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Transcript of National Center for Disaster Medicine and Public Health Kandra Strauss-Riggs, MPH Joint Program...
National Center for Disaster Medicine and Public Health
Kandra Strauss-Riggs, MPHJoint Program Coordinator
Kenneth Schor, DO, MPH
CAPT MC USN (Ret.)
Acting Director
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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