Public Health Preparedness

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Public Health Preparedness

• From the Back Burner to the Frontlines..

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FIRST LINE OF DEFENSE CDC foot soldiers hit
nations streets. Bioterror dangers are added to
training as the agencys latest class of disease
detectives joins a proud tradition. Atlanta
Journal Constitution, 08/30/2002
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Lexicon or Not?

• Education
• Training
• Preparedness
• Response
• Recovery

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Public Health LeadersThe way we were

• Lead, follow or get out of the way!

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The Role of Training in Public Health Preparedness

• Axioms
• Challenges / Opportunities
• Your Role

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AXIOMS

• Use existing assets dont reinvent the wheel
• Demand standardization and allow for
  customization
• Leverage accountability to sustain preparedness /
  performance

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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)

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Strategic Elements for PublicHealth Workforce
Development
Identifycompetencies/ Develop curriculum
Design integrated learning system
Monitor workforce composition
Assure financial support
Conduct evaluationand research
Use incentives to assure competency
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National BT PreparednessTraining Plan

• Describes public health workforce target
  audiences (CDC and external)
• Identifies competencies, content and training
  strategies
• Aligns partners for implementation

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Key Content Areas

• 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

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Bioterrorism Competencies

• Target PH Audiences
• Leaders
• Clinicians
• Laboratorians
• Communicable Disease and Immunization Staff
• Environmental Health Professionals
• Medical Examiners
• Public Information Staff
• Support Staff

• Domains
• Preparedness and Planning
• Surveillance
• Response
• Communication
• Recovery

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State Response to Critical Benchmark (N54) for
Focus Area G
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In-house vs. Contractual State Training Needs
Assessment (N54)
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In-House VS ContractualState Training Needs
Assessmentsfor NWCPHP States
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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

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ASSETS

• Training content, Assessment, Delivery,
  Evaluation
• Partners
• CDC

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On the CDC/PHPPO Office 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/i
  ndex.asp

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Centers for Public Health Preparedness (CPHP)To
strengthen the front line against health threats
http//www.phppo.cdc.gov/owpp
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CDC - We are here to help

• Technical Assistance
• Best Practices, Tools,
• Evaluation
• Networking

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BT Leadership Pyramid
Performance
Leadership in Chaos
Leadership in Context
Leadership Skills
BT Specific Content
Core Public Health Skills
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BT Competencies for Leaders

• Develop policies and oversee execution of
  policies
• Direct agencys operations
• Provide specialized consultation

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Preparedness and Planning

• Generate an integrated response plan
• Integrate the plan into the areas Incident
  Command System
• Identify resources and ensure capacity

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Surveillance

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

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Response

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

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Communication

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

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Recovery

• Evaluate the response
• Describe needs for changes based on the
  evaluation
• Revise the response plan based on these changes

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Challenges / Opportunities

• Quantity
• Quality

• National BT training plan Partnership alignment
• Establish CDC and partner criteria Use national
  competencies framework use other advisory
  committees

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Issues and Next Steps

• Currency
• Access

• Expert SME panel(s)
• One-stop shop TrainingFinder.org clearinghouse
  with links to federal, academic practice
  databases

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Issues and Next Steps

• Integration Implementation Evaluation

• Assure integration of internal and external
  efforts
• Link partner efforts
• Adapt evaluation framework

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• An informed family will be a family prepared.
• Senator Bill Frist
• 2002

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