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ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 C-86-16-112-3-06 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper Emergency Preparedness Program Effective upon signature, it is mutually agreed that the Agreement referenced above is amended as follows: 1. Pursuant to Terms and Conditions, Provision 6. Contract Changes, Section 6.1 Amendments, Purchase Orders and Change Orders, the following changes are in effect upon signature. 1.1 The Scope of Work is revised to add the Scope of Work of this Amendment Six (6). 1.2 The Contract Price Sheet is revised to include the Price Sheet of this Amendment Six (6). 1.3 Attachment A is added to the Scope of Work of this Amendment Six (6). All other provisions shall remain in their entirety. CONTRACTOR SIGNATURE Maricopa County by and through its Department of Contractor Public Health Contractor Authorized Signature 4041 N. Central Avenue, Suite 1400 Bill Gates Address Printed Name Phoenix AZ 85012 Chairman, Board of Supervisors City State Zip Title CONTRACTOR ATTORNEY SIGNATURE This Intergovernmental Agreement Amendment shall be Pursuant to A.R.S. § 11-952, the undersigned public effective the date indicated. The Public Agency is hereby agency attorney has determined that this cautioned not to commence any billable work or provide Intergovernmental Agreement is in proper form and is any material, service or construction under this IGA until within the powers and authority granted under the laws of the IGA has been executed by an authorized ADHS the State of Arizona. signatory. State of Arizona Signed this _________ day of _________________ 2019 Signature Date Attorney for County Printed Name Procurement Officer Attorney General Contract No. ADHS17-133194, which is an Agreement between public agencies, has been reviewed pursuant to A.R.S. § 11-952 by the undersigned Assistant Attorney General, who has determined that it is in proper form and is within the powers and authority granted under the laws of the State of Arizona. Signature Date Assistant Attorney General Printed Name: ATTEST: __________________________________ Office of the Clerk of the Board Date Page 1 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 1. BACKGROUND 1.1. The Arizona Department of Health Services (ADHS) receives supplemental funding from the Centers for Disease Control and Prevention (CDC) to further develop and enhance the State of Arizona, Bureau of Public Health Emergency Preparedness (PHEP). These funds are used to support the development and implementation of Tasks in this Scope of Work. The ADHS has determined that the most expeditious methodology to enhance these Tasks is to partner with the County Health Departments. 1.2. ADHS continues to look at ways to expand our preparedness capabilities based on our Five-Year Plan and the Capability planning Guide (CPG) data. Based on that information and the guidance set forth by the Center for Disease Control (CDC) ADHS has developed this PHEP grant agreement. 2. OBJECTIVE 2.1. Through the implementation of strategies and activities during the project period, strengthen the readiness of the community to prepare for, respond to, and recover from a public health emergency and/or disaster. 2.2. Sub-recipients of PHEP funds are expected to enhance the readiness of local public health by participating in activities that advance and document progress across six domains. 3. SCOPE OF WORK 3.1. The Scope of Work is outlined in the following Provision Four (4). Tasks. 3.2. In addition, the Annual Performance Requirements are outlined in the Attachment A incorporated herein. Attachment A will change every year, as well as the estimated budget for the period of July 1st through June 30th. 3.3. The Contractor shall submit a detailed Budget based upon their estimated cost associated with continuation of the programmatic Annual Performance Requirements through the Contract period, unless terminated, canceled or extended as otherwise provided herein. This Budget shall be submitted in the online Budget Tool format as provided by PHEP. The Contractor shall have the flexibility of making adjustments to the Budget categories of the budgeted amount provided on the approved budget. However, any change shall be requested in writing on the Budget Tool and shall not be implemented until approved electronically by the ADHS. It is the responsibility of the Contractor to coordinate and manage funds under this Contract. 3.4. Additional tasks, reporting, deliverables and program information can be found in Attachment A; Grant Guidance – Budget Period 1 4. TASKS The Contractor shall: 4.1. Maintain a person appointed as liaison and PHEP coordinator for this grant funding; 4.2. Maintain a detailed plan for 24/7 response to Public Health Emergencies along the guidelines and deliverables for the current year; 4.3. Maintain a timeline for the development of county-wide plans for Public Health Emergencies, Page 2 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper preparedness for a mass casualty incident event, infectious disease outbreak, or other public health emergency; 4.4. Maintain a timeline and a plan to identify personnel to be trained, to receive and distribute critical stockpile items and manage a mass distribution of vaccine and/or antibiotics on a twenty-four (24) hours a day, seven (7) days a week basis; 4.5. Maintain a plan to receive and evaluate urgent disease reports from all parts of the jurisdiction on twenty-four (24) hours a day, seven (7) days a week basis. Maintenance of the plan shall include participation in state-wide electronic disease surveillance initiatives; 4.6. Maintain a plan to enhance risk communication and information dissemination to educate the public regarding exposure risks and effective public response; 4.7. Submit an annual Budget based upon the cost reimbursement budgetary guidelines and the Budget Tool posted on the Arizona Health Alert Network (AzHAN) document library; 4.8. Submit the completed Budget on or before a date determined annually by the CDC and the ADHS; 4.9. Be advised by correspondence from the ADHS PHEP on the available funding amounts on or before June 30th; 4.10. The funding shall be based on required critical and enhanced capacities for the Contractor's geographical area; and 4.11. Prepare and submit a detailed budget for the period of July 1st through the following June 30th of each Budget year. The Contractor shall meet all reporting requirements for federal funding, including those years in which a match requirement is established. 5. ANNUAL PERFORMANCE REQUIREMENTS The Contractor shall: 5.1. Perform the requirements as outlined in the Attachment A, Deliverables; 5.2. Attend ADHS Sponsored Grant Meetings (two (2) events annually); 5.3. Attend Healthcare Coalition Meetings 5.3.1. Recommend participation by the designated preparedness coordinator or representative during HCC meetings (regions listed below). These meetings provide an opportunity for collaboration with healthcare facilities, county, state, tribal, and other response partners. 5.3.1.1. Coalitions shall continue to plan, develop, and maintain memorandums of understanding (MOU) to share assets, personnel and information; and 5.3.1.2. Coalitions shall develop plans to unify ESF-8 management of healthcare during a public health emergency, and integrate communication with jurisdictional command in the area. 5.3.2. Regions are defined as follows: Page 3 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 5.3.2.1. Northern Region: 5.3.2.1.1. County Representatives: Apache, Coconino, Navajo, and Yavapai 5.3.2.1.2. Tribal Representatives: Hopi Tribe, Kaibab-Paiute Tribe & Navajo Nation 5.3.2.2. Western Region: 5.3.2.2.1. County Representatives: La Paz, Mohave and Yuma 5.3.2.2.2. Tribal Representatives: Colorado River Indian Tribe & Fort Mojave Indian Tribe, Cocopah Tribe and Fort Yuma Quechan Tribe 5.3.2.3. Central Region: 5.3.2.3.1. County Representatives: Gila, Maricopa and Pinal 5.3.2.3.2. Tribal Representatives: Gila River Indian Community, San Carlos Apache Tribe, White Mountain Apache Tribe and Salt River Pima-Maricopa Indian Community. 5.3.2.4. Southern Region: 5.3.2.4.1. County Representatives: Cochise, Graham, Greenlee, Pima, and Santa Cruz. 5.3.2.4.2. Tribal Representatives: Pascua Yaqui Tribe and Tohono O’odham Nation. 6. FINANCIAL REQUIREMENTS 6.1. Match Requirement 6.2. The PHEP award requires a ten percent (10%) “in-kind” or “soft” match from all the grant participants. Each recipient must include in their budget submission the format they will use to cover the match and method of documentation. Failure to include the match formula will preclude funding. ADHS may not award a contract under this program unless the local jurisdiction agrees that, with respect to the amount of the cooperative agreement allocated by ADHS, the local jurisdiction will make available non-federal contributions in the amount of ten percent (10%) (One ($1) for each ten ($10) of federal funds provided in the cooperative agreement) of the award, whether provided through financial or direct assistance. Match may be provided directly or through donations from public or private entities and may be in cash or in kind, fairly evaluated, including plant, equipment or services. Amounts provided by the federal government or services assisted or subsidized to any significant extent by the federal government may not be included in determining the amount of such non-federal contributions. Documentation of match, including methods and sources, must be included in sub-recipient budgets each budget period, include calculations for both financial assistance and direct assistance, follow procedures for generally accepted accounting practices, and meet audit requirements. 6.2.1. Total Direct costs - Show the direct costs by listing the totals of each category, including salaries and wages, fringe benefits, consultant costs, equipment, supplies, travel, other, and contractual costs. Provide the total direct costs within the budget. Page 4 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 6.2.2. Total Indirect Costs - To claim indirect costs, the applicant organization must have a current approved indirect cost rate agreement established with the cognizant federal agency. A copy of the most recent indirect cost rate agreement must be provided with the application. Indirect cost percentage cannot exceed the state rate of twenty-three (23%). 6.2.3. Indirect Costs - To claim indirect costs, the applicant organization must have a current approved indirect cost rate agreement established with the cognizant federal agency. A copy of the most recent indirect cost rate agreement must be provided with the application. 6.2.3.1. If the applicant organization does not have an approved indirect cost rate agreement, costs normally identified as indirect costs (overhead costs) can be budgeted and identified as direct costs. 6.3. Inventory Upon request, local jurisdictions will provide an inventory list to ADHS. The inventory list shall include all equipment purchased. Items over five-thousand ($5,000.00) will require an ADHS asset tag. 6.4. Budget Allocation and Work Plan 6.4.1. The Contractor shall complete the budget tool provided by ADHS, and return to ADHS for review and approval. Funding will not be released until the budget has been approved by ADHS; and 6.4.2. All activities and procurements funded through the PHEP grant shall be aligned with the budget/spend plan and work plan. These tools shall help the Contractor reach the goals and objectives outlined in the Capability Deliverables section of this document. 