Transcript Surgical Outcomes Congress

Supporting and Expanding
Public Health Research: A CDC
Perspective
Presented at Health Professions Network
Conference, March 17, 2006
Robin M. Wagner, PhD, MS
Jamila Rashid, PhD, MPH
Elizabeth Skillen, PhD
Cindi Melanson, MPH, CHES
Robert Spengler, ScD
Office of Public Health Research
Office of the Chief Science Officer
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Overview
 Developing a national public health research
agenda
– Why now
– How the NEW CDC Health Protection Guide, 20062015 is being developed
– How it will be used to support shorter-term
Research Agenda
– Which research themes are related to healthcare
professionals
 Implementing the research agenda
 Questions
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The Original CDC
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Why Change? Many External
Forces…
Emerging Public
Health Threats
Human Genome
Health Disparities
Globalization
Changing Demographics
Rising Health
Care Costs
Information Technology
Aging Workforce
Public Health Infrastructure
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CDC Response
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New strategic plan: Futures Initiative
New organizational structure
New health protection goals
New strategic imperatives
New national public health research
agenda
– CDC Health Protection Research Guide, 2006-2015
– CDC Research Agenda (shorter-term priorities)
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Centers for Disease Control and
Prevention
OFFICE OF STRATEGY
AND INNOVATION
OFFICE OF THE CHIEF
SCIENCE OFFICER
OFFICE OF WORKFORCE
AND CAREER
DEVELOPMENT
OFFICE OF THE CHIEF
OF PUBLIC HEALTH
PRACTICE
OFFICE OF THE
DIRECTOR
OFFICE OF THE CHIEF
OPERATING OFFICER
OFFICE OF ENTERPRISE
COMMUNICATION
OFFICE OF CHIEF
OF STAFF
CDC WASHINGTON
OFFICE
OFFICE OF EQUAL
EMPLOYMENT
OPPORTUNITY
COORDINATING
OFFICE FOR
GLOBAL HEALTH
COORDINATING
OFFICE
FOR TERRORISM
PREPAREDNESS &
EMERGENCY
RESPONSE
COORDINATING
CENTER FOR
ENVIRONMENTAL
HEALTH AND
INJURY
PREVENTION
COORDINATING
CENTER
FOR HEALTH
INFORMATION
AND SERVICES
COORDINATING
CENTER FOR
HEALTH
PROMOTION
COORDINATING
CENTER FOR
INFECTIOUS
DISEASES
NATIONAL
INSTITUTE
FOR
OCCUPATIONAL
SAFETY
AND HEALTH
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CDC Overarching Health
Protection Goals
Healthy
People
in Every
Stage of Life
Healthy
People
in a Healthy
World
Healthy
People
in Healthy
Places
People
Prepared
for Emerging
Health
Threats
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Specific Health Protection Goals
Healthy People in Every
Stage of Life
People Prepared for
Emerging Health Threats
–Infants & toddlers
–Children
–Adolescents
–Adults
–Older Adults
–Event Goals: Investigate &
control threats
–Post-Event Goals: Recover from
threats & improve future
responses to threats
–Pre-Event Goals: Prevent, detect
& report public health threats
Healthy People in Healthy
Places
–Communities
–Homes
–Workplaces
–Schools
–Healthcare settings
–Institutions
–Travel & recreation
Healthy People in a Healthy
World
–Health promotion
–Health protection
–Health diplomacy
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Strategic Imperatives
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Health Impact Focus
Customer-centricity
Public Health Research
Leadership
Global Health Impact
Accountability
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Goals Implementation for CDC
Evidence
Input
Mission
Feasibility
Impact
Goals
Healthy People, Healthy Places,
Preparedness & Global Health
Health
Impact
Performance
Management
Evidence-based action plan
Accountability & responsibility
assignments
Resource allocation
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Goals Will Drive Program and
Research
GOALS
Health
Impact
RESEARCH
PROGRAM
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CDC Integration of Goals,
Research and Program
HEALTH PROTECTION GOALS
Healthy People, Healthy Places,
Preparedness & Global Health
Program
Public health services,
programs and response
Achieve goals
Improved services,
programs and response
Research
Innovation
New priorities
Threats & emergencies
HEALTH IMPACT
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Overview: CDC Health
Protection Research Guide,
2006-2015
 Provides comprehensive, long-range
vision of national & global public health
