National Preparedness: Improvements Needed for Measuring Awardee Performance in Meeting Medical and Public Health Preparedness Goals, Report to the Committee on Energy and Commerce, House of Representatives   [open pdf - 2MB]

"HHS [Department of Health and Human Services] provides funding to the 50 states and 12 municipalities, territories, and freely associated states, primarily through ASPR's [Office of the Assistant Secretary for Preparedness and Response] HPP [Hospital Preparedness Program] and CDC's [Centers for Disease Control and Prevention ] PHEP [Public Health Emergency Preparedness] cooperative agreements, to help them build their capability to respond to emergencies such as hurricanes, pandemics, or terrorist events. The 62 awardees are to use this funding to help achieve the HPP goals of strengthening hospital preparedness and medical surge capacity and the PHEP goal of strengthening public health preparedness, and they must meet certain application, financial, and reporting requirements. GAO was asked about the effects of federal support on state and local response capabilities. GAO (1) assessed awardee progress in meeting HPP goals and how ASPR measures that progress, (2) assessed awardee progress in meeting the PHEP goal and how CDC measures that progress, and (3) identified the mechanisms HHS uses to ensure that awardees are meeting application, financial, and reporting requirements. GAO reviewed HPP and PHEP guidance, performance measures, and other documents; interviewed HHS officials; and analyzed HPP and PHEP data for fiscal years 2007 through 2 011. […] GAO recommends that (1) HHS develop objective and quantifiable performance targets and incremental milestones tied to HPP and PHEP performance measures and (2) ensure that measures remain consistent and comparable to sufficiently measure progress. HHS generally agreed with GAO's recommendations but indicated that it would not be able to fully implement them for several years."

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Government Accountability Office: http://www.gao.gov/
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