# Presentation: 411138

## Development of Guidance

- Product of
-  11 Cabinet Departments
-    2 White House Offices
- Informed by Results of
- First-round Assessments
- Five Regional Workshops
- Regional Exercises Led by
- 	the National Governors Association

**Notes:**
Raub

## ORGANIZATION OF GUIDANCE 

- Strategic goals
- Operating objectives
- Supporting activities

## THREE STRATEGIC GOALS

- Continuity of Operations of State Agencies
- Protecting Citizens
- Continuity of Critical Infrastructure and Key Resources

## Special Features

- Front matter and appendices contain substantial information and references to facilitate planning
- Appendices organized to conform with FEMA phases for All-Hazards planning
- Prepare
- Respond
- Recover

## APPENDIX A 

- ENSURE THE CONTINUITY OF OPERATIONS OF STATE AGENCIES AND THE CONTINUITY OF STATE GOVERNMENT

## Operating Objectives

***6 Operating Objectives***
**Sustain Operations of State Agencies & Support and Protect Government Workers **
- 	− Underlies and supports all other state pandemic planning
**Ensure Public Health COOP During Each Phase of a Pandemic**

## Operating Objectives Con’t 

*** ******6 Operating Objectives***
**Ensure Continuity of Food Supply System** **   **
**Ensure Integration of Uniform Military Services Needs and Assets**

## Operating Objectives Con’t 

***6 Operating Objectives***
**Ensure Ability to Respond to Agricultural Emergencies and Maintain Food Safety Net Programs**
**Sustain Transportation Systems**

## APPENDIX C 

- SUSTAINING THE 17 CRITICAL INFRASTRUCTURE AND KEY RESOURCE (CIKR) SECTORS

## Operating Objectives

***7 Operating Objectives***
**Define CIKR Protection, Planning, Preparedness, Response, and Recovery Roles and Responsibilities**
- 8 Supporting Activities
**Build Public-Private Partnerships and Support Networks**
- 4 Supporting Activities
**Implement National Infrastructure Protection Plan (NIPP) Risk Management Framework for a Pandemic**
- 8 Supporting Activities

## Operating Objectives Con’t 

***7 Operating Objectives***
**Bolster CIKR Information Sharing and Protection Initiatives**
- 5 Supporting Activities
**Leverage Emergency Preparedness Activities for CIKR Protection, Planning, Preparedness, Response, and Recovery**
- 2 Supporting Activities

## Operating Objectives Con’t 

***7 Operating Objectives***
**Integrate Federal, State, Local, Tribal, and Territorial Government with Public- and Private-Sector CIKR Protection, Planning, Preparedness, Response, and Recovery Activities**
- 3 Supporting Activities
**Prioritize and Allocate Scarce Resources**
- 10 Supporting Activities

## Strategic Goal B:Protect Citizens

## 11 Operating Objectives

- Surveillance and Laboratories
- Ensure Surveillance and Laboratory Capability During Each Phase of a Pandemic
- Assistance with Controls at Ports of Entry to US
- Primary Focus upon States with a CDC Quarantine Station
- Ensure Agency Roles and Responsibilities for a Quarantine Facility Response
- Community Mitigation: Individuals and Families
- Voluntary Quarantine of Household Contacts
- Isolation and Treatment of Ill individuals
- Social Distancing Practices

## 11 Operating Objectives

- Community Mitigation: School Closing
- Policy and Processed for Cessation and Reopening of Classes
- Legal Authorities and Delegations of Authority
- Continuity of Education Planning
- Acquisition and Distribution of Medical Countermeasures
- Acquire and Distribute Medical Countermeasures During Each Phase of a Pandemic
- Mass Vaccination
- Ensure Mass Vaccination Capability During Each Phase of a Pandemic

## 11 Operating Objectives

- Healthcare
- Community-Wide Healthcare Coalitions to Accommodate Medical Surge
- Mass Medical Care with Scarce Resources
- Management of Mass Casualties
- Delineation of Roles and Responsibilities of All Agencies Involved in Mass Fatality Management (particularly Behavioral Health, Community Partners)
- Regional Home Death Management Processes

## 11 Operating Objectives

- Communications
- Ensure Communication Capability During Each Phase of a Pandemic
- Assistance to Non-governmental & Private Employers
- Mitigating the Impact of an Influenza Pandemic on Workers in the State
- Assistance to Foreign Missions/International Organizations
- Understand Official Communication Mechanisms For Foreign Missions, International Organizations, and their Members in the United States

## Outline for Submission

- Cover Page
- Table of Contents
- Contributing Agencies
- Generic Planning Principles and Assumptions
- Information Specific to the Supporting Activities for Each Operating Objective

## Options for Submission (1)

- Option 1 of 2: Create Integrated Document
- Provide all requested information in one WORD document
- Provide Excel spreadsheet citing pages corresponding to each Activity

## Options for Submission (2)

- Option 2 of 2: Rely on Existing Plans
- For example, All-Hazards Plan or Continuity of Operations Plan
- Include PDF versions of all pertinent plans
- Provide other information, if necessary, in single WORD document
- Provide Excel spreadsheet citing document and pages corresponding to each Activity

## Review Process (1)

- Departments’ subject matter experts will review submissions pertinent to their respective mission areas
- Each Activity will be rated on 0-3 scale, with 3 being the highest

## Review Process (2)

- Ratings for Activities will be added to score each Operating Objective:
- ≥ 85% = No Major Gaps
- 69-84% = A Few Major Gaps
- 50-68% = Many Major Gaps
- < 50% = No or Inadequate Submission
- Separate overall rating for evidence of operational readiness

## Overview of Regional Workshops

## Structure and schedule 

- Nine regional workshops
- Aligned with HHS/FEMA planning regions
- State teams designated by governors
- Teams ranged from three to 20 individuals from a variety of disciplines/backgrounds
- Workshops began April 2007, ended January 2008

## Focus and Content 

- Workshops focused on state-federal, state-state, and state-local interaction.
- Three workshop components:
- Facilitated discussion of governance issues
- “SWOT” analysis of key economic sectors
- Tabletop exercise designed to examine state/federal/local planning and interaction

## Workshop Observations and Conclusions 

-    States have made notable advances in pandemic preparedness, particularly in public communication and education, medical stockpiling, and sharing information, but gaps do remain.

## Workshop Observations and Conclusions 

- Lack of coordination on school closure/reopening policy across state lines;
- Lack of understanding of the federal capabilities and assets that will be available at the state/local level and how federal agencies will engage with states during a pandemic;

## Workshop Observations and Conclusions 

- Antiviral prioritization remains a significant challenge at the state level;
- Informal contacts/relationships are effective, but must be formalized;
- Roles and responsibilities of private entities are not well understood;

## Workshop Observations and Conclusions 

- Awareness of potential shortages in goods and services is not accompanied by solid plans for addressing those shortages;
- Lack of pandemic-specific economic analysis leaves states uncertain, and unprepared to manage, the full breadth of impacts from a pandemic