The negative health consequences of deliberate attacks, accidents, and natural disasters impact communities across the Nation. Communities should prepare for these incidents through a comprehensive approach that includes NHSS in addition to the other Healthy People objectives.
NHSS serves as a framework to help guide the Nation and facilitate collaboration and coordination among community organizations and businesses, as well as local, state, tribal, territorial, and federal agencies in their pursuit of advancing national health security.
Communities are making contributions to national health security every day. The programs provide both financial and technical help to strengthen public health and medical response systems and enhance community preparedness by improving targeted capabilities.
Strategic Objective 1: Community resilience is the sustained ability of communities to withstand, adapt to, and recover from adversity. Strategic Objective 2: Countermeasures are used to protect communities from the adverse health impacts of chemical, biological, radiological, and nuclear attacks, outbreaks of infectious diseases, and other incidents.
Strategic Objective 3: Active and timely situational awareness provides the foundation for decisions and actions that may result in early detections and better resource utilization; successful prevention and mitigation of emerging threats; and improved security for the Nation. The vision for improving decision-making in disaster events is focused on strengthening health situational awareness. This vision includes the development of innovative and compatible technologies, the identification and integration of relevant data to include human, environmental, and zoonotic , and better approaches to coordinating health situational awareness.
Strategic Objective 4: Public health, health care, and emergency management systems represent a cornerstone of national health security.
Save Share Print. Home Health Topics. No results. View More. Updated 9 Jan Communications equipment may include. Function Definition: Produce or provide input to incident action plans containing response strategies appropriate to the incident and as described in NIMS during one or more operational periods. Task 1: Develop incident action plans. Produce or contribute to as appropriate for the public health incident management role an incident action plan that receives approval prior to each operational period.
Task 2: Update and share incident action plans. Revise and brief personnel on the incident action plan by the start of each new operational period. Task 3: Disseminate incident action plans.
Make incident action plans available to relevant public health response personnel, volunteers, and partner agencies according to emergency operations protocols.
P1: Priority Capacity for producing incident action plans that document accomplishments from the previous operational period as well as goals, objectives, and priorities for the next operational period.
P2: Incident action plans, with dissemination and briefings, for all personnel at the start of each new operational period. Function Definition: Direct ongoing public health emergency operations to sustain the public health and health care response for multiple operational periods and concurrent responses.
Task 1: Coordinate public health and health care emergency management operations. Ensure coordination among public health agencies, the health care system, and other relevant stakeholders according to incident requirements. Task 2 : Track public health resources. Ensure systems are in place to track and account for all public health resources during the public health response. Task 3 : Maintain health situational awareness HSA.
Compile information gathered from public health, health care, and other stakeholders, such as fusion centers to support a common operating picture. Task 4 : Conduct shift change briefings. During shift changes, formally share information between outgoing and incoming public health personnel to communicate priorities, status of tasks, and safety guidance.
Task 5 : Develop continuity of operations plan s. Identify response priorities to ensure the continuation and recovery of critical public health functions. P1: Standard operating procedures in place to manage a response. P2: Procedures in place for information sharing with fusion centers or comparable state centers or agencies in order to provide and receive relevant intelligence information that may influence the response.
P3: Common operating picture that facilitates coordinated information sharing among public health, the health care system, and other relevant stakeholders. Establish key indicators, critical information requirements, and essential elements of information to assist with timing of notifications, alerts, and responses.
P4: Priority Procedures in place to ensure the continued performance of pre-identified essential functions during a public health incident.
Function Definition: Release and return resources no longer required by the incident or event to their ready state and assess efforts, resources, actions, leadership, coordination, and communication to implement continuous improvement activities.
Complete evaluation activities throughout response operations, and finalize response activities with after-action processes. Archive records and restore systems, supplies, and staffing to pre-incident readiness. Task 2: Conduct final incident closeout of public health operations. Turn over documentation, conduct hot washes and incident debriefings, and identify final closeout requirements with responsible agencies and jurisdiction officials.
