Transcript ACHIEVEMENTS, LESSONS LEARNED AND THE IMPACT OF …

Public Health Reports
Meet the Author! Live Webcast
Are We Prepared?
Lessons Learned from the Last Decade of
Preparedness Education and a Look to the Future
Speakers:
Edward Baker, MD, MPH, Jack Thompson, MSW, and Bernard Turnock, MD, MPH
Guest Editors of the Nov/Dec 2010
PHR Special Supplement on Public Health Preparedness
Tuesday, February 1, 2011 | 1:00-2:15 PM (EST)
To join the conference call, dial:
1-866-951-1151
Access Code: 8768832
Public Health Reports
Meet the Author! Live Webcast
Are We Prepared?
Lessons Learned from the Last Decade of
Preparedness Education and a Look to the Future
Edward Baker, MD, MPH
Jack Thompson, MSW
Bernard Turnock, MD, MPH
Disclaimer
The views and interpretations presented in this webcast
are those of the speakers and do not necessarily represent
the official position of the Centers for Disease Control and
Prevention, the University of Washington School of Public
Health, the University of North Carolina at Chapel Hill
Gillings School of Public Health, the University of Illinois at
Chicago School of Public Health or the Association of
Schools of Public Health.
Learning Objectives
• Describe the areas of preparedness education that
were addressed by the Centers for Public Health
Preparedness program, as described in the
supplement.
• Explain important lessons learned from the Centers
for Public Health Preparedness program that can be
applied to future preparedness training efforts.
• Discuss ways that academia and practice partners
can collaborate to improve the preparedness of the
public health workforce.
HISTORY
Origins of Center for Public Health Preparedness
(CPHP) Program
• Original vision (developed in partnership with ASPH)
was to create a funding stream to support delivery of
practice-relevant training through schools of public
health
• The emphasis on preparedness training emerged as the
nation became more aware of need for public health
preparedness
HISTORY
Models for CPHP program
• CPHP program was designed to emulate other
successful CDC-SPH partnerships:
– NIOSH Education and Research Centers
– Prevention Research Centers
– Injury Prevention Centers
HISTORY
Initial strategies of CPHP Program
• Strategy for growth of CPHP network
– Competitive identification of first 4 Centers
– Advocacy through ASPH to fund approved but unfunded
centers
– Annual convening of Centers to share lessons learned and
assess impact
• Initial goal: one CPHP in every SPH funded at $1 M
per year
ACHIEVEMENTS
The development of a national network
• In 2000, four centers with a collective $1.7 million
budget
• By 2003, 21 centers and $23.8 million
• By mid-decade, 27 CPHPs shared more than $27 million
CPHP Network and Map
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Columbia University
Emory University
Harvard University
Johns Hopkins University
Loma Linda University
Ohio State University
Saint Louis University
Texas A&M University
Tulane University
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University of Alabama Birmingham
University of Albany SUNY
University of Arizona
University of California, Berkeley
University of California, Los Angeles
University of Illinois at Chicago
University of Iowa
University of Medicine and Dentistry
of New Jersey
University of Michigan
University of Minnesota
University of North Carolina Chapel Hill
University of Oklahoma
University of Pittsburgh
University of South Carolina
University of South Florida
University of Texas
University of Washington
Yale University
Public Health Reports Special Supplement
Public Health Preparedness
Topics from the Special Supplement
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Evidence Base for Preparedness Training
Preparedness Training Programs
Graduate Student Epidemiology Response Programs
Preparedness Law
Pandemic Influenza Planning
Exercise Planning & Evaluation
Regional Pediatric Disaster Surge
ACHIEVEMENTS
The rapid expansion of substantive preparedness
materials and activities
• Public health preparedness trainings – in person,
web-based, webcasts and other modes
• Expansion of preparedness in public health education
• Innovative collaborations between academia and public
health practice
• Advancement of new technologies
ACHIEVEMENTS
Enhancement of public health preparedness core
competencies
Core competency frameworks previously developed for
public health workers supplemented with competencies
for emergency preparedness and response, epidemiology,
informatics and other public health specializations
ACHIEVEMENTS
Expansion of education and training programs
• Competency frameworks for needs assessments
developed and utilized
• Trainings took advantage of new information and
communication technologies
• Schools of public health offered new degrees, academic
certificate programs, student epidemiology response
teams, and courses related to public health emergency
preparedness
• New partnerships developed
ACHIEVEMENTS
Return on investment – outcomes of the 2004 CDC
impact assessment
• Strong, sustained partnerships with the public health
frontline
• Capacity building and strengthening in state and local
public health agencies
• Improved capacity of schools of public health to
respond to the needs of the public health workforce,
including multiple training modes
• Directed applied research that benchmarked learner
performance and filled critical workforce development
research gaps
ACHIEVEMENTS
Summary of impacts
• Training materials and multiple modalities available
for workforce
• Substantive partnerships established with state,
local and tribal public health
• Set the stage for the practice-based research that
will drive the next phases of the preparedness
activity within schools of public health
LESSONS LEARNED
National level
• Importance of credibility with practice partners
• Importance of national network of centers
• Importance of elevating the prominence of practice
within schools of public health
LESSONS LEARNED
Some cautionary lessons – national level
• A strengthened science base for practice was needed
and not likely to emerge from the emphasis we placed
on just-in-time and on the ground partnerships (the
PERRCs may better fill this role)
• The need for the science base may also be met by the
new PERLCs, with their emphasis on development of
training based on nationally established competencies
• Need to document what doesn’t work if we are to
develop the evidence base
LESSONS LEARNED
Critical success factors – center level
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Strong leadership
Strong relationships with state and local partners
Services determined by needs of practice partners
Strong emphasis on highest quality products
Innovative use of technology
– Training Website
– Distance Based Course Delivery
– Ready to Use Training Packages
• Research and service linked
LESSONS LEARNED
Critical success factors – center level
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Dedicated professional staff
Diversified funding support
CDC grant provides core support
Contracts with state and local health departments
Other support (CDC, CSTE, PAHO, etc)
Close working relationships within SPH and other
university colleges (medicine, business)
OPPORTUNITIES
PERLC Program Unique Opportunities
• Opportunity knocks but twice for Preparedness
Centers
• PERLC’s Law: For every opportunity, there is an
equal and opposite re-opportunity
• Every opportunity is a challenge in disguise (and
vice versa)
OPPORTUNITIES
PERLC Program Unique Opportunities
• Part of largest public health workforce development
initiative
• Much to build on from first decade
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Student Epi Response Teams
Technologic Tools
Competencies Linked to Organizational Capacity
Exercise planning and evaluation
• Retooled game plan
– Clear performance focus from the outset
– Target audience identified, training ends defined
– Collaborations across centers now focus on getting the work
done, rather than building a foundation
OPPORTUNITIES
PERLC Program Challenges
• Sustaining partnerships
• Influencing workforce development
• PERLC-PERRC synergies
– Research and evaluation too important to be left to the
researchers and evaluators
Public Health Reports Special Supplement
Public Health Preparedness
What story will be
told in the 2020
special supplement?
OPPORTUNITIES
Opportunity Knocks But Twice?
• Special program despite uncertainties
• What will 2020 Supplement tell us?
• Ducks on the pond
Public Health Reports
Meet the Author! Live Webcast
Are We Prepared?
Lessons Learned from the Last Decade of Preparedness Education
and a Look to the Future
Edward Baker,
MD, MPH
Jack Thompson,
MSW
Bernard Turnock,
MD, MPH
Public Health Reports
Meet the Author! Live Webcast
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