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Preparing the MidAtlantic Public Health Workforce Johns Hopkins Center for Public Health Preparedness March 17, 2004 PowerPoint Presentation
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Preparing the MidAtlantic Public Health Workforce Johns Hopkins Center for Public Health Preparedness March 17, 2004. Key Personnel. Robert Lawrence, MD Principle Investigator Lynn Goldman, MD Co-Investigator Ayanna Fews, MBA Coordinator Andrew Lentz, MPA Coordinator

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Preparing the MidAtlantic Public Health Workforce Johns Hopkins Center for Public Health Preparedness March 17, 2004

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Preparing the MidAtlantic Public Health Workforce

Johns Hopkins Center for Public Health Preparedness

March 17, 2004

key personnel
Key Personnel
  • Robert Lawrence, MD Principle Investigator
  • Lynn Goldman, MD Co-Investigator
  • Ayanna Fews, MBA Coordinator
  • Andrew Lentz, MPA Coordinator
  • Cindy Parker, MD MPH Trainer Liaison
  • Dan Barnett, MD MPH Trainer/Liaison
  • Jonathan Links, PhD Curriculum Advisor
  • Cliff Mitchell, MD MPH Curriculum Advisor
  • Margo Edmunds, PhD Program Evaluator
  • Diane Zerbe, MHA Academic Coordinator
cdc s vision
CDC’s Vision
  • Every health department fully prepared; every community better protected
  • Public Health workforce prepared to deliver essential services

Maureen Y. Lichtveld,November 8, 2002

jh cphp mission
JH-CPHP Mission

To provide the necessary training that will enhance the ability of public health professionals to respond to bioterrorism and other emerging public health threats

cdc s vision6
CDC’s Vision


An integrated national network of Centers for Public Health Preparedness to ensure frontline public health workers have the skills and competencies required to respond effectively to current and emerging health threats, including terrorism

guiding principles lichtveld cont

Performance - driven

Governmental public health workforce

Individual and agency competency

*Developed in collaboration with state, local and academic partners (October 21, 2002)

Guiding Principles* (Lichtveld cont.)
role of cphps lichtveld cont
Role of CPHPs (Lichtveld cont.)
  • Support local/regional education training needs
  • Develop “products” for potential national use
  • Strengthen the science base locally, regionally, and nationally
terrorism preparedness and response training matrix
CDC anticipated outcomes in the next 6 months

Training products database of federal, state and local health training efforts

Toolbox of learning offerings

Direct training for key state and local BT health officials

Terrorism Preparedness andResponse Training Matrix
key training content areas
Key Training Content Areas
  • Biological/chemical agents-diagnosis, treatment, consequences
  • Unified and incident command systems
  • Communications/notifications systems
  • Risk communications
  • Worker safety
  • Legal authorities
  • Epidemiology/surveillance; laboratory systems
  • Information technology
  • Psycho-social consequences
          • Maureen Y. Lichtveld,November 8, 2002
key jh cphp content areas
Key JH-CPHP Content Areas
  • Weapons of Mass Destruction (Barnett, Parker: numerous)
  • Incident command (Alcorta, 2/03)
  • Communications/notifications systems
  • Risk Communication (Burke, 8/02)
  • Worker Training in a New Era (Mitchell 10/02)
  • Legal Issues (Sapsin, Teret 2/04)
  • Forensic Epidemiology/surveillance;
  • Control of biohazards/laboratory systems
  • Information technology
  • Mental Health & Disaster Preparedness (Everly 10/03)
participating hopkins faculty



D. Burke

T. Burke





















Participating Hopkins Faculty
participating practice partners
Allegany County HD

Baltimore City Fire

Baltimore City Health

Baltimore City Police

Boston U. School of Law

Delaware O.A.G.

DC Health

DHMH Legal Counsel

JH Health System

Center for Health & Homeland Security

MD Office of Attorney General

Maryland Pesticide Network


U. of MD Medical System

Worcester County HD

Wicomico HD

Participating Practice Partners

What we do…





(Web Based)


Suitcase Course


the Trainer



Special Programs

Onsite Training



State and Local








& other








to be adapted





Risk Comm.




