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Project Title:

Evidence-Based Practices for Public Health Emergency Preparedness and Response: Assessment and Recommendations for the Field
PIN: HMD-HSP-17-10        

Major Unit:

Health and Medicine Division

Sub Unit: Board on Health Sciences Policy
Board on Population Health and Public Health Practice

RSO: Brown, Lisa

Subject/Focus Area: Health and Medicine

Project Scope
An ad hoc committee will conduct a comprehensive review and grading of public health emergency preparedness and response practices, based on literature/evidence generated since September 11, 2001. The committee will use published literature and publicly available reports, public input and information gathering sessions, and the committee’s original analysis and reasoning to determine which of the fifteen capabilities (“PHEP capabilities”) defined in the CDC’s Public Health Preparedness Capabilities: National Standards for State and Local Planning to prioritize for inclusion in the comprehensive review, with an emphasis given to capabilities determined by the committee to be most critical to preparedness and response. In identifying and evaluating literature/evidence for preparedness and response practices for each of the prioritized PHEP capabilities and functions, the committee will focus on evidence applicable to state, territorial, local, and tribal public health preparedness and response practitioners.

Specifically, the committee will:

• Develop the methodology for conducting a comprehensive review of the literature/evidence base for public health preparedness and response practices, including the criteria by which to assess
the strength of evidence for specific practices and a tiered grading scheme (e.g., best, promising; A-level, B-level, etc.) to be applied in the development of recommendations for evidence-
based practices. In doing so, the committee should draw from accepted scientific approaches for comprehensive literature review and existing models for assessing and grading strength of
evidence (e.g., the evidence strength assessment model used for The Guide to Community Preventive Services).
• Develop and apply criteria to determine which PHEP capabilities and sub-functions should be prioritized for inclusion in the comprehensive review, along with other topics that have emerged as
important across multiple capabilities but which are not adequately represented within the current set (e.g., mental health; environmental health; administrative preparedness, etc.);
• Identify research regarding preparedness and response practices within the prioritized PHEP capabilities and functions and apply the committee’s evidence review methodology to assess the
quality of and summarize the body of evidence regarding effectiveness of these practices;
• Provide conclusions for preparedness and response practices within the prioritized areas that communities and federal, state, territorial, tribal, and/or local agencies could adopt, based on
evidence demonstrating the effectiveness or ineffectiveness of those practices;
• Provide recommendations for future research needed to address critical gaps in evidence-based preparedness and response practices, including, as appropriate, additional research on promising
but not yet proven practices within the prioritized PHEP capabilities and functions, as well as processes needed to improve the overall quality of evidence within the field. 

Literature reviewed as part of this study will be focused primarily on work purporting evidence of effectiveness of public health emergency response practices, with the exact inclusion/exclusion criteria to be determined by the committee. Literature may include articles published in peer review journals, grey literature (such government reports), after-action reports, and other written work, as deemed appropriate by the committee. Literature regarding evidence of effectiveness of preparedness practices will be included for evaluation only to the extent that there is a measurable and explicit connection to response practices, as determined by the committee. Literature regarding practices related to recovery activities is not within the scope of this study. Literature regarding practices specific to the Hospital Preparedness Program (HPP) will also be excluded from this study; however, areas where public health and health care delivery functions intersect may be included as appropriate.

The project is sponsored by the Centers for Disease Control and Prevention. The approximate start date for the project is September 1, 2017. A final report will be issued to the sponsor at the end of the project in approximately 36 months.

Project Duration: 36 months    

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Committee Membership
Committee Membership

 Meeting 1 - 01/29/2018


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