National Center for Disaster Medicine and Public Health

Kandra Strauss-Riggs, MPHJoint Program Coordinator

kstraussriggs@hjf.org

Kenneth Schor, DO, MPH

CAPT MC USN (Ret.)

Acting Director

kschor@usuhs.mil

240-833-4444

09 June 2010

Outline

• Origins

• Current Status

• Forward-Looking Questions

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Vision

A nation of resilient communities with a competent health workforce prepared to respond and mitigate all-hazards disasters.

Mission The 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. 3

Origins – HSPD-21, Paragraph 38

Who– Primary: Secretaries of HHS and DoD– Coordinating: Secretaries VA and HS

What: Establish academic Joint Program for Disaster Medicine and Public Health

Where: Housed at a National Center for Disaster Medicine and Public Health at USU

 

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Origins – HSPD-21, Paragraph 38

– Academic center of excellence in DMPH– Co-locate education and research in related specialties

of• Domestic medical preparedness and response• International health + international disaster &

humanitarian assistance• Military medicine

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Origins – HSPD-21, Paragraph 38

Applicable authorities

• HHS authorities: civilian missions within Joint Program

• DoD authorities: military missions within Joint Program

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NCDMPH Charter

• Signed Oct 2008, between President USU and DoD chain of command (Assist. Sec. Def. Health Affairs)

• Demands broad collaboration across:– University– Federal Interagency (via an advisory group now called “FETIG”)– Non-federal stakeholders: academia, state, local, tribal, professional orgs.

& societies, and industry

• Mission & Goals in the Charter – Academic home to develop & propagate core competencies, training,

research, & education”– Domestic and international medical operations spanned– Lead agent in academic collaboration– Translate supporting research--education research & “best practices”– Informational clearinghouse between feds and non-feds– Academic center of excellence

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Academic Joint Program

Vision & Mission

HSPD-21 and PAHPANational Health Security Strategy

FETIGNCDMPH – Initial Operating Capability

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The Nation’s academic center of excellence for education and training in disaster medicine and public health

FETIG

“Federal Education and Training Interagency Group (FETIG) for Public Health and Medical

Disaster Preparedness and Response”

• Core members: DoD, HHS, DHS, VA, DOT• Functions relative to NCDMPH

– Board of advisors– Federal coordination mechanism– Support communication to non-federal partners

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Status• Initial Operating Capability

– Office established & core staff hired– Web site (SharePoint® framework)-- http://ncdmph.usuhs.edu– Strategic Communication

• Logo & branding• Outreach & Newsletter

• Academic Joint Program – Initial needs assessment—Federal Partner Workshop– Non-Federal needs assessment with:

• FETIG• US Northern Command• Yale New Haven Health Center for Emergency Preparedness and

Disaster Response (YNH-CEPDR)– Proposed Strategic Plan

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Federal Workshop

A Nation Prepared:

Education and Training Needs for Disaster Medicine and Public Health

Inaugural Federal Partner Workshop

September 24-25, 2009

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Some Forward-Looking Questions1. National Core Competencies—across the “houses”

of medicine, nursing, public health, first responder, emergency management, etc…..

a. Who are the key stakeholders?b. Individual competencies, Group competencies, or both?c. Relationship of international to domestic knowledge?

2. Core Curricula

a. Standards—What? How? By whom? …or not?b. Certification?

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Some Forward-Looking Questions3. Continuous Improvement

a. Gaps (competencies—curricula—response)?b. Value of After-Action Reports & Lessons Learned?

4. Lifelong learning

a. Learning methods (virtual reality)?b. Education research gaps (ex. cost-effective modes)?

5. Workforce Development

a. Aligning and supporting Goal 2 of National Health Security Strategy?

b. How?13

Results from May 5-6 Workshop

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Results from May 5-6 Workshop

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On the CD…

1. Proceedings of the Federal Partners Workshop

2. NCDMPH Initial Report

3. Proposed Strategic Plan

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QUESTIONS?

THANKS

The Nation’s academic center of excellence for education and training in disaster medicine and public health.

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Back-up Slides

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DHS Target Capabilities List (TCL):

13 Public Health & Medical Functions (draft)

1. Medical Surge

2. Epidemiological Surveillance & Investigation

3. Medical Supplies Logistics

4. Mass Prophylaxis

5. Emergency Triage & Pre-Hospital Treatment

6. Environmental Health

7. Isolation & Quarantine

8. Animal Disease Emergency Support

9. Responder Safety & Health

10.Food/Agriculture Safety & Defense

11. Laboratory Testing

12.Mass Care (shelter, feeding)

13.Fatality Management19

Education & Training:Core Competency Development

PH Preparedness & ResponseDraft, March 2010, ASPH

1. Communication

2. Assessment (Hazard, Vulnerability, Risk)

3. Interventions (all phases)

4. Leadership

5. Legal

6. National Response Framework

7. Planning & Improvement

8. Surveillance & Investigation

9. Worker Health, Safety, Resilience

Global HealthDraft Domains, February 2010, ASPH

1. Capacity-Building

2. Collaboration & Partnering

3. Ethical Reasoning & Professional Practice

4. Health Equity & Social Justice Leadership

5. Project & Process Mgt.

6. Socio-cultural & Political Awareness

7. Strategic Analysis & Evaluation

Ref: www.asph.org/document.cfm?page=1083

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All-Hazard Disaster Core Competencies

DomainsAll Health Professionals1

Domains E.D. Physicians, Nurses, EMS2

Preparation & Planning -Nomenclature-Incident Mgt. Systems (NRF, NIMS)

Detection & Communication Recognition, Notification, Initiation, Data Collection

Incident 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

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All-Hazard Disaster Core Competencies

DomainsAll Health Professionals1

Domains E.D. Physicians, Nurses, EMS2

Security & Safety -0-

Clinical/Public Health Assessment & Intervention

-Clinical Considerations-Patient Triage

Contingency, Continuity, Recovery -Evacuation-Critical thinking/Situational awareness

Public Health Law & Ethics -Public Health & Safety-Ethical Principals & Challenges

1Subbarao 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: 57-68.

2Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals. EMS Foundation, Final Report, November, 2009.

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