Function Definition: Assess the impact of an incident on the public health system in collaboration with jurisdictional partners and stakeholders to prioritize public health, emergency management, health care, mental/behavioral health, environmental health, and applicable human services recovery needs. P1: (Priority) Procedures in place to document roles and responsibilities for PIOs, spokespersons, and support personnel based on the incident and subject matter expertise. Determine mass care roles and responsibilities of the jurisdictional public health agency as a lead or support agency when working with collaborating organizations. P1: (Priority) Procedures in place to dispense/administer medical countermeasures to affected, targeted, and prioritized populations that align with current science, incident characteristics, and public health guidelines. S/T2: Personnel trained to conduct tabletop, functional, and full-scale exercises in accordance with the Homeland Security Exercise and Evaluation Program (HSEEP) in order to test and evaluate jurisdictional medical countermeasure strategies. S/T2: Personnel or agencies with legal expertise authorized to advise individuals on legal or regulatory aspects of NPIs. Regional distribution site (RDS)/local distribution site (LDS): A site or facility selected to receive medical countermeasures from the RSS facility for apportionment and distribution to determined dispensing sites, such as PODs. Medicolegal: Relating to both medicine and law. In addition to assessing and reviewing capability resource elements, jurisdictions should review supplementary information sources to help identify jurisdictional needs and gaps. Assure jurisdictional procedures are in place for adverse event reporting and information dissemination to ensure persons who dispense, administer, or receive medical countermeasures are informed and understand actions to take in the instance of an adverse event. and jurisdictional public health agency programs that support recommendations for populations at higher risk for adverse outcomes during a natural or human-caused threat, hazard, risk, or incident. Task 2: Assist the health care system in the demobilization of resources. Definition: Volunteer management is the ability to coordinate with emergency management and partner agencies to identify, recruit, register, verify, train, and engage volunteers to support the jurisdictional public health agency’s preparedness, response, and recovery activities during pre-deployment, deployment, and post-deployment. Ensure timely exchange of laboratory information and data with laboratories, laboratory network partners, and other stakeholders. P8: Procedures in place to assess and improve systems to ensure continuity of surveillance operations if primary surveillance and detection systems are disrupted for example, due to power failure or compromise of electronic infrastructure. To assess current capability, jurisdictions should review all resource elements (with emphasis on priority resource elements) and determine the extent of their availability within the jurisdiction. Function Definition: Support the release of volunteers based on evolving incident needs or incident action plans and coordinate with partner agencies and organizations to support the provision of any medical and mental/behavioral health support for volunteers. (See Capability 4: Emergency Public Information and Warning and Capability 6: Information Sharing). Definition: Medical materiel management and distribution is the ability to acquire, manage, transport, and track medical materiel during a public health incident or event and the ability to recover and account for unused medical materiel, such as pharmaceuticals, vaccines, gloves, masks, ventilators, or medical equipment after an incident. Confirm data authenticity with message sender or information requestor. Coordinate with jurisdictional partners and stakeholders to evaluate and strengthen community resilience to future incidents by improving routine community functioning and reducing community vulnerability. Accommodations for populations with access and functional needs may include, P3: Procedures in place to disseminate situational awareness information to jurisdictional emergency management agencies and to alert partner organizations during a response requiring mass care services based on the jurisdictional public health agency lead or support role. Procedures for resource Toxic Syndrome Description: Riot Control Agent Poisoning Preparedness cycle: Overall, public health is concerned with protecting the health of entire populations. Task 6: Establish an inventory management system. S/T1: Access to personnel skilled in the use of and able to access geographical information systems (GIS) or other mapping systems. Ensure volunteer safety and health monitoring and surveillance are conducted according to volunteer role risk profile(s). S/T2: Personnel trained on Homeland Security Exercise and Evaluation Program (HSEEP) processes for developing after-action reports (AARs) and improvement plans (IPs). Training materials may include. procedures may include, P2: Incident closeout briefing for the public. Maintain medical materiel integrity in accordance with established safety and manufacturer specifications during transport and distribution. P2: (Priority) Written agreements with receiving sites and transportation partners to ensure distribution of medical materiel. Task 4: Establish roles and responsibilities of personnel to convey public information. Task 3: Track patients impacted by the incident. In the capabilities document. (See Capability 9: Medical Materiel Management and Distribution), P2: (Priority) Procedures in place to request, order, and receive medical countermeasures at dispensing administration sites, as applicable, in accordance with guidelines provided by the supply source, including the Strategic National Stockpile (SNS), jurisdictional immunization programs receiving vaccine from Biomedical Advanced Research and Development Authority (BARDA), or other applicable sources. Identify personnel to manage and distribute medical materiel and ensure identified personnel meet training or certification requirements. P5: (Priority) PPE recommendations for responders, including public health responders, developed in conjunction with partner agencies and risk-specific subject matter experts, such as physicists within radiation control programs. P5: Templates for public health alert messages and procedures including distribution methods to ensure messages reach intended individuals 24/7 year-round. P3: Written agreements such as contracts or memoranda of understanding (MOUs), with applicable stakeholders within the jurisdiction or in neighboring jurisdictions to provide access to health care, human services, mental/behavioral health, and environmental health services, as necessary. Memorandum of understanding (MOU): A document that describes a broad concept of mutual understanding, goals, and plans shared by the parties. Volunteer needs may include, E/T1: Communication equipment for public health agency personnel to contact volunteer organizations. Determine the needs of the jurisdiction to recover medical materiel and scale down medical materiel management operations. Coordinate with ESF #6, #8, and #11 partners to conduct infectious disease surveillance and environmental health and safety assessments, provide support for addressing the access and functional needs of at-risk individuals, and support decontamination to assist in a mass care response, needs and capabilities. E/T4: Information technology systems in quantities sufficient to meet incident or event objectives. ongoing assessments of the incident or event needs for example, public health agency response Promote training initiatives for community partners and other stakeholders within public health, health care, human services, mental/behavioral health, and environmental health sectors. contamination, infection, and severity of exposure, and monitor potential unintended or adverse effects of interventions. P3: Procedures in place to coordinate with agencies and organizations involved in the identification of volunteers. Imminent Danger Order § 2251 § 2451 • Issued by State Health Director or Local Health Officer • Requires determination of “imminent danger”, i.e. Equipment may include. Function Definition: Transport medical materiel to receiving sites based on incident needs. P4: Procedures in place to complete an AAR and IP consistent with HSEEP guidance, which may include. P2: Standard operating procedures in place to request additional emergency public information and warning resources including personnel and equipment, and replace inoperable equipment to ensure continuity of operations through the jurisdictional incident management system. Chain of custody requirements: Tracking of possession of and responsibility for medical materiel during the distribution process. P2:(Priority): Procedures in place to identify and support public health agency lead or support activities for fatality incident management, including continuity of operations, based on incident data andrecommendations. Strategies that address challenges and barriers for fully attaining capability resource elements should help inform jurisdictional planning, training, and exercise initiatives. The ability to achieve capability functions should be reviewed through jurisdictional demonstrations of performance and other types of evaluation. Procedures may include dispensing/administering medical countermeasures to the household members of responders or critical workforce, as indicated in incident-specific targeting guidance. 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