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Center for Public Health Preparedness Center for Public Health Preparedness Presentation Transcript

  • A-CPHP Reverse Site Visit Atlanta, GA March 10, 2004
    • School Representatives and Partners in Attendance:
    • Peter J. Levin, ScD, MPH (PI)
    • Guthrie Birkhead, MD, MPH (Co-PI)
    • Robert G. Westphal, MD, MPH (Director)
    • Joanne Cocozzoli, RN, MS (LHD Partner)
    • Nancy Alfred Persily, MPH (SPH Assoc Dean, Academic Affairs)
    • Carol Young, PhD (SPH Director, Continuing Education)
    • Margaret R. Watson (CPHP Program Coordinator)
    • Partners Participating By Telephone:
    • Dr. Michael Caldwell, MD, MPH (Commissioner, Dutchess County Health Department and current NYSACHO president)
    • Sabrina Jaar Marzouka, JD, MPH (Education Director, Dutchess County)
    • David Cote (Special Asst. to Commissioner, Vermont DOH)
    • Kelly Gordon, MA (Training & Development Manager, Vermont DOH)
    • Mission:
    • To strengthen public health preparedness for state and local public health professionals and their community partners.
    • Geographic Coverage:
    • New York State
    • (outside NYC)
    • Vermont
    • NYS has the 4th largest rural population in the country (Rural and School Community Trust Report, 2000)
    • More rural Americans live in NYS than in Idaho, Montana, Nebraska, North and South Dakota, Utah, and Wyoming combined.
    • Agriculture remains the leading industry and 32,000 farms cover a quarter of the total land area of the state (Farmland Information Library 1997).
    • UAlbany CPHP Specialty Areas:
      • Rural public health professionals and populations
      • Distance learning expertise and capability (satellite, videostreaming, on-line coursework)
    • “ Leadership and Strategic Planning”
    • Public Health Training and Education Before and After CPHP
    • Public Health Training and Education Infrastructure before UAlbany CPHP
    • NYS DOH - University at Albany SPH
    • Memorandum of Understanding
    • Before CPHP
    • Strong partnership NYSDOH
    • MPH on-site
    • Northeast Public Health Leadership Institute
    • Infrastructure for Continuing Education
      • Staff
      • Distance learning (satellite broadcasts with statewide focus)
      • Accreditation CME, CEU – offered in NYS only
      • Participant evaluations paper-based
      • Funded Collaboration with NYS DOH Public Health Workforce Development
      • Public Health 101 and Basic Environmental Health Course
      • Long-term care surveyor training
      • T2B2 - Third Thursday Breakfast Broadcasts
      • Women’s Health Grand Rounds
      • Preventive Medicine Residency
    • Funded September 2001
    • Partnership with
      • Columbia Mailman SPH
      • UMDNJ SPH
      • U Albany SPH
    • Competency-based continuing education plan
  • After CPHP
      • Distance Learning Infrastructure Enhanced
        • Satellite broadcasts
        • On-line courses
        • Automated evaluation system
        • NYSDOH investment in telecommunications
      • Satellite Broadcasts
        • Professional video producer hired (supported by several projects)
        • National reach – 50 states
        • Web-streaming 24/7
  • Capacity for On-Line Course Development
    • Evaluation Capacity
    • Automated analysis
    • Computer-generated reports
    • On-line evaluation, pre-test and post-test for CME, CEU, CHES
    • Year One Activities
    • July 2002 – July 2003
    • 2,000-4,000 Public Health professionals reached
    • Six 3-5 Day Courses
    • (total participants = 349)
      • Communicable Disease/Bioterrorism/Epidemiology (2-3 credits or non-credit) collaboration with NYS DOH
      • Disease Forecasting with Geographic Information Systems: West Nile Virus (2 credits) collaboration with NYS DOH
      • Infectious Disease Epidemiology: Zoonotic Diseases (2-3 credits) collaboration with NYS DOH
      • NY SEMO Drill and Exercise Design (certificate of completion)
      • Preparing for Biological, Chemical & Radiological Threats (certificate of completion) collaboration with NYS DOH
    • Year One (cont.)
