1. Introducing a New Framework for Just-in-Time Training: Using an Inclusive Approach Beth McGinnis, MPHAron Stephens, MPH Program SupervisorProgram Developer MCHD APC Multnomah County Health Department Portland, OR

2. Objectives Learn about NACCHO’s APC Program, its impact, and how it can improve workforce preparedness Provide an overview of Inclusive Just-in- Time Training (I-JITT) Learn how to adopt the model Preview new I-JITT APC tools Ask questions/get answers

3. Advanced Practice Centers Eight exist at local health departments (LHDs) –Different preparedness areas based on strengths Technical assistance for LHDs in adopting, tailoring, implementing, and evaluation Approximately 130 tools available

4. Poll Question How aware are you of NACCHO’s online APC Toolbox, or APC tools, in general?

5. About MCHD APC FTE staff (3.6) MCHD APC

6. About MCHD APC FTE staff (3.6) Regional experts in preparedness, training, epidemiology, and mass prophylaxis operations Technical Advisory Group MCHD APC

7. About MCHD APC FTE staff (3.6) Regional experts in preparedness, training, epidemiology, and mass prophylaxis operations NWCPHP Subject Matter Experts Technical Advisory Group MCHD APC Development Partners

8. The purpose of our APC Just-in-Time Training (JITT) tools to improve staff/volunteer training and operational efficiency and success

9. History of JITT Business world, wild land fire/emergency mgmt Preparedness training: –Lectures with PwPt, tabletops and exercises –Traditional JITT Lack of coordinated trainings that meet responders’ needs, learning styles and cultural context can hinder operations.

10. Challenges of Traditional JITT  Useful Efficient May include helpful reference materials Variable in quality Doesn’t consider differences in knowledge and experience Doesn’t consider culture Doesn’t consider learning styles

11. Meeting Responders’ Needs What are responder needs and why are they important?

12. Needs of Emergency Responders Behavioral The practice session really helped me understand the steps in my job. I didn’t know how my role fit in with the overall response. I feel like the job I was assigned to do is outside of my skill level. Intellectual Emotional

13. What Is Inclusive JITT?

14. Where did I-JITT come from? Market research – best practice Literature review Christine Cress, PhD, Portland State University

15. 1 st Principle: Learning Dimensions Affective Feelings about the job Cognitive AffectiveBehavioral JITT Cognitive Knowing what to do Behavioral Knowing how to do the job The highest quality training, and retention of training, occurs where learning dimensions overlap and reinforce one another.

16. Poll Question Do your JITT programs honestly strive to meet the intellectual, behavioral, and emotional needs of surge responders?

17. 2 nd Principle: Learning Styles Auditory ExperientialVisual JITT Learning is optimized when new knowledge and skills are practiced, tested, and assimilated in a variety of techniques that are aimed at combinations of the learning styles above. Experiential Practice opportunity Auditory Lecture Visual Demonstration

18. 3 rd Principle: Cultural Context Diverse individuals, groups, and organizations part of response ICS procedures different from daily routine Cultural Context I-JITT: takes steps to increase cultural sensitivity

20. Time Concerns in a Response Spirit of I-JITT Provide opportunity to practice Assess cultural environment Support the responder

21. Poll Question Do you intentionally make time for practice in your training sessions?

22. Adopting the I-JITT Model The adopting organization will Commit to training methods that meet learners’ needs and improve success despite limited resources Use an “I-JITT lens” when assessing existing training resources and new products

23. To Align or Tailor? Align existing resources to be more congruent with I-JITT model. Tailor new products (e.g., APC JITT for Public Health Investigations) to meet your LHD’s culture and need.

24. Aligning Contextual information? Practice time? Various learning styles? Cultural information?

25. Tailoring ICS title changes? Add/remove bullets on checklists? Logos and contact information? Different Job Action Sheets? Incident specific content?

26. New Products From MCHD APC Online Orientation to I-JITT module Public Health Decision Making & Staff Allocation Guide Toolkits –JITT for Public Health Investigations –JITT for Mass Prophylaxis Operations

27. Orientation to Inclusive JITT http://www.nwcphp.org/docs/apc/about/ind ex.htmhttp://www.nwcphp.org/docs/apc/about/ind ex.htm

28. Staff Allocation Decision Guide

29. I-JITT Tool Kits

32. I-JITT Tool Kit Highlights

33. Stay Connected! We provide technical assistance Join our evaluation cohort project Provide a testimonial Spread the word!

34. Beth McGinnis (503) 988-3663 x 22088 Beth.mcginnis@co.multnomah.or.us Aron Stephens (503) 988-3663 x23325 aron.stephens@co.multnomah.or.us Thank you!