Worker Training


Dirty Bomb



Grand Rounds


Work with

State and Local

Public Health

Agencies on

BT Training


Attend BT


Meetings within



key partnerships
Key Partnerships

Area Health Education Centers (Western/Eastern Shore)

Baltimore City Health Department

Baltimore City Medical Reserve Corp

Emergency Health Management Services Administration (DC)

Delaware Department of Public Health

Maryland Association of County Health Officers (24 Local Health Departments

Maryland Department of Health & Mental Hygiene

Metropolitan Washington Council of Government

Montgomery County Health Department

Safety Council of Maryland

Washington DC Department of Health

Western Maryland Medical Reserve Corp

partnerships within jhu
Partnerships within JHU

Center of Excellence in Community Environmental Health Practice

Center for Law and the Public’s Health

Critical Events Planning and Response (JHMI)

Education & Resource Center in Occ. Health & Safety

Environmental Health Tracking Center

General Preventive Medicine Residency

MidAtlantic Public Health Leadership Institute

MidAtlantic Public Health Training Center

Public Health Scientists Working to Address Terrorism

Urban Health Institute

md department of health mental hygiene
MD Department of Health & Mental Hygiene
  • Board of Physicians
  • BT Preparedness and Response Planning & Advisory Committee
  • Bioterrorism Education & Training Team
  • Public Health Response Team
  • BT Preparedness Certificate/scholarship program
  • Proximity to SPH for Grand Rounds etc.

Area G funding

baltimore city24
Baltimore City
  • The nation's oldest city health department.
  • Embedded liaison with JH-CPHP
  • HarborB.A.S.E. Executive, Evaluation, Volunteer Committees
  • Assisted in department-wide training
  • Proximity to SPH for Grand Rounds, etc
primer ii
Primer II

Tabletop exercise

JH Applied Physics Lab

baltimore city health department model
Baltimore City Health Department model
  • Targeted to meet job-related information needs of respective employee training level audiences (senior staff, clinical staff, bureau chiefs & managers, clerical & support staff)
  • Includes Introductory Courses in:
    • Bioterrorism Preparedness and Response
    • Chemical Terrorism Preparedness and Response
    • Radiological Terrorism Preparedness and Response
    • Incident Command
    • Risk Communication
baltimore city health department model cont
Baltimore City Health Department model (cont.)
  • Level 1: Senior Staff
    • Senior health department leadership staff
  • Level 2: Clinical Staff
    • Includes physicians, nurses, epidemiologists
  • Level 3: Bureau Chiefs and Managers
    • Mid-level managerial staff
    • Interface between Level 1 and Levels 2 & 4
  • Level 4: Clerical and Support Staff
    • Includes secretarial staff, facilities management staff, animal control employees, environmental sanitarians, etc.
baltimore city health department model cont30
Baltimore City Health Department model (cont.)

Evaluation of Training Activities

  • MPH Preparedness Track Student Involvement
wicomico county model
Wicomico County model

Independent study

  • Used JH CPHP Roadmap to Preparedness
  • January 15th – March 1st
  • Complete 8 of 13 preparedness modules on your own
  • JH-CPHP will conduct four half-day trainings
allegany county
Allegany County

BPQA II June 6, 2003

SARS Symposium March 12, ‘04

montgomery county
Montgomery County

BPQA I February 6, 2003

BPQA/AAP Special Needs of Children – June 26, 2003

Public Health Ready pilot site

roadmap to preparedness
Roadmap to Preparedness
  • Creative way for health departments to get their staff trained
  • Based on CDC-adopted “Bioterrorism & Emergency Readiness Competencies for all Public Health Workers”
  • Includes a combination of activities that employees can do on their own, agency-sponsored activities, and Center-sponsored activities
  • Incentive-based
  • Addresses employee concerns about responding to a disaster
  • First developed in conjunction with Montgomery County HD for Public Health Ready, then adapted for use in other health department settings.
  • Uses “experiential learning” techniques whenever possible
roadmap to preparedness37
Roadmap to Preparedness
  • Wicomico County Health Department as a model for other counties:
    • Completed the first 9 of 13 activities on their own
      • Using online programs, self-study materials, and agency-led discussions
      • Set very aggressive timetable for employees to complete activities 1 -9 (about 6 weeks)
      • Offered 4 hours administrative leave for all employees completing these activities within the time period specified
    • Scheduled us to do the final 3 of 4 activities
      • Over a period of 3 days, we did 4 back-to-back half-day sessions, each session included approximately 25% of their workforce.
    • Last activity is an exercise
roadmap to preparedness next steps
Roadmap to Preparedness – Next Steps
  • Implementation of Roadmap to Preparedness model in other State and local health departments.
  • In development:
    • Cecil County
    • Garrett County
    • Allegany County
    • Delaware
  • Share model across network
a variety of learning styles

