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Transcript of TM Presented at Health Professions Network Conference, March 17, 2006 Supporting and Expanding...
TM
Supporting and Expanding Public Health Research: A CDC
Perspective
Presented at Health Professions Network Presented at Health Professions Network Conference, March 17, 2006Conference, March 17, 2006
Robin M. Wagner, PhD, MSRobin M. Wagner, PhD, MSJamila Rashid, PhD, MPHJamila Rashid, PhD, MPH
Elizabeth Skillen, PhDElizabeth Skillen, PhDCindi Melanson, MPH, CHESCindi Melanson, MPH, CHES
Robert Spengler, ScDRobert Spengler, ScD
Office of Public Health ResearchOffice of Public Health ResearchOffice of the Chief Science OfficerOffice of the Chief Science Officer
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Overview Developing a national public health research Developing a national public health research
agendaagenda – Why nowWhy now– How theHow the NEWNEW CDC Health Protection Guide, 2006-CDC Health Protection Guide, 2006-
2015 2015 is being developedis being developed– How it will be used to support shorter-termHow it will be used to support shorter-term
Research AgendaResearch Agenda– Which research themes are related to healthcare Which research themes are related to healthcare
professionalsprofessionals
Implementing the research agendaImplementing the research agenda QuestionsQuestions
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The Original CDC
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Emerging Public Health Threats Health Disparities
Globalization
Public Health InfrastructurePublic Health Infrastructure
Changing DemographicsChanging Demographics
Rising Health Care Costs
Aging Workforce
Information Technology
Human Genome
Why Change? Many External Forces…
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CDC Response
New strategic plan: Futures Initiative New organizational structure New health protection goals New strategic imperatives New national public health research
agenda– CDC Health Protection Research Guide, 2006-2015– CDC Research Agenda (shorter-term priorities)
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Centers for Disease Control and Prevention
COORDINATING OFFICE FOR
GLOBAL HEALTH
COORDINATING OFFICE
FOR TERRORISM PREPAREDNESS &
EMERGENCY RESPONSE
COORDINATING CENTER FOR
ENVIRONMENTALHEALTH AND
INJURY PREVENTION
COORDINATING CENTER FOR INFECTIOUS
DISEASES
COORDINATING CENTER FOR
HEALTH PROMOTION
COORDINATING CENTER
FOR HEALTH INFORMATION AND SERVICES
NATIONAL INSTITUTE
FOR OCCUPATIONAL
SAFETY AND HEALTH
CDC WASHINGTONOFFICE
OFFICE OF THE CHIEF OF PUBLIC HEALTH
PRACTICE
OFFICE OF THE CHIEF OPERATING OFFICER
OFFICE OF CHIEF OF STAFF
OFFICE OF ENTERPRISE COMMUNICATION
OFFICE OF EQUAL EMPLOYMENT OPPORTUNITY
OFFICE OF STRATEGY AND INNOVATION
OFFICE OF WORKFORCE AND CAREER
DEVELOPMENT
OFFICE OF THE CHIEF SCIENCE OFFICER
OFFICE OF THE DIRECTOR
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CDC Overarching Health Protection Goals
HealthyPeople
in Every Stage of Life
HealthyPeople in HealthyPlaces
PeoplePreparedfor EmergingHealthThreats
HealthyPeople
in a HealthyWorld
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Specific Health Protection GoalsHealthy People in Every Stage of Life–Infants & toddlers–Children–Adolescents–Adults–Older Adults
Healthy People in Healthy Places–Communities–Homes–Workplaces–Schools–Healthcare settings–Institutions–Travel & recreation
People Prepared for Emerging Health Threats–Event Goals: Investigate & control threats–Post-Event Goals: Recover from threats & improve future responses to threats–Pre-Event Goals: Prevent, detect & report public health threats
Healthy People in a Healthy World–Health promotion–Health protection–Health diplomacy
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Strategic Imperatives
Health Impact Focus Customer-centricity Public Health Research Leadership Global Health Impact Accountability
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Goals Implementation for CDC
EvidenceInput
MissionFeasibility
Impact
Evidence-based action planAccountability & responsibility
assignmentsResource allocation
Performance Management
Health Impact
GoalsHealthy People, Healthy Places,Preparedness & Global Health
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Goals Will Drive Program and Research
GOALSGOALS
RESEARCHRESEARCH
PROGRAMPROGRAM
HealthImpact
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CDC Integration of Goals, Research and Program
Public health services,programs and response
Research
HEALTH IMPACT
Achieve goals
Improved services,programs and response
HEALTH PROTECTION GOALSHealthy People, Healthy Places,Preparedness & Global Health
InnovationNew priorities Threats & emergencies
Program
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Overview: CDC Health Protection Research Guide, 2006-2015
Provides comprehensive, long-range vision of national & global public health needs– Research Guide will support shorter-term
