STATE OF HAWAI‘I DEPARTMENT OF HEALTH PUBLIC HEALTH ...
Transcript of STATE OF HAWAI‘I DEPARTMENT OF HEALTH PUBLIC HEALTH ...
STATE OF HAWAI‘I DEPARTMENT OF HEALTHPUBLIC HEALTH PREPAREDNESS
STRATEGIC PLAN (2012 - 2017)
Building, Sustaining, and Enhancing Public Health Capabilities
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Forward Certain events of the past 20 years—Sarin gas attacks in Japan, Anthrax and Salmonella attacks in this country, and influenza outbreaks throughout the world, to name only a few—have dramatically altered the notion of public health preparedness here in the United States. Other events such as Hurricane Katrina remind us that rigorous involvement of public health agencies is absolutely vital to effective emergency management.
Increasing population, the ease with which toxins and pathogens can be introduced and carried, and their virulence or persistence will complicate what are already clear and present dangers to public health. Indeed, natural and human-caused disasters appear to be increasing in frequency and severity. Despite many medical, health, and other system enhancements, we have no reason to believe that preparing for public health emergencies will get any easier. Those who now prepare for these threats appear to be working much harder than before.
As local protectors of public health, we face what appears to be an increasingly critical choice. We can attempt to keep pace with rapid and vast federal program development, which we have been unable to do thus far, or we can develop and maintain a set of fundamental preparedness capabilities in order to do what we can and do it well.
After much deliberation, we believe now is the time for dramatic program change to establish a basic level of public health preparedness that we all need and want. Federal programs now allow, if not encourage, pragmatic evolution of state and local capabilities, starting with the most basic. Thus, a theme for a five-year strategic plan has emerged that sets forth a practical, measured, and adaptive approach to prepare for disaster: establish and maintain a core set of public health preparedness capabilities.
This strategic plan is the product of several meetings with internal and external program stakeholders over the course of several months in 2012. It presents six goals for a new Hawai’i Department of Health (HDOH) Public Health Preparedness (PHP) program to achieve by 2017. It recognizes the many achievements in public health preparedness we have made to date, maintains our shared commitment to sustain the most important capabilities, and envisions responsible development of new capabilities.
HDOH and our partners in preparedness understand that significant program challenges lie ahead—including subsequent disaster events, recovery from the current economic downturn, and future economic downturns. Nevertheless, we believe that there is no better time than now to define, build, maintain, and evolve our most essential disaster response capabilities.
i
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Contents Mission ........................................................................................................................................................................1
Vision ..........................................................................................................................................................................1
Overarching Strategy ................................................................................................................................................1
Goal: Improve HDOH Department Operations Center capability ....................................................................1
Goal: Develop an all-hazard emergency response plan .......................................................................................2
Goal: Promote a culture of public health preparedness .......................................................................................2
Goal: Effectively sustain existing capabilities while continuing to build new ones ..........................................3
Goal: Ensure counties develop a standard set of core competencies and capabilities ......................................3
Goal: Engage stakeholders in a public health advisory committee ....................................................................3
Implementing and Maintaining this Plan ..............................................................................................................4
Appendix A: HDOH Strategic Planning Worksheet, September 6, 2012 ..................................................... A-1
ii
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Acronyms CDC Centers for Disease Control and Prevention
DOC Department Operations Center
EOP Emergency Operations Plan
HDOH State of Hawai‘i Department of Health
NIMS National Incident Management System
PHP Public Health Preparedness
1
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
To best mitigate and prepare for public health disaster, the State of Hawai‘i Department of Health (HDOH), has created a Public Health Preparedness (PHP) program and has adopted the following five-year strategic plan.
MISSIONTo promote health and protect Hawai‘i from the effects of disaster.
VISIONResidents, businesses, non-governmental organizations, and governments working together effectively and efficiently to protect Hawai‘i from the effects of disaster.
OVERARCHING STRATEGY Over the next five years, HDOH will develop and maintain emergency management capabilities most critical to public health in Hawai‘i. New capabilities will be developed, when needed, and when doing so does not jeopardize the sustainment of critical capability.
GOAL: IMPROVE HDOH DEPARTMENT OPERATIONS CENTER CAPABILITY
Coordination of emergency response activity is vital to successful public health outcomes during disaster. The HDOH Department Operations Center (DOC) will be organized, equipped, staffed, trained, and exercised through PHP to readily perform this task in response to public health emergencies or in support of State Civil Defense as part of the State’s response system. Development of this DOC capability will require:• Developinganemergencyoperationspolicythat
addresses requirements for successful public health disaster outcomes
• Identifying,organizing,andtrainingindividualsfromthroughoutHDOHandsupportingorganizations needed to operate the DOC
• ExercisingtheDOCeachyeartoensureitcanaccomplishcriticalemergencyresponsetasks• Leveraginginformationtechnology,whichincludesdevelopingandmaintainingoperationaltools
such as incident management and communication systems that are essential to effective response• EnsuringcontinuityofHDOHduringacrisis• DevelopingNationalIncidentManagementSystem(NIMS)compliantprocesses,systems,andtools
2
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
GOAL: DEVELOP AN ALL-HAZARD EMERGENCY OPERATIONS PLAN
An emergency operations plan (EOP) defines the policy, roles, responsibilities, resources, and practices of a DOC. An HDOH EOP will be developed by PHP to address all likely threats to public health and to indicate how HDOH activity will directly or indirectly support effective disaster response outcomes. Elements of the EOP will include: •Aclear,viableconceptofoperations•Definitionoftheroles,responsibilities,resources,andauthorities
needed to effect successful public health outcomes during disasters•Acomprehensivehazardidentificationandriskassessment•AfocusoninteroperabilityandNIMScompliance•Hazardandfunctionalannexes(e.g.,tsunamiandmassdispensing
annexes)
GOAL: PROMOTE A CULTURE OF PUBLIC HEALTH PREPAREDNESS
Recent research demonstrates that most people in Hawai‘i believe governments are responsible for preparing the public for disaster. Nevertheless, individual responsibility for public health and preparedness is critical to successful health outcomes. PHP will aggressively work with internal and external program stakeholders, businesses and industrial organizations, and various elements of government itself to change the public misconception and improve public preparedness. This work will include:
• Increasinggovernment,business,andpublicawareness by creating new public health preparedness campaigns and initiatives while sustaining existing ones
• Developingpartnershipsthatfosterasharedcultureofpublichealthpreparedness• Establishingamitigationprogramtopursueopportunitiesthateliminateorreducevulnerability
before it creates public health impacts
3
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
GOAL: EFFECTIVELY SUSTAIN EXISTING CAPABILITIES WHILE CONTINUING TO BUILD NEW ONES
HDOH investments of federal funding over the last 10 years in laboratory analysis, epidemiology, medical material management, response planning, and volunteer coordination have facilitated tremendous accomplishments in preparedness. As part of the annual HDOH budget development process, PHP will:
• ContinuetospecifythemostcriticalstatewideHDOHcapabilities• ManageaPHPbudgettomaintainthesecapabilities
• Exercisethesecapabilitiestosustainreadiness• Exploreopportunitiestoeffectivelydistributecapability• Effectivelymeasureprogressoncapabilities
GOAL: ENSURE COUNTIES DEVELOP A STANDARD SET OF CORE COMPETENCIES AND CAPABILITIES
Much of the history of Hawai‘i is proudly shared as stories of self-reliance, community, and stewardship—values as evident today as in previous centuries. No county in Hawai‘i depends on another to direct its disaster response, but all rely on each other for assistance when help is needed. PHP will work each year to prioritize development of fundamental public health preparedness capabilities for all islands. This work will include:
• Defining,developingandmaintainingcorecapabilitiesthroughoutthestate• ReviewingthePHPbudgeteachyeartoensurethatnonewcapabilitiesarecreatedatthecostof
losing a basic capability elsewhere• WorkingwithspecificHDOHDistrictHealthOfficestodevelop,maintain,andsharecertain
capabilities for all that would otherwise be impractical for each to develop and maintain alone
GOAL: ENGAGE STAKEHOLDERS IN A PUBLIC HEALTH ADVISORY COMMITTEE
The diversity of public, private, and non-governmental responsibilities for public health preparedness requires extensive engagement. To achieve the best collaborative public health preparedness outcomes, PHP will:
• EstablishaHawai‘iDisasterPublicHealthAdvisoryCommitteetoadviseandprovide recommendations to HDOH
• Regularlymonitorthestatusofpublichealthpreparednessbyestablishingand sharing program metrics with the advisory committee and other program stakeholders
• Developandimplementinitiativeswithadvisorycommitteememberagencies• Encourageandemployadvisorycommitteemembers—andbyextensiontheiraffiliated
organizations—to collect program information, collaborate, communicate program success, and thereby promote a culture of preparedness
4
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
IMPLEMENTING AND MAINTAINING THIS PLANPHP will maintain this plan and complementary annual work plans (example attached). PHP and HDOH executives will review the plan each year during the budget development process to define priorities for investment. Review of this plan will also be a standing quarterly agenda item for the Public Health Preparedness Advisory Committee so that progress and revisions to the plan may be considered and incorporated.
