# data[].attributes.body
In your view, what has been the most significant challenge the PHP has had to overcome during the past 2 years?

# data[].attributes.body
With which community partners should the PHP focus on maintaining or strengthening relationships?

# data[].attributes.body
What should the the top strategic priority or goal  be for the PHP over the next 1-5 years?

# data[].attributes.body
Please name the top one or two most notable PHP strengths or successes over the past 2 years.

# data[].attributes.body
Please identify the most critical area for improvement the PHP should focus on over the next 1-5 years.

# data[].attributes.body
What do you believe is the most significant threat to the PHP in achieving its goals over the next 1-5 years?

# data[].attributes.body
Relationships built on historical knowledge.

# data[].attributes.body
Covid allowed opportunity to exercise every component of PHEP and CRI.

# data[].attributes.body
Tier 3 lab support is a success and appreciated.

# data[].attributes.body
Huge strengths - collaboration and support within coalitions and their partners. Cooperative efforts across coalitions. Quad HCC - 71% satisfaction of partners.

# data[].attributes.body
As a state, willing to adopt best practices and be innovative in our approaches.

# data[].attributes.body
During Covid, greatly enhanced relationships and partnerships and collaboration; HCCs assisted each other during pandemic. Tribal representation among rural coalitions.

# data[].attributes.body
Rural coalitions meet in person. Quarterly meetings help with building and maintaining relationships.

# data[].attributes.body
During Covid, demonstrated ability to vet and deploy volunteers during surge effectively.

# data[].attributes.body
Group formed during Covid, and was a success in identifying and addressing licensure requirements for nursing, etc. staff. Successful effort started by NHA.

# data[].attributes.body
Fostered relationships over the past 2 years, very successful and ongoing.

# data[].attributes.body
Access and functional needs community benefits from close partnership between EM and PH. Heather Lafferty is a huge asset with DEM!

# data[].attributes.body
Communication among labs across the state has been greatly improved.

# data[].attributes.body
Delays in receiving subgrants impacts program implementation. DPBH needs to embrace strategic plan and recognize that smooth administration and funding processes are needed to support it.

# data[].attributes.body
Contracts and grant funding must be made available in order to implement programs. When funding is not made available in a timely manner, deliverables cannot be accomplished.

# data[].attributes.body
Inadequate federal funding to support Nevada's public health needs.

# data[].attributes.body
Population density and tourism-based considerations unique to Nevada are not consideration.

# data[].attributes.body
Alternate funding not in place to address capabilities when they are not federally funded, or when funding is reduced. Many capabilities depend on other agencies that receive funding from other sources.

# data[].attributes.body
Equipment replacement and deployable assets put in place 10-15 years ago are unable to be replaced due to unavailability of funding. Maintenance cycle vs. replacement cycle. Changes in grant funding requirements have impacted ability to replace equipment.

# data[].attributes.body
Equipment lifecycle and grant periods don't always align, when replacement is not possible, maintenance is extended beyond the point of viability for the equipment.

# data[].attributes.body
Challenging to predict equipment needs for a five year period.

# data[].attributes.body
Timeliness of sharing information due to staff shortages, lack of training, lack of understanding of importance of entering patient data for information sharing.

# data[].attributes.body
Lack of resource tracking and management statewide, inability to share and have situational awareness of resource availability and needs. No central location for resource management.

# data[].attributes.body
Grant availability is too specific in terms of who is eligible to apply. Grants are fragmented. Resources were not available to everyone based on grant eligibility. It would be helpful to have a clearing house/central advice office for grants to assist with guiding towards appropriate grant resource.

# data[].attributes.headline
Hospitals/Med Facilities Not Grant eligible

# data[].attributes.subject
Hospitals/Med Facilities Not Grant eligible

# data[].attributes.body
Grants are not available to private hospitals and medical facilities due to private nature of ownership.

# data[].attributes.body
Opportunity to provide education to employees, partners, etc. on challenges, programs, process, capabilities, etc. challenges are addressed in exercises, but solutions are not always implemented. Education on what capabilities and programs already exist. Also include elected officials.

# data[].attributes.body
EMS partners - need to improve communication, coordination, support, participation in coalition activities, etc. More buy-in is needed from EMS agencies and bring them to the table.

# data[].attributes.body
EMS personnel are often volunteers. Coalitions have an opportunity to engage with regional EMS reps first, who can be used to encourage broader EMS representation. EMS Advisory Committee can be used to promote engagement and support.

# data[].attributes.body
Opportunity to view hospitals and medical resources as regional assets rather than stand-alone resources.

# data[].attributes.headline
Northern Nevada - 8 areas of education opportunities

# data[].attributes.subject
Northern Nevada - 8 areas of education opportunities

# data[].attributes.body
Telemedicine

Fatality Management

Mental & Behavioral Health

Health Care Evacuation

Chem Pack training

HazMat

Medical Operations Coordination Center

Information Sharing

# data[].attributes.body
Opportunities to improve communication and situational awareness among agencies.

# data[].attributes.body
Look to use internal SME's to develop innovative tools rather than using canned offerings from national vendors.

