PHEP 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. Informed by more than 100 CDC and field-based subject matter experts, the ORR:

  • Documents gaps, strengths, and promising practices; and
  • Identifies opportunities for CDC technical assistance.

CDC introduced the ORR in 2014 to evaluate a jurisdiction’s ability to execute a large response requiring medical countermeasure (MCM) distribution and dispensing, ensuring life-saving medicines and supplies can reach the right people at the right time.

DSLR ORR infographic jurisdictions

In 2018, CDC published the first update of its public health preparedness capabilities. The 2018 Public Health Emergency Preparedness (PHEP) Operational Readiness Review Guidance recognized the maturity and experience jurisdictional public health emergency preparedness and response programs have gained since CDC first established the preparedness capability standards in 2011.

CDC released the 2022 PHEP ORR guidance in March 2022. The PHEP ORR guidance is organized into three sections:

  • descriptive and demographic,
  • planning, and
  • operations.

Beginning October 8, 2021, the DSLR Friday Update newsletter initiated the PHEP ORR Friday Feature series. This series highlights ORR guidance and orients recipients to select features of the guidance. CDC also conducts guidance orientation sessions for recipients during special PHEP Connects webinars.

Explore the 2022 PHEP ORR Guidance

To improve ORR and other public health emergency preparedness data collection, CDC developed the PHEP ORR Reporting and Tracking System (PORTS). This is a tool for collecting, storing, analyzing, and reporting public health preparedness data. In April 2022, recipients began submitting all required data through PORTS except benchmark data. PHEP recipients will submit this data via the PERFORMS platform.

CDC Operational Readiness Review Timeline
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