3 VisionA 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.
4 Origins 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!
5 Origins 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
6 NCDMPH 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
7 disaster 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
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, DOTFunctions relative to NCDMPHBoard of advisorsFederal coordination mechanismSupport communication to non-federal partners
9 SIGN 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
10 Federal 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”
11 Non-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
12 Forward-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?
13 Forward-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?
14 On the CD… Proceedings of the Federal Partners Workshop NCDMPH Initial ReportProposed Strategic PlanSpring 2010 Newsletter
15 Questions. 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.
17 DHS 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
18 Education & 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:
19 All-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
20 All-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.