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National Center for Disaster Medicine and Public Health

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Presentation on theme: "National Center for Disaster Medicine and Public Health"— Presentation transcript:

1 National Center for Disaster Medicine and Public Health
Kenneth Schor, DO, MPH CAPT MC USN (Ret.) Acting Director David Berry Communications Associate 09 June 2010

2 Outline Origins Current Status Forward-Looking Questions

3 Vision A nation of resilient communities with a competent health workforce prepared to respond and mitigate all-hazards disasters. Mission The NCDMPH leads federal and coordinates national efforts to develop and propagate core curricula, education, training and research in all-hazards disaster health. The Nation’s academic center of excellence for education and training in disaster medicine and public health.

4 Origins HSPD-21, Paragraph 38
Who Primary: Secretaries of HHS and DoD Coordinating: Secretaries VA and HS What: Establish academic Joint Program for Disaster Medicine and Public Health Where: Housed at a National Center for Disaster Medicine and Public Health (NCDMPH) at USU Mention “why” USU—ONLY FEDERAL HEALTH SCIENCE UNIVERSITY NEUTRALITY!

5 Origins HSPD-21, Paragraph 38
More key elements: Center to lead federal efforts to develop & propagate: Core curricula Training Related research Academic center of excellence in DMPH Co-locate education and research in Domestic medical preparedness and response International health + international disaster & humanitarian assistance Military medicine

6 NCDMPH Charter Signed Oct 2008, between President USU and DoD chain of command (Assist. Sec. Def. Health Affairs) Demands broad collaboration across: University Federal Interagency (via an advisory group now called “FETIG”) Non-federal stakeholders: academia, state, local, tribal, professional orgs. & societies, and industry Mission & Goals in the Charter Academic home to develop & propagate core competencies, training, research, & education” Domestic and international medical operations spanned Lead agent in academic collaboration Translate supporting research--education research & “best practices” Informational clearinghouse between feds and non-feds Academic center of excellence

7 disaster medicine and public health
Vision & Mission The Nation’s academic center of excellence for education and training in disaster medicine and public health Academic Joint Program Continuous Improvement Lifelong Learning Core Curricula Trusted National Resource Nat’l. Core Competencies National Core Competencies Core Curricula Continuous Improvement Lifelong Learning Trusted National Resource NCDMPH – Initial Operating Capability FETIG National Health Security Strategy HSPD-21 and PAHPA

8 FETIG Core members: DoD, HHS, DHS, VA, DOT
“Federal Education and Training Interagency Group (FETIG) for Public Health and Medical Disaster Preparedness and Response” Core members: DoD, HHS, DHS, VA, DOT Functions relative to NCDMPH Board of advisors Federal coordination mechanism Support communication to non-federal partners

9 SIGN UP! Current Status Initial Operating Capability
Office established & core staff hired Web site (SharePoint® framework)-- Strategic Communication Logo & branding Outreach & Newsletter Academic Joint Program Initial needs assessment—Federal Partner Workshop Non-Federal needs assessment with: FETIG US Northern Command Yale New Haven Health Center for Emergency Preparedness and Disaster Response (YNH-CEPDR) Strategic Plan SIGN UP! APHA AMA/BARDA Military Health System NACCHO Integrated Training Summit (aka NDMS conference) PROVIDED IN CDROM

10 Federal Workshop A Nation Prepared: Education and Training Needs for Disaster Medicine and Public Health Inaugural Federal Partner Workshop September 24-25, 2009 Information Organization Needs 93% see a need for training on accessing reliable info Most (53%) want a meta website that coordinates info across agencies Competencies 89% agree that core competencies are an appropriate goal Varied responses for who should be developing them (13% associations, 41% other) Incentives and Mandates Most respondents (48%) think you need both but mandates are more successful for training Grants are an effective incentive (65%) Federal and Non-Federal Disconnects 72% see a fed/non-fed disconnect on requirements in field Majority of respondents’ agencies involve non-feds in development of education and training Learning Research Needs Most respondents believe that research is being conducted to build the evidence base but that current content is lacking evidence 97% believe virtual simulations could be useful IM/IT Needs In-person conferences/courses work best for this audience 90% of agencies represented are providing distance learning Security remains a barrier Role of NCDMPH: “Convening is one of the most powerful roles, keep doing it” “Provide expertise, consistency and full-time engagement” “Think about how to operationalize these topics” “Be a resource and clearinghouse” “Provide a forum for best practices that is agency neutral” “Serve as an educational referral center, define user groups and learning priorities”