Research Agenda
Applies to intramural & extramural research
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Purpose of CDC Research Guide Identify knowledge gaps to be addressed in
Health Protection Goals Action Plans Describe research needed for critical evidence to
improve public health programs/interventions Support many public health disciplines through
innovative, cross-cutting, foundational research Serve as platform for collaborations with federal
partners Provide basis for collaborations with state/local
partners Create opportunities to partner with other diverse
partner sectors Plan, promote and market CDC research
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Workgroup Structure
Research Agenda Steering Subworkgroup
Core Team
Environmental & OccupationalHealth & Injury Prevention
Health Promotion
Infectious Diseases
Community Preparedness& Response
Health Information Services
Global Health
CDC ADVISORY COMMITTEE
Workgroup on Goals & Research Agenda
2015 Health Protection Goals Subworkgroup
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Research GuideResearch Guide Development Development Progress and Next StepsProgress and Next Steps
Develop plans & gain approvalDevelop plans & gain approval Form workgroupsForm workgroups Gather CDC and partner inputGather CDC and partner input Create “starter list” for discussionCreate “starter list” for discussion Hold public participation meetingsHold public participation meetings Hold initial federal partners meetingHold initial federal partners meeting Conduct synthesis & prioritizationConduct synthesis & prioritization Produce public comment draftProduce public comment draft Hold 60-day formal public comment periodHold 60-day formal public comment period Finalize Finalize Research GuideResearch Guide (Target date: 4/06) (Target date: 4/06) Develop a strategy to collaborate with partnersDevelop a strategy to collaborate with partners Develop short-term Research AgendaDevelop short-term Research Agenda
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Outline of Public Comment DraftOutline of Public Comment DraftII.. OverviewOverview
II.II. Relationship of Research Themes to CDC Health Protection Relationship of Research Themes to CDC Health Protection GoalsGoals
The Proposed GuideThe Proposed Guide
III.III. Prevent and Control Infectious DiseasesPrevent and Control Infectious Diseases
IV.IV. Promote Preparedness to Protect HealthPromote Preparedness to Protect Health
V.V. Promote Health to Reduce the Burden Of Chronic Diseases and Promote Health to Reduce the Burden Of Chronic Diseases and DisabilityDisability
VI.VI. Create Safe Places To Live, Work, Learn, and Play Create Safe Places To Live, Work, Learn, and Play
VII.VII. Work Together to Build a Healthy WorldWork Together to Build a Healthy World
VIII.VIII. Manage and Market Health InformationManage and Market Health Information
IX.IX. Cross Cutting ResearchCross Cutting Research
AppendicesAppendices
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Organization of Organization of Research GuideResearch Guide
MAJOR RESEARCH AREA
(Chapter)
Research Category A
Research Category B
Research Category C
Research Theme 1
Research Theme 2
Research Theme 3
TIER 1 TIER 2 TIER 3
Scope of Research
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Priority-Setting Criteria
Public health need/importance of problem Relevance to reducing health disparities Potential for broad impact (>1 disease or
subject area) Relevance to CDC mission/health protection
goals
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Public ResponsesPublic Responses 3 Sources of Public Comments3 Sources of Public Comments
– WebsiteWebsite– EmailEmail– Postal MailPostal Mail
Nearly 7,000 people submitted commentsNearly 7,000 people submitted comments
Most comments received during comment period Most comments received during comment period (“official” comments) but some were late (“official” comments) but some were late (“unofficial”)(“unofficial”)
Many institutional responses from key partnersMany institutional responses from key partners
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Key Partners Who Submitted Key Partners Who Submitted Institutional CommentsInstitutional Comments
NIH Institutes and OfficesNIH Institutes and Offices
Office on Disability, DHHSOffice on Disability, DHHS
Association of Teachers of Association of Teachers of Preventive MedicinePreventive Medicine
Association of State and Association of State and Territorial Health OfficialsTerritorial Health Officials
American Society of American Society of MicrobiologyMicrobiology
Infectious Diseases Society of Infectious Diseases Society of AmericaAmerica
American Hospital AssociationAmerican Hospital Association
American Chemistry CouncilAmerican Chemistry Council
Emergency Nurses AssociationEmergency Nurses Association
American Psychological American Psychological AssociationAssociation
AND OTHERS!AND OTHERS!
