Protecting Americans against natural, manmade, and accidental public health threats

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Assessment of Respiratory Personal Protective Equipment in US Acute Care Hospitals - 2012
ASTHO, in coordination with the American Hospital Association, the Association for Healthcare Resource and Materials Management, CDC’s Influenza Coordination Unit and the National Institute for Occupational Safety and Health worked on a project to characterize and identify quantities of respiratory personal protective equipment (PPE: N95 respirators, surgical masks, and powered air purifying respirators [PAPRs]) in U.S. acute care hospitals as part of a larger overall effort to inform the state of pandemic influenza readiness. This assessment is the first attempt to capture a comprehensive snapshot of N95 respirators, surgical masks, and PAPRs on hand in U.S. acute care hospitals during a specific timeframe. The study suggests that PPE supplies vary widely, and sufficient quantities to meet the need of a pandemic may not currently be available in most hospitals. 

Webinar: Healthcare Coalitions: Governance and Sustainability 
Recorded September 4, 2014
View PowerPoint Presentations
Description: Representatives from traditional and non-traditional healthcare coalitions discuss how healthcare coalitions are establishing various operational governance models. Presenters highlight how their organizations utilize varying governance models and provide detailed information on their coalitions' formation, including key decision points and foundational documents, and highlight practices that have helped move coalitions toward long-term sustainability.

Expanding the Roles of Emergency Medical Services Providers: A Legal Analysis
ASTHO, in partnership ASTHO, in partnership with the Office of the Assistant Secretary for Preparedness and Response (ASPR), conducted a comprehensive assessment of various facets of community paramedicine as part of a larger examination of plausible approaches to increasing day to-day EMS services in communities without changing scope of professional practice parameters in the United States. The primary objective of this project was to conduct innovative and relevant legal and policy research to ascertain core issues that may impede ongoing and future activities of health professionals in routine community paramedicine activities. To accomplish these activities, ASTHO contracted with James G. Hodge, Jr., J.D., LL.M, Director, Public Health Law and Policy Program ASU Sandra Day O'Connor College of Law to conduct the research and develop a final report. The report, "Expanding the Roles of Emergency Medical Services Providers: A Legal Analysis" is now available.
Webinar: Understanding the CMS Proposed Rule on Emergency Preparedness
Recorded March 10, 2014
On December 27, 2013, the Centers for Medicare and Medicaid Services (CMS) issued a proposed rule in the federal register to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters, which is out for public comment until March 31st. To assist you in navigating this new proposed rule, ASTHO and NACCHO hosted a webinar featuring Lisa Parker, JD (Director, Division of Institutional Quality Standards) at the Center for Clinical Standards and Quality at the Center for Medicare and Medicaid Services, who presented on several topics related to the CMS Proposed Rule on Emergency Preparedness.


ASTHO helps state and territorial public health agencies anticipate, prepare for, recognize, and respond to terrorist attacks and other public health threats and emergencies through the development of comprehensive, coordinated public health preparedness programs and plans through collaboration with local, state and federal partners.

National Health Security Preparedness Index (NHSPI)

On Dec. 4, 2013, the National Health Security Preparedness Index™ (NHSPI™)was officially introduced to the public as a first-of-its-kind tool used to measure and advance the nation’s readiness to protect people during disaster. The Index offers a snapshot of national preparedness to demonstrate progress and identify areas where greater improvement is needed.

The NHSPI™ examines the health security preparedness of the nation by looking collectively at the health security preparedness of states. The Index results are updated annually.

Presentations from Past Annual DPHP Meetings

Each year, ASTHO hosts the Directors of Public Health Preparedness Meeting, which brings together representatives from the states, directly funded cities, and territories, as well as partner organizations federal partners. For the past two years, the meeting has been co-located with the ASTHO Annual State Environmental Health Directors Meeting to allow for joint sessions and networking opportunities. This tradition of networking, information sharing, and collaboration has been the hallmark of past DPHP meetings.

Preparedness Policy Committee

The Public Health Preparedness Policy Committee analyzes public health and health system preparedness issues to produce recommendations for state-based public health policy.

Mission Statement (pdf)

Public Health Emergency Law

The Law can be a powerful tool to help accelerate and enhance responses to public health emergencies such as bioterrorism or pandemic influenza. ASTHO, in conjunction with CDC, has developed resources for public health practitioners, legal counsel, and government officials to assist in education, training, and planning activities on the effective use of relevant laws, regulations, and other legal doctrines in responding to public health emergencies to achieve greater protection of the public’s health and safety.

ASTHO Legal Preparedness Series

ASTHO Social Distancing Law Project Meeting Template (pdf)

ASTHO Social Distancing Law Project Assessment Template (pdf)

Publications and Other Resources

ASTHO Sessions at the 2014 Preparedness Summit

Emergency Management Assistance Compact (EMAC) Home Page (external site)


James Blumenstock, MA, Chief Program Officer, Public Health Practice
Gerrit Bakker, Senior Director, Public Health Preparedness 
Meredith Allen;DrPH, MS, Director, Preparedness and Strategic Partnerships
Heather Misner, MPP, Director of Preparedness and Clinical Outreach
Jennifer Lumpkins, MPH, Director, Public Health Preparedness 
Lisa Peterson, MPH, MPA, Senior Analyst, Public Health Preparedness
Geetika Nadkarni, MPH, Senior Analyst, Public Health Preparedness
Lindsi LoVerde, MPH, Senior Analyst, Public Health Preparedness
Neyling Fajardo, Administrative Coordinator, Public Health Preparedness