National Asthma Training Curriculum

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National Asthma
Training Curriculum

• Presented by
• Julie Madden, MA, Team Leader, Asthma Program
  Section
• Kathie Sunnarborg, MPH, CHES, Public Health
  Advisor

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CDCs Vision

• Develop a curriculum that would help prepare the
  public health workforce for asthma assignments
• Avoid duplicating existing curricula
• Place the curriculum within an existing
  educational infrastructure

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The Competitive Process

• Although Schools of Public Health were targeted,
  none applied
• 3 contractor organizations applied
• AAAAI was selected
• Contract was awarded 9/27/01, for 380,520

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Project Oversight

• The NATC Advisory Task Force was established with
  representatives from academia, national asthma
  organizations, federal agencies, health care
  providers, and state health departments

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Needs Analysis the First Step

• Task Force brainstormed ideas for topics, and for
  people to contact
• Task Force developed questions to be included in
  telephone discussions with target group members
• Target audience included health departments,
  ALAs and school nurses

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Key Questions We Asked

• Given a list of performance functions, indicate
  which you perform, relative to asthma, in your
  current position
• 31 functions were listed, grouped into
  surveillance and epidemiological investigations,
  community health education, administrative and
  outreach projects, patient care, and
  environmental and policy

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Key Questions We Asked

• For a list of job related activities, select
  whether you came into the position with the
  knowledge needed, if you needed training when you
  first began the job, if you need additional
  training now, or if the activity is not
  applicable to your job
• 42 activities were listed in the areas of
  epidemiology, pathophysiology, diagnosis,
  education, outcomes, and community

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Key Questions We Asked

• Select the best 3 instructional methods for you
  or your dept. to receive training, given your
  departmental resources.
• Options were lecture style, self-paced
  instruction print, videotape, audiotape,
  CD-ROM, or Internet, telephone conference, video
  teleconference, workshop

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Key State Health Local/ALA/Other School Nurses
NATC Needs Profile State Representation
February 1, 2002
NH
VT
WA
ME
MA
ND
MT
RI
MN
CT
OR
NY
ID
SD
MI
WI
NYC
WY
PA
NJ
CA
IA
NE
OH
DE
IN
IL
MD
UT
NV
VA
WV
CO
KS
KY
Washington D.C.
MO
NC
TN
SC
AK
OK
NM
AR
AZ
MS
GA
AL
TX
LA
FL
HI
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Needs Analysis Results

• Training needs emerged in 5 core areas
• Pathophysiology
• Management
• Education
• Epidemiology and Outcomes
• Administration and Community

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Needs Analysis Results

• More specific needs emerged in 2 areas
• Surveillance and Epidemiology
• Funding and Coalitions

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Needs Analysis Results

• The 3 top delivery methods selected were
  workshop, video teleconference and self-paced
  (CD-ROM) instruction BUT
• - time, and personnel were identified as
  barriers to attaining knowledge AND
• - majority said their organizations would not
  approve travel for a 2 day workshop

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Course Development

• Task Force broke into small teams to work on
  learning objectives and an outline for each
  module
• A medical writer developed lesson plans based on
  Task Force input
• All Task Force members reviewed and approved
  final draft outlines and lesson plans
• Course materials piloted in October 2002, session
  was videotaped

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Translation to Distance Learning

• AAAAI received a contract mod to convert
  materials to CD-ROM format
• Materials were updated based on pilot results,
  and translated to self-study format

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Target Audience

• Administrators/Directors/Managers
• Allied Health Professionals
• Biostatisticians
• Child Care Providers
• General Public
• Environmental Health Professionals
• Epidemiologists/Surveillance Staff
• Health Educators
• Nurses

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Target Audience (cont.)

• Occupational Health Safety Professionals
• Pharmacy Professionals
• Physicians and Other Clinicians
• Policy/Planner
• Social Workers

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Subject Areas

• Six modules
• Pathophysiology and Diagnosis
• Asthma Management
• Epidemiology
• Asthma Surveillance
• Asthma Education for the Patient, Provider
  and the Public
• Administration of Asthma within Public Health

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How the NATC may be used in the field

• To teach people about the medical aspects of
  asthma
• To describe the public health approach to
  addressing asthma
• To identify appropriate methods for describing
  and monitoring the burden of asthma in the
  population

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How the NATC may be used in the field

• To help organize an asthma coalition in a
  community
• To determine effective strategies for
  implementing public health interventions

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Surveillance Fact Sheets

• CDC created these fact sheets to help public
  health workers to
• Identify, access and use appropriate data from a
  variety of health information systems
• Use standard methods for analyzing data
• Determine benchmark indicators from Healthy
  People 2010 objectives
• Use data to inform program decisions and target
  asthma interventions to specific audiences

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Surveillance Fact Sheets (cont.)

• Determine characteristics of persons in the
  population who have asthma such as their
  insurance status, behavioral risk factors (e.g.
  smoking), frequency of hospitalizations due to
  asthma, medication use
• Develop strategies for conducting asthma
  surveillance in schools and worksites

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Surveillance Fact Sheets

• Underlying cause of death data
• Multiple cause of death mortality data
• State hospital discharge data
• State emergency department data
• State Medicaid claims data
• Medicare claims data
• BRFSS core asthma questions
• BRFSS optional asthma modules

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Continuing Education
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Continuing Education Credits

• Available for physicians (CME), nurses (CNE),
  health educators (CECH) and other professionals
  (CEU)
• May be awarded for the entire curriculum or for
  each module depending on user preferences
• To obtain credit, you must successfully pass
  exams posted on the CDC Training and Continuing
  Education website
• http//www.phppo.cdc.gov/phtnonline/

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NATC Main Menu
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An Example from Module I Pathophysiology and
Diagnosis
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CDC Training and Continuing Education
Onlinehttp//www.phppo.cdc.gov/phtnonline/

• Register for the entire NATC curriculum or each
  separate module
• Complete course evaluation and exam(s)
• View and print your transcript
• Print your continuing education certificate

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Obtaining copies of the NATC

• Public Health Foundation (PHF)

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Public Health Foundation

• A national non-profit organization dedicated to
  achieving healthy communities through research,
  training, and technical assistance
•  
• PHF assists health agencies and other community
  health system organizations by providing
  objective information on
• health improvement planning,
• understanding and using data,
• and improving performance

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PHF Training Resource Center

• Inventory of training materials
• Print-based self-study courses
• Video courses
• Computer-based training
• Slide sets
• Video tapes
• Materials produced by the CDC and other public
  health partners at the federal, state, and
  local level

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Public Health Foundation

• Public Health Foundation publications catalog -
  Resources for Learning
• Order publications [phone]
• Public Health Foundation
  1220 L Street, N.W., Suite 350
  Washington, DC 20005
  Telephone [phone]
  Fax [phone]
  Web page http//www.phf.org