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Official Public Comments Received Official Public Comments Received DURING Public Comment PeriodDURING Public Comment Period
Source of Source of CommentsComments
# of Website # of Website RegistrantsRegistrants
# of People # of People Who Who Commented*Commented*
# of # of Comments Comments Submitted**Submitted**
WebsiteWebsite 4,3714,371 350350 488488
EmailEmail Not applicableNot applicable 6,6206,620 6,7266,726
Postal MailPostal Mail Not applicableNot applicable 33 33
* Draft #s. May include >1 submission by same person.** # of comments BEFORE the comments were split into discrete ideas.
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Unofficial Public Comments Received Unofficial Public Comments Received AFTER Public Comment PeriodAFTER Public Comment Period
Source of Source of CommentsComments
# of Website # of Website RegistrantsRegistrants
# of People # of People Who Who Commented*Commented*
# of # of Comments Comments Submitted**Submitted**
WebsiteWebsite NoneNone NoneNone NoneNone
EmailEmail Not applicableNot applicable 132132 142142
Postal MailPostal Mail Not applicableNot applicable 00 00
* Draft #s. May include >1 submission by same person.
** # of comments BEFORE the comments were split into discrete ideas.
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Linking Research Guide to Goals Action Teams
Each Team’s Goals Action Plan will include research component
2006-2015 Research Guide will have identified research to fill knowledge gaps determined as priorities by Teams
Research supporting Teams will form basis of short-term Research Agenda (2-3 year timeline)
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Research Theme Examples Mapped to Goals/Teams
Optimal Adolescent Development [ADOLESCENT HEALTH]Develop and evaluate strategies to improve health and fitness levels of U.S. adolescents, and establish health behaviors that promote lifelong health and reduce the leading causes of morbidity, mortality, and disability among youth and adults.
Influenza Pandemic and Interpandemic (Annual) [INFLUENZA] Determine the pathogenesis, transmission, and immune response of highly
pathogenic avian and other influenza viruses with pandemic potential to develop improved preventive and therapeutic measures.
Occupational Diseases [HEALTHY WORKPLACES]Improve understanding of the role and burden of workplace exposures to diseases, and determine sector-specific risk factors, mechanisms, and effective prevention strategies.
Health Marketing and Health Education in Global Settings [GLOBAL HEALTH PROMOTION]Improve strategies for health education and dissemination of health marketing messages and products with the objective of encouraging behaviors that will prevent disease and injury in the developing world.
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Research Themes Relevant to Health Professionals - I
Workforce and Career Development Conduct research to improve public health workforce-related recruitment, retention, and training.