This plan is not considered a static or irrevocable document. It is designed to guide many agencies and organizations on a shared path to better public health preparedness for the State of Hawai‘i. When work specified in this plan is completed or no longer becomes necessary, HDOH and its advisory committees may elect to revise the plan in whole or in part.
A-1
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
App
endi
x A
: H
DO
H S
trat
egic
Pla
nnin
g W
orks
heet
Se
ptem
ber 6
, 201
2G
oal
Obj
ectiv
eSp
ecifi
c Out
com
e(s)
Res
pons
ible
Pa
rty
Sche
dule
Link
to P
HEP
/HPP
Wor
k Pl
anD
epen
denc
y on
oth
er
Stra
tegi
c Goa
l or O
bjec
tive
Com
men
t
1. Im
prov
e H
DO
H
Dep
artm
ent
Ope
ratio
ns
Cen
ter
Cap
abili
ty
1.1
Dev
elop
and
enh
ance
ad
ditio
nal d
epar
tmen
t [e
mer
genc
y] o
pera
tions
ce
nter
cap
abili
ty th
at
faci
litat
es a
ccom
plish
men
t of
all
HD
OH
em
erge
ncy
activ
ities
wel
l.
1.1.
1 A
ppro
ved
Emer
genc
y O
pera
ting
Proc
edur
es
(EO
P) /
Sta
ndar
d O
pera
ting
Proc
edur
es (S
OP)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
Em
erge
ncy
Ope
ratio
ns
Coo
rdin
atio
n Pl
anne
r
BP2
3.2.
2, 3
.4.2
, 3.4
.3, 4
.1.1
, 4.1
.4, 4
.1.2
, 4.1
.7,
4.4.
1, 4
.4.5
, 4.5
.1, 6
.1.3
, 6.2
.1, 6
.2.2
, 6.2
.3,
6.2.
8, 6
.3.2
, 6.3
.3, 6
.3.5
, 6.3
.6, 7
.3.9
, 8.1
.1,
8.2.
1, 9
.1.6
, 10.
1.13
,10.
2.2,
10.
2.3,
10.
3.1,
10
.3.5
, 1
0.4.
6. 1
2.4.
2, 1
2.5.
3,13
.1.1
, 13
.1.2
, 13.
1.3,
15.
3.3,
15.
3.6
This
shou
ld d
epen
d on
out
com
e 2.
1.2.
This
outc
ome
prod
uces
a g
ener
al se
t of p
roce
dure
s to
com
plem
ent t
he E
OP.
Mor
e sp
ecifi
c se
ts o
f SO
Ps (i
.e., h
ow to
ope
rate
a P
oint
of
Dist
ribut
ion
[PO
D])
are
add
ress
ed b
elow
in
outc
ome
2.5.
3.
1.1.
2 Ap
prov
ed fo
rm-s
ets t
o co
mpl
emen
t SO
P Po
licy,
Ass
essm
ent,
and
Impl
emen
tatio
n Se
ctio
n/
Emer
genc
y O
pera
tions
C
oord
inat
ion
Plan
ner
BP2
3.3.
1, 4
.4.6
, 4.
1.2,
6.3
.8, 7
.2.1
1, 8
.4.6
, 9.
1.9,
13.
2.1,
15.
3.1,
Th
is sh
ould
dep
end
on o
utco
me
1.1.
1. Th
is ou
tcom
e pr
oduc
es fo
rms o
r oth
er to
ols
nece
ssar
y to
follo
w p
roce
dure
s. Th
ese
form
s sh
ould
be
final
ized
as t
heir
corr
espo
ndin
g pr
oced
ures
are
fina
lized
.
1.1.
3 A
ppro
ved
PHP
A
dmin
istra
tive
Polic
y an
d Pr
oced
ures
Man
ual
Fisc
al S
peci
alist
BP5
12.5
.1, 1
5.1.
3, 1
5.1.
4, 1
5.2.
2, 1
5.2.
3,
15.3
.3Th
is de
pend
s on
outc
ome
2.1.
1. Th
is ou
tcom
e pr
oduc
es a
man
ual t
hat d
escr
ibes
all
sort
s of
polic
ies,
role
s, re
spon
sibili
ties,
proc
esse
s, et
c.
It w
ill b
e a
perp
etua
l wor
k in
pro
gres
s but
will
be
use
ful i
n de
scrib
ing,
for e
xam
ple,
who
get
s as
signe
d a
stat
e ce
ll ph
one,
who
get
s a ta
ke-
hom
e ca
r, ho
w d
uty-
office
r com
pens
atio
n is
man
aged
, etc
. Th
e m
anua
l will
also
hel
p w
ith
cont
inui
ty a
s nor
mal
staff
tran
sitio
ns o
ccur
.
1.1.
4 A
ctiv
ely
man
aged
no
tifica
tion
and
activ
atio
n ro
ster
s
IT S
ectio
nA
lread
y in
pl
ace.
Mon
thly
no
tifica
tion
drill
s co
nduc
ted
on
an o
ngoi
ng
basis
3.2.