6.5. Grant Activity Oversight 6.5.1. Each PHEP grant recipient shall maintain an appointed Preparedness Coordinator that will be responsible for oversight of all grant related activities. The Coordinator shall be the main point of contact in regards to the grant. The Coordinator shall work closely with ADHS to ensure all deliverables and requirements are met: and 6.5.2. Pursuant to, and in compliance with, Standard Operating Procedures for Monitoring, ADHS shall coordinate with the appointed Preparedness Coordinator responsible for oversight of grant act to include compliance with sub-recipient monitoring. 6.6. Failure to meet the performance measures or deliverables may result in withholding from a portion of subsequent awards. 7. EXERCISE RECOMMENDATIONS 7.1. MULTI-YEAR TRAINING AND EXERCISE PLAN (MYTEP) PHEP-HPP capabilities (and grant funded training/exercises). The Contractor shall: 7.1.1. Participate in the Statewide Training and Exercise Planning Workshop/Webinar; Page 5 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 7.1.2. Update and maintain a Multi-Year Training and Exercise Plan, inclusive dates are July 01, 2019 through June 30, 2024. Multi-Year plan shall be provided to ADHS upon request; and 7.1.3. Exercise and trainings shall meet implementation criteria and follow evaluation guidance. All grant funded trainings and exercises must be gap based. Gap based indicates an area of a capability to be built, or an area of improvement from a previous exercise/real-world response, address jurisdictional or local risk assessment, or other source (e.g. CPG data) to support achieving operational readiness. 7.2. EXERCISE IMPLEMENTATION CRITERIA Homeland Security Exercise and Evaluation Program. The contractor shall: 7.2.1. Conduct preparedness exercises when appropriate, in accordance with the Homeland Security Exercise and Evaluation Program (HSEEP) fundamentals including: 7.2.1.1. Exercise Design and Development; 7.2.1.2. Exercise Conduct; 7.2.1.3. Exercise Evaluation; and 7.2.1.4. Improvement Planning. 7.2.2. Find more information on the April 2013 HSEEP guidelines and exercise policy available at https://preptoolkit.fema.gov/documents/1269813/1269861/HSEEP_Revision_Apr13_Final.pdf/65bc7843- 1d10-47b7-bc0d-45118a4d21da. 7.2.3. Assure provisions and needs of at-risk individuals are included within the design of exercises. The Contractor shall report on the strengths and areas for improvement identified through the coalition based exercise After Action Report and Improvement Plan (AAR/IP). To learn more about the U.S. Department of Health and Human Services’ definition of “at-risk” population visit this website: https://www.phe.gov/Preparedness/planning/abc/Pages/atrisk.aspx 7.2.4. Exemption: A real incident may be substituted for a qualifying coalition based exercise; however the after- action report (AAR) shall document how the HCC members met qualifying criteria (both implementation and evaluation criteria).This scenario will be discussed on an as-requested basis. 7.3. EXERCISE EVALUATION CRITERIA The Contractor Shall: 7.3.1. PHEP-funded exercises will address and list applicable Public Health Emergency Preparedness (PHEP) Capabilities in all qualifying exercises. 7.3.1.1. Qualifying exercises at a minimum shall include the community emergency management partner and/or incident management, the community public health partner, the health care coalition, and the EMS agency during the design, development, and implementation; 7.3.1.2. Ensure the functional needs of at-risk individuals are included in response and are identified and addressed in operational plans; 7.3.1.3. After Action Reports/IP; Page 6 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 7.3.1.4. After Action Reports shall be submitted to ADHS within 120 days or no-later-than the end of year report, whichever comes first; 7.3.1.5. The contractor shall participate in ADJHS sponsored events throughout BP1 (July 1, 2019 through June 30, 2020). 8. REPORTING DELIVERABLES Progress on the deliverables, performance measures and activities funded through the PHEP/HPP grant shall be reported in a timely manner to ensure ADHS has adequate time to compile the information and prepare it for submission at the federal level. 8.1. Mid-Year Report (dates covered: July 1 – December 31) 8.1.1. ADHS shall send out the Mid-Year Report template within thirty (30) days of the Due Date. 8.1.2. Due Date to be determined at the time of sending out the Mid-Year template. 8.2. ADHS shall provide the Performance Measures templates (if applicable) in advance of the Due Date. 8.3. The Contractor shall provide ADHS with updated Public Health Emergency Contact list on a template provided by ADHS. The list should include contact information for the primary, secondary, and tertiary individuals for the Public Health Incident Management System (e.g. Incident Commander, Operations, etc.) and posted on the HSP. Update jurisdictional points of contact twice during each budget period (December 31 and June 30), or as changes occur, to facilitate time-sensitive, accurate information sharing within the local jurisdictions and between ADHS and the local jurisdictions. 8.3.1. Due Date: At time of mid-year reporting. 8.4. End-of-Year Report (dates covered: January 1 – June 30) 8.4.1. ADHS shall send out the End-of-Year Report template within thirty (30) days of the Due Date. 8.4.2. Due Date to be determined when the End-of- Year template is sent out. 8.5. Public Health Emergency Preparedness (PHEP) And Hospital Preparedness Program (HPP) 8.5.1. See Attachment A for deliverable requirements. 9. NOTICES, CORRESPONDENCE AND REPORTS 9.1. Notices, Correspondence and Reports from the Contractor to ADHS shall be sent to: Arizona Department of Health Services Public Health Emergency Preparedness Bureau Chief 150 N 18 th Avenue Ste.150 Phoenix, AZ 85007 Page 7 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 9.2. Notices, Correspondence and Payments from the ADHS to the Contractor shall be sent to: Maricopa County Health Department 4041 N. Central Ave. Suite 1400 Phoenix, AZ 85012 Attn: Grants/Contracts Administrator Phone: 602-372-0675/0674 Page 8 of 65 ARIZONA DEPARTMENT OF INTERGOVERNMENTAL AGREEMENT(IGA) HEALTH SERVICES 150 North 18th Avenue, Suite 260 AMENDMENT Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper PHEP Budget Period One (1) July 1, 2019 through June 30, 2020 Cost Reimbursement Description Quantity Unit Rate Total Cost Additional funds to enhance current PHEP 1 1 $1,720,093.00 activities per the deliverables in Attachment A. CRI Funds-New BP1 1 1 $1,027,485.00 TOTAL $2,747,578.00 July 1, 2018 through June 30, 2020 Cost Reimbursement CRI Funds (BP1 SUPP) 1 1 $10,257.00 TOTAL $10,257.00 Page 9 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North Phoenix, 18th Arizona Avenue, 85007 Suite 260 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Attachment A 2019-2024 Public Health Emergency Preparedness GRANT GUIDANCE DELIVERABLES FY19 BUDGET PERIOD 1 PERIOD OF PERFORMANCE (July 1, 2019 – June 30, 2020) ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Grant Guidance Deliverable Table of Contents INTRODUCTION ................................................................................................................................................................... 13 FEDERAL REQUIREMENTS: ................................................................................................................................................... 14 Project Period Requirements (2019-2024) ..................................................................................................................................... 14 Funding Restrictions .................................................................................................................................................................... 15 PROGRAM REQUIREMENTS .................................................................................................................................................. 17 Meetings .................................................................................................................................................................................... 17 Health Care Coalition Meetings ..................................................................................................................................................... 17 Financial Requirements ................................................................................................................................................................ 18 Plans, Training, and Exercise Implementation Criteria .................................................................................................................... 20 INFORMATION SERVICES .................................................................................................................................................... 22 REPORTING .......................................................................................................................................................................... 22 Mid-Year Report .......................................................................................................................................................................... 22 Annual Report ............................................................................................................................................................................. 22 Planning, Training, and Exercise Outputs ...................................................................................................................................... 23 2019 PHEP LOGIC MODEL .................................................................................................................................................... 26 STRATEGIES AND ACTIVITIES ............................................................................................................................................. 27 Domain 1 Strategy: Strengthen Community Resilience ................................................................................................................... 27 Domain 2 Strategy: Strengthen Incident Management.................................................................................................................... 34 Domain 3 Strategy: Strengthen Information Management .............................................................................................................. 38 Domain 4 Strategy: Strengthen Countermeasures and Mitigation .................................................................................................... 44 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 11 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper Domain 5 Strategy: Strengthen Surge Management ....................................................................................................................... 56 Domain 6 Strategy: Strengthen Biosurveillace................................................................................................................................ 