Project Public Health Ready (PPHR)
Public health emergencies can strike without warning, and every moment counts in protecting our communities. Local health departments (LHDs) are on the frontlines—leading the charge in preparedness, supporting rapid responses, and driving recovery efforts to keep communities safe and resilient.
Results from the 2022 Preparedness Profile, a nationally representative survey to gather key insights and information about preparedness trends and emerging issues at LHDs, found that there was a significant increase in preparedness coordinators (or other equivalent positions) with less than two years of experience. Additionally:
- 32% of LHDs reported training gaps in all-hazards planning; 27% reported gaps in exercise planning, and 16% reported training gaps in partnership development.
- LHDs were more likely to report having good to fair relationships with key community partners such as faith-based, volunteer, and community-based organizations.
- Up to 50% of LHDs noted that while they were very concerned about common public health emergencies such as medical supply chain interruptions and extreme weather events only 13% felt very prepared for them.
NACCHO's Project Public Health Ready (PPHR) supports local health departments in overcoming these challenges. This recognition program offers LHDs a systematic approach to evaluate their capacity and capability to plan for, respond to, and recover from public health emergencies.
Since 2004, over 500 departments have earned recognition and built training and preparedness capacities using a continuous quality improvement model.
PPHR is a nationally recognized, criteria-based training and recognition program developed by the National Association of County and City Health Officials in partnership with the Centers for Disease Control and Prevention (CDC). It is designed to help local health departments (LHDs) develop core public health and emergency preparedness competencies.
How PPHR Builds Local Health Department Capacity
This robust 18-month program offers a structured, purposeful approach to strengthening training and preparedness capacity through a model of continuous quality improvement. Participating health departments develop or update their comprehensive, all-hazards response plan to align with the highest national standards, including CDC’s Public Health Emergency Preparedness (PHEP) capabilities and the Public Health Accreditation Board’s (PHAB) Standards and Measures.
How PPHR Strengthens the Governmental Public Health System
PPHR aims to fully integrate LHDs into the broader preparedness and response community. It fosters collaboration across internal teams and with local, state, federal, and community response partners to strengthen coordination and planning. Health departments that successfully complete the program earn PPHR recognition, valid for five years.
Program Goals
Starting with the 2026 PPHR cycle, the application and process has been revised to reflect the evolving public health landscape. Through PPHR recognition, health departments work toward achieving the following goals:
- Goal 1: Engage Whole Community
- Goal 2: Plan for All-Hazards Preparedness
- Goal 3: Maintain Plans and Procedures for Public Health Threats
- Goal 4: Maintain Plans and Procedures for Recovery
- Goal 5: Develop Workforce Capacity
- Goal 6: Conduct Quality Improvement
New application cycle materials are available in September of every year.
PPHR's Vision
Local health departments are fully prepared and seamlessly integrated into the emergency response system to protect and promote public health during all emergencies.
PPHR's Mission
To strengthen the nation’s public health preparedness infrastructure by building the capacity and capability of local health departments—through collaboration with state partners—to plan, train, and exercise using a sustainable, continuous improvement model.
Florida
Florida Department of Health in Alachua County
Year Recognized: 2011
Year Recognition Expires: 2016
Florida
Florida Department of Health in Baker County
Year Recognized: 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Bay County
Year Recognized: 2014
Year Recognition Expires: 2019
Florida
Florida Department of Health in Bradford-Union County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Brevard County
Year Recognized: 2018, 2024
Year Recognition Expires: 2029
Florida
Florida Department of Health in Broward County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Calhoun County
Year Recognized: 2014
Year Recognition Expires: 2019
Florida
Florida Department of Health in Charlotte County
Year Recognized: 2008, 2013, 2018
Year Recognition Expires: 2023
Florida
Florida Department of Health in Citrus County
Year Recognized: 2008, 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in Clay County
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Collier County
Year Recognized: 2014, 2019, 2024
Year Recognition Expires: 2029
Florida
Florida Department of Health in Columbia County
Year Recognized: 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in DeSoto County
Year Recognized: 2011, 2016, 2024
Year Recognition Expires: 2029
Florida
Florida Department of Health in Dixie/Gilchrist Counties
Year Recognized: 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in Duval County
Year Recognized: 2014, 2019, 2024
Year Recognition Expires: 2029
Florida
Florida Department of Health in Escambia County
Year Recognized: 2007, 2012
Year Recognition Expires: 2017
Florida
Florida Department of Health in Flagler County
Year Recognized: 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Franklin County
Year Recognized: 2014
