers and challenges and how they will be resolved.
Awardees may also describe how evaluation data will be shared with key stakeholders and used by
the awardee to improve program quality and demonstrate the value of this funding.
For those capabilities and functions where CDC-defined performance measures have been
developed, jurisdictions must submit data for those measures at various points throughout the
project period. Awardees will be required to report on CDC-defined performance measures that
will demonstrate, or show progress toward, the accomplishment of program outcomes of the
cooperative agreement.
9. 2017-2022 HPP-PHEP Cooperative Agreement
CDC-RFA-TP17-1701
ASPR GRANT DIRECTIVE FOR
SETTING UP A SEPARATE LEGAL ENTITY
February 2017
10. DEPARTMENT OF HEALTH & HUMAN SERVICES Office of the Secretary
Office of the Assistant Secretary
for Preparedness & Response
Washington, D.C. 20201
ASPR Grant Directive – 02(a)
To: Hospital Preparedness Program (HPP) Grant Recipients
From: Virginia Simmons, Chief Grants Management VS
EffectiveDate: December 12,2016
Subject: Use of Grant Funds for Setting up a HCC as a Separate Legal Entity
RE: This directive replaces any other directions or guidance issued prior to the effective
date of this directive
BACKGROUND
All states1
that receive Hospital Preparedness Program (HPP) awards are required to support the
development and operation of healthcare coalitions (HCCs). While allowable, establishment of
HCCs as a separate legal entity is entirely voluntary and subject to the following directions and
guidance. Use of any other organizational structures not addressed in this directive requires prior
approval from appropriate HHS officials.
There are several scenarios that could occur when healthcare coalitions set up as a business.
In the first two scenarios, listed below, the health care coalitions would be establishing a
stand-alone company and follow all the laws, both state and federal, that apply to any
business operating within the state. In the third scenario the state may establish a central
body, either the state itself or with another agent, and have the healthcare coalitions serve
as "chapters" across the state.
In all cases these legal entities must set up as a business and follow the standard business practices
required of that type of organization. For example, a non-profit should have a Board of Directors
that is legally responsible for all the undertakings of the company. If a healthcare coalition hires
employees, they must meet all the payroll requirements including withholding and reporting of all
associated taxes. The company will need to establish the policy and procedures required to
administer the grant funds. The state must assure that the company has the financial capability to
administer the grant funds, prior to issuing a subaward.
Prior approval to use the State HPP funds to support any costs regarding the setup of the
organization is required, regardless of the total requested amount.
1
For purposes of this directive, “State” means any of the 62 jurisdictional entities that receive a Hospital Preparedness
Program award.
11. PRIOR AP.PROVAL PROCESS
Prior approval is required before using any HPP funds:
• to support the healthcare coalitions in establishing a non-profit organization, or
• before establishing the affiliated organization structure.
The state will follow the same procedure that is currently used for other prior approval
requests.
It is strongly advised that you work with the HPP Program Officer and the Grants
Management Specialist assigned to your state while developing the request.
ASSOCIATED ORGANIZATION COSTS
Different organization costs are allowed depending on what type of company the
healthcare coalitions are setting up.
1) If a healthcare coalition forms a separate for-profit organization, including a LLC,
then none of the associated organization costs may be paid for using the grant funds.
(Source FAR Part 31.205-27-
https://www.acquisition.gov/far/current/html/Subpart%2031_2.html)
2) If a healthcare coalition forms a separatenon-profit group the following
organization costs, as stated in 2 CFR Part 230
(https://www.gpo.gov/fdsys/pkg/CFR-2012-title2-vol1/pdf/CFR-2012-title2-vol1-
part230.pdf ), may beapproved costs:
Organization costs: Expenditures, such as:
• incorporation fees,
• brokers' fees,
• fees to promoters, organizers or management consultants, attorneys,
accountants, or investment counselors, whether or not employees of the
organization, in connection with establishment or reorganization of an
organization,
are unallowable except with prior approval of the awarding agency.
3) If a state establishes a central body with the healthcare coalitions serving as
"chapters" across the state, the healthcare coalition is then considered an affiliated
organization and the following guides would apply.
