Public Health Reports Meet the Author! Live Webcast Tuesday, February 1, 2011 | 1:00-2:15 PM (EST) To join the conference call, dial: Access Code: 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

Are We Prepared? Lessons Learned from the Last Decade of Preparedness Education and a Look to the Future Jack Thompson, MSWBernard Turnock, MD, MPHEdward Baker, MD, MPH Public Health Reports Meet the Author! Live Webcast

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.

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 Origins of Center for Public Health Preparedness (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 Models for 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 HISTORY Initial strategies of CPHP Program

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 ACHIEVEMENTS The development of a national network

CPHP Network and Map 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 Columbia University Emory University Harvard University Johns Hopkins University Loma Linda University Ohio State University Saint Louis University Texas A&M University Tulane University

Public Health Reports Special Supplement Public Health Preparedness

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 Topics from the Special Supplement

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

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 Expansion of education and training programs

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 Return on investment – outcomes of the 2004 CDC impact assessment

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 ACHIEVEMENTS Summary of impacts

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 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 Some cautionary lessons – national level

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

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) LESSONS LEARNED Critical success factors – center level

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 – 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 Unique Opportunities

Sustaining partnerships Influencing workforce development PERLC-PERRC synergies – Research and evaluation too important to be left to the researchers and evaluators OPPORTUNITIES PERLC Program Challenges

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

Are We Prepared? Lessons Learned from the Last Decade of Preparedness Education and a Look to the Future Jack Thompson, MSW Bernard Turnock, MD, MPH Edward Baker, MD, MPH Public Health Reports Meet the Author! Live Webcast

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