Public Health PreparednessPublic Health Preparedness

From the Back Burner to the Frontlines..

From the Back Burner to the Frontlines..

FIRST LINE OF DEFENSE: CDC foot soldiers hit nation’s streets. Bioterror dangers are added to training as the agency’s latest class of disease detectives joins a proud tradition. Atlanta Journal Constitution, 08/30/2002

FIRST LINE OF DEFENSE: CDC foot soldiers hit nation’s streets. Bioterror dangers are added to training as the agency’s latest class of disease detectives joins a proud tradition. Atlanta Journal Constitution, 08/30/2002

Lexicon or Not?Lexicon or Not?

Education Training Preparedness Response Recovery

Education Training Preparedness Response Recovery

Public Health Leaders:The way we were…

Public Health Leaders:The way we were…

Lead, follow or get out of the way!Lead, follow or get out of the way!

The Role of Training in Public Health Preparedness

The Role of Training in Public Health Preparedness

Axioms Challenges / Opportunities Your Role

Axioms Challenges / Opportunities Your Role

AXIOMSAXIOMS

Use existing assets – don’t reinvent the wheel

Demand standardization and allow for customization

Leverage accountability to sustain preparedness / performance

Use existing assets – don’t reinvent the wheel

Demand standardization and allow for customization

Leverage accountability to sustain preparedness / performance

FoundationFoundation CDC/ATSDR Strategic Plan for Public Health

Workforce Development (Mar.– Nov. 1999) Global and National Implementation Plan for

Workforce Development (Jan. 2000 to date) National Public Health Training Plan for

Bioterrorism Preparedness and Response (Dec. 1998 to present)

CDC/ATSDR Strategic Plan for Public Health Workforce Development (Mar.– Nov. 1999)

Global and National Implementation Plan for Workforce Development (Jan. 2000 to date)

National Public Health Training Plan for Bioterrorism Preparedness and Response (Dec. 1998 to present)

Strategic Elements for PublicHealth Workforce DevelopmentStrategic Elements for Public

Health Workforce Development

Assure financialAssure financialsupportsupport

Design integratedDesign integratedlearning systemlearning system

IdentifyIdentifycompetencies/competencies/

Develop curriculumDevelop curriculum

Monitor workforceMonitor workforcecompositioncomposition

Conduct evaluationConduct evaluationand researchand research

Use incentives toUse incentives toassure competencyassure competency

National BT PreparednessTraining Plan

National BT PreparednessTraining Plan

Describes public health workforce target audiences (CDC and external)

Identifies competencies, content and training strategies

Aligns partners for implementation

Describes public health workforce target audiences (CDC and external)

Identifies competencies, content and training strategies

Aligns partners for implementation

Key Content AreasKey Content AreasBiological/chemical agents – diagnosis, treatment,

consequencesUnified and Incident Command SystemsCommunications/notification systemsRisk communicationsWorker safetyLegal authoritiesEpi/surveillance; laboratory systems Information technologyPsycho-social consequences

Biological/chemical agents – diagnosis, treatment, consequences

Unified and Incident Command SystemsCommunications/notification systemsRisk communicationsWorker safetyLegal authoritiesEpi/surveillance; laboratory systems Information technologyPsycho-social consequences

Bioterrorism CompetenciesBioterrorism CompetenciesDomains

Preparedness and Planning Surveillance Response Communication Recovery

Domains Preparedness and Planning Surveillance Response Communication Recovery

Target PH Audiences Leaders Clinicians Laboratorians Communicable Disease and

Immunization Staff Environmental Health Professionals Medical Examiners Public Information Staff Support Staff

Target PH Audiences Leaders Clinicians Laboratorians Communicable Disease and

Immunization Staff Environmental Health Professionals Medical Examiners Public Information Staff Support Staff

State Response to Critical Benchmark (N=54) for Focus Area GState Response to Critical Benchmark (N=54) for Focus Area G

N=54N=48

N=6

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% of states that address CBM #14 % of states that provide linkages toother Focus Areas through Focus Area

G

No

Yes

N=54N=48

N=6

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

% of states that address CBM #14 % of states that provide linkages toother Focus Areas through Focus Area

G

No

Yes

In-house vs. Contractual State Training Needs Assessment (N=54)

In-house vs. Contractual State Training Needs Assessment (N=54)

N=37%N=3

5%

N=2852%

N=2036%

State Training NeedsAssessments In House

State Training NeedsAssessmentsContractual

State Training NeedsAssessments Both InHouse andContractual

Not Available

In-House VS ContractualState Training Needs Assessments

for NWCPHP States

In-House VS ContractualState Training Needs Assessments

for NWCPHP States

State TrainingNeeds AssessmentIn-house

State TrainingNeeds AssessmentContractual

State TrainingNeeds AssessmentBoth In-house andContractual

Ideas That Should Lead to ImprovementsExamples from Northwest State Work PlansIdeas That Should Lead to Improvements