Affiliated organizations: Anumber ofuniversitiesand other organizations have
established closely affiliated, but separately incorporated, organizations to
facilitatetheadministration of research and other programs supported by Federal
funds. Such legally independent entities are often referred to as "foundations,"
although this term does not necessarily appear in the name of the organization.
Typically, the parent organization provides considerablesupport services to its
“foundation” in the form of administration, facilities, equipment, accounting,
and other services, and the latter, acting in its own right as a recipient, includes
the cost of these services in its indirect cost proposal.
12. Costs incurred by an affiliated, but separate, legal entity in support of a recipient
foundation (foundation) are allowable for reimbursement under HHS grants only
if at least one of the following conditions is met:
• The foundation is charged for, and is legally obligated to pay for, the
services provided by the parent organization.
• The affiliated organization is subject to State or local law that prescribes how
Federal reimbursement for the costs of the parent organization's services will
be expended and requires that a State or local official acting in his or her
official capacity approves such expenditures.
• There is a valid written agreement between the affiliated organizations
whereby the parent organization agrees that the foundation may retain
Federal reimbursement of parent organization costs. The parent organization
may either direct how the funds will be used or permit the foundation that
discretion.
If none of the above conditions is met, the costs of the services provided by the parent
organization to the foundation are not allowable for reimbursement under an HHS grant.
How`ever, the services may be acceptable for cost sharing (matching) purposes. (Source:
HHS Grants Policy Statement (GPS) Services Provided by Affiliated Organizations (II
45) - https://www.hhs.gov/grants/grants/grants-policies-regulations/index.html#HHS
Grants Policy)
Approval by appropriate HHS officials is required for any other scenario under which a
state HPP awardee or sub-recipient HCC may seek to charge such costs to their award or
sub-award under this option.
13. 2017-2022 HPP-PHEP Cooperative Agreement
CDC-RFA-TP17-1701
REQUIREMENTS AND RECOMMENDATIONS
FOR STRENGTHENING PUBLIC HEALTH DOMAINS
February 2017
14. 2
Domains At-a-Glance
The Domains At-A-Glance provides an overview of the preparedness domains described in the 2017
HPP-PHEP funding opportunity announcement, including a definition of the domain, a list of associated
public health preparedness capabilities, PHEP domain activities, PHEP performance measures, PHEP
readiness outputs, and PHEP programmatic requirements and recommendations.
Domain 1 At-A-Glance: Community Resilience
Definition: Community resilience is the ability of a community, through public health agencies
and health care coalitions (HCCs), to develop, maintain, and use collaborative relationships among
government, private health care organizations, and community organizations to develop and use
shared plans for responding to and recovering from disasters and emergencies. Awardees should
conduct activities that sustain or expand community resilience. These activities need to be
actionable, realistic, and support the achievement of readiness outputs and intended outcomes.
The activities include:
• Characterize the probable risks of the jurisdiction and the HCC
• Characterize populations at risk
• Engage communities and health care systems
• Operationalize response plans
Associated Capabilities
• Capability 1: Community Preparedness
• Capability 2: Community Recovery
Performance Measures
• Community preparedness evaluation tool
Readiness Outputs
• Assessments conducted
• Established HCC and public and private partnerships
• Preparedness plans that address community-specific needs and vulnerable
populations
• Coordinated trainings and exercises and continuous quality improvement
Requirements
• Jurisdictional risk assessment
• Access and functional needs planning for at-risk populations
• Response plans for chemical, biological, radiological, nuclear, and explosive (CBRNE)
threats
• Community partnerships
• Demonstration of tribal population coordination through tribal input letter
• Local health department participation in HCCs
• Joint exercises with HCCs/PHEP/emergency management
15. 3
Recommendations
• Environmental health tracking
• Community assessments for public health emergency response (CASPER)
Domain 2 At-A-Glance: Strengthen Incident Management
Definition: Incident management is the ability to establish and maintain a scalable operational
response structure with processes that appropriately engage all critical stakeholders and support
the execution of core public health and health care capabilities and incident objectives. Awardees
should conduct activities that sustain or expand incident management. These activities need to
be actionable, realistic, and support the achievement of readiness outputs and intended
outcomes. The activities should include:
• Coordinate emergency operations
• Standardize incident command structure for public health
• Expedited fiscal and administrative preparedness procedures
Associated Capabilities
• Capability 3: Emergency Operations Coordination
Performance Measures:
• 3.1 Staff assembly
• Additional performance measures to be determined
Readiness Outputs
• Risk communication systems
• Emergency operations centers (primary and alternate)
• Incident management systems
• Response plans
• Recovery plans
• Continuity of operations (COOP) Plans
Domain 2 PHEP Requirements
• All-hazards emergency preparedness and response plan
• Emergency Management Assistance Compact (EMAC) participation
• Incident management training
• Standardized incident command structure for public health
• Fiscal preparedness plans in place
Domain 2 PHEP Recommendations
• Infectious disease response planning
16. 4
Domain 3 At-A-Glance: Strengthen Information Management
Definition: Information management is the ability to develop systems and procedures that
facilitate the communication of timely, accurate, accessible information, alerts and warnings
using a whole community approach and exchange health information and situational awareness
with federal, state, local, territorial, and tribal levels of government, HCCs, and their individual
members. PHEP awardees must conduct the following activities to strengthen information
sharing among public health and medical preparedness and response partners and enhance
emergency public information and warning.
