Transcript Document

Assessing Emergency
Preparedness and
Bioterrorism Training Needs
Designing and Implementing
a Region Wide Assessment
Suzanne Swadener
Northwest Center for Public Health Practice
Carolyn Stemshorn
Evaluation Team, Group Health Community Foundation
A collaboration between:
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Presentation Objectives
• Background
• Emergency preparednessbioterrorism training needs
assessment instrument
• Challenges of implementation
• Lessons to be applied nationally
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Background
• CDC funding post 9-11
– Focus on emergency preparedness
– Required to complete training needs
assessment
• Bioterrorism competencies
– What is a competency?
– Developed by Columbia School of
Nursing
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Bioterrorism
Competencies
http://cpmcnet.columbia.edu/dept/nursing/institute-centers/chphsr/
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Development of
NWCPHP Instrument
• Developed in collaboration with NWC
partner states
• Instrument based on:
– CDC/Columbia Emergency and BT
Preparedness Competencies
– Other Resources: DOJ, NPHPSP, Core
Competencies
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The NWCPHP Instrument
• Assesses individual worker training
needs
• Fulfills Focus Area G Critical
Capacity #16 requirements
• Targets public health professionals
• Flexible design
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
The NWCPHP Instrument
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•
•
•
Content from BT Competencies
9 versions
4 sections
Mix of Likert Scale and multiple
choice questions
• 18-21 pages
• Administration = ~ 20 minutes
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Questions, Section I, II
TASK
1. Monitor health status to
identify community health
problems.
a. Recognize unusual events
that might indicate an
emergency situation (e.g. a
cluster of unusual lab
reports, a series of atypical
phone calls, suspicious
delivery, etc.).
b. Describe the appropriate
action to take and
procedures to follow if
there is a suspected or
actual emergency situation
(outbreak, biological,
environmental, etc.).
c. Identify whom to report
suspected or actual
emergencies.
LEVEL OF CONFIDENCE
How confident are you in your ability to
perform this task?
NEED FOR TRAINING
Please rate your level of need for training
in this task.
Not at all Somewhat
Very
Not
Confident Confident Confident Confident Applicable
1
2
3
4
N/A
No
Need
1
Low
Need
2
Moderate
Need
3
High
Need
4
Not
Applicable
N/A
1
2
3
4
N/A
1
2
3
4
N/A
1
2
3
4
N/A
1
2
3
4
N/A
1
2
3
4
N/A
1
2
3
4
N/A
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Questions, Section III-IV
• Training preferences
– Specific topics
– Type of courses
– Learning setting
– Incentive and barriers
– Computers and Internet
• Demographics
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Sites Using
NWCPHP Instrument
States
• Alaska*
• Idaho*
• Wyoming*
• Montana*
Public Health Ready Sites
• Thurston County,
Washington*
• Tarrant County, Texas
• Tulsa County, Oklahoma
• Cherokee Nation
* NWCPHP provided
Technical Assistance
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
What’s Next
• Individual sites
– Use results to develop training plan
– Re-assess in 1-3 years to measure
changes
• NWCPHP create regional report of
training needs
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Challenges
• Assessment using competency
statements
• Evolving role of PH in emergency
prepardness
• Defining target population
• Recruiting non-traditional public health
population
• Analyzing and “translating” the results
• Limitations of self-assessment
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Results: Top Needed Topics
• Emergency response partners
• Individual’s roles and responsibilities
• Emergency response protocols,
and procedures
• Emergency response laws, regulations,
and ordinances
• Surveillance/ epidemiology
• Incident command systems
• Communication
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Lessons to Apply Nationally
• Collaborative model: NWCPHP/
State partnership
• Using BT/EP competencies to
assess training needs
• Using results to develop training plan
• Creating models for assessment/
planning/evaluation – example:
Project Public Health Ready model
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Questions?
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org
Contacting Us…
Suzanne Swadener, Assistant Director
Northwest Center for Public Health Practice
206-685-1130
[email protected]
www.nwcphp.org
Carolyn Stemshorn, Project Manager
Evaluation Team, Group Health Community Foundation
206-287-4691
[email protected]
www.ghcfoundation.org
Evaluation Team
Group Health Community Foundation
www.ghcfoundation.org
Northwest Center for Public Health Practice
University of Washington School of Public Health and Community Medicine
http://nwcphp.org