LEONARD J. MARCUS, Ph.D. Harvard Center for Public Health Preparedness National Preparedness Leadership Initiative Program for Health Care Negotiation and Conflict Resolution Partnerships between Public agencies and academia: Building CONNECTIVITY To advance PREPAREDNESS AchievingNationalPreparedness National Governors Association Center for Best Practices

Academic centers for Pubic health preparedness Located within schools of public health, the national network of 22 Academic Centers for Public Health Preparedness is a workforce development initiative designed to ensure that frontline public health and health care workers are prepared to respond to any biological, chemical, radiological or nuclear threats or emergencies, as well as infectious disease outbreaks and natural disasters.

Centers for Disease Control and Prevention Association of Schools of Public Health Academic centers for Pubic health preparedness ASTHO NACCHO Partnership for Advancing Public Health Practice and Preparedness

Columbia University Mailman School of Public Health Center for Public HealthColumbia University Mailman School of Public Health Center for Public Health Columbia University Mailman School of Public Health Center for Public Health Columbia University Mailman School of Public Health Center for Public Health Emory University, Rollins School of Public Health Emory University, Rollins School of Public Health Harvard School of Public Health Harvard School of Public Health Johns Hopkins Bloomberg School of Public Health Johns Hopkins Bloomberg School of Public Health Saint Louis University School of Public Health Saint Louis University School of Public Health Tulane University School of Public Health Tulane University School of Public Health and University of Alabama at Birmingham School of Public Health* University of Alabama at Birmingham School of Public HealthUniversity of Alabama at Birmingham School of Public Health University at Albany SUNY School of Public Health University at Albany SUNY School of Public Health University of California at Berkeley School of Public Health University of California at Berkeley School of Public Health University of California at Los Angeles School of Public Health University of California at Los Angeles School of Public Health University of Illinois at Chicago School of Public Health University of Illinois at Chicago School of Public Health Academic centers for Pubic health preparedness SCHOOLS

University of Iowa: Center for Public Health Practice University of Iowa: Center for Public Health Practice University of Medicine and Dentistry of New Jersey School of Public Health University of Michigan School of Public Health University of Michigan School of Public Health University of Minnesota School of Public HealthUniversity of Minnesota School of Public Health University of Minnesota School of Public Health University of Minnesota School of Public Health University of North Carolina Chapel Hill School of Public Health University of North Carolina Chapel Hill School of Public Health University of Oklahoma College of Public Health University of Oklahoma College of Public Health University of Pittsburgh Graduate School of Public HealthUniversity of Pittsburgh Graduate School of Public Health and University of Pittsburgh Graduate School of Public Health and University of Pittsburgh Graduate School of Public Health Ohio State University School of Public HealthOhio State University School of Public Health* Ohio State University School of Public Health University of South Carolina, The Norman J. Arnold School of Public Health University of South Carolina, The Norman J. Arnold School of Public Health University of South Florida College of Public Health University of South Florida College of Public Health University of Texas School of Public Health University of Texas School of Public Health University of Washington School of Public Health and Community Medicine University of Washington School of Public Health and Community Medicine Academic centers for Pubic health preparedness SCHOOLS

Academic centers for Pubic health preparedness PURPOSES and ACTIVITIES 1.Support state and local public health agencies in achieving preparedness by assessing their needs and providing technical assistance. 2.Develop and deliver competency-based training in BT preparedness. 3.Ensure best practices. 4.Evaluate trainings thereby ensuring cost-effectiveness and minimizing duplication. 5.Expand access to training for public health professionals across the Nation. 6.Evaluate the success of these tailored trainings in meeting national goals for preparedness.

Connectivity: THE DILEMMA OF THE CUBE Peep hole A B Peep hole A Peep hole B

Negotiation & Conflict resolution For public health preparedness a bioterrorist incident “CONNECTIVITY” A seamless web of people, organizations, resources, & information that can best catch, contain, and control

What is necessary To achieve connectivity? a bioterrorist incident “CONNECTIVITY” A seamless web of people, organizations, resources, & information that can best catch, contain, and control Linkages Assets Operations Decisions

What are the greatest Obstacles to connectivity? Linkages Assets Operations Decisions not in place not ready impeded Lousy Symptoms of conflict

connectivity High Low Middle Differential Levels of Connectivity Integrated systems Parallel systems Competitive systems

connectivity Integrated Competitive Parallel Decisions Decision-making occurs together on most topics Decision-making occurs on specific topics Separate decision making

connectivity Integrated Competitive Parallel Emergency Preparedness Key systems, people, resources, & information closely linked The job gets done with limited efficiency & effectiveness System components unlinked with overlaps and gaps

collaboration “Whole Image Negotiation” Interdependence - Fit - Collaboration Imagination- Time dimensions Interest based - Mutual benefits “W.I.N.”

conceptual Framework for PROBLEM SOLVING MULTI-DIMENSIONAL Uni-dimensional problem solving “Me for Me” Two-dimensional problem solving “Me against You” “Us together” Classicadversarialconflict Collaboration

connectivity High Low Middle Differential Levels of Connectivity Integrated systems Parallel systems Competitive systems Leadership Interest-based negotiation Multi-dimensional P.S. Walk in the Woods Positional bargaining Uni, Two-dimensional PS Power plays & dominance ValuesModelsMethods Performance Performance ? ?

connectivity High Low Middle Improving System Performance Performance Performance ? ? YOURJOBYOURJOB YOURJOB YOURJOB System Performance Everyone doing their job very well Everyone connecting their efforts

connectivityIntegrated Competitive Parallel Give Yourself and Your System a Connectivity “Grade” A B C D F What can you do to improve your grade? ? ? ? ? ?

BARRIERS TO NEGOTIATING Collaborative strategies Which door do you choose? Perceptions of risks? Perceptions of rewards? Decision analysis: what criteria influence your decisions? AB DoorA DoorB Pay $$$ Get $$$

BARRIERS TO NEGOTIATING collaboration: Preparedness Which door do you choose? Risks of Terrorism? The Rewards of Funding? Decision analysis: what criteria influence your decisions? AB DoorA DoorB Pay $$$ Get $$$

THE ALIGNED and connected Seamless web ConsistencyDirection Internal External Strategy Leadership - Leadership Productivity - Productivity

responsibility Each person and each entity that is part of the bioterrorism preparedness effort… …has the responsibility to promote efforts to build collaboration, manage differences (conflicts), and work toward resolving them. To create a strong web of surveillance, Detection, and response CONNECTIVITY

Thank you Partnerships between Public agencies and academia: Building CONNECTIVITY To advance PREPAREDNESS Leonard J. Marcus, Ph.D.

For more information: Leonard J. Marcus, Ph.D. Harvard Center for Public Health Preparedness 677 Huntington Avenue Boston, MA To contact Dr. Marcus by