PHEM TOOL

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Item #
A1
A2
A2-a
A3
A3-a
A3-b
A4
A4-a

B1
B2

B3
B4
B5
B6

C1
C1-a

C1-b
C1-c

C2
C3
C3-a

D1

D2
D3
D3-a

E1
E2
E3
E4
E5
E6
E7
E8
E9
E10
E11
E12
E13
E14
E14-a

E14-b
E15

F1
F1-a
F1-b
F1-c
F1-d
F1-e
F1-f
F1-g
F2
F2-a
F2-b
F3
F4
F5
F6
F6-a

G1
G2
G3
G4
G5

H4
H4-a
H5
H6
H6-a
H6-b
H6-c
H6-d

J1
J2
J3
J4
J5
J5-a

J6
J7
J8
J9
J10
J11
J12
J13
J13-a
J14
J14-a
J15

J16
J17
J18

J19

K1
K2
K3
K4
K5
K6
K7
K8
K9
K10
K10-a
K10-b

L1
L2
L3
L4
L5
L6
L7
L8
L9

N1
N1-a
N2
N3
N4
N5

N6

N7
N8
N9
N10
N11
N12
N13
N14
N15
N16
N17
N18
N19
N20
N21
N22
N23
N24
N25
N26

P1
P2
P3
P4
P5
P6
P7
P8
P9
P10
P11
P12
P13
P14
P15

H1
H1-a
H2
H3
H3-a
H3-b

Q1
Q2
Q3
Q4

Public Health Emergency Management Capacity Assessment Tool (PHEM Tool)

Public reporting burden of this collection of information is estimated to average 360 minutes per response, including the time for reviewing instructions
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may
not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to
CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30333; ATTN: PRA (0920-1417).

Tool item
Section 1: Current Situation
Is the country currently responding to a public health emergency?
Has the IMS been activated in the past 12 months?

If yes: please elaborate in the "additional notes section" on what situation(s) prompted IMS activation
Is there an existing PHEM Program on the national level?
if yes: please elaborate in the additional notes section on where the PHEM program is organizational
MOH structure, NPHI structure, etc.).
If yes: does the PHEM program have a mission statement?
Based on conversations with country based colleagues (CDC Country Office, MOH colleagues, etc.) does the E
capacity development engagement on the subnational level?
If yes: please elaborate in the "additional notes" section on why capacity development efforts are app
subnational level.
Please enter any additional notes on this section here.
enter text here

Section 2: Legal Authorities
Does the country have current legal authorities, policies, laws, etc. in place that empower the country’s PHEM
Does the country’s PHEM program have a national policy group to provide strategic direction which aligns wit
guidelines pertaining to PHEM?
Does the PHEM program or public health entity have legal, regulatory, or administrative authorities establish
carry out the following:
Process for emergency contracting
Process to expedite staffing for responses
Process to expedite procurement (i.e. purchase/acquisition) of goods and services
Process for emergency receipt of funds from donors or other entities
Please enter any additional notes on this section here.
enter text here

Section 3: PHEM Program Infrastructure
Is there an existing Public Health Emergency Operations Center (PHEOC)?
If yes: Can the PHEOC facility convene PHEM program and appropriate partners/liaisons to meet regu
activated?

If yes: Does the PHEOC facility have audiovisual capability to display information and data for key dec
discussion activities?
If yes: Can the PHEOC facility safely and securely house equipment and technological infrastructure r
manage data and information?
Does the PHEM Program have access to the following equipment:
Personal Protective Equipment (PPE)
Communications equipment in possession of field personnel
If yes: communications equipment is tested at least once per year
Please enter any additional notes on this section here.
enter text here

Section 4: International Health Regulations (IHR) and Public Health Emergencies of Int

Does the PHEM program have, or have access to, the following:
Subject matter experts (SMEs) able to use the decision matrix in Annex 2 of the IHR (2005) to effective
health threat requires notification to WHO

The IHR National Focal Point on a 24/7 basis
Standard Operating Procedures (SOPs) to notify the country’s IHR National Focal Point regarding pote
public health emergencies.
If yes to D2 and D3: The PHEM program communicates with the IHR NFP on a routine basis (at least q
Please enter any additional notes on this section here.
enter text here
Section 5: Stakeholders and coordination
Does the PHEM program have access to complete information on up-to-date location, phone number, email,
following entities stored in an area accessible for all appropriate staff:
Hospitals, clinics, treatment centers, etc.
Laboratories
Points of Entry
Law enforcement, public safety and military
Public health services
Social services
Refugee/evacuee camps
Defense government ministries/entities
Animal health government ministries/entities
Disaster management government ministries/entities
WHO IHR Focal Point, Regional EOC, etc. (as appropriate)
Laboratory networks
Partners (WHO, UNICEF, UK-HSA)
Local and International NGOs located in-country
If yes to one or more between E1-E14: are there notification procedures to notify these entities in an

