Marsha Davenport, MD, MPH

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Preparedness Training for the Public Health
Workforce

• Marsha Davenport, MD, MPH
• Heather Brown, MPH
• Clifford Smith, MS
• Albert Romanosky, MD, PhD
• Isaac Ajit, MD, MPH

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OMB Disclaimer

• The findings and conclusions in this
  presentation are those of the author(s) and do
  not necessarily represent the views of the
  Centers for Disease Control and Prevention

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Presentation Overview

• Background
• Evaluation Methods
• Results
• Discussion of Findings
• Recommendations
• Closing

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Background

• Public Health Importance of Training
• Essential Services of Public Health
• Public Health Competencies
• Training Levels
• DHMH Training

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Public Health Importance of Training

• Flexibility and capacity to respond to new public
  health emergencies
• A well-trained skilled workforce
• Ongoing training for an established workforce

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Essential Services of Public Health

• Monitor community health
• Investigate community health
• Educate and empower community
• Mobilize community partnerships
• Develop policies and plans

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Essential Services of Public Health

• Enforce laws and regulations
• Link people to health services
• Assure a competent workforce
• Evaluate health services
• Research for new solutions

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Public Health Competencies

• 1. Analytic Assessment
• 2. Policy/Program Development
• 3. Communication
• 4. Cultural Competency

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Public Health Competencies

• 5. Community Dimensions of Practice
• 6. Basic Public Health Science
• 7. Financial Planning and Management
• 8. Leadership and Systems Thinking

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Training Levels

• CDC/CSTE
• Entry-level
• Mid-level
• Supervisory
• Senior Researcher

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DHMH Training

• DHMH Training Levels
• Basic
• Intermediate
• Advanced
• Train-the-trainer
• Training Format
• Day 1 Lectures, Break-out sessions
• Day 2 Tabletop exercise

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DHMH Training

• Basic Course June and August 2005
• All public health staff
• Prerequisite none
• Intermediate Course June 22-23, 2006
• Mid- and Senior-level Public Health Staff (PHEPs,
  HOs)
• Prerequisites Basic Course and NIMS Training

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Core Competencies and Corresponding DHMH Training
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Core Competencies and Corresponding DHMH Training
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Evaluation Methods
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Evaluation Goals

• Identify topics relevant to intermediate level
  course
• Determine effectiveness of course as an
  educational tool for local PH staff

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Day 1 Evaluation Tool Criteria

• 1. Relevance of content to program
• objectives.
• 2. Quality of instruction
• 3. Expertise and level of knowledge.
• 4. Quality of audiovisuals.

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Day 1 Evaluation Scale Ratings

• Excellent
• Good
• Fair
• Poor
• N/A

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Day 2 Evaluation Tool Criteria

• 1. Objectives related to the purpose.
• 2. Teaching strategies appropriate.
• 3. Presenter was effective.
• 4. TAs were effective.
• 5. AV Equipment functioned properly.

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Day 2 Evaluation Tool Criteria

• 6. I developed new skills/knowledge.
• 7. Feel competent to apply skills.
• 8. Logistics were clearly outlined.
• 9. Exercise interactions educational.
• 10. The exercise was beneficial.

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Day 2 Agreement Scale Ratings

• Strongly agree
• Agree
• Disagree
• N/A

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Overall Evaluation Tool Criteria

• 1. Objectives related to the purpose.
• 2. Teaching strategies appropriate.
• 3. Presenters were effective.
• 4. Break-out sessions were effective.
• 5. AV equipment functioned properly.

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Overall Evaluation Tool Criteria

• 6. I developed new skills/knowledge.
• 7. I feel competent to apply these skills.
• 8. Logistics were timely delivered.
• 9. The accommodations were beneficial.
• 10. Logistics were complete.
• 11. The training was beneficial.

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Overall Agreement Scale Ratings

• Strongly agree
• Agree
• Disagree
• N/A

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Results
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Results Demographics

• Target participants senior PH staff
• Counties (20/24) 83
• PHEPs (11/24) 46
• HOs (1/24) 4
• (Evaluations/Attendees)
• Day 1 (49/79) 62
• Day 2, overall (51/70) 73

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Results Day 1 Lectures/Break-out Sessions
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Summary of Day 1 Survey

• Relevance of topics 75-96 excellent, good
• Quality of instruction 69-100 excellent, good
• Expertise 87-100 excellent, good
• Audio Visual Quality 74-96 excellent, good

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Mental Health Issues in Terrorism
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Catastrophic Emergency Powers
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Results Day 2 Exercise
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Day 2 Exercise Evaluation
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Day 2 Exercise Evaluation
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Day 2 Exercise Evaluation
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Overall Training
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Summary of Overall Training Evaluation
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Discussion

• Limitations of Study
• Survey Tool
• Gaps in competencies
• Accountability
• Strengths of Study
• Identify relevant components
• Identify areas that need improvement

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Recommendations

• Stricter prerequisite enforcement
• Reassess differences between levels
• More thoroughly evaluate basic course
• Identify appropriate staff for each of the
  courses
• Conduct pre- and post-tests in future trainings

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Closing

• PHRT training covers appropriate competencies
• In compliance with CDC guidelines
• Assisting LHDs and DHMH in developing response
  capacity for public health emergencies

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Acknowledgements

• Katrina Rhodes, MD, MS
• Kia Tolson, MPH
• Chet Roebuck
• Reenea Logan
• OPR, PHRT Training staff/participants
• Thank You!