62 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 12 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: INTRODUCTION The Arizona Department of Health Services (ADHS) Budget Period 1 PHEP Grant Guidance (July 1, 2019-June 30, 2020) has been developed based on that information and the guidance set forth in the Centers for Disease Control and Prevention’s Office of Public Health Preparedness and Reponses funding opportunity announcement 2019-2024 Hospital Preparedness program (HPP)-PHEP Cooperative Agreement CDC-RFA-TP19-1901. In the new cooperative agreement guidance, the PHEP recipient (Arizona Department of Health Services) and local jurisdictions (tribal and county Health Departments) will increase or maintain their levels of effectiveness across six key preparedness domains using the logic model to achieve a prepared public health system. These domains are: 1. Strengthen Community Resilience a. Capability 1: Community Preparedness b. Capability 2: Community Recovery 2. Strengthen Incident Management a. Capability 3: Emergency Operation Coordination 3. Strengthen Information Management a. Capability 4: Emergency Public Information and Warning b. Capability 6: Information Sharing 4. Strengthen Countermeasures and Mitigation a. Capability 8: Medical Countermeasure Dispensing and Administration b. Capability 9: Medical Materiel Management and Distribution c. Capability 11: Non-Pharmaceutical Interventions d. Capability 14: Responder Safety and Health 5. Strengthen Surge Management a. Capability 5: Fatality Management b. Capability 7: Mass Care c. Capability 10: Medical Surge 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 13 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: d. Capability 15: Volunteer Management 6. Strengthen Biosurveillance. a. Capability 12: Public Health Laboratory Testing b. Capability 13: Public Health Surveillance and Epidemiological Investigation Arizona will develop and strengthen six domains through the implementation of the strategies and activities during the project period. ADHS can provide technical assistance upon request. FEDERAL REQUIREMENTS: • Three MCM drills. All CRI local jurisdictions will complete all 3 drills annually: o staff notification and assembly; o facility set-up; and o site activation Throughput estimation is now completed as part of the dispensing full-scale exercise (FSE). However, if a site does not participate in the dispensing FSE (for example, participates in immunization FSE in lieu of dispensing FSE), oral MCM throughput will be measured and information submitted at least once during the five-year period. • One exercise or real incident Project Period Requirements (2019-2024) • One functional or full-scale exercise once during the five-years period (a real incident/event will be considered) • One fiscal preparedness tabletop exercise once during the five-years period • One MCM distribution full-scale exercise once during the five-years period • One MCM dispensing full-scale exercise or one mass vaccination full-scale exercise (one POD in each CRI local planning jurisdiction will be exercised) • AARs/IPs submission 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 14 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Funding Restrictions Restrictions that will be considered while planning the programs and writing the budget are: • May not use funds for research. • May not use funds for clinical care except as allowed by law. • May use funds only for reasonable program purposes, including personnel, travel, supplies, and services. • Generally, recipients may not use funds to purchase furniture or equipment. Any such proposed spending must be clearly identified in the budget. • Reimbursement of pre-award costs generally is not allowed, unless the CDC provides written approval to ADHS on behalf of the local jurisdictions. • Other than for normal and recognized executive-legislative relationships, no funds may be used for: o publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body o the salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body • See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients. • The direct and primary local jurisdictions in a cooperative agreement program must perform a substantial role in carrying out project outcomes and not merely serve as a conduit for an award to another party or provider who is ineligible. General Restrictions • May supplement but not supplant existing state or federal funds for activities described in the budget. • Payment or reimbursement of backfilling costs for staff is not allowed. • None of the funds awarded to these programs may be used to pay the salary of an individual at a rate in excess of Executive Level II or $189,600 per year. • Funds may not be used to purchase or support (feed) animals for labs, including mice. • Funds may not be used to purchase a house or other living quarters for those under quarantine. Rental may be allowed with approval from the CDC OGS. Lobbying • Other than for normal and recognized executive-legislative relationships, PHEP funds may not be used for: 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 15 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: • Publicity or propaganda purposes, for the preparation, distribution, or use of any material designed to support or defeat the enactment of legislation before any legislative body; • The salary or expenses of any grant or contract recipient, or agent acting for such recipient, related to any activity designed to influence the enactment of legislation, appropriations, regulation, administrative action, or Executive order proposed or pending before any legislative body • See Additional Requirement (AR) 12 for detailed guidance on this prohibition and additional guidance on lobbying for CDC recipients (http://www.cdc.gov/grants/documents/Anti-Lobbying_Restrictions_for_CDC_Grantees_July_2012.pdf). Construction and Major Renovations • May not use funds for construction or major renovations. • Generally, recipients may not use funds to purchase furniture or equipment. Any such proposed spending must be clearly justified in the budget. Passenger Road Vehicles • Funds cannot be used to purchase over-the road passenger vehicles. • Funds cannot be used to purchase vehicles to be used as means of transportation for carrying people or goods, such as passenger cars or trucks and electrical or gas-driven motorized carts. • Can (with prior approval) use funds to lease vehicles to be used as means of transportation for carrying people or goods, e.g., passenger cars or trucks and electrical or gas- driven motorized carts during times of need. • Additionally, PHEP grant funds can (with prior approval) be used to make transportation agreements with commercial carriers for movement of materials, supplies and equipment. There should be a written process for initiating transportation agreements (e.g., contracts, memoranda of understanding, formal written agreements, and/or other letters of agreement). Transportation agreements should include, at a minimum: o Type of vendor o Number and type of vehicles, including vehicle load capacity and configuration o Number and type of drivers, including certification of drivers o Number and type of support personnel o Vendor’s response time o Vendor’s ability to maintain cold chain, if necessary to the incident o This relationship may be demonstrated by a signed transportation agreement or documentation of transportation planning meeting with the designated vendor. All documentation should be available to the CDC project officer for review if requested. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 16 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Transportation of Medical Materiel • PHEP funds may be used (with approved budget) to procure leased or rental vehicles for movement of materials, supplies and equipment. • PHEP funds may be used (with approved budget) to purchase material-handling equipment (MHE) such as industrial or warehouse-use trucks to move materials, such as forklifts, lift trucks, turret trucks, etc. Vehicles must be of a type not licensed to travel on public roads. • PHEP funds may be used (with approved budget) to purchase basic (non-motorized) trailers with prior approval from the CDC OGS. Procurement of Food and Clothing • Funds may not be used to purchase clothing such as jeans, cargo pants, polo shirts, jumpsuits, sweatshirts, or T-shirts. Purchase of vests to be worn during exercises or responses may be allowed. • Generally, funds may not be used to purchase food. Vaccines • Please contact ADHS with vaccine requests in support of an emergency or an exercise. PROGRAM REQUIREMENTS Meetings 1. ADHS Grant Meetings a. Attend Grant Meeting & Training and Exercise Planning Workshop b. Attend annual ADHS Jurisdictional Risk Assessment analysis workshop Health Care Coalition Meetings 1. Encourage participation in the HCC meetings in your region (see Regions below) i. Northern Region: 1. County Representatives: Apache County, Coconino County, Navajo County, and Yavapai County 2. Tribal Representatives: Hopi Tribe, Navajo Nation and White Mountain Apache Tribe ii. Western Region: 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 17 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: 1. County Representatives: La Paz County, Mohave County, and Yuma County 2. Tribal Representatives: Cocopah Indian Tribe, Fort Mojave Indian Tribe, Kaibab-Paiute Tribe and Quechan Tribe iii. Central Region: 1. County Representatives: Gila County, Maricopa County, and Pinal County 2. Tribal Representatives: Gila River Indian Community and Salt River Pima-Maricopa Indian Community iv. Southeastern Region: 1. County Representatives: Cochise County, Graham County, Greenlee County, Pima County and Santa Cruz County 2. Tribal Representatives: Pascua Yaqui Tribe, San Carlos Apache Tribe, and Tohono O’odham Nation Financial Requirements 1. Match Requirement a. The PHEP award requires a 10% “in-kind” or “soft” match from all the grant participants. Each local jurisdictions will include in their budget submission the format they will use to cover the match and method of documentation. Failure to include the match formula will preclude funding. ADHS may not award a contract under this programs unless the sub-recipient agrees that, with respect to the amount of the cooperative agreement allocated by ADHS, the sub-recipient will make available non-federal contributions in the amount of 10% ($1 for each $10 of federal funds provided in the cooperative agreement) of the award, whether provided through financial or direct assistance. Match may be provided directly or through donations from public or private entities and may be in cash or in kind, fairly evaluated, including plant, equipment or services. Amounts provided by the federal government or services assisted or subsidized to any significant extent by the federal government may not be included in determining the amount of such non-federal contributions. Documentation of match, including methods and sources, must be included in sub-recipient budgets each budget period, include calculations for both financial assistance and direct assistance, follow procedures for generally accepted accounting practices, and meet audit requirements. • Total Direct costs 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 18 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Show the direct costs by listing the totals of each category, including salaries and wages, fringe benefits, consultant costs, equipment, supplies, travel, other, and contractual costs. Provide the total direct costs within the budget. • Total Indirect Costs To claim indirect costs, the applicant organization must have a current approved indirect cost rate agreement established with the cognizant federal agency. A copy of the most recent indirect cost rate agreement must be provided with the application. Indirect cost percentage cannot exceed the state rate of 23%. 