• Share situational awareness across the health care and public health systems
• Share emergency information and warnings across disciplines, jurisdictions, and HCCs and
their members
• Conduct external communication with the public
Associated Capabilities
• Capability 4: Emergency Public Information and Warning
• Capability 6: Information Sharing
Associated Performance Measures
• 6.1 Information sharing
• Additional performance measures to be determined
Readiness Outputs
• Information sharing platforms for HCC members
• Defined essential elements of information
• Risk communication materials
• Social media monitors
• Health care situational awareness protocols and systems
• Trained risk communication staff
• Message and report templates
Domain 3 PHEP Requirements
• Establish a common operating picture
• Coordinate emergency information sharing
• Coordinate public messaging
• Availability of information sharing systems
Domain 3 PHEP Recommendations
• Sustain or enhance public health information systems interoperability and functionality
Domain 4 At-A-Glance: Strengthen Countermeasures & Mitigation
Definition: The countermeasures and mitigation domain includes the ability to store and deploy
medical and pharmaceutical products that prevent and treat the effects of hazardous substances
and infectious diseases, including pharmaceutical and non-pharmaceutical equipment such as
17. 5
vaccines, prescription drugs, masks, gloves, and medical equipment. It also includes the resources
to guide an all-hazards approach to contain the spread of injury and exposure using mitigation
strategies such as isolation, closures, social distancing, and quarantines. During large-scale
emergencies, all partners in the jurisdiction must be aware of their roles, from whom they will
receive information and directives, and to whom they should report. This is true for a single person
in the local health department all the way up to a large federal agency. In response to a large-scale
incident in which medical countermeasures (MCMs) may be requested, distributed, and dispensed,
it is vital that everyone involved in the response understands how information and materials will
move and what their roles will be. Understanding the overall concept of operations for an
emergency response will aid jurisdictions in developing MCM distribution and dispensing (MCMDD)
plans and executing those plans should it be necessary.
PHEP awardees should conduct the following activities that strengthen access to and
administration of medical and other countermeasures for pharmaceutical and non-pharmaceutical
interventions and strengthen mitigation strategies.
• Manage access to and administration of pharmaceutical and non-pharmaceutical
interventions
• Ensure the safety and health of responders
• Operationalize response plans.
Associated Capabilities
• Capability 8: Medical Countermeasure Dispensing
• Capability 9: Medical Materiel Management and Distribution
• Capability 11: Non-Pharmaceutical Interventions
• Capability 14: Responder Safety and Health
Associated Performance Measures: There are no associated CDC-defined performance
measures at this time.