    • Six 1-day workshops across NYS
      • (total participants = 150)
      • Addressed PH core competencies, Basic ICS, “BT 101” and interactive scenario of an infectious outbreak
      • Core competencies material shared by Columbia CPHP
      • Audience included local health department Directors, Educators, BT Coordinators, Comm. Disease Nurses, Sanitarians
      • 41 of 57 NYS counties participated
      • Year One (cont.)
    • Preparedness Grand Rounds Series:
    • Included Five Live Presentations
    • (total attendees at SPH = 240)
    • Three Satellite Broadcasts:
    • 446 New York State participants reported
    • 136-144 sites registered
    • 28-33 states participated
    • 200 videotaped copies of programs distributed to all NYS LHDs, VT DOH, etc.
    • Year One (cont.)
    • Preparedness Grand Rounds Series Topics:
    • Dec 02: The Role of the Media During Public Health Emergencies*
    • Jan 03: Challenges in the Detection & Identification of Biologic Events**
    • Jan 03: Smallpox Vaccination Plan and Implementation* ( presented in collaboration with T2B2)
    • Feb 03: Terrorism Preparedness: Chemical & Radiological Threats **
    • * Satellite broadcast ** Live presentation at SPH
    • Year One (cont.)
    • Preparedness Grand Rounds Series Topics:
    • Mar 03: Terrorism Preparedness: Effecting Local Response from a National Plan*
    • Apr 03: Public Health, Emergency Preparedness & Ensuring Civil Rights During Crisis ( collaboration with the Northeast Public Health Leadership Institute)
    • Apr 03: Surveillance Systems for Biological and Other Events
    • May 03: Enteric Diseases: Real Threats to our Public’s Health
    • * Satellite broadcast ** Live presentation at SPH
    • Year One (cont.)
    • “ Customer and Market Focus”
    • CPHP Impact on Public Health Training
    • and Education Infrastructure
    • Partnership Building
    • SPH Capacity Building
    • Purpose
    • to understand organizations and systems that make up New York State’s public health infrastructure
    • to identify strategies to strengthen its capabilities
    • to make appropriate recommendations for improvement
    Public Health Council Infrastructure Work Group
  • Enumeration of PH Workforce
    • More than 12,700 FTE public health workers in NYS
    • 43% in New York State Department of Health/Health Research Incorporated
    • 57% in local health departments
  • Composition of NYS Work Force in Local Health Departments Source: 2000-01 PH Leadership Institute Project Survey
  • Survey of Public Health Workforce by Public Health Council
    • Representative sample counties surveyed
    • LHDs reported substantial need for continuing education
    • Emerging public health issues consistently identified as of great need
  • Survey of Public Health Workforce by Public Health Council
    • Access to training constrained by:
      • Limited resources
      • Poorly designed training
      • Competing priorities
      • Inaccessible times and locations
    • CPHP Needs Assessments
    • Surveys
    • Focus groups
    • Program evaluations
    • All feedback collected during Year One reinforced Year Two plans to focus resources on building distance learning capacity and products to enhance preparedness efforts.
    • CPHP Focus Groups
    • Focus group from 3 LHDs reviewed proposed on-line BT outline and objectives.
    • Focus group from 5 LHDs defined training needs for the Spring ’04 course for LHD staff
  • Activities Year Two August 2003 - present
      • Preparedness Grand Round Series: monthly satellite broadcast
      • Terrorism, Preparedness and Public Health: An Introduction: o n-line course
      • Emergency Preparedness in Schools: Prevention, Response and Recovery: course developed in collaboration with UAlbany School of Education (Summer Session 2004, 3 credits)
  • Preparedness Grand Rounds Series:
    • Complete series offered via satellite broadcast
    • Rebroadcast each 9 a.m. program at 4 p.m. (effective January 2004) to promote site registration outside EST
    • All broadcasts available via our web-site as Real Player web-streaming files
    • Re-distributing all programs via videotape (free)
    • Year Two (cont.)
