CDC Mission Collaborating to create the expertise, information, and tools that people and communities need to protect their health – through health promotion, prevention of disease, injury and disability, and preparedness for new health threats.
Winnable Battles Each area is a leading cause of illness, injury, disability or death and/or represents enormous societal costs Evidence-based, scalable interventions already exist and can be broadly implemented Our effort can make a difference We can get results within 1 to 4 years – but it won’t be easy
Key Winnable Battles Healthcare- AssociatedInfections Nutrition, Physical Activity, Obesity & Food Safety Teen Pregnancy HIV Motor Vehicle Injuries Tobacco
What Public Health Can Do Help win these public health battles Priority issues at the local, state and federal levels Known, effective, scalable interventions Potential for large impact on health Collective and focused efforts Identify optimal strategies at all levels, across all sectors Rally resources and partnerships Communicate about successes and challenges along the way Accelerate efforts to make measureable impact on health
HealthBound Intervention OptionsA Short Menu of Major Policy Proposals Expand insurance coverage Improve quality of care Coordinate care Enable healthier behaviors Expand primary care supply Simplify insurance Improve primary care efficiency Build safer environments Change self pay fraction Create pathways to advantage Change reimbursement rates Strengthen civic muscle
Illustrative Scenarios Expand Insurance Coverage Reduces the uninsured fraction by 90% Implementation Cost = $20/beneficiary/yr. Coverage & Quality Improve Quality of Care Raises provider adherence to guidelines for preventive, chronic and urgent care (reducing non-adherence by 50%) Implementation Cost = $10k/MD/yr.; $500k/hospital/yr. Expand Primary Care Supply Raises the number of primary care providers per capita to the Disadvantaged by 60% over 15 yearsImplementation Cost = $300k/additional MD + Capacity Improve Primary Care EfficiencyRaises the fraction of primary care offices that run efficiently (reducing inefficiency by 90%)Implementation Cost = $10k/MD/yr. Enable Healthier BehaviorsIncreases the fraction with healthier behavior (reducing unhealthy behavior by 40% over 15 years)Implementation Cost = $2,000 per person helped + Protection Build Safer EnvironmentsIncreases the fraction living in safer environments(reducing unsafe environments by 50% over 15 years)Implementation Cost = $500 per person helped
Simulated Results: Morbidity Average Unhealthy Days per Month Days per month (average over entire population) 6 5.25 Coverage + Quality Coverage + Quality + Capacity 4.5 Coverage + Quality + Capacity + Protect 3.75 3 -5 0 5 10 15 20 25 Year HealthBound is designed for training purposes. Simulated scenarios cannot be interpreted as predictions for the future.
Simulated Results: Total CostsHealth Care Costs + Intervention Program Costs Dollars per capita per year 600 Coverage + Quality 300 Coverage + Quality + Capacity 0 Coverage + Quality + Capacity + Protect -300 -600 -5 0 5 10 15 20 25 * Undiscounted, constant 2003 dollars HealthBound is designed for training purposes. Simulated scenarios cannot be interpreted as predictions for the future.
Using VR in Resiliency Training 16
Virtual Reality Training cont’d Why are we doing this? Intent Provide simulated experience of likely situations Help participants feel/understand confusion of an emergency Emphasize & integrate importance of self-reliance & collaboration Train Deployment Safety and Resiliencey Teams (DSRTs) Increase confidence & competence; Decrease anxiety & stress Process Include relevant sights, sounds AND smells encountered in field Reach out to cross-cutting organizational units (content; participants) Select appropriate individuals for DSRT training Continue to refine, improve DSRT program and processes 17
Translation from Live to VRE 18
Recording Footage for VRE 19
Simulated Experience of Likely Situations
Sights, Sounds AND Smells… 22
Creating Virtual Mine Sites
Purposes of VR Training Engaging Immersive; Context-based Repeatable for single person and across multiple people Safely places trainees in dangerous situations Permits cost effective damage to (virtual) equipment by trainees while learning or to show faults and flaws Provides a way to experience the future before the equipment is delivered, the job designed, or that stage in the mining process
Mine Evacuation Training
Mine Evacuation Training
Can connect via internet
Mine Rescue & Escape Training Laboratory Immersive Environments Cylindrical screen 10ft tall, 33ft diameter Curved screen 10 ft tall x 26 ft wide
MRET LabModules – Mine Rescue
Comparable in complexity to mine rescue contest problems
Graphic provided by Commercial Training Solutions, L.L.C. 2011
Whyville Infection interrupts chatting with “Achoo!” Proximity to infected avatars increases risk Hand washing decreases risk to you Covering decreases risk to others Social behavior has changed People now complain if you don’t cover Vaccination protects you
Whyville-Winter 2009 Two flu strains with different symptoms Vaccination station with two types of vaccine for the two flu strains Seasonal flu vaccine released first and H1N1 flu vaccine released later Modeling of two key hygienic behaviors: Hand washing: decreases likelihood of infection Covering: elbow covering of sneezes & coughs decreases spread of flu Opportunity to speak with CDC flu expert
Other CDC Efforts Pathways to Change PamojaMtaani Choose Respect BAM Second Life Hollywood Health and Society Dr. Leslie Snyder’s, Safer Sex Through Gaming
Speed Bumps 508 Compliance Visual Impairment Motor or dexterity impairment Cognitive/Intellectual/Age Auditory Seizures Certification and Accreditation (C&A) Clearance
Innovation fund A grant program designed to test new ideas
Promote pilot investigations that challenge the status quo
Fund new projects that are potentially revolutionary but early in their development
Partnering OpportunitiesDiscussion What do people need to create better games? How can CDC help?
Questions? Dan Baden, MD email@example.com 770 488 6492
For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 E-mail: firstname.lastname@example.org Web: http://www.cdc.gov The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention. Department of Health and Human Services Centers for Disease Control and Prevention