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.