If yes to one or more between E1-E14: these contact lists are exercised/tested or utilized at least once
Does a Steering Committee exist at the strategic level (highest level in jurisdiction), comprised of stakeholders
recommendations, and helps champion the PHEOC and PHEM program to other sectors and senior leaders?
Please enter any additional notes on this section here.
enter text here

Section 6: Risk assessment
Has the country conducted an all-hazards public health risk assessment?
If yes: what is the date of the most recent risk assessment?
If yes: What of the following risk assessment processes were utilized:
Threat and Hazard Identification and Risk Assessment/Stakeholder Preparedness Review (TH
Strategic Tool for Assessing Risks (STAR)
Vulnerability Risk Assessment and Mapping (VRAM)
If yes: Is there an official (validated) report of the risk assessment findings?
If yes: what is the date of most recent report?
Have the main threats, hazards, system vulnerabilities, and related risks been mapped to resources?
If yes: Are risk assessments reviewed annually?
If yes: Are the risk assessments updated every 3-5 years?
Have contingency plans been developed for the following (select yes to maximum of 1 of the options below):
All threats identified in the risk assessment
The top three threats identified in the risk assessment, but not all threats
The top threat identified in the risk assessment only
Has a threat assessment been completed for the sub-national level?
If no: Are there plans to carry out a risk assessment at the sub-national level?
Please enter any additional notes on this section here.
enter text here

Section 7: Workforce capacity
Has a workforce development plan outlining staffing and training needs for the first two years been establish

Are public health subject matter experts (SMEs) and other Ministry of Health (MoH) staff available to fill variou
teams, and science roles during a response?
Are public health subject matter experts (SMEs) and other Ministry of Health (MoH) staff listed as "on call" to fi
response teams, and science roles during a response?
Does the PHEM program have an established training section/unit to conduct continuous PHEM training at th
Processes for appointing an Incident Manager are established.
Please enter any additional notes on this section here.
enter text here
Section 8: Evaluation

Are After-Action Reviews (AARs), a qualitative review of actions, conducted after every exercise to document b
areas for improvement?
If yes: Are there reports that document best practices, gaps, and areas for improvement?
Are intra-action reviews, or in progress reviews, conducted during each IMS activation according to country r

Are After-Action Reviews (AARs) conducted after every IMS activation?
If yes: Are there reports that document best practices, gaps, and areas for improvement?
If yes: Is there a corrective action plan based on the AAR that with deadlines and roles and responsib
implementation?
If yes: Have SOPs been updated to reflect the lessons learned from activation?
If yes: Have training activities been updated to reflect lessons learned from activation?
Please enter any additional notes on this section here.
enter text here
Section 9: Surveillance information management
Does the PHEM program maintain or have access to the following data collection systems:

Indicator-based surveillance systems data
Hospital-based data
Event-based surveillance data
Laboratory results
Other Ministries, Departments, or Agencies?
If yes: please elaborate on which Ministries, Departments, and/or Agencies
Does the PHEM Program have access to surveillance data from the following groups for timely decision makin

Sub-national offices/districts/regions
Public health and other laboratories
Field Epidemiology Teams
Rapid Response Teams
Non-Governmental Organizations (NGOs)
Community-based sources
Media and social media
Other Ministries, Departments, or Agencies?
If yes: please elaborate on which Ministries, Departments, and/or Agencies
Is the core group that manages surveillance part of the PHEM program?
If no: are there linkages to these teams to ensure the PHEM program has access to accurate informa
making?
Does the PHEM Program utilize event-based surveillance data to inform notification and reporting processes,
information requirements, etc?
Does the PHEM program have access to trained staff and systems to disseminate the following to relevant pa
Case definitions for all prioritized health threats
Case management procedures and guidelines for prioritized public health threats
Infection prevention and control procedures

Reports of reportable and unusual diseases
Please enter any additional notes on this section here.
enter text here

