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Achieving National Preparedness. National Governors Association Center for Best Practices. Partnerships between Public agencies and academia: Building CONNECTIVITY To advance PREPAREDNESS. LEONARD J. MARCUS, Ph.D. Harvard Center for Public Health Preparedness

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LEONARD J. MARCUS, Ph.D. Harvard Center for Public Health Preparedness National Preparedness Leadership Initiative

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Leonard j marcus

Achieving

National

Preparedness

National Governors Association Center for Best Practices

Partnershipsbetween

Public agencies and academia:

Building CONNECTIVITY

To advance PREPAREDNESS

LEONARD J. MARCUS, Ph.D.

Harvard Center for Public Health Preparedness

National Preparedness Leadership Initiative

Program for Health Care Negotiation and Conflict Resolution


Leonard j marcus

Academic centers for

Pubic health preparedness

Located within schools of public health,

the national network of

22 Academic Centers for Public Health Preparedness

is a workforce development initiative designed to ensure

that frontline public health and health care workers

are prepared to respond to any biological, chemical,

radiological or nuclear threats or emergencies,

as well as infectious disease outbreaks and natural disasters.


Leonard j marcus

Academic centers for

Pubic health preparedness

Partnership for Advancing Public Health Practice and Preparedness

ASTHO

NACCHO

Centers for Disease Control and Prevention

Association of Schools of Public Health


Leonard j marcus

Academic centers for

Pubic health preparedness

SCHOOLS

Columbia University Mailman School of Public Health Center for Public Health

Emory University, Rollins School of Public Health

Harvard School of Public Health

Johns Hopkins Bloomberg School of Public Health

Saint Louis University School of Public Health

Tulane University School of Public Health

and University of Alabama at Birmingham School of Public Health*

University at Albany SUNY School of Public Health

University of California at Berkeley School of Public Health

University of California at Los Angeles School of Public Health

University of Illinois at Chicago School of Public Health


Leonard j marcus

Academic centers for

Pubic health preparedness

SCHOOLS

University of Iowa: Center for Public Health Practice

University of Medicine and Dentistry of New Jersey School of Public Health

University of Michigan School of Public Health

University of Minnesota School of Public Health

University of North Carolina Chapel Hill School of Public Health

University of Oklahoma College of Public Health

University of Pittsburgh Graduate School of Public Health and 

Ohio State University School of Public Health*

University of South Carolina, The Norman J. Arnold School of Public Health

University of South Florida College of Public Health

University of Texas School of Public Health

University of Washington School of Public Health and Community Medicine


Leonard j marcus

Academic centers for

Pubic health preparedness

PURPOSES and ACTIVITIES

  • Support state and local public health agencies in achieving

  • preparedness by assessing their needs and providing

  • technical assistance.

2.Develop and deliver competency-based training in BT preparedness.

3.Ensure best practices.

4.Evaluate trainings thereby ensuring cost-effectiveness and

minimizing duplication.

  • Expand access to training for public health professionals

  • across the Nation.

  • Evaluate the success of these tailored trainings in meeting

  • national goals for preparedness.


Connectivity the dilemma of the cube
Connectivity:THE DILEMMA OF THE CUBE

Peep hole

B

Peep hole A

Peep hole

A

Peep hole B


Leonard j marcus

Negotiation &

Conflict resolution

For

public health preparedness

“CONNECTIVITY”

A seamless web of

people,organizations,resources, & information

that can best

catch,contain,and control

a bioterrorist incident


Leonard j marcus

What is necessary

To achieve connectivity?

“CONNECTIVITY”

Linkages

A seamless web of

people,organizations,resources, & information

Operations

that can best

Assets

catch,contain,and control

Decisions

a bioterrorist incident


Leonard j marcus

What are the greatest

Obstacles

to connectivity?

Symptoms of

conflict

Linkages

not in place

Operations

Assets

impeded

not ready

Decisions

Lousy


Connectivity
connectivity

Differential Levels of Connectivity

High

Integrated systems

Parallel systems

Middle

Competitive systems

Low


Connectivity1
connectivity

Decisions

Integrated

Decision-making occurs

together on most topics

Decision-making occurs on

specific topics

Parallel

Separate decision making

Competitive


Connectivity2
connectivity

Emergency Preparedness

Integrated

Key systems, people, resources, &

information closely linked

The job gets done with limited

efficiency & effectiveness

Parallel

System components unlinked with

overlaps and gaps

Competitive


Leonard j marcus

collaboration

“Whole Image Negotiation”

Interdependence - Fit - Collaboration

Imagination- Time dimensions

Interest based - Mutual benefits

“W.I.N.”


Leonard j marcus

conceptual Framework

for

PROBLEM SOLVING

MULTI-DIMENSIONAL

PROBLEM SOLVING

Classic

adversarial

conflict

Uni-dimensional

problem solving

“Me for Me”

Two-dimensional

problem solving

“Me against You”

Collaboration

“Us together”


Connectivity3
connectivity

Differential Levels of Connectivity

High

Integrated systems

Interest-based negotiation

Multi-dimensional P.S.

?

Walk in the Woods

Performance

Values

Models

Methods

Parallel systems

Middle

Leadership

Performance

Power plays & dominance

?

Uni, Two-dimensional PS

Competitive systems

Positional bargaining

Low


Connectivity4
connectivity

Improving System Performance

High

YOUR

JOB

YOUR

JOB

System

Performance

?

Performance

Middle

Performance

YOUR

JOB

YOUR

JOB

?

Everyone doing their job very well

Low

Everyone connecting their efforts


Connectivity5
connectivity

Give Yourself and Your System

a Connectivity “Grade”

?

A

Integrated

What can

you do

to

improve your

grade?

B

?

?

C

Parallel

D

?

?

F

Competitive


Leonard j marcus

BARRIERS TO

NEGOTIATING

Collaborative strategies

Which door do you choose?

Pay $$$

Get $$$

A

B

Perceptions of risks?

Door

A

Door

B

Perceptions of rewards?

Decision analysis:

what criteria influence your decisions?


Leonard j marcus

BARRIERS TO

NEGOTIATING collaboration:

Preparedness

Which door do you choose?

Pay $$$

Get $$$

A

B

Risks of Terrorism?

Door

A

Door

B

The Rewards of Funding?

Decision analysis:

what criteria influence your decisions?


Leonard j marcus

THE ALIGNED and connected

Seamless web

Strategy

- Leadership

- Productivity

Consistency

Direction

Internal

External


Leonard j marcus

responsibility

CONNECTIVITY

Each person and each entity

that is part of the

bioterrorism preparedness effort…

…has the responsibility to promote efforts to

build collaboration,

manage differences (conflicts),

and work toward resolving them.

To create a strong web of

surveillance, Detection, and response


Leonard j marcus

Partnershipsbetween

Public agencies and academia:

Building CONNECTIVITY

To advance PREPAREDNESS

Leonard J. Marcus, Ph.D.

Thank you


Leonard j marcus

For more information:

Leonard J. Marcus, Ph.D.

Harvard Center

for Public Health Preparedness

677 Huntington Avenue

Boston, MA 02115

617-496-0867

To contact Dr. Marcus by e-mail:

ljmarcus@hsph.harvard.edu


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