  • Satellite Broadcast Audience Report
  • Post-Broadcast Distribution Report
    • CPHP Partnership Building
      • BT Training Partnership
      • Community Partners (e.g., Iroquois Healthcare Alliance, Hudson Headwaters Health Network, Oneida Nation)
      • NYS DOH Offices (e.g., Bureau of Communicable Disease Control, Emergency Preparedness Training Office, Center for Environmental Health, EMS)
      • VT DOH
      • Governor’s Office of Public Security
      • Local Health Department Professionals
      • New York State Association of County Health Officers
      • National Guard
      • NY State Police
      • NY NJ Public Health Training Center
      • UAlbany School of Education
    • Role of New York State Department of Health in developing and assisting collaborations and partnerships
  • NYSDOH Preparedness Training Advisory Group Key partners for collaboration and integration
    • Academic Partners
      • University at Albany CPHP
      • Columbia CPHP
      • NYU
      • NY/NJ Public Health Training Center
    • Professional Organizations
      • New York State Association of County Health Officials
      • Medical Society of the State of New York
      • New York State Nurses Association
      • Health Care Association of New York State
      • Greater New York Hospital Association
    NYSDOH Preparedness Training Advisory Group Key partners cont.
  • NYSDOH Preparedness Training Advisory Group Key partners cont.
    • Professional Organizations
      • New York State Public Health Association
      • New York State Dental Society
      • Association of Homes and Services for the Aging
      • Community Health Centers Association of New York State
      • Home Care Association of New York State
  • NYSDOH Preparedness Training Advisory Group Key partners cont.
    • Other State Agencies
      • Division of Criminal Justice Services
      • Office of Alcohol and Substance Abuse Services
      • Office of Mental Health
      • State Emergency Management Office
  • NYSDOH Preparedness Training Advisory Group Key partners cont.
    • Other Organizations
      • American Indian Health Care Facility
      • New York City Department of Health and Mental Hygiene
      • Onondaga County Health Department
  • NYSDOH Training for Local Health Departments
    • Training to complement UAlbany CPHP mission to enhance preparedness of the public health workforce
      • Training for all roles associated with smallpox vaccination clinics
      • Joint training on Forensic Epidemiology for law enforcement and local health departments
      • Packaging and shipping of infectious clinical specimens
  • NYSDOH Training for Local Health Departments
    • Training to complement University at Albany CPHP mission to enhance preparedness of the public health workforce
      • SARS
        • Laboratory issues
        • Contact tracing and epidemiology
        • Isolation and quarantine
        • Data reporting and management
        • Clinical diagnosis, treatment and management
        • Standard respiratory precautions
  • NYSDOH Training for Local Health Departments
    • Training to complement University at Albany CPHP mission to enhance preparedness of the public health workforce
      • Training for Public and Environmental Health Response Teams
      • Development and implementation of drills and exercises
      • Risk Communications
    • Local Health Department Partnerships and Collaboration
  • LHD Feedback Joanne Cocozzoli, RN, MS Assistant Director of Prevention and Patient Services/BT Coordinator Schenectady County Public Health
      • Week-long Communicable Disease Course
      • Focus groups
      • Satellite broadcasts
      • On-line course development
    • “ Information and Analysis”
    • CPHP Impact on Development and Dissemination of Education and Training
  • Certificate In Public Health
    • Designed for local, state and national public health workers interested in formal public health training
    • Builds on SPH goal to provide professional public health education (MD, RN, Pharm D)
    • Serves to attract public health professionals into advanced degree programs (MPH, DrPH)
    • Courses offered by distance learning and traditional classroom-based format
  • Graduate Certificate Program (MPH core = 18 hours)
      • EPI 501: Principles and Methods of Epidemiology I
      • EPI 503: Principles of Public Health
      • STA 552: Principles of Statistical Inference I
      • HPM 500: Health Care Organization, Delivery & Financing
      • HPM 525: Social & Behavioral Aspects of Public Health
      • EHT 590: Introduction to Environmental Health
  • Specific Preparedness Topics Covered within MPH Core:
    • Epidemiology 501 : 2 ½ hr session on syndromic surveillance
    • Epidemiology 503: assignment to review and comment on CPHP Preparedness Grand Round Series program
    • HPM 525 : Paper on stress and coping post- 9/11
    • Environmental Health 590 : 2 ½ hr session on BT and PH Preparedness, with lecture, discussion and groups working through an emergency scenario
