Public health preparedness
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Public Health Preparedness. 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.

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Public health preparedness

Public Health Preparedness

From the Back Burner to the Frontlines..


Public health preparedness

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


Public health leaders the way we were

Public Health Leaders:The way we were…

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

AXIOMS

  • Use existing assets – don’t reinvent the wheel

  • Demand standardization and allow for customization

  • Leverage accountability to sustain preparedness / performance


Foundation

Foundation

  • 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 public health workforce development

Strategic Elements for PublicHealth Workforce Development

Identifycompetencies/

Develop curriculum

Monitor workforce

composition

Design integrated

learning system

Assure financial

support

Conduct evaluationand research

Use incentives to

assure competency


National bt preparedness training plan

Describes public health workforce target audiences (CDC and external)

Identifies competencies, content and training strategies

Aligns partners for implementation

National BT PreparednessTraining Plan


Key content areas

Biological/chemical agents – diagnosis, treatment, consequences

Unified and Incident Command Systems

Communications/notification systems

Risk communications

Worker safety

Legal authorities

Epi/surveillance; laboratory systems

Information technology

Psycho-social consequences

Key Content Areas


Bioterrorism competencies

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

Bioterrorism Competencies


State response to critical benchmark n 54 for focus area g

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


In house vs contractual state training needs assessment n 54

N=3

State Training Needs

N=3

7%

Assessments In

House

5%

N=28

State Training Needs

52%

Assessments

Contractual

State Training Needs

Assessments Both In

N=20

House and

36%

Contractual

Not Available

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


In house vs contractual state training needs assessments for nwcphp states

In-House VS ContractualState Training Needs Assessmentsfor NWCPHP States


Ideas that should lead to improvements examples from northwest state work plans

Ideas That Should Lead to ImprovementsExamples 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


Assets

ASSETS:

  • Training content, Assessment, Delivery, Evaluation

  • Partners

  • CDC


On the cdc phppo office of workforce policy and planning website you can find

On the CDC/PHPPOOffice 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


Public health preparedness

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


Bt leadership pyramid

BT Leadership Pyramid

Team

Individual

Performance

Leadership in Chaos

Leadership in Context

Leadership Skills

BT – Specific Content

Core Public Health Skills


Bt competencies for leaders

BT Competencies for Leaders

  • 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


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


Response

Response:

  • 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


Recovery

Recovery:

  • Evaluate the response

  • Describe needs for changes based on the evaluation

  • Revise the response plan based on these changes


Challenges opportunities

Quantity

Quality

National BT training plan; Partnership alignment

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

Challenges / Opportunities


Issues and next steps

Currency

Access

Expert SME panel(s)

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

Issues and Next Steps


Issues and next steps1

Integration; Implementation; Evaluation

Assure integration of internal and external efforts

Link partner efforts

Adapt evaluation framework

Issues and Next Steps


Public health preparedness

“An informed family will be a family prepared.”

~ Senator Bill Frist

2002


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