3, 4
.1.4
, 4.3
.1, 1
3.2.
6, 6
.1.2
, 6.1
.4,
9.1.
6, 9
.1.7
, 9.2
.6, 9
.4.3
, 9.5
.2, 1
0.1.
1,
10.2
.1
This
shou
ld d
epen
d on
out
com
e 1.
1.1-
1.1.
4.
This
outc
ome
prod
uces
mul
tiple
list
s tha
t id
entif
y al
l who
pos
sibly
shou
ld b
e co
ntac
ted
durin
g an
em
erge
ncy,
and
desc
ribes
how
they
w
ill b
e co
ntac
ted.
A-2
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
1.2
Ide
ntify
, org
aniz
e, tr
ain,
an
d ex
erci
se in
divi
dual
s fr
om th
roug
hout
HD
OH
an
d ot
her s
uppo
rtin
g or
gani
zatio
ns n
eede
d to
op
erat
e th
e D
epar
tmen
t O
pera
tions
Cen
ter (
DO
C)
1.2.
1 A
sses
smen
t of
com
preh
ensiv
e, st
atew
ide
PHP
trai
ning
(all
capa
bilit
y do
mai
ns)
Educ
atio
n an
d Tr
aini
ng S
ectio
nBP
31.
4.3,
3.3
.1, 3
.3.2
, 3.4
.4, 3
.4.5
, 4.1
.9,
4.1.
10, 4
.3.3
, 4.4
.8, 7
.2.1
0, 7
.3.9
, 8.1
.4,
8.5.
3, 9
.2.5
, 9.3
.3, 9
.6.4
, 10.
1.10
, 10
.1.1
1,10
.2.1
3, 1
2.1.
1, 1
2.1.
4, 1
2.1.
5,
12.2
.5, 1
2.2.
6, 1
2.2.
7, 1
2.3.
10, 1
2.3.
11,
12.3
.13,
12.
3.9,
12.
3,15
, 12.
4.3
12.4
.3,
13.1
.7, 1
5.1.
5, 1
5.1.
6, 1
5.1.
7
This
outc
ome
prod
uces
the
defin
itive
list
of
trai
ning
nee
ded
by P
HP
to su
ppor
t or
othe
rwise
faci
litat
e .
1.2.
2 A
n ap
prov
ed, s
tate
wid
e PH
P tr
aini
ng p
olic
y, pr
ogra
m, c
urric
ulum
, and
sc
hedu
le
Educ
atio
n an
d Tr
aini
ng S
ectio
nBP
31.
4.3,
1.4
.4, 3
.3.1
, 3.3
.2, 3
.4.4
, 3.4
.5, 3
.4.1
, 3.
4.4,
3.4
.5, 3
.4.6
, 4.1
.9, 4
.1.1
0, 4
.3.3
, 4.
4.8,
6.3
.11,
7.2
.10,
7.3
.9, 8
.1.4
, 8.5
.3,
9.3.
3, 9
.6.4
, 10.
1.10
, 10.
1.11
, 10.
2.13
, 12
.1.4
, 12.
1.5,
12.2
.5, 1
2.2.
6, 1
2.2.
7,
12.3
.9, 1
2.3,
15, 1
2.4.
313.
3.4,
13.
1.7,
15
.1.5
, 15.
1.6
This
outc
ome
deta
ils h
ow H
DO
H w
ill m
eet
trai
ning
requ
irem
ents
.
1.2.
3. A
n ap
prov
ed, s
tate
wid
e M
edic
al R
eser
ve C
orps
(M
RC) t
rain
ing
polic
y, pr
ogra
m, c
urric
ulum
, and
sc
hedu
le
MRC
C
oord
inat
orBP
2
1.2.
4 R
evise
d po
sitio
n de
scrip
tions
and
dut
y st
atem
ents
for s
taff
with
re
spon
sibili
ty d
urin
g an
em
erge
ncy
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
BP2
13.1
.7Th
is ou
tcom
e he
lps e
nsur
e pr
oper
alig
nmen
t of
peo
ple/
prog
ram
s dur
ing
emer
genc
y.
1.2.
5 Sp
ecia
lized
and
co
nsist
ent t
rain
ing
prog
ram
s de
velo
ped
for H
DO
H
emer
genc
y m
anag
emen
t and
re
spon
se te
ams (
DO
C, P
ublic
H
ealth
Ass
essm
ent T
eam
s [P
HA
STea
m],
Con
tinui
ty o
f O
pera
tions
Pla
n [C
OO
P]
Coo
rdin
ator
s)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
Seni
or
Plan
ner
BP4
One
of t
he id
entifi
ed
stra
tegi
es u
nder
the
HD
OH
w
ork
plan
—O
bjec
tive
1:
Incr
ease
the
Stat
e’s re
adin
ess
to m
itiga
te e
xter
nal t
hrea
ts.
Incr
ease
DO
H st
aff a
nd
part
ner a
genc
ies’
know
ledg
e of
how
to m
itiga
te h
ealth
and
en
viro
nmen
tal t
hrea
ts.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
1.3L
everageinform
ation
tech
nolo
gy, w
hich
incl
udes
de
velo
ping
and
mai
ntai
ning
op
erat
iona
l too
ls su
ch a
s in
cide
nt m
anag
emen
t and
co
mm
unic
atio
n sy
stem
s es
sent
ial t
o eff
ectiv
e re
spon
se
1.3.
1 Sp
ecifi
catio
ns o
f in
form
atio
n te
chno
logy
(I
T) re
quire
men
ts fo
r pub
lic
heal
th p
repa
redn
ess a
genc
ies,
and
a lis
t of b
est p
ract
ices
IT S
ectio
nBP
34.
5.8,
6.1
.5, 6
.2.1
, 6.
2.1,
6.2
.2, 6
.2.3
, 6.
2.4,
6.2
.8, 6
.2.1
0, 6
.3.2
, 6.3
.4, 6
.3.5
, 6.
3.6,
6.3
.8, 6
.3.1
0, 6
.3.1
2, 6
.3.1
3, 8
.1.5
, 8.
2.3,
8.4
.8, 9
.1.1
1, 9
.3.4
, 10.
1.8,
10.
1.12
, 10
.1.1
3, 1
0.1.
14, 1
0.3.
7, 1
0.3.
8, 1
2.1.
1,
12.1
.6, 1
2.4.
2, 1
2.5.
1, 1
2.5.
2, 1
2.5.
5,
12.5
.6, 1
2.5.
7, 1
2.5.
8, 1
3.1.
1, 1
3.1.
8,
13.1
.9, 1
5.1.
8, 1
5.2.
2, 1
5.3.
8,
One
of t
he id
entifi
ed st
rate
gies
un
der t
he H
DO
H w
ork
plan
—O
bjec
tive
1: I
ncre
ase
the
Stat
e’s re
adin
ess t
o m
itiga
te
exte
rnal
thre
ats.
Dev
elop
da
ta sh
arin
g sy
stem
s to
repo
rt
timel
y, ac
cura
te, c
lear
, and
us
eful
info
rmat
ion
to m
onito
r th
reat
s and
mak
e de
cisio
ns.
