Promoting Clinician ReadinessPromoting Clinician Readiness

Maureen Lichtveld, M.D., M.P.H.

Associate Director for Workforce DevelopmentPublic Health Practice Program Office/ODCenters for Disease Control and Prevention

Maureen Lichtveld, M.D., M.P.H.

Associate Director for Workforce DevelopmentPublic Health Practice Program Office/ODCenters for Disease Control and Prevention

CDC’s Role in Mobilizing Post 9/11CDC’s Role in Mobilizing Post 9/11 Recognition Detection/Laboratories Field response teams Reporting/Surveillance Treatment Communication Resources – Education/Training

Recognition Detection/Laboratories Field response teams Reporting/Surveillance Treatment Communication Resources – Education/Training

Clinician Education and Training ObservationsClinician Education and Training Observations Present but limited Undifferentiated

content, target audiences, delivery modes

Varying quality assurance

Present but limited Undifferentiated

content, target audiences, delivery modes

Varying quality assurance

Clinician Preparedness:National StrategiesClinician Preparedness:National Strategies Cooperative agreement program for

Bioterrorism (BT) and Response Collaborative Bioterrorism

Preparedness and Training Plan Strategic plan for Public Health

Workforce Development

Cooperative agreement program for Bioterrorism (BT) and Response

Collaborative Bioterrorism Preparedness and Training Plan

Strategic plan for Public Health Workforce Development

Key QuestionsKey QuestionsWhat are the effective methods for . . . The initial training of clinicians Updating and reinforcing the training Use of Web/telephone-based central

information resources Reporting events to a central agency Communicating with other health care

professionals

What are the effective methods for . . . The initial training of clinicians Updating and reinforcing the training Use of Web/telephone-based central

information resources Reporting events to a central agency Communicating with other health care

professionals

Source: AHRQ-Training for Clinicians for Public Health Events Relevant to Bioterrorism Preparedness; Evidence Report/Technology Assessment; #51 p16.

Public Health Preparedness and Response for BT: A National Program

Public Health Preparedness and Response for BT: A National ProgramFocus Areas: Preparedness planning and readiness

assessment Surveillance and epidemiology capacity Laboratory capacity – biologic agents Health Alert Network communications and

information technology Risk communication and health information

dissemination Education and training

Focus Areas: Preparedness planning and readiness

assessment Surveillance and epidemiology capacity Laboratory capacity – biologic agents Health Alert Network communications and

information technology Risk communication and health information

dissemination Education and training

Sustaining the MomentumSustaining the Momentum

Education/Training Competency-based, standardized Students, residents, practicing

clinicians Interactive; usual delivery channels Incentives (individual; operationalized)

Education/Training Competency-based, standardized Students, residents, practicing

clinicians Interactive; usual delivery channels Incentives (individual; operationalized)

Sustaining the MomentumSustaining the Momentum Learning systems to assure

competence Evidence linking enhanced workforce

performance and organizational capacity to improved health outcomes

Research to advance early detection, medical management and surveillance

Learning systems to assure competence

Evidence linking enhanced workforce performance and organizational capacity to improved health outcomes

Research to advance early detection, medical management and surveillance

3. Surveillance3. Surveillance 2. Laboratory Capacity2. Laboratory Capacity 3. Epidemiology3. Epidemiology

LaboratoryPractice

LaboratoryPractice

EpidemicInvestigation

EpidemicInvestigation

SurveillanceSurveillance

BioterrorismEmergency Response

BioterrorismEmergency Capacities

7 Priority Areas:Frist-KenneadyWorking Group

7 Priority Areas:Frist-KenneadyWorking Group

4. Information Systems5. Communication Systems4. Information Systems5. Communication Systems

1. Public Health Workforce Capacity & Competency1. Public Health Workforce Capacity & Competency

6. Preparedness & Response Planning7. Policy Development & Evaluation6. Preparedness & Response Planning7. Policy Development & Evaluation

Information/Communication Capacity

Information/Communication Capacity

OrganizationalCapacity

OrganizationalCapacity

WorkforceCompetencyWorkforce

Competency

Public Health Improvement Act ImplementationPreparedness and Response for Public Health Threats and Emergencies

Public Health Improvement Act ImplementationPreparedness and Response for Public Health Threats and Emergencies

Summary of Capacities:Education and TrainingSummary of Capacities:Education and TrainingKey content areas: Biological/chemical agents – diagnosis,

treatment, consequences Unified and Incident Command Systems Communications/notification systems Risk communications Worker safety Legal authorities Epi/surveillance; laboratory systems Information technology

Key content areas: Biological/chemical agents – diagnosis,

treatment, consequences Unified and Incident Command Systems Communications/notification systems Risk communications Worker safety Legal authorities Epi/surveillance; laboratory systems Information technology

Clinician ResourcesClinician Resources www.bt.cdc.gov www.phppo.cdc.gov/workforcewww.phppo.cdc.gov/workforce www.aamc.org www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/NLTN www.phppo.cdc.gov/NLTN

www.bt.cdc.gov www.phppo.cdc.gov/workforcewww.phppo.cdc.gov/workforce www.aamc.org www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/PHTN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/HAN www.phppo.cdc.gov/NLTN www.phppo.cdc.gov/NLTN

AAMC/CDC Cooperative Agreement: Major ThemesAAMC/CDC Cooperative Agreement: Major Themes Promoting the teaching of public health in

academic medical centers Promoting the training of public health and

prevention researchers within academic medical centers

Increasing the number of underrepresented minority students in medical schools

Activities to eliminate health disparities

Promoting the teaching of public health in academic medical centers

Promoting the training of public health and prevention researchers within academic medical centers

Increasing the number of underrepresented minority students in medical schools

Activities to eliminate health disparities

Lessons Learned - AnthraxLessons Learned - Anthrax Public health and law enforcement –

Role clarificationInvestigation methodsInformation/Communications

Public health and law enforcement – joint training can lead to enhanced collaboration

Public health and law enforcement –Role clarificationInvestigation methodsInformation/Communications

Public health and law enforcement – joint training can lead to enhanced collaboration