needs
– Research Guide will support shorter-term
Research Agenda
 Applies to intramural & extramural
research
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Purpose of CDC Research Guide
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Identify knowledge gaps to be addressed in
Health Protection Goals Action Plans
Describe research needed for critical evidence to
improve public health programs/interventions
Support many public health disciplines through
innovative, cross-cutting, foundational research
Serve as platform for collaborations with federal
partners
Provide basis for collaborations with state/local
partners
Create opportunities to partner with other diverse
partner sectors
Plan, promote and market CDC research
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CDC ADVISORY
COMMITTEE
Workgroup on Goals
& Research Agenda
Workgroup
Structure
2015 Health Protection
Goals Subworkgroup
Research Agenda
Steering Subworkgroup
Core Team
Environmental & Occupational
Health & Injury Prevention
Health Promotion
Health Information Services
Infectious Diseases
Global Health
Community Preparedness
& Response
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Research Guide Development
Progress and Next Steps
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Develop plans & gain approval
Form workgroups
Gather CDC and partner input
Create “starter list” for discussion
Hold public participation meetings
Hold initial federal partners meeting
Conduct synthesis & prioritization
Produce public comment draft
Hold 60-day formal public comment period
Finalize Research Guide (Target date: 4/06)
Develop a strategy to collaborate with partners
Develop short-term Research Agenda
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Outline of Public Comment Draft
I.
II.
Overview
Relationship of Research Themes to CDC Health
Protection Goals
The Proposed Guide
III.
Prevent and Control Infectious Diseases
IV. Promote Preparedness to Protect Health
V.
Promote Health to Reduce the Burden Of Chronic
Diseases and Disability
VI. Create Safe Places To Live, Work, Learn, and Play
VII. Work Together to Build a Healthy World
VIII. Manage and Market Health Information
IX. Cross Cutting Research
Appendices
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Organization of Research Guide
TIER 1
TIER 2
TIER 3
Research Theme 1
MAJOR RESEARCH
AREA
(Chapter)
Research
Category
A
Scope of
Research
Research Theme 2
Research Theme 3
Research
Category
B
Research
Category
C
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Priority-Setting Criteria
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Public health need/importance of problem
Relevance to reducing health disparities
Potential for broad impact (>1 disease or
subject area)
Relevance to CDC mission/health protection
goals
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Public Responses
 3 Sources of Public Comments
– Website
– Email
– Postal Mail
 Nearly 7,000 people submitted comments
 Most comments received during comment period
(“official” comments) but some were late
(“unofficial”)
 Many institutional responses from key partners
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Key Partners Who Submitted
Institutional Comments
NIH Institutes and Offices
Office on Disability, DHHS
Infectious Diseases Society of
America
American Hospital Association
Association of Teachers of
Preventive Medicine
American Chemistry Council
Association of State and
Territorial Health Officials
Emergency Nurses
Association
American Society of
Microbiology
 American Psychological
Association
AND OTHERS!
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Official Public Comments Received
DURING Public Comment Period
Source of # of Website
Comments Registrants
Website
# of People
# of
Who
Comments
Commented* Submitted**
4,371
350
488
Email
Not applicable
6,620
6,726
Postal Mail
Not applicable
3
3
* Draft #s. May include >1 submission by same person.
** # of comments BEFORE the comments were split into discrete ideas.
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Unofficial Public Comments Received
AFTER Public Comment Period
Source of
# of Website
Comments Registrants
*
# of People
# of
Who
Comments
Commented* Submitted**
Website
None
None
None
Email
Not applicable
132
142
Postal Mail
Not applicable
0
0
Draft #s. May include >1 submission by same person.
