Given the COVID-19 response efforts that all of public health is engaged for the foreseeable future, PHNCI and the de Beaumont Foundation are extending the public comment period on the proposed 10 Essential Public Health Services until May 22, 2020.

Comment on the Proposed 10 Essential Public Health Services Framework: Deadline May 22nd

Guided by a Task Force and with input from more than 1,300 stakeholders, PHNCI and the de Beaumont Foundation are pleased to release the proposed 10 Essential Public Health Services (EPHS) framework in English and Spanish for public review and comment. Comments will be accepted from March 2 through May 22, 2020.

Using the survey links in English or Spanish, you can submit your comments on as many Essential Services as you would like and provide general comments on the framework. View frequently asked questions that may help you complete the survey.

Informational Webinar
View the recording
of a webinar that provided more details on the Futures Initiative and the public comment period.

Comment Guidelines
Please confine your comments to the content of the draft. Grammatical errors or other typographical errors will be addressed prior to final publication in September 2020.

How to Submit Comments
Comments will be accepted through the survey links only. No comments will be accepted via e-mail, fax, letter, or other format. The comment period closes at 11:59PM EDT on May 22, 2020.

For questions, please contact Jessica Solomon Fisher, Chief Innovations Officer for PHNCI at jfisher@phnci.org.

From anthrax and events like 9/11 to the emergence of new threats, and from chronic and communicable diseases to climate change, the world has changed, and public health practice has adapted to keep pace. What does this mean for the 10 Essential Public Health Services framework? How should it be refreshed to reflect changes in current and future public health practice? Now’s your chance to let us know!

PHNCI is partnering with the de Beaumont Foundation to review and revise the 10 Essential Public Health Services (EPHS). The Futures Initiative is aimed at bringing the Essential Services national framework in line with current and future public health practice. This effort will engage the public health community in activities to collect information and build consensus for an updated 10 EPHS framework that reflects current and emerging public health practice needs.


The original 10 EPHS framework was developed in 1994 by a federal working group. It serves as the description of the activities that local public health systems should undertake in all communities. Organized around the three core functions of public health – assessment, policy development, and assurance – the colorful, circular framework is a familiar graphic in the public health field. Health departments and community partners around the nation organize their work around the Essential Services framework, schools and programs of public health teach it, and the framework informs descriptions and definitions of practice. The framework is also used as the basis of the PHAB Domains.

The framework has provided a roadmap of goals for carrying out the mission of public health in communities around the nation. However, the public health landscape has shifted dramatically over the past 25 years, and many public health leaders agree it is time to revisit whether and how the framework can better reflect current and future practice and how it can be used to create communities where people can achieve their best possible health.

Through the Futures Initiative, PHNCI and the de Beaumont Foundation have engaged the public health field in a variety of opportunities. The Task Force advising the Futures Initiative met in January 2020 to guide the work going forward, review feedback collected during the data collection phase, and prepare for public vetting of a revised framework in Spring 2020. Based on the timeline below, a finalized framework is expected to launch in September 2020. After its launch, the framework will be disseminated broadly in the hopes that it will be adopted widely in the field.



Public vetting open

March 2-May 22, 2020

Data analysis and framework development

May 23-August 17, 2020

Alignment and communication strategy

August 17-September 14, 2020

Framework launch

September 2020