Year Recognition Expires: 2019
Florida
Florida Department of Health in Gadsden County
Year Recognized: 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Gilchrist County
Year Recognized: 2013, 2018
Year Recognition Expires: 2023
Florida
Florida Department of Health in Gulf County
Year Recognized: 2012
Year Recognition Expires: 2017
Florida
Florida Department of Health in Hamilton County
Year Recognized: 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in Hardee County
Year Recognized: 2018, 2024
Year Recognition Expires: 2029
Florida
Florida Department of Health in Hendry and Glades Counties
Year Recognized: 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Hernando County
Year Recognized: 2010, 2015
Recognition Expires: 2020
Florida
Florida Department of Health in Highlands County
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Hillsborough County
Year of Recognized: 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Holmes County
Year Recognized: 2012
Year Recognition Expires: 2017
Florida
Florida Department of Health in Indian River County
Year Recognized: 2007, 2012
Year Recognition Expires: 2017
Florida
Florida Department of Health in Jackson County
Year Recognized: 2014
Year Recognition Expires: 2019
Florida
Florida Department of Health in Jefferson County
Year Recognized: 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Lafayette County
Year Recognized: 2014
Year Recognition Expires: 2019
Florida
Florida Department of Health in Lake County
Year Recognized: 2010, 2015
Recognition Expires: 2022
Florida
Florida Department of Health in Lee County
Year Recognized: 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Leon County
Year Recognized: 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Levy County
Year Recognized: 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Madison County
Year Recognized: 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Manatee County
Year Recognized: 2011, 2016, 2021
Year Recognition Expires: 2026
Florida
Florida Department of Health in Marion County
Year Recognized: 2006, 2011, 2018, 2024
Year Recognition Expires: 2029
Florida
Florida Department of Health in Martin County
Year Recognized: 2006, 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Miami-Dade County
Year Recognized: 2011, 2016, 2021
Year Recognition Expires: 2026
Florida
Florida Department of Health in Monroe County
Year Recognized: 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in Nassau County
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Okaloosa County
Year Recognized: 2011, 2016, 2025
Year Recognition Expires: 2030
Florida
Florida Department of Health in Okeechobee County
Year Recognized: 2005, 2013
Recognition Expires: 2018
Florida
Florida Department of Health in Orange County
Year Recognized: 2005, 2010, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Osceola County
Year Recognized: 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in Palm Beach County
Year Recognized: 2005
Year Recognition Expires: 2010
Florida
Florida Department of Health in Pasco County
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Pinellas County
Year Recognized: 2006, 2011, 2016, 2023
Year Recognition Expires: 2028
Florida
Florida Department of Health in Polk County
Year Recognized: 2007, 2011, 2016, 2021
Year Recognition Expires: 2026
Florida
Florida Department of Health in Putnam County
Year Recognized: 2012, 2017
Year Recognition Expires: 2022
Florida
Florida Department of Health in Santa Rosa County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Sarasota County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Seminole County
Year Recognized: 2003, 2008, 2013, 2018, 2022
Year Recognition Expires: 2027
Florida
Florida Department of Health in St. Johns County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in St. Lucie County
Year Recognized: 2006, 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Sumter County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Suwannee County
Year Recognized: 2013
Year Recognition Expires: 2018
Florida
Florida Department of Health in Taylor County
Year Recognized: 2011, 2016,
Year Recognition Expires: 2022
Florida
Florida Department of Health in Volusia County
Year Recognized: 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Wakulla County
Year Recognized: 2011, 2016
Year Recognition Expires: 2022
Florida
Florida Department of Health in Walton County
Year Recognized: 2010, 2015
Year Recognition Expires: 2022
Florida
Florida Department of Health in Washington County
Year Recognized: 2012
Year Recognition Expires: 2017
| Name | Details |
|---|---|
| Florida Department of Health in Alachua County |
Year Recognized: 2011
Year Recognition Expires: 2016 |
| Florida Department of Health in Baker County |
Year Recognized: 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Bay County |
Year Recognized: 2014
Year Recognition Expires: 2019
|
| Florida Department of Health in Bradford-Union County |
Year Recognized: 2010, 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in Brevard County |
Year Recognized: 2018, 2024 Year Recognition Expires: 2029 |
| Florida Department of Health in Broward County |
Year Recognized: 2010, 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in Calhoun County |
Year Recognized: 2014
Year Recognition Expires: 2019
|
| Florida Department of Health in Charlotte County |
Year Recognized: 2008, 2013, 2018
Year Recognition Expires: 2023 |
| Florida Department of Health in Citrus County |
Year Recognized: 2008, 2013
Year Recognition Expires: 2018 |
| Florida Department of Health in Clay County |
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Collier County |
