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ASPR, CDC: $850 Million to HPP, PHEP

ASPR, CDC: $850 Million to HPP, PHEP

On February 3, the U.S. Department of Health and Human Services released the combined Funding Opportunity Announcement (FOA) for the 2017-2018 Hospital Preparedness Program (HPP) and Public Health Emergency Preparedness Program (PHEP) cooperative agreements. The sixty-two potential awardees have until April 4th to submit completed applications.

62 PHEP/HPP Awardees Map

The FOA introduces a new five-year project period for both the PHEP and HPP programs that begins July 1, 2017 and closes June 30, 2022. Though cooperative agreement continues with the 'alignment' theme of that began in 2012, there's a concerted effort to emphasize that HPP and PHEP are "distinct federal preparedness programs." 

To further differentiate, the FOA states, "each program focuses on readiness for two discrete sectors, the public health enterprise for PHEP and the mostly private health care and medical systems for HPP."

PHEP and HPP awardees use capabilities to focus on these preparedness Strategies and conduct these Activities for the private healthcare system (HPP) and taxpayer-funded public health system PHEP... 

Huh. There appears to be an admission that the 2012-2017 cooperative agreement may have overreached on the program alignment front. That Emergency Support Function (ESF) #8, Public Health and Medical Services, may be a single ESF under the National Response Framework, but it requires two discrete sectors, the private healthcare system and taxpayer-funded public health system to prepare uniquely, but collaborate as one.

Stay with me here: if a resilient public health and medical services 'system' is lemonade, then PHEP is the lemon and HPP is the sugar. And maybe the Healthcare Coalition (HCC) is the water?

Relax! It's an analogy – I'm not saying PHEP is sour, HPP is sweet, or that the HCC has no flavor. I'm just saying it takes all three to make a killer glass of lemonade, like the stuff they serve at Chick-Fil-A.

Six Key Preparedness Domains?

Since the FOA includes both the PHEP and HPP cooperative agreements and it's intended to make ESF-8 lemonade, those familiar with the Health Care Preparedness and Response (HCPR) Capabilities and the Public Health Preparedness Capabilities: National Standards for State and Local Planning may find themselves scratching their heads.

I mean, there are 15 PHEP Capabilities and 4 HCPR Capabilities – and now there are 6 Preparedness Domains?

62 PHEP/HPP Awardees Map

Oh crap! There's also the 4 Core Elements of an emergency preparedness program and the 3 Essential Elements necessary for maintaining access to healthcare services during an emergency, under the CMS Emergency Preparedness Rule.

Per the FOA, PHEP/HPP awardees must increase or maintain their levels of effectiveness across six key preparedness domains:

  • Community Resilience
  • Incident Management
  • Information Management
  • Countermeasures and Mitigation
  • Surge Management
  • Biosurveillance

I'm sure this all connects somehow, but I've not yet had time to dive in. I promise, when I figure it all out, you'll be the first to know. That's why you pay me the big bucks!

infoGraphic: 2017-2018 'tentative' funding

62 PHEP/HPP Awardees Map

Oh yeah, the $850 Million is tentative or maybe projected. Whatever you call it, it means Congress has not yet passed a budget. Yeah, legislative authority to run the program is not the same as annual appropriations to implement it.

The FOA just posted Friday and the Super Bowl is about to kick off, so we're done for now.

But we're not done.

Karl Schmitt, MPA

Karl Schmitt, MPA


Karl is the Passionate Founder & CEO of bParati. He is on a mission to build a national network of effective, sustainable healthcare coalitions. More...

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Karl Schmitt, Passionate Founder & CEO, bParati

Karl SchmittPassionate Founder & CEO

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