Section 10: Information management and situational awareness
Does the PHEM program have access to the following to track deployed personnel and field teams:
Staff
Equipment
Procedures
Ability to ascertain the location and status (e.g., composition, health, supply status, needs, etc.) of dep
field teams
Is the PHEM program linked to sources for contextual data and information (i.e. weather, population, maps, h
internally displaced persons) to create a common operating picture?
Has the PHEM program pre-identified Essential Elements of Information (EEIs) necessary to develop a Commo
all prioritized hazards and risks?
Has the PHEM program identified Critical Information Requirements (CIRs) which can trigger an activation?
Does the PHEM program have data and information sharing agreements in place in order to serve as a centra
and coordination?
A functional mechanism for collaboration and timely and systematic information exchange between public he
enforcement agencies in case of deliberate and/or accidental events.
Does the PHEM Program have documentation on how information flows into and out of the PHEOC?
If yes: During daily operations?
If yes: During response operations?
Please enter any additional notes on this section here.
enter text here

Section 11: Laboratory information management
Does the PHEM program have access to the following information related to public health and other laborato
Name, type, location, operating hours, and contact information
Types of specimens/ samples tested
Types of tests performed
Specimen testing throughput for routine and priority pathogens
Messaging standards and protocols
Protocols for notification of relevant authorities/agencies regarding positive/confirmatory results
Contact information for international partner laboratories
Laboratory networks and links to MoH surveillance systems
Are there SOPs in place for handling priority pathogens, including proper collection, packaging, shipping, han
procedures (including international shipping to other countries, WHO, CDC, etc.); chain of custody; and result
Please enter any additional notes on this section here.
enter text here
Section 12: PHEM plans and procedures

Is there a national public health emergency operations plan (EOP) (also known as All Hazards Plan [AHP]) tha
the MoH as well as the roles of different agencies during emergencies, at the strategic level?
If yes: Is the plan approved and implemented based on prioritized threats and risks?
Does a concept of operations exist and contain the following:
Identification of all intended levels and stakeholders involved in emergency response, management a
organization fits into the national response system?
Which agency is the lead for different types of emergencies?
Are there threat specific plans (Biological, Technological, Human-Caused) for the most significant threats iden
assessment?
Are there plans to issue specific risk communications (e.g., alerts, risk factors, protective actions, guidance, re
the general public or to targeted populations via traditional media (e.g., TV, radio, etc.). established using a m

Are plans, procedures/checklists for communicating with PHEM program staff in the PHEOC and the field esta

Does a PHEOC Handbook , or other documentation contain the following:
Basic Concept of Operations
General day-to-day staffing requirements
SOPs for watch mode
SOPs for alert mode
SOPs for response mode
SOPs for activation and deactivation
Thresholds or triggers for activation and deactivation
Levels of activation and corresponding IMS structures
Procedures for preliminary assessment to determine activation
Notification procedures for all PHEOC staff, relevant sub-national offices, other ministries, and partne
Layout of PHEOC and workstations
Relevant forms, templates, and other documents routinely used in the PHEOC
Information management capacity and protocols (e.g. emails, data management, etc.)

ToR for daily and response roles
Operational Plans (Communications)
Continuity of Operations Plan (COOP)
Appendices
Are Public Health, Epidemiology, Medical, Science, and other SME roles and functions incorporated into natio
Are liaisons to relevant agencies, sectors, and institutions incorporated into national response plans?
Please enter any additional notes on this section here.
enter text here
Section 13: PHEM Staffing

Is this role or function included in the PHEM program and formally documented in a Terms of Reference?

Are these roles or functions incorporated into national response plans?
How many individuals has the PHEM program identified as full time for this position?
How many individuals has the PHEM program identified as part time for this position?
How many individuals are rostered or identified to backfill the following key IMS roles as surge staff in order t
with shifts?
How many of the individuals identified in P3 and P4 have received foundational training on IMS concepts in th
How many of the individuals identified in P3 and P4 have received role-specific training in the past 3 years?
How many of the individuals identified in P3 and P4 have graduated from the PHEM Fellowship?
How many of the individuals identified in P3 and P4 served during a response?
How many of the individuals identified in P3 and P4 served as IMS section lead during a response?
How many of the individuals identified in P3 and P4 participated in an exercise?
The PHEOC manager is able to carry out the following activities independently:
PHEOC activation
watch functions
plan development
training and exercises
Please enter any additional notes on this section here.
enter text here

Section 14: Exercises
Does the PHEM Program have a dedicated section/unit to exercise public health preparedness and response
If no: is there a plan to have a dedicated section/unit to conduct exercises?
Does the PHEM program conduct exercises?
Are functional exercises to test IMS activation procedures conducted at least once per year?
If yes: Have SOPs been updated to reflect the lessons learned from drills or exercises?
If yes: Have training activities been updated to reflect lessons learned from drills or exercises?