Readiness Outputs
• Storage and distribution centers
• Inventory management systems
• Points of dispensing (PODs) / alternate notes
• Trained POD staff
• Stockpiled personal protective equipment (PPE)
• Safety and “just in time” trainings
Domain 4 PHEP Requirements
• All-hazards MCM distribution and dispensing planning
• MCM operational readiness reviews
• State and local MCM operational readiness review self-assessments
• MCM technical assistance action plans
• Updated receipt, stage, and store (RSS) site surveys
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• Updated critical contacts
• Inventory Management Tracking System and data exchange annual tests
• Responder health and safety
• Staffing strategies to operationalizing response plans
Domain 4 PHEP Recommendations
• Non-pharmaceutical interventions coordination
• Community reception center planning
Domain 5 At-A-Glance: Strengthen Surge Management
Definition: Surge management is the ability to coordinate health care, medical and support staff
volunteers; share resources, staff, and patients, as necessary and appropriate, across a health care
coalition so that each member health care organization can effectively manage surge incidents by
creating additional direct patient care capacity across a community; use and coordinate the expertise
of the public health, health care, and emergency management disciplines to ensure the public has
access to high-quality direct patient care and mass care during emergencies; and prevent and
manage injuries and fatalities during and after a response to an emergency or incident of health
significance. The following four activities are used to manage public health surge.
• Address mass care needs, such as shelter monitoring
• Address surge needs, including family reunification
• Coordinate volunteers
• Prevent or mitigate injuries and fatalities
Associated Capabilities
• Capability 5: Fatality Management
• Capability 7: Mass Care
• Capability 10: Medical Surge
• Capability 15: Volunteer Management
Associated Performance Measures
• 5.1 Identify role with partners
• 15.1 Managing volunteers
• Joint measure 2 Volunteer management
Readiness Outputs
• Electronic volunteer registry systems
• Coordinated public health and health care agencies
• Patient tracking systems
• Population monitoring systems
• Real time monitoring of patient acuity for rapid decompression
• Medical surge plans at the systems level
• Plans for implementing crisis standards of care
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Domain 5 PHEP Requirements
• Address health needs in congregate locations
• Family reunification planning
• State planning activities to manage public health surge
• Volunteer coordination
• Coordinate community partnerships
Domain 5 PHEP Recommendations
• Infectious disease planning
Domain 6 At-A-Glance: Strengthen Biosurveillance
Definition: As defined by Homeland Security Presidential Directive 21 (HSPD-21), biosurveillance
involves active data-gathering with appropriate analysis and interpretation of biosphere data that
might relate to disease activity and threats to human or animal health — whether infectious, toxic,
metabolic, or otherwise, and regardless of intentional or natural origin — to achieve early warning
of health threats, early detection of health events, and overall situational awareness of disease
activity. PHEP awardees must ensure coordination among preparedness, laboratory, and
epidemiology programs through the following activities to strengthen biosurveillance.
• Conduct epidemiological surveillance and investigation
• Detect emerging threats and injuries
• Conduct laboratory testing
Domain 6 Associated Capabilities
• Capability 12: Public Health Laboratory Testing
• Capability 13: Public Health Surveillance and Epidemiological Investigation
Associated Performance Measures
• 12.1 Laboratorian reporting
• 12.2 24/7 emergency contact drill (bidirectional)
• 12.5 Proficiency testing (LRN-C additional methods)
• 12.6 Proficiency testing (LRN-C Ccre methods)
• 12.7 Sample packaging and shipping exercise (SPaSE)
• 12.11 Proficiency testing (LRN-B)
• 12.14 PFGE E.Coli
• 12.15 PFGE L. monocytogenes
• 13.1 Disease reporting
• 13.2 Disease control
Domain 6 Readiness Outputs
• Electronic disease surveillance systems
• Laboratory response networks
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• Laboratory testing capability
• Integrated laboratory and epidemiology systems
Domain 6 PHEP Requirements
• Border health surveillance activities
• State health official input letter
• Laboratory Response Network-Biological (LRN-B) participation
• Laboratory Response Network-Chemical (LRN-C) participation
• Level 1 and Level 2 LRN-C laboratory equipment replenishment requirements
Domain 6 PHEP Recommendations
• Enhance public health informatics (surveillance and investigation)
• Participate in National Syndromic Surveillance Program (NSSP)
• Participate in National Notifiable Diseases Surveillance System (NNDSS) modernization
• Implement electronic death registration systems (EDRS)
• Implement electronic lab reporting (ELR) consistent with national standards
• Implement electronic case reporting (eCR) consistent with national standards
• Disaster epidemiology training
• Collaborations with poison control centers
• Response planning for CBRNE threats