# data[].attributes.body
Include more non-traditional partners in organization efforts or coalitions to broaden capacity to respond during disasters. eg Disability Councils, etc.

# data[].attributes.body
What do you believe your role is in helping the PHP to achieve its priorities and goals?

# data[].attributes.body
Skilled Nursing Facilities

# data[].attributes.body
Opportunity to educate on what PHP office and health districts do for public health preparedness. Improve planning and education leadership if/when new health districts are formed.

# data[].attributes.body
Northern Nevada is using a model education plan from Western Australia to provide a public health preparedness snapshot and what the NN PHP program does. Currently working on a framework and structure for a public education program.

# data[].attributes.body
Use social media to explain what PHP programs are, their accomplishments, and how they benefit the public.

# data[].attributes.body
Publicly share success stories with elected officials and the public.

# data[].attributes.headline
Sharing Lessons Learned & Best Practices

# data[].attributes.subject
Sharing Lessons Learned & Best Practices

# data[].attributes.body
Seek out opportunities in the state and at national conferences to share lessons learned and best practices from PHP programs.

# data[].attributes.body
Funding held up at Congressional level. Recognition that one size does not fit all, and not all "check boxes" apply in Nevada.

# data[].attributes.body
Funding timeframes/delays, restrictions on spending. How items are processed through the state, e.g. Interim Finance Committee delays, etc.

# data[].attributes.body
Lack of funding to accomplish goals in rural areas, e.g. decentralization

# data[].attributes.body
Not a priority for Director of HHS leads to lack of urgency and action to provide resources for accomplishing our goals.

# data[].attributes.body
Significant public health threats are cyclical, get attention for a time, and then disappear. Public health threats must be kept a forefront and provided attention and funding.

# data[].attributes.headline
Weakening of Public Health Authority/Legislation

# data[].attributes.subject
Weakening of Public Health Authority/Legislation

# data[].attributes.body
National trend of reducing public health authority.

# data[].attributes.body
Significantly reduced, not keeping up with inflation

# data[].attributes.body
Many left during or after Covid, lack of succession plans

# data[].attributes.body
Direct impact on operations, ability to fulfill grant requirements

# data[].attributes.headline
Identify low hanging fruit from Threats list

# data[].attributes.subject
Identify low hanging fruit from Threats list

# data[].attributes.body
Maintain successful programs; keep priorities at existing levels

# data[].attributes.body
THIRA

GRA

After Action Reports -Review corrective action items for common actions across the state

# data[].attributes.body
Leverage current funding sources; identify new and/or untapped funding sources

# data[].attributes.body
Look at outdated technology and consider whether to continue it.

# data[].attributes.headline
Education at all levels of state government

# data[].attributes.subject
Education at all levels of state government

# data[].attributes.body
Use informed decision making tools to education elected and appointed officials to provide justification for needed resources.

# data[].attributes.headline
Consensus and Support for Strategic Plan

# data[].attributes.subject
Consensus and Support for Strategic Plan

# data[].attributes.body
Promote the plan and support it, market it to our groups, demonstrate passion for its success.

# data[].attributes.body
Include strategic plan in quarterly progress reports and contribution to initiatives in the plan. Identify gaps in progress. Use quarterly partner meetings to touch base on progress of plan implementation.

# data[].attributes.body
Hold each other accountable.

# data[].attributes.headline
Identify and promote connection between State and SNHD Lap

# data[].attributes.subject
Identify and promote connection between State and SNHD Lap

# data[].attributes.headline
Sustain Laboratory Test Function funded by grant

# data[].attributes.subject
Sustain Laboratory Test Function funded by grant

# data[].attributes.body
Leverage resources and opportunities and be more collaborative in approaching strategic initiatives in projects.

# data[].attributes.headline
Collaboration between North and South Labs

# data[].attributes.subject
Collaboration between North and South Labs

# data[].attributes.body
Create a parking lot list for items that fall out of strategic plan or items that need further study. Incorporate plan evaluation into planning process. Some issues will be outside of PHP purview that require referral to other agencies.

# data[].attributes.body
Use the plan as an opportunity to collaborate or get best practice ideas from other states.

# data[].attributes.body
Collaborate with other states to obtain best practice programs. Educate cross border partners on our programs and processes.

# data[].attributes.headline
Continue to pursue cross-state partnerships

# data[].attributes.subject
Continue to pursue cross-state partnerships

# data[].attributes.body
Tesla, Panasonic, Apple

Industrial complex

Mining companies

# data[].attributes.body
DEM

EMS

EMS-C

Behavioral Health Coordinators

# data[].attributes.body
Coordinate informatic teams from partner organizations

# data[].attributes.headline
List of Work Groups for Strategic Plan Update

# data[].attributes.subject
List of Work Groups for Strategic Plan Update

# data[].attributes.body
Admin/Fiscal

Information Management

Resources/Supply Chain

Behavioral Health Resources & Support (5 regions)

HCC Clinical Health Advisors - Pediatrics

Health Equity