Project Public Health Ready (PPHR)

PPHR Logo 2025 Color 300

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. 
 

Public Health Preparedness

Potential Applicants

Learn more about applying for PPHR recognition.

Public Health Preparedness

Potential Applicants

Public Health Preparedness

Current Applicants

Learn more about the process and next steps

Public Health Preparedness

Current Applicants

Public Health Preparedness

Get Involved

Learn about ways to get involved with PPHR.

Public Health Preparedness

Get Involved

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.

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Massachusetts

Belmont Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Boston Public Health Commission

Year Recognized: 2005

Year Recognition Expires: 2010

Massachusetts

Brookline Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Cambridge Public Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

City of Chelsea - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

City of Everett - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

City of Revere - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

City of Somerville - Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Needham Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Newton Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Quincy Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Arlington - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Braintree - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Canton - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Cohasset - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Dedham - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Hanover - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Hingham - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Hull - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Milton - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Norwell - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Norwood - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Scituate - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Westwood - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Town of Winthrop - Board of Health

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Watertown Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Wellesley Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Massachusetts

Weymouth - Health Department

Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.

Year Recognized: 2006

Year Recognition Expires: 2011

Name Details
Belmont Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Boston Public Health Commission
Year Recognized: 2005
Year Recognition Expires: 2010
Brookline Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Cambridge Public Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
City of Chelsea - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
City of Everett - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
City of Revere - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
City of Somerville - Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Needham Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Newton Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Quincy Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Arlington - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Braintree - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Canton - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Cohasset - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Dedham - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Hanover - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Hingham - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Hull - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Milton - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Norwell - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Norwood - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Scituate - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Westwood - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Town of Winthrop - Board of Health
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Watertown Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Wellesley Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
Weymouth - Health Department
Massachusetts Emergency Preparedness Region 4B: This jurisdiction is covered by covered by a regionally recognized agency. Dates below apply to the regional agency.
Year Recognized: 2006
Year Recognition Expires: 2011
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