This
outc
ome
prod
uces
the
defin
itive
list
of
IT p
rogr
am su
ppor
t req
uire
men
ts—
need
ed
for a
sses
smen
t of a
nd a
stra
tegi
c pla
n fo
r a
PHP-
IT.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
1.3.
2 A
ppro
ved
HD
OH
and
PH
P C
OO
P fo
r IT
IT S
ectio
nC
ompl
eted
6.3.
13
1.3.
3 A
stat
ewid
e El
ectr
onic
Pa
tient
Tra
ckin
g Sy
stem
Hea
lthca
re
Ass
ocia
tion
of
Haw
aii
BP3
10.3
.7, 1
2.5.
5, 1
2.5.
7, 1
2.5.
8,Th
is is
one
of th
e in
itiat
ives
cal
led
out i
n BP
1.
A-3
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
1.3.
4 A
n El
ectr
onic
Dise
ase
Surv
eilla
nce
Syst
emIT
Sec
tion
Com
plet
ed;
Trai
ning
on
goin
g
13.1
.8, 1
3.1.
9O
ne o
f the
iden
tified
DO
CD
ou
tcom
es fo
r the
HD
OH
St
rate
gic P
lan:
Int
egra
te
mea
ning
ful u
se o
f pat
ient
he
alth
dat
a in
to in
fect
ious
di
seas
e su
rvei
llanc
e an
d ou
tbre
ak re
spon
se
by co
mpl
etin
g fu
ll ba
se
impl
emen
tatio
n of
the
new,
up
date
d el
ectr
onic
dise
ase
surv
eilla
nce
syst
em (M
AVEN
) by
Dec
embe
r 201
2.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
1.3.
5 T
rans
ition
of t
he M
RC
volu
ntee
r reg
istry
to a
new
, m
ore
effici
ent s
yste
m th
at
mee
ts E
mer
genc
y Sy
stem
fo
r Adv
ance
Reg
istra
tion
of V
olun
teer
Hea
lth
Prof
essio
nals
(ESA
R-V
HP)
pr
ogra
m re
quire
men
ts.
IT S
ectio
nBP
115
.2.2
, 15.
3.8
This
is on
e of
the
initi
ativ
es c
alle
d ou
t in
BP1.
1.3.
6 T
rans
ition
of t
he P
acifi
c Is
land
Juris
dict
ions
(PIJ
) A
mer
ican
Sam
oa, G
uam
, and
th
e Re
publ
ic o
f Pal
au to
the
new
ESA
R-V
HP
syst
em.
IT S
ectio
nBP
1
1.3.
7 D
evel
opm
ent o
f in
form
atio
n ex
chan
ge
proc
edur
es fo
r int
egra
tion
of p
ublic
hea
lth a
nd h
ealth
ca
re in
to th
e Fu
sion
Cen
ter
proc
ess.
IT S
ectio
nBP
2
1.4
Ensu
re co
ntin
uity
of
HD
OH
dur
ing
crisi
s1.
4.1
Cur
rent
dep
artm
ent
and
unit-
leve
l CO
OPs
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
Ong
oing
th
roug
h an
nual
up
date
s
12.1
.3Th
is is
one
of th
e in
itiat
ives
cal
led
out i
n BP
1.
1.4.
2 A
softw
are
syst
em fo
r up
datin
g C
OO
PPo
licy,
Ass
essm
ent,
and
Impl
emen
tatio
n Se
ctio
n
BP2
A-4
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
2. D
evel
op
an a
ll-ha
zard
em
erge
ncy
resp
onse
pla
n
2.1
Dev
elop
a cl
ear
miss
ion,
pol
icy
goal
s, an
d vi
able
conc
ept o
f op
erat
ions
for p
ublic
hea
lth
prep
ared
ness
2.1.
1 A
n ap
prov
ed st
atem
ent
of p
olic
y th
at d
efine
s the
role
, re
spon
sibili
ties,
capa
bilit
ies,
activ
ities
and
inte
ract
ions
of
HD
OH
bef
ore,
durin
g, a
nd
after
disa
ster
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
EO
C
Plan
ner/
Seni
or
Plan
ner
BP1
1.2.
4, 3
.1.1
, 6.1
.3, 6
.3.7
, 7.1
.1, 9
.1.8
, 9.
5.4,
9.6
.5,
10.1
.6, 1
0.2.
1, 1
0.2.
4, 1
2.4.
1,
13.1
.1, 1
5.1.
1, 1
5.1.
1
One
of t
he id
entifi
ed st
rate
gies
un
der t
he H
DO
H w
ork
plan
—O
bjec
tive
2: I
ncre
ase
the
Stat
e’s re
adin
ess t
o re
spon
d to
ext
erna
l thr
eats
. Inc
reas
e D
OH
staff
cap
acity
to re
spon
d to
hea
lth a
nd e
nviro
nmen
tal
emer
genc
ies.
This
is ar
guab
ly th
e fir
st st
ep in
futu
re
prog
ram
dev
elop
men
t. Th
e ou
tcom
es o
f m
any
othe
r act
iviti
es d
epen
d on
this
outc
ome,
whi
ch sh
ould
also
reso
lve
issue
s lik
e di
visio
n of
resp
onsib
ility
for M
ass C
are
and
Fata
lity
Man
agem
ent w
ith S
CD
.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
2.2
Dev
elop
an
emer
genc
y op
erat
ions
pla
n th
at d
efine
s th
e ro
les,
resp
onsib
ilitie
s, an
d au
thor
ities
nee
ded
to e
ffect
succ
essf
ul p
ublic
he
alth
out
com
es d
urin
g di
sast
er
2.2.
1 A
n ap
prov
ed
Emer
genc
y O
pera
tions
Pla
n
(EO
P)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
EO
C
Plan
ner/
Seni
or
Plan
ner
BP1
3.1.
1, 4
.4.5
, 6.1
.1, 6
.3.7
This
depe
nds o
n th
e ou
tcom
e of
2.1
.1
2.2.
2 F
orm
al M
emor
anda
of
Und
erst
andi
ng (M
OU
) with
ke
y pa
rtne
r age
ncie
s (m
ove
this
unde
r the
All
Haz
ards
pl
an d
evel
opm
ent g
oal)
PHP
Bran
chBP
51.
2.1,
1.4
.2, 4
.4.2
, 4.5
.6, 6
.2.4
, 6.3
.9, 7
.1.1
, 7.
2.9,
7.3
.1, 8
.3.1
, 8.5
.2, 9
.1.4
, 9.1
.10,
9.
4.4,
9.5
.3, 1
2.3.
4, 1
5.1.
2, 1
5.3.
6
Is o
ne o
f the
iden
tified
DO
CD
ou
tcom
es fo
r the
HD
OH
St
rate
gic P
lan:
Est
ablis
h sp
ecifi
c pla
ns a
nd a
gree
men
ts
by Ju
ne 2
013
to id
entif
y ro
les
and
resp
onsib
ilitie
s with
key
co
mm
unity
par
tner
s (e.g
. A
mer
ican
Red
Cro
ss, c
ount
y em
erge
ncy
man
agem
ents
, A
loha
Uni
ted
Way
) to
assu
re
the
Stat
e’s re
cove
ry to
from
po
tent
ial h
azar
ds a
nd th
reat
s w
heth
er m
an-m
ade
or n
atur
al.
