Mike Harryman presentation

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National Health
Security Strategy
Mike Harryman
Health Preparedness Manager
Public Health Division
September 29, 2010

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Purpose of National Health Security Strategy
The purpose of the NHSS is to guide the
Nation’s efforts to minimize the risks
associated with a wide range of potential large-
scale incidents that put the health and well-
being of the Nation’s people at risk, whether at
home, in the workplace, or in any other setting.

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Public
Health
Emergency
Preparedness
Public Health
Emergency
Preparedness
HHS 10
Essential
Services of
Public Health
DHS National
Preparedness
Guidelines (NPG) and
Target Capabilities List
(TCL)
CDC/HPP
PHEP Program
2011 to 2016 Program Direction

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Vision & Goals of National Health Security Strategy
The HNSS defined national health security as
follows:
National health security is achieved when the Nation
and its people are prepared for, protected from,
respond effectively to, and are able to recover from
incidents with potentially negative health
consequences
The NHSS is designed to achieve two goals:
~ Build community resilience
~ Strengthen and sustain health and emergency
response systems

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Building Blocks for Community Resiliency
Key components “Building Blocks” of community
resilience include:
• Physical & psychological health of the population
• Social connectedness of community members
• Level of social integration of government & non-
government organizations (NGO)

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Needs of At-Risk Individuals
U.S. Department of Health & Human Services:
• Children, senior citizens, & pregnant women
• Those who have disabilities
• Live in institutionalized settings
• Are from diverse cultures
• Have limited English proficiency
• Non-English speaking
• Transportation disadvantaged
• Chronic medical disorders
• Pharmacological dependency

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NHSS: Community Resiliency
Emphasis on “a healthy community is a
resilient community” concept:
Community resilience is supported by the
promotion of healthy lifestyles; disease
prevention; access to culturally informed,
timely and high-quality health care; and a
robust public health system.

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National Health Security Strategy
Health security is the responsibility of governments at all
levels, for-profit and not-for-profit organizations,
communities and individuals.
The Strategy expresses the need to develop and
implement capability-based performance measures.
These measures will support monitoring for purposes
of both accountability and needed improvements in
national health security systems.

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NHSS: Implementation Plan
Principles:
• Improving the coordination of and streamlining federal funding
sources for national health security
• Developing incentives and supports for non-governmental
investments in health security
• Identifying and disseminating promising practices for
governmental and nongovernmental resource coordination
• Developing workable funding sources for non-governmental
partners
• Employing sound fiscal management, accounting, and budgeting
principles

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NHSS: Implementation Plan
Key Themes & Assumptions
~ Achieving national health security requires an
“enterprise” approach
~ A high level of integration & coordination is essential
to national health security
~ National health security is built on a foundation of
community resilience
~ The need of at-risk individuals must be addressed
~ Like most public endeavors, national health security
must be achieved &

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HNSS: Biennial Implementation Plan
Biennial Implementation Plan (BIP) for HNSS
~ Draft – July 19, 2010
~ Federal Register/Vol. 75, No. 142 – Notice
~ Comments were due by August 25, 2010
• The target audience for the BIP
~ Individuals, families, communities, and
~ All sectors and governments, state & federal
government

12. Next Steps
Selected CDC partners participating in Planning
Tool Work Groups:
• Sep 9 – Community Preparedness & Community Recovery
• Sep 10 – Public Health Surveillance & Epidemiological Investigation
• Sep 14 – Emergency Operations Coordination
• Sep 16 – Emergency Public Information & Warning
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13. Next Steps
Selected CDC partners participating in Planning
Tool Work Groups (still pending):
• Public Health Laboratory Testing
• Information Sharing
• Responder Safety & Health
• Fatality Management
• Non-Pharmaceutical Interventions
• Mass Care
• Medical Supplies Management & Distribution
• Volunteer Management
• Medical Surge
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14. Tentative - CDC Timeline
PHEP Capabilities Development Timeline:
• Late Summer/Fall: Partner-Awardee Review
• Early 2011: PHEP Planning Tool Release
• Spring 2011: PHEP Guidance Release
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National Health Security Strategy

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* For alignment purposes, we are using the defined DHS
TCL capability names as a baseline, which can
sometimes be misleading. Please refer to the Target
Capabilities List for detailed definitions for each
capability. Also note that the capability names are
subject to change based on workgroup feedback.
** The Biosurveillance aspects of “Animal Disease and
Emergency Support”, “Food and Agriculture Safety and
Defense”, and “Environmental Health” are included in
“Public Health Surveillance and Epidemiologic
Investigation”
Surveillance &
Intervention
Capabilities
General
Program
Capabilities
Surge Management
Medical Supplies
Management and Distribution
Volunteer Management and Recruitment
Medical Surge
Incident Management
Emergency Operations Coordination
Emergency
Management
Capabilities
Countermeasures and Mitigation
Responder Safety and Health
Medical Countermeasure Dispensing
Fatality Management
Non-Pharmaceutical Interventions
Mass Care
Biosurveillance
Public Health Surveillance and
Epidemiologic Investigation **
Public Health Laboratory Testing
Community Resilience
Community Preparedness
Community Recovery
Information Management
Emergency Public Information and Warning
Information Sharing
PHEP Capabilities Overview *

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Determine
Annual
Objectives
CDC Sets 5-Year Goals
in the Form of
Capabilities and
Target Outcomes
Awardee Performs
Assessment of
Current Capabilities
and Identifies Gaps
Develop
Work Plan
Implement
Awardee Develops
5-Year Strategic Plan to
Close Gaps and
Sustain Capabilities
Allocate
Budget
Assess
Progress
Update
Strategic Plan
(if necessary)
Annual
Grants
Management
Lifecycle
Strategic Planning and Objectives
Process Steps

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Point of Contact
Mike Harryman
Mike.harryman@state.or.us
971.673.1320 (office)
503.975.1911 (cell)