1. Consequential Public Engagement at the Centers for Disease Control and Prevention Caitlin Wills-Toker, PhD Presented at the Open Government: Strategies and Tactics from the Play Book Meeting November 16, 2009

2. Why Latest Enhanced Version of Public Engagement Was Started?

• Citizen comment at a congressional public hearing in 2001

• Your CDC research is dead on arrival

• Working together on policy decision was chosen as a trust-building approach

• Goal was to build more trust over the long term between government and citizens

3. Background on Public Engagement At CDC

• 2005-2006 Public deliberation pilot projects on pandemic influenza --- proof of principle that the public can reach a productive outcome on an important CDC policy question.

• CDC has had a strategic imperative to be customer centric

• Workshop on Public Deliberation in 2007

• • 24+ previous projects involving some form of public participation

4. 2x10 Principles of Consequential Public Engagement

• 1. Both the desire for advice + the decision on the table are real.

• 2. Both adequate time to deliberate + clarity of purpose are provided.

• 3. Both knowledge of facts + attachment to values underlie the choices to be made.

5. 2x10 Principles of Consequential Public Engagement

• 4. Both active agency staff + sufficient resources are committed to the process.

• 5. Both impartial citizens-at-large + partisan stakeholders participate.

• 6. Both a critical mass + diverse group of persons participate.

6. 2x10 Principles of Consequential Public Engagement

• 7. Both unbiased information + neutral facilitation are provided.

• 8. Both genuine dialogue + thoughtful deliberation occur.

• 9. Best option is chosen + and agreed-upon

• 10. Publics advice receives serious consideration + participants obtain candid feedback about the decision

7. Model of a Consequential Public Engagement Table (CPET)

• 4+ geographic areas represented

• 100 citizens representative of the population by age, race, and sex in each area (N=400)

• Day long dialogue and deliberation events

• Stakeholder representatives from key sectors affected (N=30-40)

• Two day long meetings for stakeholders before and after the citizens meetings

8. Projects To Date 2005-09

• Community control measures for pandemic flu2006

• CDC goals selection2006

• Vaccine priorities II2008

• Identification of at risk populations for pandemic influenza---2008

9. Projects to Date 2005-09

• 5. Six State Demonstration Projects on Pandemic Influenza Policy, 2008-09

• 6. Priorities for the National Vaccine Plan, 2009

• 7. Criteria and Priorities for the CDC Vaccine Safety Research Agenda, 2009

• 8. Target Level of Preparedness for the H1N1 Mass Vaccination Program, 2009

• 9. Components of a National Vaccine Safety System, 2009-10