Examples from Northwest State Work Plans Education and Training Advisory Committee Accountable Core Team Competency-based Training

- Based on needs assessment and performance Appropriate Use of Technology Partnerships Evaluation – exercise and drills Builds on existing training resources

- PHTN - NLTN- CPHP - FEMA, other

Education and Training Advisory Committee Accountable Core Team Competency-based Training

- Based on needs assessment and performance Appropriate Use of Technology Partnerships Evaluation – exercise and drills Builds on existing training resources

- PHTN - NLTN- CPHP - FEMA, other

ASSETS:ASSETS:

Training content, Assessment, Delivery, Evaluation

Partners CDC

Training content, Assessment, Delivery, Evaluation

Partners CDC

On the CDC/PHPPO Office of Workforce Policy and Planning Website

you can find..

On the CDC/PHPPO Office of Workforce Policy and Planning Website

you can find..

CPHP and other Website Addresses Assessment Instruments PH Workforce Competencies Public Health Training Network link TrainingFinder

OWPP Website URL: http://www.phppo.cdc.gov/owpp/index.asp

CPHP and other Website Addresses Assessment Instruments PH Workforce Competencies Public Health Training Network link TrainingFinder

OWPP Website URL: http://www.phppo.cdc.gov/owpp/index.asp

Centers for Public Health Preparedness (CPHP)“To strengthen the front line against health threats”

http://www.phppo.cdc.gov/owpp

CDC - “We are here to help”CDC - “We are here to help”

Technical Assistance Best Practices, Tools, Evaluation Networking

Technical Assistance Best Practices, Tools, Evaluation Networking

BT Leadership PyramidBT Leadership Pyramid

Performance

Leadership in Chaos

Leadership in Context

Leadership Skills

BT – Specific Content

Core Public Health Skills

TeamTeam

IndividualIndividual

BT Competencies for LeadersBT Competencies for Leaders

Develop policies and oversee execution of policies

Direct agency’s operations Provide specialized consultation

Develop policies and oversee execution of policies

Direct agency’s operations Provide specialized consultation

Preparedness and Planning:Preparedness and Planning:

Generate an integrated response plan Integrate the plan into the areas Incident

Command System Identify resources and ensure capacity

Generate an integrated response plan Integrate the plan into the areas Incident

Command System Identify resources and ensure capacity

Surveillance:Surveillance:

List laboratory resources available and classify by capabilities

Disseminate reporting requirements to healthcare providers

Ensure that laboratories serving the area have response plans

List laboratory resources available and classify by capabilities

Disseminate reporting requirements to healthcare providers

Ensure that laboratories serving the area have response plans

Response:Response:

Implement the response plan Deploy the appropriate assets Assure the rapid identification, referral and

confirmation of patients

Implement the response plan Deploy the appropriate assets Assure the rapid identification, referral and

confirmation of patients

Communication:Communication:

Activate redundant communication systems Designate a media spokesperson Maintain 24/7 functioning of the system

Activate redundant communication systems Designate a media spokesperson Maintain 24/7 functioning of the system

Recovery:Recovery:

Evaluate the response Describe needs for changes based on the

evaluation Revise the response plan based on these

changes

Evaluate the response Describe needs for changes based on the

evaluation Revise the response plan based on these

changes

Challenges / OpportunitiesChallenges / Opportunities

Quantity

Quality

Quantity

Quality

National BT training plan; Partnership alignment

Establish CDC and partner criteria; Use national competencies’ framework; use other advisory committees

National BT training plan; Partnership alignment

Establish CDC and partner criteria; Use national competencies’ framework; use other advisory committees

Issues and Next StepsIssues and Next Steps

Currency

Access

Currency

Access

Expert SME panel(s)

“One-stop shop” TrainingFinder.org clearinghouse with links to federal, academic & practice databases

Expert SME panel(s)

“One-stop shop” TrainingFinder.org clearinghouse with links to federal, academic & practice databases

Issues and Next StepsIssues and Next Steps

Integration; Implementation; Evaluation

Integration; Implementation; Evaluation

Assure integration of internal and external efforts

Link partner efforts Adapt evaluation

framework

Assure integration of internal and external efforts

Link partner efforts Adapt evaluation

framework

“An informed family will be a family prepared.”

~ Senator Bill Frist 2002

“An informed family will be a family prepared.”

~ Senator Bill Frist 2002