Attachment 3 Cause and Effect: Fishbone Diagram

1. Attachment 3Cause and Effect: Fishbone Diagram Declining Interest in Hard Sciences Rapidly Changing Environment Declining enrollment in science Education Draconian Budget Cuts Advent of Increasing PH Risk Emerging Infectious Disease Must do more with less No benchmarking or focused evaluation Of shortage Reduction in Science programs Bio/chemical terrorism Rise of Computer Science Makes traditional science seem hard Too many demands and too few resources; technology, engineering Hard to keep current technically Aging out of current laboratory directors Training is largely OTJ Failure to address problem At national/political level Deficit in basic business skills Shrinking pool of future candidates Workforce shortage in PH Laboratories Low morale and low motivation Best practices are not defined Inadequate training opportunities for incumbents No benchmarking or tracking system Devaluation of Careers in Public Health Lack of strategic planning Non competitive salaries, benefits, exposure to new tools and techniques Inadequate data collection and reporting Lack of standard HR practices Lack of management expertise Inefficient channels of communication Competition with private industry Lack of exposure to general public Lack of Awareness of PH System Stigma of Government Service

2. Crisis in Public Health Laboratory Leadership People Process Lack of standard HR protocols The stigma of Public Health - care for the indigent Declining interest in hard sciences Lack of attention and focus Rise in popularity of computer science No formal training program on the job General lack of awareness Diversion of attention to other priorities Lack of integrated infrastructure Workforce shortage in PH Laboratories Lack of marketing of the PHL and its “stories” 50 unique personnel systems Lack of identification and publication of best practices Lack of HR procedures Elimination of formal education tracks Chasm between public and private sectors Lack of policies to address rapidly changing skill requirements Draconian budget cuts Non supportive political administration Procedures Systems