Task 3: Produce after-action report s. Conduct after-action processes for public health operations in partnership with other emergency operations stakeholders to identify areas of success, promising practices, and opportunities for improvement. Task 4: Develop improvement plan s. Document priorities and identify corrective actions assigned to public health.
Task 5 : Implement and track progress on improvement plan s. Complete the corrective actions assigned to public health and establish a system to track completion and effectiveness of corrective actions. P1: Priority Procedures in place for demobilization of public health operations.
Personnel should have experience in administration, design, development, evaluation, and improvement planning for exercises. Recommended trainings may include. For the purposes of Capability 4, partners and stakeholders may include the following: all parts of the whole community such as individuals, businesses, nonprofits, community and faith-based organizations, and all levels of government.
Function Definition : Notify and assemble key public information personnel and potential spokespersons identified prior to an incident to provide information to the public during an incident. Task 1: Identify key public information personnel.
Identify public information officers PIOs , spokespersons, and trained support personnel, such as subject matter experts to implement jurisdictional public information and communication strategies.
Task 2: Identify a primary and alternate physical or virtual JIC. Establish physical and virtual structures to support the creation and dissemination of health alerts and public information operations.
Task 3: Mobilize PIOs, spokespersons, and support personnel. Notify public information and communication teams of the need to be on call or report for duty within incident-appropriate timeframes, including no-notice events. Task 4: Establish roles and responsibilities of personnel to convey public information.
Assemble public information personnel at a physical location or virtually to establish roles and responsibilities. Task 5: Ensure personnel are trained in the functions they may fulfill. Provide public information and communication education and training to PIOs, spokespersons, and support personnel according to jurisdictional need.
Task 6: Support local public health systems with the implementation of emergency communications. Clarify state, local, tribal, and territorial public health information roles and confirm communication support and coordination needs. P1: Priority Procedures in place to document roles and responsibilities for PIOs, spokespersons, and support personnel based on the incident and subject matter expertise.
P2: Priority Message templates and risk communication message development to address identified jurisdictional risks and vulnerabilities related to incident characteristics. Recommended templates may include.
P3: Primary and alternate physical locations or virtual structures to support the creation and dissemination of health alert and other emergency public information and warning operations.
Personnel assembly can occur at a physical location, like an emergency operations center EOC , virtual location, such as conference calls or web-based interfaces, like WebEOC, or combination of both physical and virtual locations.
P4 : Current roster or call-down lists with pre-identified personnel to participate in key emergency communications functions, including a minimum of one backup per role, as necessary. P5: Procedures in place for personnel to notify and report for duty. Recommended notification procedures may include. P5: Job action sheets that detail specific tasks for personnel and volunteer communications roles. P7: Systems and procedures to mobilize communication activities and roles applicable to the incident or event, such as information gathering, information dissemination, operations support, and liaison.
One or more individuals may conduct activities and roles, which include. P8: Emergency communication implementation and coordination support to local public health systems from state and territorial jurisdictions. Within six months of hire and at least once every five years thereafter, the following trainings are recommended for completion.
Communication devices may include. Function Definition : Coordinate with emergency management agencies to determine the need for and scale of a JIS, including, if appropriate, activation of a new public health JIC. Participate with other jurisdictional JICs to combine information sharing abilities and coordinate messages. Task 2: Ensure appropriate participation from public health communications representatives in the jurisdictional EOC. If a public health JIC is not activated for the incident, identify a public health communication representative, such as a PIO to participate in the jurisdictional EOC to ensure public health messaging capacity is represented.
Task 3: Coordinate public information messages through four common functions. Assign leads to the four common functions: information gathering, information dissemination, operations support, and liaison roles to public information personnel. Ensure coverage for extended operational periods, as applicable. P1: Procedures in place to activate a JIC or virtual JIC connecting public information agencies or personnel through telephone, Internet, or other technologies and means of communication.
P2: Standard operating procedures in place to request additional emergency public information and warning resources including personnel and equipment, and replace inoperable equipment to ensure continuity of operations through the jurisdictional incident management system.