Please provide details on any exercises the PHEM program has led or participated in during the past 12 mont

Exercise type:

Oth
Please enter any additional notes on this section here.
enter text here
Section 15: Medical countermeasures

ncern (PHEIC)

yes
enter text here

enter text here

no
no
yes

yes

yes

yes
yes
yes
yes
yes
yes
yes
yes

yes
yes
yes
yes
yes
enter text here

yes
yes
yes
yes
yes
yes
yes
yes
enter text here

yes
yes
yes
yes

yes

yes
yes
yes

yes
yes
yes
yes
yes
yes
yes
yes

yes
yes
yes
yes

yes
no
yes
yes
yes
no
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes
yes

a

b

d

e

f

PHEOC Manager

Incident Manager

Operations Chief

a
Date
(mm/dd/yyyy)

b

d

Exercise
topic/context
enter text here
enter text here
enter text here
enter text here

Plan(s) tested
enter text here
enter text here
enter text here
enter text here

Logistics
Chief

Finance/
Administration
Chief

g

h

i

j

k

Public
Information
Officer

Safety
Officer

Liaison
Officer

Preparedness
Officer

Watch Staff

Topic
Training for Core Staff
Training for surge staff
Planning and SOP Development
Exercises
Referral to other CDC programs for technical support (POE, RRT, MCM)
Executive level training
THIRA
CONOPS
Other
Additional comments/recommendations:

Analysis and Next Steps
Comments/recommendations

t Steps

Item #
A1
A2
A2-a
A3
A3-a
A3-b
A4
A4-a

B1
B2

B3
B4
B5
B6

C1
C1-a
C1-b
C1-c

C2
C3
C3-a

D1
D2
D3
D3-a

E1
E2
E3
E4
E5
E6
E7
E8
E9
E10
E11
E12
E13
E14
E14-a
E14-b
E15

F1

F1-a
F1-b
F1-c
F1-d
F1-e
F1-f
F1-g
F2
F2-a
F2-b
F3
F4
F5
F6
F6-a

G1
G2
G3
G4
G5

H1
H1-a
H2
H3
H3-a
H3-b
H4
H4-a
H5
H6
H6-a

H6-b
H6-c
H6-d

J1
J2
J3
J4
J5
J5-a

J6
J7
J8
J9
J10
J11
J12
J13
J13-a
J14
J14-a
J15

J16
J17
J18
J19

K1
K2
K3
K4

L1
L2
L3
L4
L5
L6
L7
L8
L9

M1
M2
M3
M4
M5
M5-a
M5-b

N1
N1-a
N2
N3
N4
N5

N6

N7
N8
N9
N10
N11
N12
N13
N14
N15
N16
N17
N18
N19
N20
N21
N22
N23
N24
N25
N26

P1
P2
P3
P4
P5
P6
P7
P8
P9
P10
P11
P12
P13
P14
P15

Q1
Q2
Q3
Q4

Tool item
Section 1: Current Situation
Is the country currently responding to a public health emergency?
Has the IMS been activated in the past 12 months?

If yes: please elaborate in the "additional notes section" on what situation(s) prompted IMS activa
Is there an existing PHEM Program on the national level?

if yes: please elaborate in the additional notes section on where the PHEM program is organizatio
MOH structure, NPHI structure, etc.).
If yes: does the PHEM program have a mission statement?
Based on conversations with country based colleagues (CDC Country Office, MOH colleagues, etc.) does th
capacity development engagement on the subnational level?
If yes: please elaborate in the "additional notes" section on why capacity development efforts are
subnational level.

Section 2: Legal Authorities
Does the country have current legal authorities, policies, laws, etc. in place that empower the country’s PH

Does the country’s PHEM program have a national policy group to provide strategic direction which aligns
guidelines pertaining to PHEM?

