Virginia Public Health Emergency Preparedness - The Virginia Department of Health's overall preparedness strategy for the project period is to coordinate with state and local emergency management, public health, mental/behavioral health care providers, community and faith-based partners, the healthcare system, and state and local government agencies to provide and sustain a tiered, scalable, and flexible approach to attain needed disaster response and recovery capabilities. To accomplish this, the Virginia Department of Health (VDH) will utilize the existing structure of the Public Health Emergency Preparedness( PHEP) and Hospital Preparedness (HPP) Programs under the purview of the Office of Emergency Preparedness. These programs are comprised of personnel in thirty-five (35) Local Health Districts (LHDs), five (5) Public Health regions, and four (4) Healthcare Coalitions (HCCs). VDH continues to strengthen the coordination and interoperability of the PHEP and HPP cooperative agreements. Virginia has adopted, and will continue to operate, a coordinated, collaborative, all-hazards planning approach. Coordination of emergency response planning, funding allocation, surge capacity preparedness activities, and response actions have, and continue to be, focused primarily at the sub-state (local and regional) level. The collaborative effort in all program activities is supported through the combined resources of VDH, the Virginia Hospital and Healthcare Association (VHHA), healthcare providers, and other state, regional and local government agency partners. Public health clinicians, functional experts, scientists, public and private sector healthcare and behavioral health providers, health care administrators, emergency coordinators, public information/risk communication specialists, Medical Reserve Corps (MRC) volunteers and coordinators, information technology managers and technicians work collaboratively under leadership within the VDH/VHHA partnership structure to accomplish program goals. Overarching PHEP outcomes for this period of performance include (but are not limited to): • Demonstrate the ability to receive, distribute and dispense emergency medical countermeasures • Demonstrate the agency's ability to maintain essential operations in the event of an emergency (Continuity of Operations - COOP) • Demonstrate the ability to rapidly respond to public health threats, to include performance of exercises • Demonstrate the ability to deploy MRC volunteers statewide