2. Inventory a. Upon request, local jurisdictions will provide an inventory list to ADHS. The inventory list shall include all equipment purchased. Items over $5,000 will require an ADHS asset tag. An asset tag will be provided after the submission of the invoice to ADHS that will include the serial number, make/model, and date of acquisition. Once received, ADHS will send local jurisdictions a pre-filled property control (F4) form and the asset tag. The asset tag is to be placed on the asset and must provide a photo of the asset tag affixed to the item(s). The F4 form needs to be signed, dated and sent back via email to ADHS. 3. Budget Allocation (PHEP funded staff and work plan) a. Complete the budget tool developed by ADHS and return for review and approval. ADHS will not release funding to the county or tribe until ADHS has approved the budget. b. All activities and procurements funded through the PHEP grant shall be aligned with your budget/spend plan and work plan that will help you reach the goals and objectives outlined in this document. Any items and activities that are not specifically tied to the PHEP program capabilities will be approved by ADHS before PHEP funds can be utilized on those activities/items. c. Follow guidance provided with the budget tool. 4. Grant Activity Oversight a. Each county and tribe will maintain a full-time, part-time, or appointed PHEP Coordinator that will have the responsibility for oversight of all grant related activities. The PHEP Coordinator will be the main point of contact for ADHS in regards to the PHEP 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 19 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: grant. This individual will work closely with ADHS to ensure all deliverables and requirements are met. They will also coordinate all activities surrounding any onsite monitoring visits conducted by ADHS. 5. Employee Certifications a. PHEP local jurisdictions are required to adhere to all applicable federal laws and regulations, including applicable OMB circulars and semiannual certification of employees who work solely on a single federal award. These certification forms will be prepared at least semiannually and signed by the employee or a supervisory official having firsthand knowledge of the work performed by the employee. Employees that are split funded are required to maintain Labor Activity Reports (to be provided as requested). These certification forms will be retained in accordance with 45 Code of Federal Regulation, Part 92.42 6. Performance a. Failure to meet the deliverables and performance measures described in the Scope of Work may result in withholding from a portion of subsequent awards. Plans, Training, and Exercise Implementation Criteria Training and exercises shall be gap based and linked to the PHEP Domains. Proposed training and exercises will be based on identified gaps from previous exercises, real-world responses, risk assessments (e.g. JRA, CPG, CAWP, THIRA), or other documented sources. 1. Program Requirements a. Maintain documentation of all collaborative efforts with local and state emergency management b. The county and tribal PHEP program should establish and maintain a collaborative working relationship with emergency management. This will include but not be limited to; emergency communication plan, strategies for addressing emergency events, including the management of the consequences of power failures, natural disasters and other events that would affect public health. c. Participate in ADHS sponsored table tops, functional exercises or other activities i. Homeland Security Exercise and Evaluation Program (HSEEP) 1. Local jurisdictions will conduct preparedness exercises in accordance with the HSEEP fundamentals including: a. Exercise design and development 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 20 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: b. Exercise conduct c. Exercise evaluation and d. Improvement planning e. More information and templates are available at: https://www.azdhs.gov/preparedness/emergency- preparedness/index.php#training-exercise-resources ii. ADHS Coordination 1. Collaborate with ADHS throughout the planning process. 2. The HSEEP process along with respective templates and guidance will be used to comply with exercise implementation criteria. iii. At-Risk Individuals 1. Local jurisdictions will include provisions for the needs of at-risk individuals within each exercise. PHEP local jurisdictions will report on the strengths and areas for improvement identified though the coalition based exercise After Action Reports and Improvement Plans (AARs/IPs). To learn more about the U.S. Department of Health and Human Services’ definition of “at- risk” population visit this website: http://www.phe.gov/Preparedness/planning/abc/Pages/at-risk.aspx iv. Evaluation 1. PHEP-funded exercises will address and list applicable Public Health Emergency Preparedness (PHEP) Capabilities in all qualifying exercises. 2. PHEP-Qualifying Exercises: a. An exercise that meets PHEP-specific qualifying exercise implementation criteria as described in the grant. v. Exemption 1. County and tribal response and recovery operations supporting real-world incidents could meet the criteria for the annual exercise requirement if the response was sufficient in scope and the AARs/IPs adequately detail which PHEP capabilities were evaluated. This will be addressed on an as-requested basis. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 21 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: INFORMATION SERVICES 1. Local jurisdictions will have or have access to a secure alerting system that at a minimum has the ability to send email, faxes, and phone/ text alerts. 2. As local ESF-8 lead, encouraged participation in the health care coalition meetings, exercises and drills. ADHS will provide training on the information systems and platforms as needed such as; EMResource, EMTrack, ESAR-VHP, AzHAN, iCAM, etc. REPORTING Progress on the deliverables, performance measures, and activities funded through the PHEP grant will be reported on in a timely manner to ensure ADHS has adequate time to compile the information and submit to CDC. Mid-Year Report a. ADHS will send out the mid-year report templates in advance of the due date b. Update jurisdictional points of contact twice during each budget period (December 31 and June 30), or as changes occur, to facilitate time-sensitive, accurate information sharing within the local jurisdictions and between ADHS and the local jurisdictions Annual Report a. ADHS will send out the annual report template in advance of the due date Reports and Documentation a. Training and Exercise schedule b. Draft Multi-year Training and Exercise Plan (MYTEP) c. Final Multi-year Training and Exercise Plan d. Training Validation Reports e. After-Action Reports/Improvement Plans (real-world and/or exercise) 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 22 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: f. Update listed plans (see table below) Planning, Training, and Exercise Outputs Planning/Training/Exercise Deliverables for County and Tribes Program Activities Comments Due Date Attend TEPW (Training and Exercise Planning ● PHEP Coordinator or a representative Every Year by February 28th Workshop) Attend Annual PHEP & HPP All Partners ● PHEP Coordinator or a representative Every Year by February 28th Meeting ● MYTEP consist of three parts: o Narrative Every Year with the local jurisdiction Submit a draft MYTEP o Training schedule Mid-Year Report o Exercise schedule ● Covering the time period from July 1, 2019 to June 30, 2021 ● Template on the ADHS Preparedness Webpage Every Year with the local jurisdiction Submit a final MYTEP https://www.azdhs.gov/preparedness/emerg work-plan ency-preparedness/index.php#training- exercise-resources ● Template on the ADHS Preparedness Training and Exercise Schedule for Budget Webpage Every year by July 31st Period 1 (2019 – 2020) https://www.azdhs.gov/preparedness/emerg ency-preparedness/index.php#training- 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 23 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Planning/Training/Exercise Deliverables for County and Tribes Program Activities Comments Due Date exercise-resources Participate in ADHS sponsored table tops, functional exercises or other activities ● Validating trainings conducted July 1, 2019 through June 30, 2020 ● Template on the ADHS Preparedness Webpage • Mid-year Report Training Validation Report (TVR) https://www.azdhs.gov/preparedness/emerg • End-of-Year Report ency-preparedness/index.php#training- exercise-resources ● Template on the ADHS Preparedness Webpage https://www.azdhs.gov/preparedness/emerg Within 120 days or no-later-than the After Action Reports/Improvement Plans ency-preparedness/index.php#training- end of year report, whichever comes (AARs/IPs) exercise-resources first. ● HSEEP guidelines and exercise policy (links to Prep Toolkit) Required exercises: • Crimson Contagion 2019 • August 13-16, 2019 • MCM 2019 • November 6-7, 2019 • Fatality Management Training Workshop • September 2019 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 24 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Planning/Training/Exercise Deliverables for County and Tribes Program Activities Comments Due Date • PIO Training • BP3 (2021-2022) Required plans: ● Emergency Response Plan ● Emergency Response Plan toolkits and ● Pandemic Influenza (Pan Flu Plan) • Provide status of required plans and resources are located at: ● Fatality Management Plan (FMP) review dates www.azdhs.gov/emergencyplans ● Medical Counter Measures Plan (MCM) 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 25 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 2019 PHEP LOGIC MODEL • To view a larger image, double click on the logic model. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 26 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: STRATEGIES AND ACTIVITIES Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery Domain Activity: Determine the Risks to the Health of the Jurisdiction Deliverable Due Date Conduct public health jurisdictional risk assessments (JRA) once every five years, in Conduct a JRA and report results Once every 5 collaboration with HPP, to identify potential hazards, vulnerabilities, and risks within the to ADHS. years community that relate to the public health, medical, and mental/behavioral health systems and the access and functional needs of at-risk individuals. ADHS recommends a collaborative and flexible risk assessment process that includes input from existing hazard and vulnerability analyses conducted by emergency management, health care coalitions (HCCs) and other health care organizations, as well as other community partners and stakeholders. Local jurisdictions should analyze JRA results, and use diverse data sources such as the HHS Capabilities Planning Guide (CPG), previous risk assessments, jurisdictional incident AARs/IPs), site visit observations, jurisdictional data from the National Health Security Preparedness Index, and other jurisdictional priorities and strategies, to help determine their strategic priorities, identify program gaps, and, ultimately prioritize preparedness investments. Domain Activity: Ensure HPP Coordination (Health Care System) Deliverable Due Date The purpose of this collaboration is to ensure a shared approach to delivering public Local Jurisdictions must BP3 (2021- health services alongside health care services to mitigate the public health participate in the ADHS- 2022) consequences of emergencies. PHEP resources cannot be used to supplant HPP sponsored statewide full-scale programmatic activities. However, there are areas where coordinated planning and exercise. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 27 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery collaboration between the programs are beneficial, including exercising and training. Local jurisdictions must conduct one statewide or regional full-scale exercise (FSE) within the five-year performance period to test preparedness capabilities. Exercises must include participation from HCCs and include, at a minimum, hospitals, public health departments, emergency management agencies, emergency medical services (EMS), and public health jurisdictions. To help minimize the burden on exercise planners and participants, ADHS recommends meeting multiple program requirements with this exercise, including PHEP, HPP, medical countermeasure (MCM) planning, and Cities Readiness Initiative (CRI) requirements. Domain Activity: Plan for the Whole Community Deliverable Due Date Working in collaboration with HPP, continue to build and sustain local health Take a whole community June 30, 2020 department and community partnerships to ensure that activities have the widest approach when planning, possible reach with the strongest possible ties to the community. Local jurisdictions training and exercising to should focus on two activities simultaneously: include considerations for vulnerable populations including • Coordination with local health department partners and stakeholders to review AFN, seniors, and pediatrics. collaboration efforts with local agencies they represent across the state; and • Review efforts of local jurisdictions to engage community partners who have established relationships with diverse at-risk populations. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 28 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery Develop and maintain plans, conduct training and exercises, and respond to public health threats and emergencies using a whole-community approach to preparedness management. Plan for individuals with disabilities and others with access and functional needs. Use a flexible approach to define populations at risk to jurisdictional threats and hazards. Address a broad set of common access and functional needs using the CMIST Framework (Communication, Maintaining Health, Independence, Services and Support, and Transportation). Ultimately, the access and functional needs of individuals must be included within federal, territorial, tribal, state and local emergency and disaster plans. Identify populations at risk of being disproportionately impacted by incidents or events. Have procedures in place to identify individuals with access and functional needs that may be at risk of being disproportionately impacted by incidents with public health consequences. Individuals with access and functional needs are those that are at particular risk of poor physical, psychological or social health after an emergency. Examples of populations with access and functional needs include, but are not limited to, children, pregnant women, postpartum and lactating women, racial and ethnic minorities, older adults, persons with disability, persons with chronic disease, persons with limited English proficiency, persons with limited transportation, persons experiencing homelessness, and disenfranchised populations. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 29 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery Coordinate with community-based organizations. Identify community partners and stakeholders with established relationships with diverse at-risk populations, such as social services or faith-based organizations, and use available tools to better anticipate the potential access and functional needs of the community before, during, and after an emergency. Identify and integrate preferred communication messages and strategies for populations with access and functional needs. Engage with key community organizations to plan and implement preparedness and response activities tailored to that community’s needs. Key community partners include public health, medical and mental/behavioral health social networks, as well as organizations representing citizens and at-risk populations. Recipients should convene partners and stakeholders and establish clearly delineated roles and responsibilities for each partner across all hazards. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 30 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery Integrate access and functional needs of individuals. Describe the structure or processes in place to integrate the access and functional needs of individuals during a public health emergency. Use available tools to better anticipate the potential access and functional needs of at-risk community members before, during, and after an emergency. Develop or expand child-focused planning and partnerships. In coordination with HPP, ensure emergency preparedness and response planning and coordination with designated educational agencies and lead childcare agencies in the jurisdictions. Collaborate with child-serving institutions such as schools and daycare centers to ensure crisis preparedness plans are in place. Consider family reunification plans for schools and day care centers, either as part of crisis preparedness plans or as separate plans for reunification. Coordinate messages and plans for reunification and for identifying the public health role in addressing children’s mental health needs following emergencies. Domain Activity: Focus on Tribal Planning and Engagement Deliverable Due Date Engage with tribes in a meaningful and mutually beneficial way to ensure that all tribes Collaborate with tribes to ensure June 30, 2020 and their members are fully served, while also recognizing the inherent responsibility of appropriate efforts are made to 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 31 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery those nations to support their members in a culturally appropriate manner. Further, develop public health tribal nations can provide unique resources to their neighboring states and preparedness and response communities in many emergency situations. capability Domain Activity: Strengthen and Implement Plans through Training and Exercising Deliverable Due Date Develop and provide multiyear training and exercise plans (MYTEPs) that specify at • Participate in Regional • TBD least two years of trainings and exercises. The MYTEP should address the needs and Training and Exercise priorities identified in previous AARs/IPs; demonstrate coordination with applicable Planning Workshop (TEPW) entities, partners, and stakeholders; and describe methods to leverage and allocate as applicable resources to the maximum extent possible. • With Mid- • Submit a draft of the MYTEP year Report • Attend ADHS-sponsored • February TEPW 2020 • Submit a final MYTEP • End of Year Conduct evaluation and improvement planning. • Submit AARs/IPs following • Within 120 Develop evaluative processes to review, revise, and maintain plans based on the exercises and/or real-world days or no- resulting priorities, needs, findings, and corrective actions of exercises, real incidents, events. later-than the trainings, or needs assessments. These processes must be used to develop and inform end of year AARs/IPs. report, 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 32 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 1 Strategy: Strengthen Community Resilience Community resilience is the ability of a community, through public health agencies, to develop, maintain, and utilize collaborative relationships among government, private, and community organizations to develop and utilize shared plans for responding to and recovering from disasters and public health emergencies. Associated Capabilities • Capability 1: Community Preparedness • Capability 2: Community Recovery whichever Complete and submit AARs/IPs within 120 days after every functional exercise (FE), comes first full-scale exercise (FSE), or incident involving public health. To ensure compliance with exercise requirements, local jurisdictions must submit AAR/IP forms as well as upload a copy of the AAR/IP file. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 33 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 2 Strategy: Strengthen Incident Management Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident, unified, or area command structure. Associated Capability • Capability 3: Emergency Operations Coordination Domain Activity: Activate and Coordinate Public Health Emergency Operations Deliverable Due Date Updated all-hazards preparedness and response plans should include but not be limited Update Emergency Response June 30, 2020 to: Plan • Procedures for how preliminary assessments are conducted to determine the need for activation of public health emergency operations; • Process for establishing a flexible and scalable public health incident management structure that is consistent with NIMS and jurisdictional standards and authorities; • Procedures for activating, operating, managing, and staffing the public health emergency operations center or implementing public health functions within another emergency operations center; • Designation of primary and alternate locations, including virtual communication structures, for the public health emergency operations center; • Procedures for demobilizing public health emergency operations; and • A description of how the jurisdiction will use Emergency Management Assistance Compact (EMAC) or other mutual aid agreements for public health and medical mutual aid to support coordinated activities and to share resources, facilities, services, and other potential support required when responding to emergencies that impact the public’s health. At minimum, this plan should include the following: o Procedures for evaluating, responding to, and seeking reimbursement for resources deployed under EMAC; o Description of how information will be shared between relevant partners for a 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 34 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 2 Strategy: Strengthen Incident Management Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident, unified, or area command structure. Associated Capability • Capability 3: Emergency Operations Coordination resource request; o Processes, procedures, and threshold(s) for deploying a requested resource; o Documented roles and responsibilities during a resource request within the state public health agency; o Redundant points of contact for all state’s public health and medical Mission Ready Packages (MRPs) as applicable; and o Description of reimbursement processes following a deployment for both the deployed personnel and the key internal staff. Maintain and exercise continuity of operations (COOP) plans. Maintain a current COOP plan that includes the following elements. • Definitions, identification, and prioritization of essential services needed to sustain public health agency mission and operations; • Procedures to sustain essential services regardless of the nature of the incident (all- hazards planning); • Positions, skills, and personnel needed to continue essential services and functions (human capital management); • Identification of public health agency and personnel roles and responsibilities in support of ESF #8; • Scalable workforce expansion and reduction, in response to needs of the incident; • Limited access to facilities due to issues such as structural safety or security 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 35 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 2 Strategy: Strengthen Incident Management Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident, unified, or area command structure. Associated Capability • Capability 3: Emergency Operations Coordination concerns; • Broad-based implementation of social distancing policies; • Identification