Scope of Research addressesScope of Research addresses:: – Knowledge, attitude and skill competencies needed by Knowledge, attitude and skill competencies needed by
the public health workforcethe public health workforce– Career development and entry-level supply lines to Career development and entry-level supply lines to
ensure workforce pool ensure workforce pool – Best practices for workforce recruitment, retention, Best practices for workforce recruitment, retention,
training training – Current and future public health workforce needs Current and future public health workforce needs – Impact of trained public health professionals on Impact of trained public health professionals on
specific health related outcomes specific health related outcomes – Workforce performance and trendsWorkforce performance and trends
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Research Themes Relevant to Health Professionals - II
Support for Front-line Personnel Involved in Health Support for Front-line Personnel Involved in Health Protection Functions During Extreme EventsProtection Functions During Extreme Events
Improve and evaluate the countermeasures, personal Improve and evaluate the countermeasures, personal protective equipment, and health policy guidelines that protective equipment, and health policy guidelines that support members of the public health workforce and support members of the public health workforce and maximize safety, personal resilience, self-confidence, and maximize safety, personal resilience, self-confidence, and performance for these workers.performance for these workers.
Proficiency of the Public Health Workforce in the Event of Proficiency of the Public Health Workforce in the Event of DisasterDisaster
Define and assess the knowledge, attitudes, and Define and assess the knowledge, attitudes, and proficiencies needed by the public health workforce to proficiencies needed by the public health workforce to successfully ensure the safety and well-being of the successfully ensure the safety and well-being of the community.community.
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Research Themes Relevant to Health Professionals - III
• Healthcare-associated Infections and Patient SafetyHealthcare-associated Infections and Patient Safety
Create novel strategies for preventing healthcare-associated Create novel strategies for preventing healthcare-associated infections, including those occurring among recipients of infections, including those occurring among recipients of blood, organs, and other tissues.blood, organs, and other tissues.
• Human Resources and Health Outcomes in Global SettingsHuman Resources and Health Outcomes in Global Settings
Evaluate the way in which the quality and quantity of human Evaluate the way in which the quality and quantity of human resources in health affects the key determinants of health resources in health affects the key determinants of health outcomes in global settings.outcomes in global settings.
• Integrated Health Marketing Programs
Explore practices and strategies to enable public health professionals to design, create, and evaluate effective and integrated health-marketing campaigns.
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Implementing Implementing Research GuideResearch Guide
Develop a strategy to collaborate with federal Develop a strategy to collaborate with federal partnerspartners– Hold second and third federal partners meetings on health Hold second and third federal partners meetings on health
disparitiesdisparities– Plan additional meetings, funding and other mechanismsPlan additional meetings, funding and other mechanisms
Develop a strategy for collaborating with other Develop a strategy for collaborating with other partnerspartners
Develop broad program announcement aligned with Develop broad program announcement aligned with Research Guide, Research AgendaResearch Guide, Research Agenda and Health and Health Protection GoalsProtection Goals
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Funding the Funding the Research Agenda Research Agenda Broad research program announcement (continued)Broad research program announcement (continued)
– Emphasis on intervention, translation and dissemination Emphasis on intervention, translation and dissemination researchresearch
– Target publication date: 8/06Target publication date: 8/06– In effect for 3 years using FY07-FY09 fundsIn effect for 3 years using FY07-FY09 funds– Potential applicants directed to updated research Potential applicants directed to updated research
priorities developed over time by Teams and listed priorities developed over time by Teams and listed on Web on Web
– Leverage resources of other interested federal partners Leverage resources of other interested federal partners and across CDCand across CDC
Other funding mechanisms TBD by CDC senior Other funding mechanisms TBD by CDC senior managementmanagement
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For More Information
CDC Goals
http://www.cdc.gov/about/goals
CDC Health Protection Research Guide
www.cdc.gov/od/ophr/cdcra.htm
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Contact
Robin M. Wagner, Ph.D., M.S.Associate Director for Research Planning and
EvaluationOffice of Public Health Research
Office of the Chief Science OfficerCenters for Disease Control and Prevention
1600 Clifton Rd., NE, Mailstop D72Atlanta, GA 30333
Phone: 404-639-4898Email: [email protected]
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We Appreciate Your Support of the Research Guide . . .
To help us fulfill CDC’s vision of healthy people in a healthy world – through prevention!
Thank you!!
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QuestionsQuestions
How can we work together to support How can we work together to support research of mutual interest?research of mutual interest?
Other?Other?