Senior Steering Committee brief

1

• Homeland Security Presidential Directive
  (HSPD)-21
• Public Health and Medical Preparedness
• Healthcare Information and Management Systems
  Society (HIMSS)
• Monday, January 7, 2008
• Washington, D.C.
• Mary U. Kruger, Senior Advisor
• Office of the Assistant Secretary for
  Preparedness and Response
• U.S. Department of Health and Human Services

2
HSPD-21 Overview

• Issued on October 18, 2007
• Establishes a National Strategy for Public Health
  and Medical Preparedness and builds upon the
• December 2002 National Strategy to Combat Weapons
  of Mass Destruction
• April 2004 Biodefense for the 21st Century
• April 2004 HSPD-10 on biodefense
• Mandates 22 deliverables with aggressive
  timelines ranging from 90 days to one year after
  issuance of the directive
• HHS has the lead on19 deliverables
• DHS has the lead on two deliverables
• HHS and DOD co-lead one deliverable
• Establishes priorities, deliverables, and
  timelines for critical areas of preparedness that
  require more work, but HSPD-21 is an unfunded
  mandate
• Requires an implementation plan
• HHS is leading a senior interagency Task Force on
  implementation

3
HSPD-21 Priorities

• Six Critical Components of Public Health and
  Medical Preparedness
• Biosurveillance
• Countermeasure Stockpiling and Distribution
• Mass Casualty Care
• Community Resilience
• Risk Awareness
• Education and Training
• Five Key Principles
• Preparedness for catastrophic health events
• Vertical and horizontal coordination across
  government
• Regional health preparedness
• Engagement of non-governmental entities
• Individual, family, and community responsibility

4
HSPD-21 Deliverables

• Mandates New Organizational Entities
• Cabinet-level Public Health and Medical
  Preparedness Task Force
• Office for Emergency Medical Care within HHS
• Federal Advisory Committee on Disaster Mental
  Health
• Epidemiologic Surveillance Federal Advisory
  Commission
• Joint Program for Disaster Medicine and Public
  Health
• Key Requirements
• Establish an operational national epidemiologic
  surveillance system
• Develop countermeasures distribution templates
  and capabilities
• Annual review of the Strategic National Stockpile
  
• Evaluate current mass casualty care capabilities
  and gaps (e.g., National Disaster Medical System
  and medical surge capacity review)
• Coordinate core medical and public health
  curricula development
• Develop grants guidance, performance measures,
  reporting requirements, and accountability
• Deliver unclassified briefings on public health
  risks and threats
• Prepare Strategy for designing and enhancing a
  disaster health system
• Create financial incentives to enhance private
  sector health care facility preparedness

5
HSPD-21 Related Work

• Some HSPD-21 requirements overlap with ongoing
  efforts
• Implementation of the December 2006 Pandemic and
  All-Hazards Preparedness Act (PAHPA)
• National Disaster Medical System and medical
  surge capacity review
• Annual review of the Strategic National Stockpile
• Grants guidance, reporting requirements,
  performance measures, and accountability measures
  development
• Emergency medical and public health core
  curriculum development
• Strategic plan for developing a near real-time
  electronic nationwide public health situational
  awareness capacity
• Public Health Emergency Medical Countermeasures
  Enterprise (PHEMCE) countermeasures strategic
  planning
• Draft Biomedical Advanced Research and
  Development Authority (BARDA) strategic plan
• Cities Readiness Initiative countermeasures
  distribution

6
HSPD-21 Next Steps

• Implementation of HSPD-21 is an interagency
  process
• First interagency meeting held in collaboration
  with the White House
• HHS is leading the interagency Task Force
• Establishing working groups (e.g.,
  Biosurveillance, Countermeasure Stockpiling and
  Distribution, Mass Casualty Care, Community
  Resilience)
• Establishing a writing team to draft the
  implementation plan
• Submit an interagency implementation plan to the
  President
• Collaborate closely among interagency and with
  White House Homeland Security Council
• Keep implementation efforts on track
• Leverage ongoing work (e.g., PAHPA) to meet
  HSPD-21 deliverables

7
HSPD-21 Role of the Private Sector

• Deliverables require and will benefit from
  stakeholder input
• Biosurveillance requires compatible information
  technology and information sharing between public
  and private entities
• Countermeasure distribution plans need to explore
  and define the roles of private sector entities
• Evaluating current mass casualty care
  capabilities and gaps requires identifying the
  availability of both public and private sector
  resources
• Development of a strategy for designing and
  enhancing a disaster health system must be done
  in partnership with the private sector

8
HSPD-21 Role of the Private Sector (continued)

• Need input regarding meaningful financial
  incentivesto enhance private sector health care
  facility preparedness
• Community resiliency requires participation from
  all levels of government, the private sector,
  community organizations, and individuals and
  families
• Participate in community-related preparedness
  activities, working groups, advisory committees,
  and stakeholder meetings
• Take steps to prepare your organization, your
  community, and your family for emergencies