Does the PHEM program or public health entity have legal, regulatory, or administrative authorities establ
carry out the following:
Process for emergency contracting
Process to expedite staffing for responses
Process to expedite procurement (i.e. purchase/acquisition) of goods and services
Process for emergency receipt of funds from donors or other entities

Section 3: PHEM Program Infrastructure
Is there an existing Public Health Emergency Operations Center (PHEOC)?
If yes: Can the PHEOC facility convene PHEM program and appropriate partners/liaisons to meet r
activated?
If yes: Does the PHEOC facility have audiovisual capability to display information and data for key
discussion activities?
If yes: Can the PHEOC facility safely and securely house equipment and technological infrastructur
manage data and information?
Does the PHEM Program have access to the following equipment:
Personal Protective Equipment (PPE)
Communications equipment in possession of field personnel
If yes: communications equipment is tested at least once per year

Section 4: International Health Regulations (IHR) and Public Health Emergencies of Internatio
Does the PHEM program have, or have access to, the following:

Subject matter experts (SMEs) able to use the decision matrix in Annex 2 of the IHR (2005) to effec
health threat requires notification to WHO

The IHR National Focal Point on a 24/7 basis
Standard Operating Procedures (SOPs) to notify the country’s IHR National Focal Point regarding p
public health emergencies.
If yes to D2 and D3: The PHEM program communicates with the IHR NFP on a routine basis (at lea

Section 5: Stakeholders and coordination
Does the PHEM program have access to complete information on up-to-date location, phone number, ema
following entities stored in an area accessible for all appropriate staff:
Hospitals, clinics, treatment centers, etc.
Laboratories
Points of Entry
Law enforcement, public safety and military
Public health services
Social services
Refugee/evacuee camps
Defense government ministries/entities
Animal health government ministries/entities
Disaster management government ministries/entities
WHO IHR Focal Point, Regional EOC, etc. (as appropriate)
Laboratory networks
Partners (WHO, UNICEF, UK-HSA)
Local and International NGOs located in-country
If yes to one or more between E1-E14: are there notification procedures to notify these entities in
If yes to one or more between E1-E14: these contact lists are exercised/tested or utilized at least o
Does a Steering Committee exist at the strategic level (highest level in jurisdiction), comprised of stakehold
recommendations, and helps champion the PHEOC and PHEM program to other sectors and senior leader

Section 6: Risk assessment
Has the country conducted an all-hazards public health risk assessment?

If yes: what is the date of the most recent risk assessment?
If yes: What of the following risk assessment processes were utilized:
Threat and Hazard Identification and Risk Assessment/Stakeholder Preparedness Review
Strategic Tool for Assessing Risks (STAR)
Vulnerability Risk Assessment and Mapping (VRAM)
If yes: Is there an official (validated) report of the risk assessment findings?
If yes: what is the date of most recent report?
Have the main threats, hazards, system vulnerabilities, and related risks been mapped to resources?
If yes: Are risk assessments reviewed annually?
If yes: Are the risk assessments updated every 3-5 years?
Have contingency plans been developed for the following (select yes to maximum of 1 of the options belo
All threats identified in the risk assessment
The top three threats identified in the risk assessment, but not all threats
The top threat identified in the risk assessment only
Has a threat assessment been completed for the sub-national level?
If no: Are there plans to carry out a risk assessment at the sub-national level?

Section 7: Workforce capacity
Has a workforce development plan outlining staffing and training needs for the first two years been estab

Are public health subject matter experts (SMEs) and other Ministry of Health (MoH) staff available to fill var
teams, and science roles during a response?
Are public health subject matter experts (SMEs) and other Ministry of Health (MoH) staff listed as "on call"
response teams, and science roles during a response?
Does the PHEM program have an established training section/unit to conduct continuous PHEM training a
Processes for appointing an Incident Manager are established.

Section 8: Evaluation
Does the PHEM Program have a dedicated section/unit to exercise public health preparedness and respon
If no: is there a plan to have a dedicated section/unit to conduct exercises?
Does the PHEM program conduct exercises?
Are functional exercises to test IMS activation procedures conducted at least once per year?
If yes: Have SOPs been updated to reflect the lessons learned from drills or exercises?
If yes: Have training activities been updated to reflect lessons learned from drills or exercises?

Are After-Action Reviews (AARs), a qualitative review of actions, conducted after every exercise to documen
areas for improvement?
If yes: Are there reports that document best practices, gaps, and areas for improvement?
Are intra-action reviews, or in progress reviews, conducted during each IMS activation according to countr
Are After-Action Reviews (AARs) conducted after every IMS activation?
If yes: Are there reports that document best practices, gaps, and areas for improvement?