11 Non-Federal Workshop May 5-6 in Gaithersburg, MD
189 representatives from state and local governments, private sectors involved in the development of competencies, and professional and accredited academic organizations attended

12 Forward-Looking Questions
National Core Competencies Who are the key stakeholders? Individual competencies, Group competencies, or both? Relationship of international to domestic knowledge? Core Curricula Standards: What? How? By whom? Certification? International—Sphere Guidelines?

13 Forward-Looking Questions
Continuous Improvement Gaps (competencies—curricula—response)? Value of After-Action Reports & Lessons Learned? Lifelong learning Learning methods (virtual reality)? Education research gaps (ex. cost-effective modes)? Workforce Development Aligning and supporting Goal 2 of National Health Security Strategy? How?

14 On the CD… Proceedings of the Federal Partners Workshop
NCDMPH Initial Report Proposed Strategic Plan Spring 2010 Newsletter

15 Questions. Thanks Kenneth Schor, DO, MPH Acting Director kschor@usuhs
Questions? Thanks Kenneth Schor, DO, MPH Acting Director The Nation’s academic center of excellence for education and training in disaster medicine and public health.

16 Back-up Slides

17 DHS Target Capabilities List (TCL):
13 Public Health & Medical Functions (draft) Medical Surge Epidemiological Surveillance & Investigation Medical Supplies Logistics Mass Prophylaxis Emergency Triage & Pre-Hospital Treatment Environmental Health Isolation & Quarantine Animal Disease Emergency Support Responder Safety & Health Food/Agriculture Safety & Defense Laboratory Testing Mass Care (shelter, feeding) Fatality Management

18 Education & Training: Core Competency Development
PH Preparedness & Response Draft, March 2010, ASPH Global Health Draft Domains, February 2010, ASPH Communication Assessment (Hazard, Vulnerability, Risk) Interventions (all phases) Leadership Legal National Response Framework Planning & Improvement Surveillance & Investigation Worker Health, Safety, Resilience Capacity-Building Collaboration & Partnering Ethical Reasoning & Professional Practice Health Equity & Social Justice Leadership Project & Process Mgt. Socio-cultural & Political Awareness Strategic Analysis & Evaluation Ref:

19 All-Hazard Disaster Core Competencies
Domains All Health Professionals1 E.D. Physicians, Nurses, EMS2 Preparation & Planning -Nomenclature -Incident Mgt. Systems (NRF, NIMS) Detection & Communication Recognition, Notification, Initiation, Data Collection Incident Mgt. & Support Systems -Communications -Resource Mgt. -Volunteer Mgt. -Gov’t/NGO Response Teams -Surge Capacity -Patient ID & Tracking -Transportation -Decontamination -Special Needs Populations -Psychosocial Issues

20 All-Hazard Disaster Core Competencies
Domains All Health Professionals1 E.D. Physicians, Nurses, EMS2 Security & Safety -0- Clinical/Public Health Assessment & Intervention -Clinical Considerations -Patient Triage Contingency, Continuity, Recovery -Evacuation -Critical thinking/Situational awareness Public Health Law & Ethics -Public Health & Safety -Ethical Principals & Challenges 1Subbarao I, et. al. A Competency-based Educational Framework and Competency Set for the Discipline of Disaster Medicine and Public Health Preparedness. Disaster Med Public Health Preparedness. 2008;2: 2Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals. EMS Foundation, Final Report, November, 2009.

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