  • CDC/ASPH Cooperative Agreement for Academic Health Departments
    • One Year Grant: Pilot project based on UA SPH/NYS DOH model with goals to:
      • Encourage SPH students to intern at LHDs
      • Encourage LHD staff to pursue formal academic training
      • Develop model for replication in LHDs across NYS and the nation
    • Emergency Preparedness in Schools:
    • Prevention, Response and Recovery
    • Collaborative course developed with UAlbany School of Education
    • Topics include:
        • infectious diseases/bioterrorism
        • natural/industrial disasters
        • development of comprehensive school crisis plans
        • violence and child abuse
        • creation of safe and healthy classrooms and schools
        • legal and ethical issues
    • “ Information and Analysis”
    • Technical Assistance
    • Hudson Valley Regional Health Officers’ Network Emergency Preparedness Website
    • A collaboration among 7 NYS county health departments, the NYS Department of Health and the UAlbany CPHP
  • Syndromic Surveillance & Other Applications
  • Communications Directory
  • Geographic Information System
  • Syndromic Data Systems in collaboration with NYS DOH (under development)
    • Emergency Department syndromic data
    • Medicaid pharmaceutical sales
    • Analysis of 911 data in selected counties
    • HVRHON Next Steps
    • Develop new system for northeast New York region based on HVRHON model
    • Provide technical assistance to two other New York regions interested in developing similar systems
    • “ Systems Development”
    • A-CPHP Collaboration/Network Development Through:
      • Shared Learning
      • Information Dissemination
      • Best Practices
      • Reduced Duplication
    • Shared Learning
    • National Dissemination
      • Participation in A-CPHP PI, Coordinators’ and Evaluators’ conference calls and meetings
      • Distance learning coordinators network
      • Free distance learning reaching 50 states + Puerto Rico
      • PH Training Calendar
      • PH Foundation distribution of materials
      • TRAIN
    • TRAIN-New York
    • Learning Management System for state and local public health work force
    • Comprised of national site and participating state sites
    • Supported by CDC, NYS BT grant and UAlbany SPH
    • BT grant deliverable
    • Shared Learning
    • NYS Systems of Dissemination
    • NYS TRAIN partner
    • SPEED Rounds
    • Local Health Department videoconferencing network
    • Shared Learning:
    • Columbia University CPHP
    • University of Medicine and Dentistry of New Jersey
    • CPHP Distance Learning Capacity
    • and Product Growth Since Year One
    • Marketing Outreach System
      • Interactive email system
      • Provides web-based database
      • Technology benefits Office of Continuing Education and SPH
  • Web-based Product Development
    • On-line courses (core and BT)
    • On-line evaluation system
    • On-line continuing education process
    • Web-streaming
    • On-line Course:
    • Terrorism, Preparedness and Public Health:
    • An Introduction
    • Six lesson, interactive course (1-hour per lesson)
    • For certificate with option for CEU, CME, or CHES
    • For public health workforce and community partners
    • Includes objectives, quizzes, final exam, learning center and links for additional educational resources
    • Completed beta-testing and currently ‘piloting’ course in NYS and VT thru March 31, 2004. Public release in April 2004
    • Web-streaming capacity added
    • (now standard for all programs)
  • On-line Evaluation Process
  • On-line Evaluation Form
  • On-line Post-test & Continuing Education Application
  • “ Business Focus” Use of Resources to Reach Goal of Supporting Life-long Learning
    • Supporting Lifelong Learning:
    • Local Health Department BT grants
    • Academic Health Departments
    • NYNJ PHTC Orientation to PH
    • Evaluation system development across the board
  • Summary of CPHP Progress to Date:
    • Developing on-line course material and distance learning products
    • Providing expert broadcast topics nationwide
    • Working with all partners to meet regional needs for our public health workforce
    • Sharing all information across the country
    • Our Future:
    • Add to our on-line course: Terrorism, Preparedness and Public Health :
        • Psychological considerations in disaster planning
        • More depth on agents of BT, CT, RT and responses
    • Adapt Emergency Preparedness in Schools course on-line
    • Complete on-line versions of remaining core MPH
    • Make spring course available state-wide
    • Reach 50 states and 500 sites each broadcast
  • Our Future:
    • Conduct Preparedness Research:
      • Sample of upstate NY ER staff
      • Sample of public school teachers & nurses
      • Sample of NYS community response teams: determine to what degree school system and public health staff are integrated into preparedness efforts
    • Our Motto:
    • “ Chance favors the prepared mind.”
    • Louis Pasteur 1822-1895