If yes: Is there a corrective action plan based on the AAR that with deadlines and roles and respon
implementation?
If yes: Have SOPs been updated to reflect the lessons learned from activation?
If yes: Have training activities been updated to reflect lessons learned from activation?

Section 9: Surveillance information management
Does the PHEM program maintain or have access to the following data collection systems:

Indicator-based surveillance systems data
Hospital-based data
Event-based surveillance data
Laboratory results
Other Ministries, Departments, or Agencies?
If yes: please elaborate on which Ministries, Departments, and/or Agencies
Does the PHEM Program have access to surveillance data from the following groups for timely decision m

Sub-national offices/districts/regions
Public health and other laboratories
Field Epidemiology Teams
Rapid Response Teams
Non-Governmental Organizations (NGOs)
Community-based sources
Media and social media
Other Ministries, Departments, or Agencies?
If yes: please elaborate on which Ministries, Departments, and/or Agencies
Is the core group that manages surveillance part of the PHEM program?
If no: are there linkages to these teams to ensure the PHEM program has access to accurate infor
making?
Does the PHEM Program utilize event-based surveillance data to inform notification and reporting process
information requirements, etc?
Does the PHEM program have access to trained staff and systems to disseminate the following to relevant
Case definitions for all prioritized health threats
Case management procedures and guidelines for prioritized public health threats
Infection prevention and control procedures
Reports of reportable and unusual diseases

Section 10: Information management and situational awareness
Does the PHEM program have access to the following to track deployed personnel and field teams:
Staff
Equipment
Procedures
Ability to ascertain the location and status (e.g., composition, health, supply status, needs, etc.) of
field teams

Section 11: Laboratory information management
Does the PHEM program have access to the following information related to public health and other labor
Name, type, location, operating hours, and contact information
Types of specimens/ samples tested
Types of tests performed
Specimen testing throughput for routine and priority pathogens
Messaging standards and protocols
Protocols for notification of relevant authorities/agencies regarding positive/confirmatory results
Contact information for international partner laboratories
Laboratory networks and links to MoH surveillance systems
Are there SOPs in place for handling priority pathogens, including proper collection, packaging, shipping,
procedures (including international shipping to other countries, WHO, CDC, etc.); chain of custody; and res
Please enter any additional notes on this section here.
enter text here

Section 12: Situational awareness
Is the PHEM program linked to sources for contextual data and information (i.e. weather, population, map
internally displaced persons) to create a common operating picture?
Has the PHEM program pre-identified Essential Elements of Information (EEIs) necessary to develop a Com
all prioritized hazards and risks?
Has the PHEM program identified Critical Information Requirements (CIRs) which can trigger an activation
Does the PHEM program have data and information sharing agreements in place in order to serve as a cen
and coordination?
Does the PHEM Program have documentation on how information flows into and out of the PHEOC?
If yes: During daily operations?
If yes: During response operations?

Section 13: PHEM plans and procedures
Is there a national public health emergency operations plan (EOP) (also known as All Hazards Plan [AHP])
the MoH as well as the roles of different agencies during emergencies, at the strategic level?
If yes: Is the plan approved and implemented based on prioritized threats and risks?
Does a concept of operations exist and contain the following:
Identification of all intended levels and stakeholders involved in emergency response, manageme
organization fits into the national response system?
Which agency is the lead for different types of emergencies?
Are there threat specific plans (Biological, Technological, Human-Caused) for the most significant threats i
assessment?
Are there plans to issue specific risk communications (e.g., alerts, risk factors, protective actions, guidance
the general public or to targeted populations via traditional media (e.g., TV, radio, etc.). established using
Are plans, procedures/checklists for communicating with PHEM program staff in the PHEOC and the field

Does a PHEOC Handbook , or other documentation contain the following:
Basic Concept of Operations
General day-to-day staffing requirements
SOPs for watch mode
SOPs for alert mode
SOPs for response mode
SOPs for activation and deactivation
Thresholds or triggers for activation and deactivation
Levels of activation and corresponding IMS structures
Procedures for preliminary assessment to determine activation
Notification procedures for all PHEOC staff, relevant sub-national offices, other ministries, and par
Layout of PHEOC and workstations
Relevant forms, templates, and other documents routinely used in the PHEOC
Information management capacity and protocols (e.g. emails, data management, etc.)

