Idaho’s Approach to Project Public Health Ready (PPHR)

1. Idaho’s Approach to Project Public Health Ready (PPHR) Darce Vassar Travis Best Rod Horejs

2. First Speaker Darce Vassar PHP Program Manager North Central District Health Department

3. Public Health in Idaho • Boards of Health • District Directors

4. The Project • Voluntary review • Very well organized • Great support infrastructure • Logical design • Planning • Workforce competency • Exercise / Simulation

5. Poll Question My public health jurisdiction: A. Has not yet considered doing PPHR B. Is considering doing PPHR C. Is in the process of doing PPHR D. Has completed PPHR

6. Tools that Worked • Design them to be user friendly. • Make them accessible to everyone. • Allow them to adapt as the project grows.

7. For list of tools NACCHO EQUIPh • www.naccho.org/EQUIPh/index.cfm Northwest Center for Public Health Practice • www.nwcphp.org/technical-assistance/specialproject NWCPHP role in PPHR NACCHO EQUIPh

8. Momentum is KEY • Don’t miss a meeting • In-house team meetings • Regional conference calls with NACCHO • National PPHR meetings Enthusiasm from the top down is essential!

9. Make PPHR the Cornerstone • Whether it has been done or needs to be done, PPHR can be utilized as a catalyst for accomplishing and/or fine-tuning tasks.

10. Poll Question In my opinion, the most important challenge of participating in PPHR might be: • Early state of development of standards for PH preparedness. • Inconsistencies between state and CDC expectations • Fluctuating expectations in a dynamic field of practice. • Substantial non-reimbursed costs associated with participating in PPHR

11. Lesson Learned “One result of PPHR is that the details are never fine enough.”

12. Next Speaker Rod Horejs PHP Program Manager Southeastern District Health Department

13. Public Health in Idaho • Boards of Health • District Directors

14. The Wild Frontier... The Southeastern Health Dept. District (SDHD) • 8 counties • 158,000 people • 11,000 square miles • Borders Utah & Wyoming A LOT of sagebrush!

15. Idaho’s Composition Idaho Code § 39-401 establishes the Public Health Districts, and states in part: “The various health districts… are not a single department of state government unto themselves, nor are they a part of any of twenty (20) departments of state government authorized by [the] … Idaho constitution… Its legislative intent is that the health districts operate and be recognized not as state agencies or departments, but as governmental entities whose creation has been authorized by the state, much in the manner as other single purpose districts.”

16. Poll Question The primary goal of PPHR is to: A. Help LPHAs become better prepared B. Assess and document the level of preparedness that they have already achieved C. Both A &B D. None of the above

17. Benefits of Project Public Health Ready • Provided focus • Fostered planning • Complemented the inclusion of all staff capabilities

18. Relationship Building • Reinforced and revived community partner relationships • Established communicationwith nontraditional partners • Encouraged and supported neighboring jurisdiction communications

19. Project Public Health Ready is a tool Project Public Health Ready is: • Credible • Tangible • Reportable • Inclusive

20. The Hard Work Paid Off!

21. Award for PPHR

22. Lesson Learned This is my story and I am sticking to it …

23. Next Speaker Travis Best PHP Program Manager Southwest District Health

24. Public Health in Idaho • Boards of Health • District Directors

25. Southwest District Health • Diverse population – 227,000 • 12,000 square miles & two frontier counties • Duck Valley Indian Reservation/Idaho-Nevada • 105 full-time employees • $8 million annual budget

26. Project Style Approach • Concept: Work it as a project! • Organization: Project team. • Outcome: Visualize the end product.

27. Planning Process Project Public Health Ready for SWDH • PHP Plan • EPI Plan • Smallpox Plan • SNS Plan • Communication • Plan • Training Plan • Surge Plan Evidence • Application • Exec. Overview • PPHR Checklist PHP Plans PPHR Evidence

28. Cross Walk of Criteria/Evidence

29. The Magnitude of Exercising • Approach • Cost containment

30. Nampa Flu Clinic

31. Poll Question In my opinion, the most important reason why we participated in PPHR (or will in the future) is to: • Use as a framework in organizing preparedness activities • Share ideas, materials, and support from colleagues in the national program • Earn recognition for the department’s efforts. • Improve relationships and a sense of purpose with critical local partners

32. The Future of PPHR • Design team • Collaboration • Concepts on the table

33. The Future of PPHR • The current pilot three round is the final pilot phase • The criteria are being finalized into a national standard for PH • Planning • Workforce competency • Exercise / Simulation

34. The Future of PPHR • The re-recognition cycle will be four years. • Re-recognition documentation will be to augment the first submission.

35. Lesson Learned This is my story and I am sticking to it …

36. Public Health Ready Map

37. All seven health districts in Idaho are: Public Health Ready

38. Open Dialogue Comments/questions? Travis ~ Rod ~ Darce