** # of comments BEFORE the comments were split into discrete ideas.
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Linking Research Guide to
Goals Action Teams
 Each Team’s Goals Action Plan will include
research component
 2006-2015 Research Guide will have identified
research to fill knowledge gaps determined as
priorities by Teams
 Research supporting Teams will form basis of
short-term Research Agenda (2-3 year timeline)
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Research Theme Examples
Mapped to Goals/Teams
 Optimal Adolescent Development [ADOLESCENT HEALTH]
Develop and evaluate strategies to improve health and fitness levels of U.S.
adolescents, and establish health behaviors that promote lifelong health and
reduce the leading causes of morbidity, mortality, and disability among
youth and adults.
 Influenza Pandemic and Interpandemic (Annual) [INFLUENZA]
Determine the pathogenesis, transmission, and immune response of highly
pathogenic avian and other influenza viruses with pandemic potential to
develop improved preventive and therapeutic measures.
 Occupational Diseases [HEALTHY WORKPLACES]
Improve understanding of the role and burden of workplace exposures to
diseases, and determine sector-specific risk factors, mechanisms, and
effective prevention strategies.
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Health Marketing and Health Education in Global Settings [GLOBAL
HEALTH PROMOTION]
Improve strategies for health education and dissemination of health marketing
messages and products with the objective of encouraging behaviors that will
prevent disease and injury in the developing world.
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Research Themes Relevant to
Health Professionals - I
 Workforce and Career Development
Conduct research to improve public health workforcerelated recruitment, retention, and training.
Scope of Research addresses:
– Knowledge, attitude and skill competencies needed by
the public health workforce
– Career development and entry-level supply lines to
ensure workforce pool
– Best practices for workforce recruitment, retention,
training
– Current and future public health workforce needs
– Impact of trained public health professionals on
specific health related outcomes
– Workforce performance and trends
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Research Themes Relevant to
Health Professionals - II
 Support for Front-line Personnel Involved in Health
Protection Functions During Extreme Events
Improve and evaluate the countermeasures, personal
protective equipment, and health policy guidelines that
support members of the public health workforce and
maximize safety, personal resilience, self-confidence, and
performance for these workers.
 Proficiency of the Public Health Workforce in the Event of
Disaster
Define and assess the knowledge, attitudes, and
proficiencies needed by the public health workforce to
successfully ensure the safety and well-being of the
community.
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Research Themes Relevant to
Health Professionals - III
• Healthcare-associated Infections and Patient Safety
Create novel strategies for preventing healthcare-associated
infections, including those occurring among recipients of
blood, organs, and other tissues.
• Human Resources and Health Outcomes in Global Settings
Evaluate the way in which the quality and quantity of human
resources in health affects the key determinants of health
outcomes in global settings.
• Integrated Health Marketing Programs
Explore practices and strategies to enable public health
professionals to design, create, and evaluate effective and
integrated health-marketing campaigns.
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Implementing Research Guide
 Develop a strategy to collaborate with federal
partners
– Hold second and third federal partners meetings on health
disparities
– Plan additional meetings, funding and other mechanisms
 Develop a strategy for collaborating with other
partners
 Develop broad program announcement aligned with
Research Guide, Research Agenda and Health
Protection Goals
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Funding the Research Agenda
 Broad research program announcement (continued)
– Emphasis on intervention, translation and
dissemination research
– Target publication date: 8/06
– In effect for 3 years using FY07-FY09 funds
– Potential applicants directed to updated research
priorities developed over time by Teams and listed
on Web
– Leverage resources of other interested federal
partners and across CDC
 Other funding mechanisms TBD by CDC senior
management
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For More Information
 CDC Goals
http://www.cdc.gov/about/goals
 CDC Health Protection Research Guide
www.cdc.gov/od/ophr/cdcra.htm
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Contact
Robin M. Wagner, Ph.D., M.S.
Associate Director for Research Planning and
Evaluation
Office of Public Health Research
Office of the Chief Science Officer
Centers for Disease Control and Prevention
1600 Clifton Rd., NE, Mailstop D72
Atlanta, GA 30333
Phone: 404-639-4898
Email: [email protected]
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We Appreciate Your Support of
the Research Guide . . .
To help us fulfill CDC’s
vision of healthy people
in a healthy world –
through prevention!
Thank you!!
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Questions
 How can we work together to support
research of mutual interest?
 Other?
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