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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..

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


  • Use existing assets – don’t reinvent the wheel

  • Demand standardization and allow for customization

  • Leverage accountability to sustain preparedness / performance


  • 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


Develop curriculum

Monitor workforce


Design integrated

learning system

Assure financial


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 consequences

Preparedness and Planning





Target PH Audiences




Communicable Disease and Immunization Staff

Environmental Health Professionals

Medical Examiners

Public Information Staff

Support Staff

Bioterrorism Competencies

In house vs contractual state training needs assessment n 54

N=3 consequences

State Training Needs



Assessments In




State Training Needs




State Training Needs

Assessments Both In


House and



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 Contractual consequencesState Training Needs Assessmentsfor NWCPHP States

Ideas that should lead to improvements examples from northwest state work plans
Ideas That Should Lead to Improvements consequencesExamples 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: consequences

  • 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 consequencesOffice 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:

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

Cdc we are here to help
CDC - “We are here to help” consequences

  • Technical Assistance

  • Best Practices, Tools,

  • Evaluation

  • Networking

Bt leadership pyramid
BT Leadership Pyramid consequences




Leadership in Chaos

Leadership in Context

Leadership Skills

BT – Specific Content

Core Public Health Skills

Bt competencies for leaders
BT Competencies for Leaders consequences

  • Develop policies and oversee execution of policies

  • Direct agency’s operations

  • Provide specialized consultation

Preparedness and planning
Preparedness and Planning: consequences

  • Generate an integrated response plan

  • Integrate the plan into the areas Incident Command System

  • Identify resources and ensure capacity

Surveillance: consequences

  • List laboratory resources available and classify by capabilities

  • Disseminate reporting requirements to healthcare providers

  • Ensure that laboratories serving the area have response plans

Response: consequences

  • Implement the response plan

  • Deploy the appropriate assets

  • Assure the rapid identification, referral and confirmation of patients

Communication: consequences

  • Activate redundant communication systems

  • Designate a media spokesperson

  • Maintain 24/7 functioning of the system

Recovery: consequences

  • Evaluate the response

  • Describe needs for changes based on the evaluation

  • Revise the response plan based on these changes

Challenges opportunities

Quantity consequences


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 consequences


Expert SME panel(s)

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

Issues and Next Steps

Issues and next steps1

Integration; Implementation; Evaluation consequences

Assure integration of internal and external efforts

Link partner efforts

Adapt evaluation framework

Issues and Next Steps

“An informed family will be a family prepared.” consequences

~ Senator Bill Frist