This
outc
ome
prod
uces
copi
es o
f the
mas
ter
list o
f all
MO
Us,
form
al o
r inf
orm
al.
The w
ork
here
also
invo
lves
scop
ing
and
nego
tiatin
g M
OU
s not
yet
dev
elop
ed.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
2.3
Con
duct
a
com
preh
ensiv
e ha
zard
id
entifi
catio
n an
d ris
k as
sess
men
t
2.3.
1 A
stat
ewid
e, al
l-haz
ard
iden
tifica
tion
and
risk
asse
ssm
ent t
hat c
onsid
ers a
ll th
reat
s to
publ
ic h
ealth
Educ
atio
n an
d Tr
aini
ng S
ectio
nBP
11.
1.2,
9.1
.5,
This
is an
othe
r im
port
ant fi
rst s
tep.
HD
OH
sh
ould
par
tner
with
SC
D in
dev
elop
ing
the
Stat
e H
azar
d M
itiga
tion
Plan
. Re
nder
ing
this
plan
an
all-h
azar
d pl
an w
ould
be
an
outs
tand
ing
natio
nal a
ccom
plish
men
t.
Oth
erw
ise, H
DO
H w
ill h
ave
to d
evel
op it
s ow
n pl
an, a
nd th
at su
rely
wou
ld o
verla
p SC
D
wor
k.
2.4.
Foc
us in
vest
men
t and
pr
actic
e on
inte
rope
rabi
lity
and
Nat
iona
l Inc
iden
t M
anag
emen
t Sys
tem
(NIM
S)
com
plia
nce
2.4.
1 A
n ap
prov
ed d
efini
tion
of N
IMS
com
plia
nce
for
the
HD
OH
DO
C (a
s wel
l as
any
oth
er re
late
d fie
ld
com
pone
nts)
and
a w
ork
plan
to
ach
ieve
com
plia
nce
Educ
atio
n an
d Tr
aini
ng S
ectio
nO
ngoi
ng/
NIM
SCA
ST
repo
rts
subm
itted
to
SCD
ann
ually
3.2.
1, 3
.2.6
, 3.3
.2, 3
.4.4
, 4.1
.9, 4
.3.3
, 10
.1.2
This
is a
fede
ral r
equi
rem
ent c
lose
ly li
nked
w
ith o
utco
mes
of 1
.2.1
and
1.2
.2.
A-5
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
2.5
Dev
elop
haz
ard
and
func
tiona
l ann
exes
(e.g
., ts
unam
i and
alte
rnat
e ca
re
anne
xes t
o be
dev
elop
ed o
ver
the
next
5 y
ears
)
2.5.
1 A
n ap
prov
ed
prio
ritiz
atio
n of
risk
that
gu
ides
ear
liest
inve
stm
ents
in
thre
ats t
hat p
ose
grea
test
ris
k an
d ac
tiviti
es th
at re
quire
co
mpl
ex p
repa
ratio
n (i.
e. m
ass c
are,
shel
ter-
in-p
lace
)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
BP4
4.2.
1, 4
.4.1
, 7.1
.1,
7.2.
2, 7
.2.1
1, 7
.3.1
, 7.
3.2,
7.3
.3, 7
.3.4
, 7.3
.9, 7
.3.9
, 8.1
.1,
9.1.
1, 9
.1.6
, 9.2
.1, 9
.4.2
, 9.4
.4,
9.5.
4,
10.1
.10,
10.
3.6,
10.
3.2,
10.
4.8,
10.
4.9,
12
.4.1
, 12.
4.2,
12.
5.3,
13.
1.1,
13.
1.2,
13
.1.3
, 13.
1.4,
13.
1.5,
13.
2.2,
13.
3.1,
15
.1.1
, 15.
2.2,
15.
2.3,
15.
3.4,
15.
3.6,
15
.4.1
, 15.
4.2
This
depe
nds o
n th
e ou
tcom
e of
2.2
.1-2
.2.3
.
2.5.
2 A
ppro
ved
haza
rd-
spec
ific i
ncid
ent a
nnex
es
to th
e H
DO
H E
OP
(e.g
., H
urric
ane
Ann
ex)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
BP4
1.1.
2, 3
.1.1
, 3.1
.2, 3
.4.3
The
BP1
wor
k pl
an in
clud
es li
ttle
of th
is, b
ut
we
belie
ve th
at cr
eatin
g sp
ecifi
c and
det
aile
d an
nexe
s for
eac
h ha
zard
will
be
very
ben
efici
al
(e.g
., re
ad th
is to
kno
w w
hat t
o do
in c
ase
of
radi
olog
ical
disp
ersa
l dev
ice)
.
2.5.
3 A
ppro
ved
func
tion-
spec
ific a
nnex
es to
HD
OH
EO
P (e
.g.,
publ
ic h
ealth
risk
co
mm
unic
atio
n, e
vacu
atio
n,
shel
ter-
in-p
lace
)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
BP4
4.2.
1, 4
.4.1
, 4.5
.6, 6
.3.2
, 6.3
.7, 6
.3.8
, 6.
3.13
, 7.1
.1,
7.2.
2, 7
.2.1
1, 7
.3.1
, 7.3
.2,
7.3.
3, 7
.3.4
, 7.
3.9,
7.3
.9, 8
.1.1
, 8.2
.1,
8.2.
2, 8
.3.2
, 8.3
.6, 8
.4.1
, 8.4
.2, 8
.4.3
, 8.4
.4,
8.4.
6, 8
.4.7
, 8.5
.1, 9
.1.1
, 9.1
.3, 9
.1.6
, 9.1
.9,
9.1.
10, 9
.2.2
, 9.2
.3, 9
.2.5
, 9.2
.7, 9
.2.8
, 9.
3.1,
9.3
.2,
9.4
.2, 9
.4.4
, 9.4
.4, 9
.5.1
, 9.
5.4,
9.6
.1, 9
.6.2
, 9.6
.3, 1
0.1.
10, 1
0.2.
4,
10.2
.5, 1
0.2.
6, 1
0.2.
7, 1
0.2.
11,
10.3
.6,
10.3
.2,
10.3
.4, 1
0.4.
2, 1
0.4.
4, 1
0.4.
5,
10.4
.6, 1
0.4.
8, 1
0.4.
9, 1
2.1.
2, 1
2.2.
1,
12.2
.2, 1
2.2.
4,12
.3.1
,12.
3.3,
12.
3.4,
12.
3.5,
12
.4.1
, 12.
4.1,
12.
4.2,
12.
4.2,
12.
5.3,
13
.1.1
, 13.
1.4,
13.
1.2,
13.
1.3,
13.
1.4,
13
.1.5
, 13.
2.2,
13.
3.1,
15.
1.1,
15.
2.2,
15
.2.3
, 15.
3.4,
15.
4.1,
15.
4.2,
15.
