3VisionA nation of resilient communities with a competent health workforce prepared to respond and mitigate all-hazards disasters.MissionThe 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.
4Origins HSPD-21, Paragraph 38 WhoPrimary: Secretaries of HHS and DoDCoordinating: Secretaries VA and HSWhat: Establish academic Joint Program for Disaster Medicine and Public HealthWhere: Housed at a National Center for Disaster Medicine and Public Health (NCDMPH) at USUMention “why” USU—ONLY FEDERAL HEALTH SCIENCE UNIVERSITYNEUTRALITY!
5Origins HSPD-21, Paragraph 38 More key elements:Center to lead federal efforts to develop & propagate:Core curriculaTrainingRelated researchAcademic center of excellence in DMPHCo-locate education and research inDomestic medical preparedness and responseInternational health + international disaster & humanitarian assistanceMilitary medicine
6NCDMPH CharterSigned Oct 2008, between President USU and DoD chain of command (Assist. Sec. Def. Health Affairs)Demands broad collaboration across:UniversityFederal Interagency (via an advisory group now called “FETIG”)Non-federal stakeholders: academia, state, local, tribal, professional orgs. & societies, and industryMission & Goals in the CharterAcademic home to develop & propagate core competencies, training, research, & education”Domestic and international medical operations spannedLead agent in academic collaborationTranslate supporting research--education research & “best practices”Informational clearinghouse between feds and non-fedsAcademic center of excellence
7disaster medicine and public health Vision & MissionThe Nation’s academic center of excellence for education and training indisaster medicine and public healthAcademicJoint ProgramContinuous ImprovementLifelong LearningCore CurriculaTrusted National ResourceNat’l. Core CompetenciesNational Core CompetenciesCore CurriculaContinuous ImprovementLifelong LearningTrusted National ResourceNCDMPH – Initial Operating CapabilityFETIGNational Health Security StrategyHSPD-21 and PAHPA
8FETIG 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, DOTFunctions relative to NCDMPHBoard of advisorsFederal coordination mechanismSupport communication to non-federal partners
9SIGN UP! Current Status Initial Operating Capability Office established & core staff hiredWeb site (SharePoint® framework)--Strategic CommunicationLogo & brandingOutreach & NewsletterAcademic Joint ProgramInitial needs assessment—Federal Partner WorkshopNon-Federal needs assessment with:FETIGUS Northern CommandYale New Haven Health Center for Emergency Preparedness and Disaster Response (YNH-CEPDR)Strategic PlanSIGN UP!APHAAMA/BARDAMilitary Health SystemNACCHOIntegrated Training Summit (aka NDMS conference)PROVIDED IN CDROM
10Federal WorkshopA Nation Prepared: Education and Training Needs for Disaster Medicine and Public Health Inaugural Federal Partner Workshop September 24-25, 2009Information Organization Needs93% see a need for training on accessing reliable infoMost (53%) want a meta website that coordinates info across agenciesCompetencies89% agree that core competencies are an appropriate goalVaried responses for who should be developing them (13% associations, 41% other)Incentives and MandatesMost respondents (48%) think you need both but mandates are more successful for trainingGrants are an effective incentive (65%)Federal and Non-Federal Disconnects72% see a fed/non-fed disconnect on requirements in fieldMajority of respondents’ agencies involve non-feds in development of education and trainingLearning Research NeedsMost respondents believe that research is being conducted to build the evidence base but that current content is lacking evidence97% believe virtual simulations could be usefulIM/IT NeedsIn-person conferences/courses work best for this audience90% of agencies represented are providing distance learningSecurity remains a barrierRole 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”
11Non-Federal Workshop May 5-6 in Gaithersburg, MD 189 representatives from stateand local governments,private sectors involved in thedevelopment of competencies,and professional and accreditedacademic organizationsattended
12Forward-Looking Questions National Core CompetenciesWho are the key stakeholders?Individual competencies, Group competencies, or both?Relationship of international to domestic knowledge?Core CurriculaStandards: What? How? By whom?Certification?International—Sphere Guidelines?
13Forward-Looking Questions Continuous ImprovementGaps (competencies—curricula—response)?Value of After-Action Reports & Lessons Learned?Lifelong learningLearning methods (virtual reality)?Education research gaps (ex. cost-effective modes)?Workforce DevelopmentAligning and supporting Goal 2 of National Health Security Strategy?How?
14On the CD… Proceedings of the Federal Partners Workshop NCDMPH Initial ReportProposed Strategic PlanSpring 2010 Newsletter
15Questions. Thanks Kenneth Schor, DO, MPH Acting Director kschor@usuhs Questions? Thanks Kenneth Schor, DO, MPH Acting DirectorThe Nation’s academic center of excellence for education and training in disaster medicine and public health.
17DHS Target Capabilities List (TCL): 13 Public Health & Medical Functions (draft)Medical SurgeEpidemiological Surveillance & InvestigationMedical Supplies LogisticsMass ProphylaxisEmergency Triage & Pre-Hospital TreatmentEnvironmental HealthIsolation & QuarantineAnimal Disease Emergency SupportResponder Safety & HealthFood/Agriculture Safety & DefenseLaboratory TestingMass Care (shelter, feeding)Fatality Management
18Education & Training: Core Competency Development PH Preparedness & ResponseDraft, March 2010, ASPHGlobal HealthDraft Domains, February 2010, ASPHCommunicationAssessment (Hazard, Vulnerability, Risk)Interventions (all phases)LeadershipLegalNational Response FrameworkPlanning & ImprovementSurveillance & InvestigationWorker Health, Safety, ResilienceCapacity-BuildingCollaboration & PartneringEthical Reasoning & Professional PracticeHealth Equity & Social Justice LeadershipProject & Process Mgt.Socio-cultural & Political AwarenessStrategic Analysis & EvaluationRef:
19All-Hazard Disaster Core Competencies DomainsAll Health Professionals1E.D. Physicians, Nurses, EMS2Preparation & Planning-Nomenclature-Incident Mgt. Systems (NRF, NIMS)Detection & CommunicationRecognition, Notification, Initiation, Data CollectionIncident 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
20All-Hazard Disaster Core Competencies DomainsAll Health Professionals1E.D. Physicians, Nurses, EMS2Security & Safety-0-Clinical/Public Health Assessment & Intervention-Clinical Considerations-Patient TriageContingency, Continuity, Recovery-Evacuation-Critical thinking/Situational awarenessPublic Health Law & Ethics-Public Health & Safety-Ethical Principals & Challenges1Subbarao 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.