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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


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 consequences

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



In house vs contractual state training needs assessment n 54

N=3 consequences

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


Centers for Public Health Preparedness (CPHP) consequences“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” consequences

  • Technical Assistance

  • Best Practices, Tools,

  • Evaluation

  • Networking


Bt leadership pyramid
BT Leadership Pyramid consequences

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 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
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
Response: consequences

  • Implement the response plan

  • Deploy the appropriate assets

  • Assure the rapid identification, referral and confirmation of patients


Communication
Communication: consequences

  • Activate redundant communication systems

  • Designate a media spokesperson

  • Maintain 24/7 functioning of the system


Recovery
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

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 consequences

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 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

2002


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