3.6,
15
.2.4
, 15.
3.5
This
is co
llect
ion
of a
ll th
e fu
nctio
n-sp
ecifi
c an
nexe
s th
at m
ust b
e cr
eate
d (e
.g.,
wha
t to
do
whe
n a
lab
has a
pos
itive
ant
hrax
repo
rt a
nd
som
eone
mus
t com
mun
icat
e w
ith th
e pu
blic
, or
wha
t to
do fo
r mas
sive
shel
ter o
ps, o
r how
to
ope
rate
PO
Ds)
.
3. P
rom
ote
a cu
lture
of
publ
ic h
ealth
pr
epar
edne
ss
3.1
Inc
reas
e go
vern
men
t, bu
sines
s, an
d pu
blic
aw
aren
ess o
f disa
ster
by
crea
ting
new
pub
lic h
ealth
pr
epar
edne
ss c
ampa
igns
and
in
itiat
ives
whi
le su
stai
ning
ex
istin
g on
es
3.1.
1 A
defi
nitio
n an
d a
syst
em to
iden
tify
and
supp
ort
vuln
erab
le
popu
latio
ns
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
HPP
Pla
nner
Ed
ucat
ion
and
Trai
ning
Sec
tion
BP3
1.1.
1, 1
.1.5
, 10.
4.6,
We
belie
ve cr
eatin
g a
defin
ition
is
fund
amen
tal t
o id
entif
ying
pop
ulat
ions
and
, la
ter,
defin
ing
how
bes
t to
supp
ort t
hose
po
pula
tions
.
3.1.
2 P
repa
redn
ess c
ampa
ign
Educ
atio
n an
d Tr
aini
ng S
ectio
n O
ngoi
ng1.
3.2
This
mus
t be
expa
nded
, dep
endi
ng o
n H
DO
H
inte
rest
and
avai
labl
e re
sour
ces.
3.1.
3 En
gage
men
t at
com
mun
ity m
eetin
gs
to p
rom
ote
publ
ic h
ealth
pr
epar
edne
ss
PHP
Bran
chO
ngoi
ng1.
3.1
This
mus
t be
expa
nded
, dep
endi
ng o
n H
DO
H
inte
rest
and
avai
labl
e re
sour
ces.
A-6
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
3.1.
4 A
n ap
prov
ed
soci
al m
edia
pol
icy
that
de
fines
tool
s and
ass
igns
re
spon
sibili
ty fo
r car
ryin
g po
licy
out
DO
HC
ompl
eted
4.4.
5H
DO
H m
ay a
lread
y ha
ve th
is, b
ut th
e de
part
men
t (no
n-em
erge
ncy)
pol
icy
may
be
too
rest
rictiv
e fo
r use
by
DO
C d
urin
g em
erge
ncie
s. Th
is m
ust b
e co
ordi
nate
d w
ith
HD
OH
exe
cutiv
es to
ens
ure
it su
ppor
ts
depa
rtm
ent-
wid
e po
licy.
3.1.
5 O
utre
ach
prog
ram
s tha
t id
entif
y, so
licit,
and
supp
ort
volu
ntee
rs
MRC
C
oord
inat
orBP
2-3
1.2.
2, 4
.5.3
, 10.
2.1,
10.
2.2
We
belie
ve th
is ne
eds m
ore
defin
ition
. It
seem
s tha
t sev
eral
vol
unte
er p
rogr
ams a
nd
HD
OH
may
ben
efit f
rom
som
e un
ifica
tion
or
addi
tiona
l coo
rdin
atio
n.
3.1.
6. P
repa
redn
ess p
rogr
ams
that
targ
et sp
ecifi
c sec
tors
(i.
e., b
usin
ess,
gove
rnm
ent,
non-
profi
t)
PHP
Bran
chO
ngoi
ng1.
2.6
We
belie
ve th
is is
an o
ppor
tuni
ty to
iden
tify
end
user
s of P
HP
info
rmat
ion
and
tool
s, an
d to
dev
elop
a p
acka
ge th
at m
eets
thei
r nee
ds
(and
PH
P ob
ject
ives
).
3.1.
7 O
utre
ach
prog
ram
s th
at id
entif
y, so
licit
and
supp
ort n
ew cl
osed
PO
D
part
ners
to a
ssur
e ra
pid
and
timel
y de
liver
y of
med
ical
co
unte
rmea
sure
s (M
CM
)
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
Stra
tegi
c N
atio
nal
Stoc
kpile
(SN
S)
Coo
rdin
ator
BP4
One
of t
he id
entifi
ed D
OC
D
outc
omes
for t
he H
DO
H
Stra
tegi
c Pla
n: E
stab
lish
stat
ewid
e cl
osed
PO
Ds a
mon
g at
leas
t 50%
of a
ll id
entifi
ed
key
stak
ehol
ders
(e.g
., st
ate
and
coun
ty a
genc
ies,
loca
lly
base
d fe
dera
l age
ncie
s, m
ajor
bus
ines
ses k
ey to
stat
e in
fras
truc
ture
, hos
pita
ls) b
y D
ecem
ber 2
014
to a
ssur
e ra
pid
and
timel
y de
liver
y of
med
ical
co
unte
rmea
sure
s (M
CM
) in
the
even
t of a
mas
s bio
logi
cal,
chem
ical
, or o
ther
exp
osur
e fo
r whi
ch M
CM
s may
be
avai
labl
e.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
3.2
Dev
elop
par
tner
ship
s th
at fo
ster
a sh
ared
cul
ture
of
pub
lic h
ealth
pre
pare
dnes
s
3.2.
1 A
stat
ewid
e lis
t of
prog
ram
par
tner
s kep
t in
the
loop
elec
tron
ical
ly o
r by
quar
terly
new
slette
r
Educ
atio
n an
d Tr
aini
ng S
ectio
nO
ngoi
ng1.
1.2
A n
eces
sary
bas
e-of
-sup
port
act
ion
for a
pr
ogra
m a
s lar
ge a
nd co
mpl
ex a
s PH
P.
3.2.
2 Re
gula
r pre
sent
atio
ns
and
outr
each
to p
rogr
am
part
ners
on
the
PHP
prog
ram
’s m
issio
n, g
oals,
and
ob
ject
ives
.
PHP
Bran
chO
ngoi
ngO
ne o
f the
iden
tified
stra
tegi
es
unde
r the
HD
OH
wor
k pl
an—
Obj
ectiv
e 2:
Inc
reas
e th
e St
ate’s
read
ines
s to
resp
ond
to e
xter
nal t
hrea
ts.
Expa
nd
colla
bora
tion
with
oth
er
agen
cies
.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
3.3
Est
ablis
h a
PHP
miti
gatio
n pr
ogra
m.
This
prog
ram
wou
ld d
iffer
from
pr
epar
edne
ss, a
s it w
ould
pu
rsue
stra
tegi
c and
tact
ical
op
port
uniti
es to
elim
inat
e or
re
duce
vul
nera
bilit
y
3.3.
