1. CPO Forum 02 May 2006 Denver, Colorado

2. HSOs Are The 4 th largest category (829) The most diverse category The future of the Corps! Strength Through Diversity!

3. Who We Are HSOs By Rank 2004

4. Who We Are HSOs By Subcategory (N=829 as of 10 APR 2006 )

5. Who We Are HSO Clinical Disciplines

6. Who We Are HSO Administrative Disciplines

7. Who We Are HSO BAS Disciplines

8. Where We Work Agencies With >15 HSOs 30%15% 12%8% PSC=14, SAMHSA=14, EPA=12, ATSDR=9, USDA=7, Interior=3, CIA=1, DoD=1

9. Where We Work States With >30 HSOs* 29% of HSOs work in MD or DC

10. How We Have Grown New HSOs by Year of Entry 10 APR

11. Professional Advisory Groups to HS PAC Chief HSO HS PAC SWPAGHAPAG MTPAGDHPAG ITPAGOPAG PAPAGBASPAG PSYPAG

12. Transformation Where Are We So Far? - Timeline  November 7, 2005 – Decision-making meeting with Department leadership  December 5, 2005 – Announcement of decisions and follow-on Implementation Planning Work Groups  January 18, 2006 - Secretary’s Roll-out  February 2006 – Congressional Request for increase in FY ’07 Transformation budget  February 2006 – White House Katrina Report  March 8, 2006 – Work Group reports completed

13. Transformation Work Groups  Classification and Positions Chair – CAPT Patricia Simone  Sizing the Corps Chair – RADM Sam Shekar  Recruitment, Training, Career Development Chair - CAPT Kerry Nesseler  Assignments Chair – RADM Eric Broderick  Readiness Chair – RADM John Babb

14.  Work Groups met weekly from Jan 5 – Feb 28, 2006  HHS agencies with COs invited to designate a member to serve on each work group. Members also represented BOP, and Coast Guard  Each group also had representatives from OCCFM, OSG/OCCO, and JOAG and staff support from the Lewin Group  Participation included about 100 officers  Categories (CPOs and PACs) were not directly included in this process  A coordinating group composed of group chairs and senior leaders also met weekly Transformation Work Groups

15. DECISION: Officers should be grouped based on a matrix of professional category and functional group (i.e., Clinical, Applied Public Health, Mental Health, and Research) DECISION: Billets should facilitate force management with descriptions unique for each position, but containing both general and position-specific information; billet development and approval should be managed centrally Classification

16. DECISION: The size of the Corps should be 6,600; positions should be allocated across agencies taking that into account Sizing

17. DECISION: All avenues should be used including central recruitment DECISION: A 2-week BOTC should be required of all new officers; training should be shared by agency and Corps throughout officer’s career Recruitment and Training

18. Assignments DECISION: A central Corps assignment system should assist agencies DECISION: Positions should be designated as either Corps, civilian, or mixed DECISION: A variety of incentives should be used to fill 3H (hardship, hazardous, hard-to-fill) positions

19. Readiness DECISION: Implement a 4-tiered response capability, exempt mission critical officers  Designate Secretary as the activation decision-maker  Per Katrina Report – Create 315 member Health and Medical Response (HAMR) team  Will draw upon new Corps hires  $36 million from central funds  Proposed for 2007 Hurricane season

20. Readiness  Tier One  5 Rapid Deployment Force (RDF) Teams of 105 officers will train and deploy as a unit, within 200 miles of:  Washington, DC – PHS-1 and PHS-2  Atlanta & Raleigh/Durham – PHS-3  Dallas & Oklahoma City – PHS-4  Phoenix & Albuquerque – PHS-5  10 Secretary’s Emergency Response Teams (SERTs) of 30; centered in each PHS Regional Office  Report to point of departure within 12 hours of notification

21. Readiness  Tier Two  Geographically dispersed  5 Applied Public Health Teams (APHTs)  47 officers per team  “A public health department in a box”  5 Mental Health Teams (MHTs)  26 officers per team  Provide mental health/behavioral health services  Report to point of departure within 36 hours of notification

22. Readiness  Tier Three  All other active duty officers  Report to point of departure within 72 hours of notification  Deploy to augment Tier 1 or Tier 2 teams or to provide specific requested skills  Tier Four  Officers in the Inactive Reserve Corps

23. Readiness  All officers will be placed in Tiers 1, 2, or 3  All officers will be on call every 5 th month in a rotating schedule  Mission critical officers will only deploy in extreme events  OFRD has asked all officers to go the OFRD website and fill out a brief questionnaire related to Tier, roles, experience & training  Applications will be reviewed by Team Leaders  OFRD will contact supervisor and agency prior to Tier 1 or 2 placement

24. Publicity  ORC Macro under contract with HHS to do PR for PHS  Print media  Commercials  Other promotional material  Request officers to complete an officer bio  Request a small number of officers for focus groups  Request officers to participate in a videotaped interview

25. QUESTIONS?