Project Public Health Ready

Project Public Health Ready (PPHR) is a criteria-based training and recognition program that assesses local health department (LHD) capacity and capability to plan for, respond to, and recover from public health emergencies. PPHR aims to protect the public's health and strengthen the public health infrastructure by equipping local health departments with sustainable tools to plan, train, and exercise using a continuous quality improvement model.

By working with response partners to develop and enhance their plans and processes to meet the PPHR criteria, agencies strengthen working relationships and improve their integration within the preparedness community.

To learn more or apply, email

Since 2004, more than 400 LHDs have been recognized as meeting all the PPHR requirements individually or working collaboratively as a region. To view which agencies are recognized, see the map below.

Prospective applicants can find information on program benefits, eligibility, cost, and application process in the Process Guide below.

PPHR applicants work collaboratively with state and local partners and with NACCHO to build out their preparedness plans to meet the PPHR criteria. The criteria are nationally recognized standards for local public health preparedness created by LHDs, for LHDs, and maintained by the local public health preparedness practitioners in NACCHO’s advisory groups. Each of the three PPHR project goals—all-hazards preparedness planning, workforce capacity development, and demonstration of readiness through exercises or real events—has a comprehensive list of standards that agencies must meet to achieve PPHR recognition.

Agencies that have previously earned PPHR recognition and wish to maintain their status past the 5 year expiration date have the option of using the PPHR re-recognition criteria. This modified version of the criteria focuses on quality improvement since the applicant’s previous PPHR recognition.

NACCHO regularly updates the criteria to align with recent federal initiatives, including the Centers for Disease Control and Prevention Public Health Emergency Preparedness (CDC PHEP) capabilities, the Public Health Accreditation Board (PHAB) Standards and Measures, the Homeland Security Exercise and Evaluation Program (HSEEP) and the CDC Operational Readiness Review (ORR) tool. Alignment ensures that LHDs are able to leverage their resources more effectively to meet the standards of different programs. The crosswalks and comparison documents below highlight the alignments between PPHR and other key national programs:

LHDs can find information on program benefits, eligibility, cost, and application process in the PPHR Process Guide. The following targeted flyers also contain helpful information:

Listen to first-hand accounts from local health department that have gone through the PPHR process:

NACCHO is also seeking local public health local public health preparedness practitioners to serve as PPHR National Reviewers.  Reviewers volunteer to assess applicant’s plans against the PPHR criteria and provide expert feedback. Benefits include:

  • Learning about innovative practices in local public health preparedness from across the country
  • Networking with other experienced public health professionals
  • Sharing your knowledge and experience with applying agencies
  • Learning about PPHR in preparation for completing your own application

To learn more about reviewer responsibilities and to be contacted during NACCHO’s annual reviewer recruitment, click here.

Questions? Please email