1 D
evel
opm
ent o
f a
miti
gatio
n pr
ogra
m th
at
iden
tifies
thre
ats a
nd
atte
mpt
s to
man
age
spec
ific
disa
ster
vul
nera
bilit
ies
befo
re d
isast
ers o
ccur
(e.g
., de
velo
ping
a sc
hool
was
h ha
nds p
rogr
am o
r dise
ase
surv
eilla
nce
prog
ram
to
redu
ce v
ulne
rabi
lity
to
biol
ogic
al in
cide
nts)
PHP
Bran
chBP
513
.3.1
This
repr
esen
ts a
par
adig
m sh
ift—
a ne
w
set o
f effo
rts t
o dr
amat
ical
ly re
duce
or
even
elim
inat
e so
me
haza
rds o
r thr
eats
via
in
vest
men
ts p
rior t
o oc
curr
ence
of t
hese
ha
zard
s or t
hrea
ts.
In g
ener
al e
mer
genc
y m
anag
emen
t, th
is ca
n in
clud
e el
evat
ing
hom
es th
at m
ight
oth
erw
ise b
e flo
oded
. W
e re
com
men
d ex
plor
ing
crea
tion
of a
pos
ition
an
d ad
-hoc
wor
k gr
oup
with
a m
issio
n to
av
oid
disa
ster
by
prop
osin
g co
st-e
ffect
ive
solu
tions
.
A-7
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
4. E
ffect
ivel
y su
stai
n ex
istin
g ca
pabi
litie
s whi
le
cont
inui
ng to
bu
ild n
ew o
nes
4. 1
Con
tinue
to sp
ecify
th
e m
ost c
ritic
al st
atew
ide
HD
OH
cap
abili
ties
4.1.
1 A
n ap
prov
ed li
st o
f sy
stem
s an
d se
rvic
es (I
T an
d no
n-IT
) crit
ical
to e
ffect
ive
resp
onse
IT S
ectio
n,
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
BP5
4.1.
3, 4
.1.1
3, 4
.1.1
4, 4
.1.1
6, 1
2.3.
18,
12.3
.2, 1
2.3.
22, 1
2.3.
23, 1
5.2.
5O
ne o
f the
iden
tified
stra
tegi
es
unde
r the
HD
OH
wor
k pl
an—
Obj
ectiv
e 2:
Inc
reas
e th
e St
ate’s
read
ines
s to
resp
ond
to e
xter
nal t
hrea
ts.
Mai
ntai
n ne
cess
ary
resp
onse
supp
lies.
This
list s
houl
d co
rrel
ate
clos
ely
with
C
ontin
uity
of O
pera
tions
Pla
nnin
g.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
4.1.
2 A
defi
ned
list o
f elig
ible
ac
tiviti
es a
nd la
bor c
odes
to
trac
k tim
e ch
arge
d to
eac
h ac
tivity
Fisc
al S
peci
alist
Com
plet
ed4.
4.2
This
is w
ill b
e im
port
ant t
o gr
ant,
wor
k pl
an,
and
stra
tegy
man
agem
ent.
4.2
Man
age
a PH
P bu
dget
to
mai
ntai
n th
ese
capa
bilit
ies
4.2.
1 PH
P St
rate
gic p
lan
Bran
ch C
hief
Com
plet
ed,
Revi
ewed
/U
pdat
ed
Ann
ually
This
will
be
used
to o
utlin
e vi
sion,
miss
ion,
an
d hi
gh-le
vel p
riorit
ies f
or p
repa
redn
ess.
4.2.
2 B
rief B
udge
t nar
rativ
e Fi
scal
Spe
cial
istC
ompl
eted
, Re
view
ed/
Upd
ated
A
nnua
lly
This
will
be
used
to il
lust
rate
how
fund
ing
is di
rect
ed to
prio
ritiz
e PH
P ac
tiviti
es.
4.2.
3 P
HP
Ann
ual W
ork
Plan
Br
anch
Chi
efC
ompl
eted
, Re
view
ed/
Upd
ated
A
nnua
lly
This
will
be
used
to il
lust
rate
and
man
age
cond
uct o
f hig
h-pr
iorit
y w
ork
each
yea
r.
4.3
Exe
rcise
thes
e ca
pabi
litie
s to
sust
ain
read
ines
s
4.3.
1 A
mul
ti-ye
ar, s
tate
wid
e, ex
erci
se p
lan
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
BP1
3.4.
1, 1
2.3.
7
4.3.
2 A
n an
nual
exe
rcise
and
de
velo
pmen
t of a
fter-
actio
n re
port
/impr
ovem
ent p
lan
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion
Ong
oing
4.3.
3 A
syst
em fo
r m
onito
ring
prog
ress
of
impr
ovem
ents
iden
tified
du
ring
exer
cise
s
Polic
y, A
sses
smen
t, an
d Im
plem
enta
tion
Sect
ion/
Seni
or
Plan
ner
BP2
4.4
Exp
lore
op
port
uniti
es to
eff
ectiv
ely
leve
rage
ca
pabi
litie
s
4.4.
1 D
efini
tion
of P
HP
capa
bilit
y to
be
mai
ntai
ned
by D
HO
s an
d H
DO
H
Hea
dqua
rter
s (H
Q) (
Oah
u).
DH
Os,
Bran
ch
Chi
efO
ngoi
ng13
.2.6
The
outp
ut fr
om th
is eff
ort s
houl
d be
di
rect
ed b
ack
into
stra
tegi
c 1.2
.1 a
ctiv
ities
(d
epar
tmen
t-w
ide
trai
ning
).
4.4.
2 H
DO
H a
nd D
HO
ag
reem
ents
for c
apab
ility
sh
arin
g
DH
Os,
Bran
ch
Chi
efO
ngoi
ng
4.5
Effec
tivel
y m
easu
re
prog
ress
on
capa
bilit
ies.
4.5.
1 P
erfo
rman
ce m
easu
re
data
colle
cted
for m
id-t
erm
an
d fin
al p
rogr
ess r
epor
ts.
Bran
ch C
hief
Ong
oing
A-8
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
4.5.
2 D
ocum
enta
tion
of
prog
ress
aga
inst
per
form
ance
m
easu
re b
ench
mar
ks a
nd
iden
tifica
tion
of g
aps
Bran
ch C
hief
Ong
oing
5. E
nsur
e co
untie
s dev
elop
a
stan
dard
se
t of c
ore
com
pete
ncie
s an
d ca
pabi
litie
s
5.1
Dev
elop
and
mai
ntai
n co
re c
apab
ilitie
s thr
ough
out
the
Stat
e
5.1.
1 A
sust
aine
d pr
ogra
m
of a
sses
smen
t and
pol
icy
deve
lopm
ent
PHP
Bran
chO
ngoi
ng
5.2
Rev
iew
the
PHP
budg
et
each
yea
r to
ensu
re th
at n
o ne
wly
crea
ted
capa
bilit
ies
wou
ld re
sult
in lo
ss o
f bas
ic
capa
bilit
y(ie
s) el
sew
here
5.2.
