Public Health Preparedness

1. Public Health Preparedness From the Back Burner to the Frontlines..

2. 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

3. Lexicon or Not? • Education • Training • Preparedness • Response • Recovery

4. Public Health Leaders:The way we were… Lead, follow or get out of the way!

5. The Role of Training in Public Health Preparedness • Axioms • Challenges / Opportunities • Your Role

6. AXIOMS • Use existing assets – don’t reinvent the wheel • Demand standardization and allow for customization • Leverage accountability to sustain preparedness / performance

7. 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)

8. 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

9. Describes public health workforce target audiences (CDC and external) Identifies competencies, content and training strategies Aligns partners for implementation National BT PreparednessTraining Plan

10. 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

11. 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

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

13. 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)

14. In-House VS ContractualState Training Needs Assessmentsfor NWCPHP States

15. 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

16. ASSETS: • Training content, Assessment, Delivery, Evaluation • Partners • CDC

17. 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

18. Centers for Public Health Preparedness (CPHP)“To strengthen the front line against health threats” http://www.phppo.cdc.gov/owpp

19. CDC - “We are here to help” • Technical Assistance • Best Practices, Tools, • Evaluation • Networking

20. BT Leadership Pyramid Team Individual Performance Leadership in Chaos Leadership in Context Leadership Skills BT – Specific Content Core Public Health Skills

21. BT Competencies for Leaders • Develop policies and oversee execution of policies • Direct agency’s operations • Provide specialized consultation

22. Preparedness and Planning: • Generate an integrated response plan • Integrate the plan into the areas Incident Command System • Identify resources and ensure capacity

23. Surveillance: • List laboratory resources available and classify by capabilities • Disseminate reporting requirements to healthcare providers • Ensure that laboratories serving the area have response plans

24. Response: • Implement the response plan • Deploy the appropriate assets • Assure the rapid identification, referral and confirmation of patients

25. Communication: • Activate redundant communication systems • Designate a media spokesperson • Maintain 24/7 functioning of the system

26. Recovery: • Evaluate the response • Describe needs for changes based on the evaluation • Revise the response plan based on these changes

27. Quantity Quality National BT training plan; Partnership alignment Establish CDC and partner criteria; Use national competencies’ framework; use other advisory committees Challenges / Opportunities

28. Currency Access Expert SME panel(s) “One-stop shop” TrainingFinder.org clearinghouse with links to federal, academic & practice databases Issues and Next Steps

29. Integration; Implementation; Evaluation Assure integration of internal and external efforts Link partner efforts Adapt evaluation framework Issues and Next Steps

30. “An informed family will be a family prepared.” ~ Senator Bill Frist 2002