Online training modules

Leadership institute


Academic courses

Certificate programs

Degree programs

Summer institute



Board of Physicians

Incident Command

MidAtlantic scholars

Forensic Epidemiology

Terrorism & Public Health

Preparedness Certificate

MPH preparedness track

HPM summer institute

Guest speakers

Day long events each quarter

A Variety of Learning Styles
recent training events
Recent Training Events
  • SARS Symposium (March ’04)
  • Legal Issues (Feb ‘04)
  • Mental Health & Disaster Preparedness (Oct ’03)
  • Pesticides & Public Health (Sep ’03)
  • Dirty Bomb Symposium (March ’03)
online instructional design approach
Online Instructional Design Approach
  • Design for broad public health personnel audience
  • Slide design and layout designed for minimum 800x600 screen
    • Base of 56 K modem
  • Scaffolding structure
    • Topics begin with fundamental terminology to establish baseline of understanding
  • Evaluation Method
    • Interactive exercises
    • Short objective quizzes
currently online
Currently Online
  • Incident Command – Alcorta
  • Law, Public Health and Terrorism – Sapsin
  • Strategies for Prevention of Bombing Injuries -Baker (JHU) and Runyan (UNC)
  • Radiation Terror – Topic 1 – Links
  • Economic Evaluation of Preparedness Programs – Frick
  • Bioterrorism and Food Safety - Hager
future online training modules
Future Online Training Modules

April 2004

  • Psychology of Terrorism – Everly
  • Risk Communication – Edmunds
  • Radiation Terror – Topic 2 - Links
  • Bioterrorism and Food Safety – Topic 2 – Hager
  • Emergency Response Planning – Blodgett
  • Introduction to Weapons of Mass Destruction – Barnett and Parker
future online training modules49
Future Online Training Modules

May 2004

  • Personal Preparedness Planning for Public Health Workers – Barnett
  • Psychology of Terrorism – Topic 2 and 3 – Everly
  • Emergency Preparedness Training Approaches – Singleton
  • Bioterrorism and Food Safety – Topic 3 - Hager
remaining challenges i
Remaining Challenges I
  • “Doing the usual, while preparing for the unusual”
  • Training conference + jury duty = 2 wk absence
  • 175 emails, 2 stacks of paper
  • “I’m going from crisis to crisis to crisis”
  • “I don’t have time to do regular epidemiology”
remaining challenges ii
Remaining Challenges II
  • “The mental health conference was great, but we’re pretty busy with our own patients, so I don’t think we’ll be able to help you with that BT stuff.”
lessons learned
Lessons Learned
  • “We need more training”
  • Inherent inability to find time to train
  • 1 day, all day fits personal & professional life
  • We need to go to them
    • Less time away from work
    • More people can attend
a cphp evaluation logic model


More Capable

and Prepared

PH Workforce

A-CPHP Evaluation Logic Model










Tech Support

States in Region


Other activities

Joint Activities

Network meetings



# of hours of

- assistance

- training

# completed

- assessments

- new learning


# of collaborations

Short & Long Term

Outcomes. Impacts

Increase in knowledge

& skills of workforce

Improvements in

agency response

planned activities
Planned Activities
  • Emergency Healthcare Reserve Corps training (3/27)
  • BT/Emergency Preparedness Training Needs Assessment
  • Dirty Bomb II (4/12)
  • Maryland Public Health Response Team training (5/24&25)
  • Agricultural Security and Preparedness Response (check title!) (June 2004)
  • Preparedness Training for Federal Occupational Health Conference (6/21
  • Summer Institute Course 1
  • Summer Institute Course 2
  • Law Enforcement Issues for Public Health (Sept 2004)
midatlantic health leadership institute

Leadership Development and Preparedness Training

MidAtlantic Health Leadership Institute

summary of common regional bt ep needs assessment results
Summary of Common Regional BT-EPNeeds Assessment Results

Primary training topics needed

  • Emergency response partners
  • Individual’s roles and responsibilities
  • Emergency response protocols and procedures
  • Emergency response laws, regulations, and ordinances
  • Surveillance/Epidemiology
  • Incident command systems
  • Communication (risk/crisis, tools/techniques)
jh cphp evaluation activities
JH-CPHP Evaluation Activities
  • Participation in ACPHP National Evaluator’s Network
    • April 2003 ACPHP Evaluators Meeting, Chicago, IL
  • Development of ACPHP Evaluation Plan
  • JH-CPHP Evaluation underway
  • Key Evaluation Questions
contact information
Contact Information

Johns Hopkins Center for Public Health Preparedness615 N. Wolfe Street, WB030Baltimore, MD 21205443-287-6735