ToR for daily and response roles
Operational Plans (Communications)
Continuity of Operations Plan (COOP)
Appendices
Are Public Health, Epidemiology, Medical, Science, and other SME roles and functions incorporated into na
Are liaisons to relevant agencies, sectors, and institutions incorporated into national response plans?

Section 14: PHEM Staffing

Is this role or function included in the PHEM program and formally documented in a Terms of Reference?

Are these roles or functions incorporated into national response plans?
How many individuals has the PHEM program identified as full time for this position?
How many individuals has the PHEM program identified as part time for this position?
How many individuals are rostered or identified to backfill the following key IMS roles as surge staff in ord
with shifts?
How many of the individuals identified in P3 and P4 have received foundational training on IMS concepts i

How many of the individuals identified in P3 and P4 have received role-specific training in the past 3 years
How many of the individuals identified in P3 and P4 have graduated from the PHEM Fellowship?
How many of the individuals identified in P3 and P4 served during a response?
How many of the individuals identified in P3 and P4 served as IMS section lead during a response?
How many of the individuals identified in P3 and P4 participated in an exercise?
The PHEOC manager is able to carry out the following activities independently:
PHEOC activation
watch functions
plan development
training and exercises

Section 15: Exercises
Please provide details on any exercises the PHEM program has led or participated in during the past 12 m

Exercise type:

O

Section 16: Subnational level

This question can give important context around what the country can focus on for capacity development

In max 3 sentences, describe the outbreak, event, or emergency that the country activated IMS for.
Is there a PHEM Program (trained staff, plans/SOPs, data and information) in country to manage daily act

Is there a clear understanding of the role the PHEM program plays in relation to the nation's public health
if there are still milestones that need to be achieved for the national PHEM program, those should be prio
country contexts (decentralized vs. centralized systems, political commitments, etc.) that may be shaping r

Identify laws, authorities, and/or legal frameworks that directly relate to enabling aspects of a PHEM prog
MOH in relation to a public health emergency, such as declaring an emergency, etc.)
To establish a PHEOC, a Member State should develop legislation or an executive directive for the health m
PHEOC. This mandate will outline the public health agency’s roles and responsibilities, its coordination me
a funding mechanism for the operations of the PHEOC

The agency/organization responsible for the PHEOC should establish a policy group to provide policy guid
organizations, subject matter experts (including legal counsel and an ethics advisor), government officials
provide strategic level leadership (WHO Framework (2015)
the public health entity refers to the agency where the PHEOC is housed (for example: Ministry of Health o

Pertains to national level
At a minimum, the PHEOC facility should have space for partners to meet altogether or in smaller groups

At a minimum, the PHEOC facility should have a projector or large enough screen to display information/v

At a minimum, the PHEOC facility can protect equipment and technology so they do not get damaged by t

“access to” means that the PHEM program can contact these individuals at any day/time, they do not nece
If the PHEM program plays a role in coordination of PHEIC assessment and notification, please note this in

Confirm there are contact lists and notification procedures in an accessible location to communicate with

A steering committee should be established for the planning process when developing a new EOC or enha
risk and capacity assessments leading 1 This should involve other relevant sectors when the hazard has a
are involved. 4 November 2015 to decisions on the scope and operational structure of the PHEOC, as well
model. The committee must develop clear objectives for the PHEOC to enable effective decision-making an
Framework (2015)

Reference: Previous reports from prior risk assessments (THIRA, STAR)
Risk Assessments refer to identifying and prioritizing risks which may result in emergencies impacting hum
be mapped based on existing resources in country.

This type of assessment is used to create plans and SOPs for priority risks. This is not the same as a risk as

At a minimum, the plan needs to outline positions to be filled, training needed, and estimated timeframes

In the "additional notes" section, please include details on staffing capacity that may not be reflected by th
more than one role in the PHEM program, or who are paid through funding with unique considerations im
roles, or other important contexts.

b
Exercise topic/context
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a
EOC manager

b

c

d

e

Incident Manager Plans Chief Operations Chief Logistics Chief

c

d

Function(s)
tested
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Plan(s) tested
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f

g

h

i

Finance/
Administration Chief

Public Information
Officer

Safety Officer

Liaison Officer

j

k

Preparedness
Officer

Watch
Staff

PHEOC infrastructure: optional checklist
PHEOC tele-communications equipment contains the following:
Computer workstations
Telephones
Internet connectivity/back-up system
Servers/back-up servers
Printers and/or plotters
Audiovisual equipment, display screens
Web or video teleconferencing equipment
Radios
Please enter any additional notes on this section here.
enter text here