P3: Decision support matrix to help determine when to scale up or scale down JIS operations. Recommended considerations may include. Media operations may include television, Internet, radio, social media, newspapers, and other channels. Infrastructure may include. Function Definition: Monitor jurisdictional media, conduct press briefings, and provide rumor control for media outlets using the principles of NIMS for organizing and coordinating incident-related communications.
Task 1: Participate in public information sharing. Develop, recommend, and execute approved public health communication plans and strategies on behalf of the incident command or unified command structure based on the public health incident management role.
Before sharing information with the public, collect, evaluate, and verify all information and obtain approval from authorized officials, such as health officer or incident commander. Task 2: Control rumors. Control myths and rumors within the jurisdiction using media and digital outlets, including television, Internet, radio, social media, and newspapers. Task 3: Provide a single point for dissemination of information for public health and health care issues.
Release public health and health care information through pre-identified procedures based on jurisdictional processes, such as systems and spokespersons in coordination with the JIC. P1: Procedures in place for when the public health agency may designate a lead PIO or provide public information support within emergency operations plans, job action sheets, or other applicable documentation.
S1: Public information personnel trained in incident management and information systems operations. Relevant trainings may include. Function Definition: Provide methods for the public to contact the public health agency with questions and concerns. Methods may include. Task 1: Establish systems for managing public and media inquiries.
Implement scalable methods, such as Internet sites, call centers, poison control centers, non-emergency lines, such as or , and social media to respond to public and media inquiries, as needed, for the incident.
Task 2 : Post incident-related information on the public health agency website. Establish an Internet presence to inform and connect with the public that adheres to the principles of CERC. Task 3 : Use social media platforms and text messaging.
Implement social media platforms, such as Twitter and Facebook and opt-in targeted notifications through texting, when and if possible, for public health messaging to the public. Task 4 : Identify, protect, and ensure information exchange with disproportionately impacted populations. Use geographic information systems GIS , demographics, and epidemiological data to understand the complexities of the emergency and the response and to identify appropriate methods and sources, such as trusted spokespersons to protect, reach, and engage at-risk individuals with access and functional needs who may be disproportionately impacted by the incident.
P1: Procedures in place to activate and manage designated inquiry line s , as applicable. P2: Procedures in place to activate call centers with community partners, as needed. P3: Procedures in place for the usage of CDC-INFO or nurse triage lines and poison control centers as resources to increase response capacity for public and health care provider inquiries in emergency and natural disaster incidents, as applicable to the jurisdiction.
P4: Procedures in place to monitor, manage, and use social media, which may include. Function Definition: Use CERC principles to disseminate critical health and safety information to alert the media, public, and other stakeholders to potential health risks and reduce the risk of exposure to ongoing and potential hazards.
Task 1: Comply with jurisdictional legal guidelines when communicating information. Prevent communication of information that is protected for national security or law enforcement purposes or that may infringe on individual or entity rights.
Task 2: Disseminate information to the public using pre-established message maps. Disseminate approved messages to the public through multiple mechanisms, and ensure that languages and formats of information account for the access and functional needs of individuals, which may include individuals.
Task 3: Disseminate information to responder organizations. Coordinate and transmit health-related information to responder organizations through secure messaging platforms. P1: Documented and approved intra- and inter-jurisdictional legal authorities to avoid communicating information that is protected for national security or law enforcement purposes or that may infringe on individual or entity rights. P2: Procedures in place to identify points of contact and establish a clearance process to verify and approve communication products, including talking points, social media messages, public information, and external-facing documents.
P3: Documented information to help populations at risk of being disproportionately impacted by an incident understand personal preparedness, what services are available, and where and how to obtain services. Consider the use of multiple media, multilingual materials, and alternative formats as well as the cultural appropriateness and age appropriateness of information. P4: Procedures in place to address populations that may be disproportionately impacted by the incident, including at-risk populations with access and functional needs, in the development of informational materials.
Definition: Fatality management is the ability to coordinate with organizations and agencies to provide fatality management services. The role may also include supporting activities for the identification, collection, documentation, retrieval, and transportation of human remains, personal effects, and evidence to the examination location or incident morgue.