Year Recognized: 2014, 2019, 2024 Year Recognition Expires: 2029 |
| Florida Department of Health in Columbia County |
Year Recognized: 2013
Year Recognition Expires: 2018 |
| Florida Department of Health in DeSoto County |
Year Recognized: 2011, 2016, 2024 Year Recognition Expires: 2029 |
| Florida Department of Health in Dixie/Gilchrist Counties |
Year Recognized: 2013
Year Recognition Expires: 2018
|
| Florida Department of Health in Duval County |
Year Recognized: 2014, 2019, 2024 Year Recognition Expires: 2029 |
| Florida Department of Health in Escambia County |
Year Recognized: 2007, 2012
Year Recognition Expires: 2017
|
| Florida Department of Health in Flagler County |
Year Recognized: 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Franklin County |
Year Recognized: 2014 Year Recognition Expires: 2019 |
| Florida Department of Health in Gadsden County |
Year Recognized: 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in Gilchrist County |
Year Recognized: 2013, 2018 Year Recognition Expires: 2023 |
| Florida Department of Health in Gulf County |
Year Recognized: 2012
Year Recognition Expires: 2017 |
| Florida Department of Health in Hamilton County |
Year Recognized: 2013
Year Recognition Expires: 2018
|
| Florida Department of Health in Hardee County |
Year Recognized: 2018, 2024 Year Recognition Expires: 2029 |
| Florida Department of Health in Hendry and Glades Counties |
Year Recognized: 2017 Year Recognition Expires: 2022 |
| Florida Department of Health in Hernando County |
Year Recognized: 2010, 2015
Recognition Expires: 2020 |
| Florida Department of Health in Highlands County |
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Hillsborough County |
Year of Recognized: 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Holmes County |
Year Recognized: 2012
Year Recognition Expires: 2017
|
| Florida Department of Health in Indian River County |
Year Recognized: 2007, 2012
Year Recognition Expires: 2017
|
| Florida Department of Health in Jackson County |
Year Recognized: 2014 Year Recognition Expires: 2019 |
| Florida Department of Health in Jefferson County |
Year Recognized: 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Lafayette County |
Year Recognized: 2014
Year Recognition Expires: 2019 |
| Florida Department of Health in Lake County |
Year Recognized: 2010, 2015
Recognition Expires: 2022 |
| Florida Department of Health in Lee County |
Year Recognized: 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Leon County |
Year Recognized: 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Levy County |
Year Recognized: 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Madison County |
Year Recognized: 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Manatee County |
Year Recognized: 2011, 2016, 2021
Year Recognition Expires: 2026 |
| Florida Department of Health in Marion County |
Year Recognized: 2006, 2011, 2018, 2024 Year Recognition Expires: 2029 |
| Florida Department of Health in Martin County |
Year Recognized: 2006, 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Miami-Dade County |
Year Recognized: 2011, 2016, 2021
Year Recognition Expires: 2026 |
| Florida Department of Health in Monroe County |
Year Recognized: 2013
Year Recognition Expires: 2018
|
| Florida Department of Health in Nassau County |
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Okaloosa County |
Year Recognized: 2011, 2016, 2025 Year Recognition Expires: 2030 |
| Florida Department of Health in Okeechobee County |
Year Recognized: 2005, 2013 Recognition Expires: 2018 |
| Florida Department of Health in Orange County |
Year Recognized: 2005, 2010, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Osceola County |
Year Recognized: 2013
Year Recognition Expires: 2018
|
| Florida Department of Health in Palm Beach County |
Year Recognized: 2005
Year Recognition Expires: 2010 |
| Florida Department of Health in Pasco County |
Year Recognized: 2007, 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Pinellas County |
Year Recognized: 2006, 2011, 2016, 2023
Year Recognition Expires: 2028 |
| Florida Department of Health in Polk County |
Year Recognized: 2007, 2011, 2016, 2021
Year Recognition Expires: 2026 |
| Florida Department of Health in Putnam County |
Year Recognized: 2012, 2017
Year Recognition Expires: 2022 |
| Florida Department of Health in Santa Rosa County |
Year Recognized: 2010, 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in Sarasota County |
Year Recognized: 2010, 2015 Year Recognition Expires: 2022 |
| Florida Department of Health in Seminole County |
Year Recognized: 2003, 2008, 2013, 2018, 2022
Year Recognition Expires: 2027 |
| Florida Department of Health in St. Johns County |
Year Recognized: 2010, 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in St. Lucie County |
Year Recognized: 2006, 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Sumter County |
Year Recognized: 2010, 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in Suwannee County |
Year Recognized: 2013
Year Recognition Expires: 2018
|
| Florida Department of Health in Taylor County |
Year Recognized: 2011, 2016,
Year Recognition Expires: 2022 |
| Florida Department of Health in Volusia County |
Year Recognized: 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Wakulla County |
Year Recognized: 2011, 2016
Year Recognition Expires: 2022 |
| Florida Department of Health in Walton County |
Year Recognized: 2010, 2015
Year Recognition Expires: 2022 |
| Florida Department of Health in Washington County |
Year Recognized: 2012
Year Recognition Expires: 2017
|
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- Contact the PPHR team at [email protected]