PHEOC equipment is:
Sufficient in number/quantity to meet needs
Functional and needed applications/security installed
Maintained
Tested periodically
Please enter any additional notes on this section here.
enter text here

PHEOC facility contains the following:
An operations area
Surge/expansion space
Private meeting space for leadership
Food/dining, rest, and/or storage areas, as appropriate
Please enter any additional notes on this section here.
enter text here

Audiovisual functionality
There is space and AV capability in the PHEOC to project operational information (e.g., case data,
resource status, staff rhythm, etc.)
There is AV capability for videoconferencing
Please enter any additional notes on this section here.
enter text here

PHEOC infrastructure
The power supply of the PHEOC takes the following conditions/items into consideration:
Adequate/sufficient quantity of electricity from source to meet all power needs
Reliable, uninterrupted (24/7) power
Backup generator or alternative energy with adequate fuel
Generator tested 2x per year
Issues of electrical compatibility between equipment and power supply identified and resolved

There is an adequate potable water supply to the PHEOC
The PHEOC has adequate functioning environmental controls (e.g., HVAC, etc.) to regulate indoor
temperature and keep information technology (IT) equipment sufficiently cool
The PHEOC has the following adequate facility infrastructure and services:
Janitorial services
Toilet
Sanitation/sewage
Please enter any additional notes on this section here.
enter text here

PHEOC safety and security
The PHEOC has an evacuation plan
The PHEOC contains fire suppression equipment and systems in the building(s)
The PHEOC has first aid supplies
The PHEOC has the following security measures in place:
Physical barriers
Controlled access to locked/restricted areas
Guards/security personnel
Please enter any additional notes on this section here.
enter text here

Milestones
Draft milestone: Country leadership approval and mission, roles, and responsibilities of the national PHEM
Draft milestone: Concept of operations outlining staffing of PHEM program, response structure and roles
Draft milestone: Establish and resource a workforce development plan outlining staffing and training nee
Draft milestone: 50% of identified PHEM staff receive foundational IMS training; 25% of identified PHEM s
Draft milestone: A dedicated space to serve as the PHEOC for emergency management coordination and
Draft milestone: PHEM program information sharing and management processes are outlined and, if app
Draft milestone: Processes for risk assessment are established, and a prioritized list of threats is develop
Draft milestone: An emergency operation plan (EOP) describes how the various components and stakeho
Draft milestone: A PHEOC plan, manual or handbook is developed and assists assigned personnel to perf

Draft milestone: 75% of identified PHEM staff receive foundational IMS training and 50% of identified staff
Draft milestone: Staff who are able to serve in an Incident Manager role are identified, and processes for
Draft milestone: The PHEM program maintains access to relevant surveillance and laboratory data for tim
Draft milestone: National PHEOC is operational, and serves as a space to effectively monitor threats and
Draft milestone: contingency plan developed for the top threat identified in the risk assessment.
Draft milestone: Medical countermeasures training completed and plan is developed.
Draft milestone: Plans and SOPs are validated using functional exercises at least once a year.
Draft milestone: 100% of identified PHEM staff receive foundational IMS training and 75% of identified sta
Draft milestone: EOC manager is able to carry out the following independently: PHEOC activation, watch
Draft milestone: contingency plans developed for the top three threats identified in the risk assessment.
Draft milestone: The PHEM program maintains personnel systems to manage and track deployments, res
Draft milestone: A dedicated space to serve as the PHEOC for emergency management coordination and
Draft milestone: An evaluation process for exercises and responses, including AARs and corrective action
Draft milestone: Training and exercise program is established and capable of training staff at subnationa
Draft milestone: PHEM staff are able to operate in their functional role during a response with limited ass
Draft milestone: A cadre of PHEM staff is able to serve as champions for the PHEM program, and is able t
Draft milestone: Country is able to implement a full-scale exercise demonstrating ability to effectively and
Draft milestone: contingency plans developed for all threats identified in the risk assessment.
Draft milestone: Subnational PHEOCs are operational, and serve as spaces to effectively monitor threats
Draft milestone: Training and exercise program is operational and activities are carried out on an annual
Draft milestone: A cadre of PHEM staff is able to serve as champions for the PHEM program, and is able t
Draft milestone: country has established a financing plan to sustain the PHEM program.
Draft milestone: National policy, legal authorities and/or doctrine documents that provide guidance on a

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