Operational Readiness Review

CDC’s Operational Readiness Review (ORR) is a rigorous, evidence-based assessment that evaluates state, local, and territorial planning and operational functions. Currently, the ORR primarily focuses on evaluating a jurisdiction’s ability to execute a large response requiring medical countermeasure (MCM) distribution and dispensing. The intended outcome of this assessment is to identify strengths and challenges facing preparedness programs across the nation and to identify opportunities for improvement and further technical support.
ORR Resources
CDC developed the following resources to help prepare all 62 Public Health Emergency Preparedness recipients, as well as Cities Readiness Initiative (CRI) local planning jurisdictions, required to participate in an MCM ORR. The materials include information presented during the July 2017 ORR workshop in Atlanta.
ORR Guidance
The Operational Readiness Review Guidance provides specific information on how to complete a self-assessment and complete a review using the Data Collation and Integration for Public Health Event Response (DCIPHER) platform. All 62 PHEP recipients as well as CRI local planning jurisdictions are required to participate in the ORR process. State recipients are not only responsible for ensuring their own planning and operational function, but also for reviewing local CRI jurisdictions’ submitted forms within their state, and monitoring, tracking, and evaluating local activities.
ORR System Guides
The Operational Readiness Review (ORR) system guides provide instruction on how to use the ORR application hosted within the Data Collation and Integration for Public Health Event Response (DCIPHER) platform. The ORR online system allows users to collect valuable ORR data, streamline the review process, and facilitate dialog between ORR reviewers and those who submit ORR data and information.
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- ORR System Guide for Reviewee: pdf icon[PDF – 2 MB]: The ORR System Guide for Reviewee provides instruction on accessing the ORR system as the reviewee to edit data, upload supportive documents, leave comments for reviewer, and submit for review.
- ORR System Guide for Reviewer: pdf icon[PDF – 2 MB] The ORR System Guide for Reviewer provides instruction on accessing the ORR system as the reviewer to provide feedback on forms, review supporting documentation, and acknowledge correct completion of forms for status adjudication.
For questions or assistance related to the ORR online data collection system, please contact CDC at dslritsupport@cdc.gov.
MCM Action Plan
The MCM technical assistance action plan is designed to assist PHEP recipients and Cities Readiness Initiative local planning jurisdictions to become established on or before June 30, 2022. The action plans focus on activities developed to address prioritized MCM planning and operational gaps identified during their most recent ORR. Similarly, state recipients must develop MCM action plans for all of their CRI local planning jurisdictions. Note: To open the action plan template, first download the form to the computer and then open the template using Adobe Reader.
- MCM Technical Assistance Action Plan Guidance pdf icon[PDF – 295 KB] – September 2018
- MCM Technical Assistance Action Plan Template pdf icon[PDF – 2 MB] – September 2018
ORR Presentation Slides
- MCM ORR Implementation: PHEP Directors Briefing pdf icon[PDF – 834 KB]
- Role of Emergency Management in MCM Operations pdf icon[PDF – 825 KB]
- How to Prepare for the ORR pdf icon[PDF – 443 KB]
- Conducting Local ORR Site Visits pdf icon[PDF – 512 KB]
- Critical Contact Sheet Form pdf icon[PDF – 496 KB]
- States Dispensing Planning pdf icon[PDF – 903 KB]
- Directly Funded Localities Dispensing Planning pdf icon[PDF – 1 MB]
- Territories or Freely Associated States Dispensing Planning pdf icon[PDF – 549 KB]
- Dispensing Full-scale Exercise pdf icon[PDF – 575 KB]
- Distribution Planning pdf icon[PDF – 561 KB]
- Distribution Full-scale Exercise pdf icon[PDF – 600 KB]
- State Jurisdictional Data Sheet Form pdf icon[PDF – 408 KB]
- Directly Funded Localities Jurisdictional Data Sheet pdf icon[PDF – 471 KB]
- Territories or Freely Associated States Jurisdictional Data Sheet pdf icon[PDF – 516 KB]
- Point of Dispensing Planning pdf icon[PDF – 468 KB]
- Receipt, Stage, and Store Site Survey pdf icon[PDF – 772 KB]
- ORR Post-workshop Webinar pdf icon[PDF – 725 KB]
Resources are also available on CDC’s Online Technical Resource and Assistance Center (On-TRAC).