of agency vital records (such as legal documents, payroll, personnel assignments) that must be preserved to support essential functions or for other reasons; • Alternate and virtual work sites; • Devolution of uninterruptible services for scaled down operations; • Reconstitution of uninterruptible services; and • Cost of additional services to augment recovery. Maintain personnel lists. Maintain a list of personnel with necessary skills to fulfill required incident command and public health incident management roles. Test staff assembly processes for notifying personnel to report physically or virtually to the public health emergency operations center or jurisdictional emergency operations center during a drill or real-time incidents at least once during the budget period. Domain Activity: Maintain and Exercise Fiscal and Administrative Preparedness Plans Deliverable Due Date The fiscal, legal, and administrative authorities and practices that govern funding, Conduct a fiscal and Within 5 years procurement, contracting, and hiring must be appropriately integrated into all stages of administrative tabletop. emergency preparedness and response. Identifying and removing barriers that prevent the timely implementation of response activities will speed the acquisition of goods and 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 36 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 2 Strategy: Strengthen Incident Management Incident management is the ability to activate, coordinate, and manage public health emergency operations throughout all phases of an incident through use of a flexible and scalable incident command structure that is consistent with the NIMS and coordinated with the jurisdictional incident, unified, or area command structure. Associated Capability • Capability 3: Emergency Operations Coordination services, the hiring or assignment of response personnel, the disposition of emergency funds, and legal determinations needed to implement protective health measures during a public health response. Describe standard fiscal operating procedures. Document the time it takes to request funds from the state public health agency to local jurisdictions during emergencies. Document emergency contract procedures and include procedures for hiring additional staff. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 37 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 3 Strategy: Strengthen Information Management Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and situational awareness with federal, state, local, territorial, and tribal governments and partners. Associated Capabilities • Capability 4: Emergency Public Information and Warning • Capability 6: Information Sharing Domain Activity: Maintain Situational Awareness during Incidents Deliverable Due Date Information sharing is the ability to share real-time information related to the Sub-recipients will work together to September 30, emergency, such as capacity, capability, and stress on health care facilities and establish a common operating 2019 situational awareness across the various response organizations and different levels picture, or situational awareness of government. Accomplishing these activities will enable public health and other tool, that facilitates coordinated organizations and responders to contribute to responses to coordinate efforts information sharing among all before, during, and after emergencies; maintain situational awareness; and public health, health care, HCCs, effectively communicate with the public. and relevant stakeholders. This includes state, local, and tribal public health agencies and their respective preparedness programs, public health laboratories, communicable disease programs, and programs addressing health care-acquired infections. Information sharing is the ability to share real-time information related to the emergency, such as capacity, capability, and stress on health care facilities and situational 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 38 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 3 Strategy: Strengthen Information Management Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and situational awareness with federal, state, local, territorial, and tribal governments and partners. Associated Capabilities • Capability 4: Emergency Public Information and Warning • Capability 6: Information Sharing awareness across the various response organizations and levels of government. Domain Activity: Coordinate Information Sharing Deliverable Due Date ADHS recommends that local jurisdictions conduct training on coordinated Have or have access to March 31, information sharing to develop competent personnel to manage and support these communication systems that 2020 systems. maintain or improve reliable, resilient, interoperable, and Have plans in place that identify redundant communication platforms (primary and redundant information and secondary) and a cycle of maintenance and testing of these platforms every six communication systems and months. platforms, including those for bed availability, EMS data, and patient tracking, and provide access to HCC members and other partners and stakeholders. Such systems, whether they are internally managed or externally hosted on shared platforms, must be capable of supporting syndromic 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 39 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 3 Strategy: Strengthen Information Management Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and situational awareness with federal, state, local, territorial, and tribal governments and partners. Associated Capabilities • Capability 4: Emergency Public Information and Warning • Capability 6: Information Sharing surveillance, integrated surveillance, active and/or passive mortality surveillance, public health registries, situational awareness dashboards, and other public health and preparedness activities. Have plans in place that identify redundant communication platforms (primary and secondary) and a cycle of maintenance and testing of these platforms every six months. Domain Activity: Coordinate Emergency Information and Warning Deliverable Due Date Develop, coordinate, and disseminate information, alerts, warnings, and notifications Complete the following: Update at mid- to the public. Have plans in place to stand up joint information communication Have a communication plan that year and end centers when needed. Have plans in place that demonstrate ability to monitor identifies the public information of year jurisdictional media, conduct press briefings, and provide rumor control for media officer (PIO) and supporting outlets, using the principles of the NIMS for organizing and coordinating incident- personnel responsible for 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 40 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 3 Strategy: Strengthen Information Management Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and situational awareness with federal, state, local, territorial, and tribal governments and partners. Associated Capabilities • Capability 4: Emergency Public Information and Warning • Capability 6: Information Sharing related communications. implementing jurisdictional public information and communication strategies. Plans must outline requirements and duties; roles and responsibilities; and required qualifications or skills for PIO personnel. Use crisis and emergency risk emergency communication (CERC) principles to disseminate critical health and safety information to alert the media, public, community- based organizations, and other stakeholders to potential health risks and reduce the risk of exposure. Develop message templates based on planning or risk scenarios identified in risk assessments and incorporate these 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 41 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 3 Strategy: Strengthen Information Management Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and situational awareness with federal, state, local, territorial, and tribal governments and partners. Associated Capabilities • Capability 4: Emergency Public Information and Warning • Capability 6: Information Sharing into the communication plans as applicable. Ensure that PIOs, or other personnel, receive training in topics including, but not limited to: CERC, health communication, and cultural competency; and are able to employ these principles in an emergency. Ensure that communication plans have processes for coordinating public messaging during infectious disease outbreaks and information sharing regarding monitoring and tracking of cases of persons under investigation to ensure maximum coordination and consistency of messaging. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 42 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 3 Strategy: Strengthen Information Management Information management is the ability to develop and maintain systems and procedures that facilitate the communication of timely, accurate, and accessible information, alerts, and warnings using a whole community approach. It also includes the ability to exchange health information and situational awareness with federal, state, local, territorial, and tribal governments and partners. Associated Capabilities • Capability 4: Emergency Public Information and Warning • Capability 6: Information Sharing 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 43 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health Domain Activity: Develop and Test MCM Distribution, Dispensing, and Deliverable Due Date Vaccine Administration Plans Operationalize MCM distribution, dispensing, and vaccine administration Provide to the state’s MCM Coordinator Mid-year plans through development, training, exercising, and evaluating these MCM most recent copies of the jurisdiction’s report plans. Managing access to and administration of countermeasures and Medical Countermeasures Distribution ensuring the safety and health of clinical and other personnel are important and/or Medical Countermeasures priorities for preparedness and continuity of operations. Jurisdictions Dispensing plans. participating in the CHEMPACK program, Cities Readiness Initiative (CRI), or other planning for maintaining treatment or prophylaxis caches must be engaged in the development, training, and exercising of plans for MCM distribution, dispensing, and vaccine administration. This includes open and closed points of dispensing (POD) plans and plans to leverage community vaccine providers in large pandemic influenza-like responses. Domain Activity: Demonstrate Operational Readiness for Pandemic Deliverable Due Date Influenza For pandemic influenza preparedness planning, all local jurisdictions and Provide evidence of collaboration with June 30, 2020 CRI jurisdictions must collaborate with immunization. immunization programs to develop, 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 44 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health maintain, and exercise pandemic influenza plans to prevent, control, and mitigate the impact of pandemic influenza on the public’s health and to help meet pandemic vaccination goals for the general population. Domain Activity: Maintain Preparedness Plans Based on Risks Deliverable Due Date All local jurisdictions must have in place essential planning elements to Provide evidence plans that outline the June 30, 2020 respond to both an intentional release of anthrax and a pandemic influenza. provision of MCMs. Maintain and update anthrax plans. For a public health, response to an intentional release of anthrax, all local jurisdictions and CRI jurisdictions must have updated plans that outline how the jurisdiction will provide MCMs, including antibiotics and vaccines for post-exposure prophylaxis and antibiotics and antitoxin for treatment, to the potentially infected populations within 48 hours. Plans should be effectively coordinated with CRI and local jurisdictional MCM dispensing plans. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 45 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health Maintain and update pandemic influenza plans. All recipients and CRI jurisdictions must seek subject matter expertise and collaborate with health department programs including immunization programs and other subject matter experts to update pandemic influenza plans to prevent, control, and mitigate the impact on the public’s health. Plans should address ways to help meet pandemic vaccination goals for the general population and goals targeting vaccination of critical workforce personnel: Address multiple capabilities, drawing on a wide spectrum of subject matter expertise in • Address multiple capabilities, drawing on a wide spectrum of subject matter expertise in surveillance, epidemiology, laboratory testing, community mitigation measures, MCMs (both vaccines, antiviral drugs, and others), health care system preparedness and response activities, communications and public outreach, scientific infrastructure preparedness, regulatory and legal considerations, and domestic response policy and incident management; 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 46 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health • Determine jurisdictional readiness to vaccinate critical workforce personnel with two doses of pandemic influenza vaccine, separated by 21 days, within four weeks of influenza vaccine availability; • Determine readiness of the jurisdiction's vaccine providers and partners to vaccinate at least 80% of the jurisdiction's population with two doses of pandemic influenza vaccine, separated by 21 days, within 12 weeks of pandemic influenza vaccine availability; and • Estimate pandemic vaccine administration capacity based on potential number, types, participation rate, and throughput of vaccine providers and settings. This includes health care provider offices, pharmacies, school-based health centers, worksites and occupational health clinics, hospitals, federal facilities with vaccine administration capabilities, and PODs or dispensing and vaccination clinics that would participate in a pandemic vaccine response. Domain Activity: Ensure Scalable Staffing Plans Deliverable Due Date Ensure, to the greatest extent possible, that staffing plans are scalable to Plans should be able to guide the June 30, 2020 adapt to changing requirements based on the incident size, scope and mobilization of large numbers of resources 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 47 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health complexity. The number, type, and sources of resources must be able to including staff, volunteers, equipment, and quickly mobilize or demobilize. facilities during a large response. Plans should also provide flexibility to guide responses to smaller incidents that pose a serious public health threat. Domain Activity: Conduct Required MCM Exercises Deliverable Due Date CDC requires the following progressive exercises in the 2019-2024 CRI Jurisdictions: No later than performance period. A real incident that incorporates the same operational Complete three annual dispensing drills June 30, 2020 elements fulfills any level of exercise requirement for the same operational (facility setup, staff notification and period. assembly, and site activation), alternating each year between anthrax and pandemic influenza scenarios. Information will be submitted through DCIPHER. Complete two TTXs every five years, one to demonstrate readiness for an anthrax scenario and one for a pandemic influenza Determined by 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 48 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health scenario. the local jurisdiction. Complete an FE once every five years, focusing on vaccination of at least one critical workforce group, to demonstrate Once during readiness for a pandemic influenza this five year scenario. project period. Demonstrate operational readiness for a pandemic influenza scenario through the Once during completion of an FSE once every five years. this five year project period. Domain Activity: Updated Critical Contact Sheets Deliverable Due Date Regular updates to the Critical Contact Sheet ensure that key individuals for All CRI and Non-CRI Jurisdictions: December 31, the jurisdiction’s process of receiving SNS/MCM are identified and contact Completed a Critical Contact Sheet 2019 information is kept current. Maintaining current information reduces delays (provided by the state) and submit to the in sharing information or activating staff with significant roles state’s Medical Countermeasures Coordinator. Domain Activity: Participate in ORRs Deliverable Due Date 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 49 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health Budget Period 1, the ORR will maintain an MCM focus but will also include All CRI and Non-CRI Jurisdictions: Submit December 31, pandemic influenza planning and response elements. Beginning in July to the state’s Medical Countermeasures 2019 2020, the start of Budget Period 2, CDC plans to expand the ORR to include Coordinator a Completed Operational a comprehensive evaluation of planning and operational readiness based on Readiness Review Self-Assessment. elements across all 15 public health preparedness and response capabilities. CRI health departments that have successfully achieved Project Public Health Ready (PPHR) recognition (or re-recognition) status will qualify for exemption from the planning elements of the ORR process. Successful and active PPHR recognition will fulfill the local ORR planning requirements for the duration of the five-year recognition period. Similar to accreditation, local jurisdictions that have a role in public health response activities may apply for PPHR recognition through a state-supported model. States unfamiliar with the PPHR process should contact the National Association of County and City Health Officials (NACCHO), which administers the PPHR program. Domain Activity: MCM Action Plans Deliverable Due Date 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 50 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health MCM Action Plans will be used to identify and gaps identified through the Non-CRI Jurisdictions: Complete the MCM December 31, Operational Readiness Review Self-Assessment. The state’s review process Action Plan twice annually. 2019 of MCM Action Plans will allow for the sharing of best practices throughout CRI Jurisdictions: Complete an MCM Action June 30, 2019 the state and to identify commonalities across jurisdictions. Plan each quarter and participate in state Once each lead quarterly conference calls. quarter as requested by the state. Domain Activity: Conduct Inventory Management Tracking System Annual Deliverable Due Date Tests The capability of jurisdictions to receive electronic SNS/MCM related Participate in an annual inventory No later than inventory ensures the timely receipt, distribution, accountability, and management system test to receive June 30, 2020. recovery of assets distributed to local jurisdictions through the state. electronic inventory data. Jurisdictions that use the iCam inventory management system will be required to utilize iCam to receive and verify inventory allotments, adjust inventory based on 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 51 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health distribution and electronically “return” unused materiel. Jurisdictions that use a “non-iCam” system will be required to use respective inventory system to receive an electronic file, verify receipt, adjust inventory levels, and “return” unused materiel. Domain Activity: Update Receipt, Stage, and Store (RSS) Site Surveys Deliverable Due Date Complete the RSS site survey form annually. RSS site information is Non-CRI Jurisdictions: Submit to the state’s Mid-year required for the primary and backup RSS sites, a minimum of at least two Medical countermeasures Coordinator a report locations, and all potential RSS sites in the jurisdiction. Local jurisdictions completed RSS Site Survey form. are required to validate each RSS site, with CDC and a U.S. Marshals CRI Jurisdictions: Using DCIPHER, Service representative, at least once every three years. complete the RSS Site Survey form for both primary and secondary sites. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 52 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health Domain Activity: Coordinate Non-pharmaceutical Interventions Deliverable Due Date Coordinate with and support partner agencies to plan and implement non- Plans must: End of year pharmaceutical interventions (NPIs) by developing and updating plans for Document applicable jurisdictional, legal, report isolation, quarantine, temporary school and child care closures and and regulatory authorities necessary for dismissals, mass gathering (large event) cancellations and restrictions on implementation of NPIs in routine and movement, including border control measures. incident-specific situations. Delineate roles and responsibilities of health, law enforcement, emergency management, chief executive, and other relevant agencies and partners. Define procedures, triggers, and necessary authorizations to implement NPIs, whether addressing individuals, groups, facilities, animals, food products, public works/utilities, or travelers passing through ports of entry. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 53 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 4 Strategy: Strengthen Countermeasures and Mitigation Countermeasures and mitigation is the ability to distribute, dispense, and administer medical countermeasures (MCMs) to reduce morbidity and mortality and to implement appropriate non-pharmaceutical and responder safety and health measures during response to a public health incident. Associated Capabilities • Capability 8: Medical Countermeasure Dispensing and Administration • Capability 9: Medical Materiel Management and Distribution • Capability 11: Non-pharmaceutical Interventions • Capability 14: Responder Safety and Health Determine occupational and exposure prevention measures, such as decontamination or evacuation strategies. Domain Activity: Ensure Safety and Health of Responders Deliverable Due Date Local jurisdictions must assist, train, and provide resources necessary to Assistance may include personal protective June 30, 2020 protect public health first responders, critical workforce personnel, and equipment (PPE), MCMs, workplace critical infrastructure workforce from hazards during response and recovery violence training, psychological first aid operations. training, and other resources specific to an emergency that would protect responders and health care workers from illness or injury at the state and local levels. This may include developing clearance goals for contaminated areas based on guidance from a committee of subject matter experts. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 54 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Officer: Ted Cooper 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 55 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management Domain Activity: Coordinate Activities to Manage Public Health and Deliverable Due Date Medical Surge Coordinate with emergency management, and other relevant partners and At minimum, local jurisdictions must have Updates at stakeholders to assess the public health and medical surge needs of the written plans in place that clearly define the mid-year and affected community. public health roles and responsibilities during end of year surge operations and outline procedures on how public health will engage the health care system to provide and receive situational awareness throughout the surge event. Domain Activity: Coordinate Public Health, Health Care, Mental/Behavioral Deliverable Due Date Health, and Human Services Needs during Mass Care Operations Local jurisdictions should coordinate with and support partner agencies to At minimum, these plans should address: Mid-year and address, within congregate locations (excluding shelter-in-place locations), Procedures on how ongoing surveillance and end of year the public health, health care, mental/behavioral health, and human public health assessments will be coordinated report updates services needs of those impacted by an incident. In collaboration with ESF to ensure that the public health, health care, 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 56 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management #8 partners, health care, emergency management, and other pertinent mental/behavioral health and human services stakeholders, local jurisdictions should develop, refine, or maintain written needs of those impacted by the incident plans that identify the public health roles and responsibilities in supporting continue to be met while at congregate mass care operations. locations; and Procedures to support or implement family reunification, including any special considerations for children. Domain Activity: Coordinate with Partners to Address Public Health Needs Deliverable Due Date during Fatality Management Operations Coordinate with and support partner agencies to address fatality In collaboration with jurisdictional partners End of year management needs resulting from an incident. and stakeholders, local jurisdictions should report conduct the following activities. Coordinate with subject matter experts and 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 57 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management 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. The public health agency role may include supporting: o Recovery and preservation of remains, o Identification of the deceased, o Determination of cause and manner of death, including whether disaster-related o Release of remains to an authorized individual, o Provision of mental/behavioral health 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 58 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management assistance, and o Plans to include culturally appropriate messaging around handling of remains. Coordinate with community partners, including law enforcement, emergency management, and medical examiners or coroners to ensure proper tracking, transportation, handling, and storage of human remains and ensure access to mental and behavioral health services for responders and families impacted by an incident. Have procedures in place to identify and support public health agency lead and/or support activities for fatality incident management, including continuity of 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 59 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management operations, based on incident data and recommendations. Have procedures in place to share information with fatality management partners, including fusion centers or comparable centers and agencies, emergency operations centers, and epidemiologist(s), to provide and receive relevant surveillance information that may impact the response. Domain Activity: Coordinate Medical and Other Volunteers to Support Deliverable Due Date Public Health and Medical Surge Conduct the following activities to address volunteer planning Coordinate with partners and stakeholders to June 30, 2020 considerations. identify, recruit, register, train, and engage • Estimate the anticipated number of public health volunteers and health volunteers to support the jurisdiction’s 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 60 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management professional roles based on identified situations and resource needs. response to public health emergencies. • Identify and address volunteer liability, licensure, workers’ Volunteers should be included in training, compensation, scope of practice, and third-party reimbursement issues drills, and exercises throughout the five-year that may deter volunteer use. performance period to demonstrate skills and • Identify processes to assist with volunteer coordination, including competencies. protocols to handle walk-up volunteers and others who cannot participate due to state regulations. Jurisdictions that do not use spontaneous or other volunteers due to state regulations must describe in their plans how they plan to handle those types of volunteers during an incident. • Leverage existing government and non-governmental volunteer registration programs, such as ESAR-VHP and Medical Reserve Corps (MRC). To the greatest extent possible, all plans should be scalable to adapt to changing requirements based on the incident size, scope, and complexity. 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 61 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 5 Strategy: Strengthen Surge Management Surge management is the ability to coordinate jurisdictional partners and stakeholders to ensure adequate public health, health care, and behavioral services and resources are available during events that exceed the limits of the normal public health and medical infrastructure of an affected community. This includes coordinating expansion of access to public health, health care and behavioral services; mobilizing medical and other volunteers as surge personnel; conducting ongoing surveillance and public health assessments at congregate locations; and coordinating with organizations and agencies to provide fatality management services. Associated Capabilities • Capability 5: Fatality Management • Capability 7: Mass Care • Capability 10: Medical Surge • Capability 15: Volunteer Management The number, type, and sources of resources must be able to expand or retract rapidly. Domain 6 Strategy: Strengthen Biosurveillace Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents, incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public. Associated Capabilities • Capability 12: Public Health Laboratory Testing • Capability 13: Public Health Surveillance and Epidemiological Investigation 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 62 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 6 Strategy: Strengthen Biosurveillace Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents, incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public. Associated Capabilities • Capability 12: Public Health Laboratory Testing • Capability 13: Public Health Surveillance and Epidemiological Investigation Domain Activity: Conduct Epidemiological Surveillance and Investigation Deliverable Due Date Local jurisdictions should continue to create, maintain, support, and • Focus on improving information sharing Mid-year and strengthen routine surveillance and detection systems and epidemiological and coordinate information technology end of year processes. goals, investments, and work plans report updates • Have access to trained personnel to Local jurisdictions should evaluate surveillance and epidemiological manage and monitor routine jurisdictional investigation outcomes to identify deficiencies encountered during surveillance and epidemiological responses to public health threats and incidents and recommend investigation systems. Support surge opportunities for improvement. requirements in response to threats to include supporting population at risk of adverse health outcomes as a result of the incident. • Have procedures in place to establish partnerships, conduct investigations, and Mid-year and Conduct border health surveillance activities. share information with other end of year The focus on cross-border preparedness reinforces public health whole governmental agencies, partners, and report updates community approach, which is essential for local-to-global threat risk organizations. This includes supporting management and response to actual events regardless of source or origin. populations at risk of adverse health 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 63 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 6 Strategy: Strengthen Biosurveillace Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents, incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public. Associated Capabilities • Capability 12: Public Health Laboratory Testing • Capability 13: Public Health Surveillance and Epidemiological Investigation outcomes as a result of the incident. • Local jurisdictions located on the United States-Mexico border should conduct activities that enhance border health, particularly regarding disease detection, identification, investigation, and preparedness and response activities related to emerging diseases and infectious disease outbreaks whether naturally occurring or due to bioterrorism. Implement processes for using poison control center data for public health • Provide processes with mid-year and end Mid-year and surveillance. of year reporting end of year Such data can be particularly helpful in 1) providing situational awareness report updates during a known public health threat, 2) identifying an emerging public health threat, 3) identifying unmet public health communication needs following a public health threat, or 4) providing surveillance for specific exposures or illnesses of concern to the health department. Coordinate with epidemiological and vital records partners to implement • Local jurisdictions should prioritize Mid-year and electronic death registration (EDR) systems. development of scalable plans implement end of year 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 64 of 65 ARIZONA DEPARTMENT OF HEALTH SERVICES INTERGOVERNMENTAL AGREEMENT(IGA) AMENDMENT 150 North 18th Avenue, Suite 260 Phoenix, Arizona 85007 Agreement No: ADHS17-133194 Amendment No: 6 Procurement Ted Cooper Officer: Domain 6 Strategy: Strengthen Biosurveillace Biosurveillance is the ability to conduct rapid and accurate laboratory tests to identify biological, chemical, radiological, and nuclear agents; and the ability to identify, discover, locate, and monitor - through active and passive surveillance - threats, disease agents, incidents, outbreaks, and adverse events, and provide relevant information in a timely manner to stakeholders and the public. Associated Capabilities • Capability 12: Public Health Laboratory Testing • Capability 13: Public Health Surveillance and Epidemiological Investigation an EDR system, such as developing report updates Local jurisdiction should coordinate with epidemiological partners to reporting and technological capability; implement processes for active and passive mortality surveillance and EDR assessing potential legal information use. Depending upon the jurisdiction’s prior experience with utilizing EDR sharing barriers and restrictions; and systems during a response. other actions that will help establish initial functionality. An option for EDR development planning can include working with the jurisdictional vital records office (VRO) 2019 Draft PHEP Deliverables (July 1, 2019 – June 30, 2020) Page 65 of 65