1 A
syst
em o
f cos
t ac
coun
ting
for P
HP-
rela
ted
activ
ities
Div
ision
D
irect
or, F
iscal
Sp
ecia
list,
Bran
ch C
hief
, Br
anch
Sta
ff,
DH
Os
Revi
ewed
an
nual
ly
by D
irect
or
of H
ealth
an
d D
eput
y D
irect
or o
f H
RA
This
is us
ed to
mon
itor P
HP-
rela
ted
inve
stm
ent,
and
cont
inue
s to
dire
ct
inve
stm
ent i
n hi
gh-p
riorit
y ar
eas.
This
syst
em
shou
ld ti
me
inve
stm
ents
to o
utco
mes
. In
this
way
, PH
P ca
n de
term
ine
how
muc
h eff
ort
wen
t int
o cr
eatin
g SO
Ps o
r eng
agin
g pa
rtne
rs.
5.3
Wor
k w
ith sp
ecifi
c H
DO
H D
istric
t Hea
lth
Offi
ces t
o de
velo
p, m
aint
ain,
an
d sh
are
cert
ain
capa
bilit
ies
amon
g al
l tha
t oth
erw
ise
wou
ld b
e im
prac
tical
for
each
to d
evel
op an
d m
aint
ain
5.3.
1 A
n an
nex
to H
DO
H
PHP
and
PHP
budg
et
narr
ativ
e th
at d
escr
ibes
co
mm
on a
nd u
niqu
e re
spon
sibili
ties o
f DH
Os.
Bran
ch C
hief
BP2
This
docu
men
t can
serv
e as
a su
bstit
ute
for
MO
Us s
o H
DO
H d
oes n
ot st
art t
he p
ract
ice
of
nego
tiatin
g in
tern
al M
OU
s.
5.3.
2: S
igne
d ag
reem
ents
w
ith D
HO
s and
oth
er
HD
OH
par
tner
s tha
t out
line
gran
t exp
ecta
tions
and
re
quire
men
ts w
ith w
hich
they
m
ust c
ompl
y
Bran
ch C
hief
BP2
5.3.
3 C
olla
ted
data
re
pres
enta
tive
of a
ll co
untie
s su
bmitt
ed to
mee
t spe
cific
PH
EP a
nd H
PP p
erfo
rman
ce
mea
sure
requ
irem
ents
Bran
ch C
hief
BP5
1.2.
1, 1
.2.4
, 6.1
.1,
6. E
ngag
e st
akeh
olde
rs
in a
pub
lic
heal
th a
dviso
ry
com
mitt
ee
6.1
Est
ablis
h a
Haw
ai‘i
Disa
ster
Pub
lic H
ealth
A
dviso
ry C
omm
ittee
to
adv
ise a
nd p
rovi
de
reco
mm
enda
tions
to H
DO
H
6.1.
1 A
n ap
prov
ed ch
arte
r for
th
e H
awai
‘i D
isast
er P
ublic
H
ealth
Adv
isory
Com
mitt
ee
Bran
ch C
hief
BP2
1.2.
1, 1
.2.4
, 6.1
.1,
6.1.
2 Q
uart
erly
mee
tings
of
the
Haw
ai‘i
Disa
ster
Pub
lic
Hea
lth A
dviso
ry C
omm
ittee
Bran
ch C
hief
BP2
6.2
Reg
ular
ly m
onito
r th
e st
atus
of p
ublic
hea
lth
prep
ared
ness
by
esta
blish
ing
and
shar
ing
prog
ram
met
rics
with
the
advi
sory
com
mitt
ee
and
othe
r pro
gram
st
akeh
olde
rs
6.2.
1 A
regu
larly
-mai
ntai
ned
PHP
perf
orm
ance
das
hboa
rdBr
anch
Chi
efBP
3Th
is bu
ilds u
pon
PHEP
and
HPP
cap
abili
ty
docu
men
ts a
nd in
corp
orat
es B
P w
ork
plan
in
form
atio
n ea
ch y
ear .
A-9
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
6.3
Dev
elop
and
impl
emen
t in
itiat
ives
with
adv
isory
co
mm
ittee
mem
ber a
genc
ies
6.3.
1 In
cide
nt- o
r fun
ctio
n-sp
ecifi
c wor
kgro
ups c
reat
ed
to d
evel
op sp
ecia
lized
pol
icy,
proc
edur
es, a
nd to
ols
PHP
Bran
chO
ngoi
ng.
Som
e of
thes
e fu
nctio
n-sp
ecifi
c w
orkg
roup
s ar
e al
read
y in
pl
ace:
PO
D
Secu
rity,
Alte
rnat
e C
are
Cap
acity
, etc
.
8.1.
2,10
.2.2
,10.
2.5,
12.
1.1,
One
of t
he id
entifi
ed st
rate
gies
un
der t
he H
DO
H w
ork
plan
—O
bjec
tive
2: I
ncre
ase
the
Stat
e’s re
adin
ess t
o re
spon
d to
ext
erna
l thr
eats
. Ex
pand
co
llabo
ratio
n w
ith o
ther
ag
enci
es.
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
6.4
Enc
oura
ge a
nd e
mpl
oy
advi
sory
com
mitt
ee
mem
bers
—an
d by
ex
tens
ion
thei
r affi
liate
d or
gani
zatio
ns—
to co
llect
pr
ogra
m in
form
atio
n,
colla
bora
te, c
omm
unic
ate
prog
ram
succ
ess,
and
ther
eby
prom
ote
a cu
lture
of
prep
ared
ness
6.4.
1 A
pro
gram
that
re
cogn
izes
pro
gram
ac
com
plish
men
t thr
ough
co
llabo
ratio
n
PHP
Bran
chBP
5O
ne o
f the
iden
tified
stra
tegi
es
unde
r the
HD
OH
wor
k pl
an—
Obj
ectiv
e 2:
Inc
reas
e th
e St
ate’s
read
ines
s to
resp
ond
to e
xter
nal t
hrea
ts.
Expa
nd
colla
bora
tion
with
oth
er
agen
cies
.
A lo
w-c
ost r
ewar
d sy
stem
to fo
ster
co
llabo
ratio
n
Supp
orts
Fou
ndat
ion
5 of
the
HD
OH
Str
ateg
ic
Plan
, FY2
011-
2014
: Em
erge
ncy
Resp
onse
&
Pre
pare
dnes
s—M
itiga
te, R
espo
nd to
, and
Re
cove
r fro
m N
atur
al E
xter
nal o
r Man
-mad
e Th
reat
s Im
pact
ing
Indi
vidu
al a
nd C
omm
unity
W
ell-b
eing
.
A-10
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
A-11
State of Hawai‘i Department of Health
Public Health Preparedness (PHP) Strategic Plan (2012-2017)
Goa
lO
bjec
tive
Spec
ific O
utco
me(
s)R
espo
nsib
le
Part
ySc
hedu
leLi
nk to
PH
EP/H
PP W
ork
Plan
Dep
ende
ncy
on o
ther
St
rate
gic G
oal o
r Obj
ectiv
eC
omm
ent
STATE OF HAWAI‘I DEPARTMENT OF HEALTH
PUBLIC HEALTH PREPAREDNESS
STRATEGIC PLAN (2012- 2017)