For the purposes of Capability 5, partners and stakeholders may include the following:. Function Definition : Coordinate with jurisdictional authorities and partners to estimate and characterize potential fatalities and the impact of these fatalities on fatality management needs, resources, and activities to determine the public health agency role in fatality management.
Task 1: Estimate fatality management needs based on jurisdictional risks. Characterize potential fatalities based on findings from jurisdictional risk assessment s and determine the resources and activities needed to manage potential fatalities based on the normal expected fatality rate and fatalities related to the incident. Task 2: Clarify, document, and communicate the jurisdictional public health agency role s in fatality management. Coordinate with subject matter experts and cross-disciplinary partners and stakeholders to clarify, document, and communicate the public health agency role in fatality management based on jurisdictional risks, incident needs, and partner and stakeholder authorities.
P1: Priority Fatality management procedures that are scaled to address potential fatality scenarios based on jurisdictional hazards and risks. Jurisdictional fatality management procedures should be included in relevant jurisdictional emergency operation plans. P2: Priority Definition of the jurisdictional public health agency role for fatality management established in coordination with jurisdictional authorities, subject matter experts, and other crossdisciplinary stakeholders.
Recommended activities to establish roles may include. P3: Written agreements, such as contracts or memoranda of understanding MOUs or co-signed plans among jurisdictional stakeholders that support coordinated fatality management activities to leverage shared resources, facilities, services, and other support based on identified roles.
P4 Priority : Procedures in place to designate lead authorities to request resources based on ongoing assessments of the incident or event needs for example, public health agency response plans, coordinated with the jurisdictional emergency management agency, to facilitate state requests for federal resources through HHS Regional Emergency Coordinators RECs.
Procedures for resource requests may include. P5: Procedures in place, based on jurisdictional public health agency role s , to support activities in coordination with partners and stakeholders.
Function Definition : Develop recommendations to identify and facilitate access to resources, such as personnel and subject matter experts, record keeping, and physical space to address fatality management needs resulting from an incident in accordance with public health agency jurisdictional roles and standards outlined in jurisdictional fatality management procedures.
Task 1: Assess incident data. Assess incident data to develop public health fatality management activity guidance and define resource needs. Task 2: Develop and share incident-specific public health fatality management recommendations.
Coordinate with jurisdictional, regional, private, and federal stakeholders as defined in the jurisdictional fatality management procedures to make incident-specific recommendations regarding the safe and efficient recovery, processing, reporting, storage, and final disposition of human remains. Task 3: Initiate and coordinate public health support for fatality management operations. Coordinate with identified stakeholders to operationalize strategies as defined in the jurisdictional fatality management procedures and share incident recommendations for managing human remains.
P1 Priority : Procedures in place to collect and analyze incident data and develop recommendations for safe and efficient fatality management operations. P2: Priority : Procedures in place to identify and support public health agency lead or support activities for fatality incident management, including continuity of operations, based on incident data andrecommendations.
Public health agency activities for fatality incident operations, communication, and community support may include. P3: Procedures in place to share information with fatality management partners, including fusion centers or comparable centers and agencies, emergency operations centers EOCs , and epidemiologist s , in order to provide and receive relevant intelligence information that may impact the response.
Materiel may include. Death reporting systems may include electronic mass fatality case management and incident systems, medical examiner or coroner case management systems, and electronic death registration systems. Function Definition: Assist the jurisdictional fatality management lead authority and other partners including regional partners, as necessary, to gather and disseminate antemortem data through family assistance centers or other models, as defined in jurisdictional fatality management procedures.
Task 1: Establish and refine antemortem data management processes. Coordinate with partners, such as family assistance centers to establish and refine processes and methods to collect and share antemortem data.
Task 2: Assemble necessary resources for antemortem data management. Coordinate with partners to support the identification and assembly of resources to collect and share antemortem data. Task 3: Collect and share antemortem data with partners. Coordinate with partners to assist in the collection and dissemination of antemortem data to law enforcement, other agencies, and families of the deceased. Task 4: Support electronic mortality reporting. Support recording and reporting of antemortem data through electronic systems or other information sharing platforms.
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