NYS/HRI Public Health Emergency Preparedness (PHEP) Cooperative Agreement - New York State Department of Health (NYSDOH) has strategically used Public Health Emergency Preparedness (PHEP) funding to build a comprehensive Health Emergency Preparedness Program in New York State (NYS). Collaboration at all levels and among all partners has been the key to success. The NYSDOH, Office of Health Emergency Preparedness (OHEP), provides leadership and coordinates these efforts to support a robust, integrated preparedness and response program. NYSDOH has carefully reviewed its progress in designing an integrated and comprehensive health emergency preparedness structure and has strategically prioritized future efforts. A current assessment of NYSDOH’s capabilities and gaps was conducted and included the input of all NYSDOH Subject Matter Leads (SML)s, Executive leadership, the New York State Association of County Health Officials (NYSACHO) and healthcare coalitions. The purpose of this application is to sustain and/or build capabilities to maintain New York State’s (NYS) capacity to efficiently plan for and effectively respond to emergencies. Using the Response Readiness Framework (RRF), in concert with Centers for Disease Control and Prevention (CDC) PHEP Strategies and the PHEP Capabilities, NYSDOH has identified an array of strategic priorities which include: Sustain and build the Incident Management System (IMS) that provides overall situational awareness and Common Operating Picture (COP). Maintain medical material management and distribution capacity to respond to a public health threat with Medical Countermeasures (MCM) and/or durable medical equipment. Sustain and build public health laboratory testing capability, to include testing of clinical, environmental and chemical threat agents. Sustain and enhance communicable disease surveillance systems used to support collection, management and analysis of epidemiologic data and ensure processes are in place for timely investigation and implementation of control measures. Continue to create and promote public health media campaigns, in collaboration with local jurisdictions and Health Emergency Preparedness Coalitions (HEPCs). Develop Health Emergency Preparedness Coalitions (HEPCs) to support emergency preparedness activities and provide an integrated regional component for multi-agency coordination and preparedness activities. Develop and exercise Coalition-wide surge plans, paying attention to the needs of at-risk populations including those with access and functional needs. Training, planning and exercising surge, particularly as it relates to pediatric surge at HEPC levels to assure incoming patients receive the immediate and critical care needed for health and safety and continuity of care for patients with consideration for Crisis Standards of Care (CSC).