Center for Public Health Preparedness
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Transcript of Center for Public Health Preparedness
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Center for Public Health Preparedness
School Representatives and Partners in Attendance:
Peter J. Levin, ScD, MPH (PI)Guthrie Birkhead, MD, MPH (Co-PI)
Robert G. Westphal, MD, MPH (Director)
Joanne Cocozzoli, RN, MS (LHD Partner)Nancy Alfred Persily, MPH (SPH Assoc Dean, Academic Affairs)
Carol Young, PhD (SPH Director, Continuing Education)Margaret R. Watson (CPHP Program Coordinator)
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Center for Public Health Preparedness
Partners Participating By Telephone:
• Dr. Michael Caldwell, MD, MPH (Commissioner, Dutchess County Health Department and current NYSACHO president)
• Sabrina Jaar Marzouka, JD, MPH (Education Director, Dutchess County)
• David Cote (Special Asst. to Commissioner, Vermont DOH) • Kelly Gordon, MA (Training & Development Manager,
Vermont DOH)
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Center for Public Health Preparedness
Mission:
To strengthen public health preparedness for state and local public health professionals
and their community partners.
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Center for Public Health Preparedness
• NYS has the 4th largest rural population in the country (Rural and School Community Trust Report, 2000)
• More rural Americans live in NYS than in Idaho, Montana, Nebraska, North and South Dakota, Utah, and Wyoming combined.
• Agriculture remains the leading industry and 32,000 farms cover a quarter of the total land area of the state (Farmland Information Library 1997).
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Center for Public Health Preparedness
UAlbany CPHP Specialty Areas:
• Rural public health professionals and populations• Distance learning expertise and capability (satellite,
videostreaming, on-line coursework)
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Center for Public Health Preparedness
“Leadership and Strategic Planning”
Public Health Training and Education Before and After CPHP
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Center for Public Health Preparedness
Public Health Training and Education Infrastructure before UAlbany CPHP
NYS DOH - University at Albany SPH
Memorandum of Understanding
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Center for Public Health Preparedness
Before CPHP
• Strong partnership NYSDOH• MPH on-site• Northeast Public Health Leadership Institute• Infrastructure for Continuing Education
a) Staffb) Distance learning (satellite broadcasts with
statewide focus)c) Accreditation CME, CEU – offered in NYS onlyd) Participant evaluations paper-based
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Center for Public Health Preparedness
Funded Collaboration with NYS DOH Public Health Workforce
Development
• Public Health 101 and Basic Environmental Health Course
• Long-term care surveyor training • T2B2 - Third Thursday Breakfast Broadcasts• Women’s Health Grand Rounds • Preventive Medicine Residency
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Center for Public Health Preparedness
• Funded September 2001• Partnership with
• Columbia Mailman SPH• UMDNJ SPH• U Albany SPH
• Competency-based continuing education plan
Center for Public Health Preparedness
After CPHP
Distance Learning Infrastructure Enhanced• Satellite broadcasts• On-line courses• Automated evaluation system• NYSDOH investment in telecommunications
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Center for Public Health Preparedness
Satellite Broadcasts
• Professional video producer hired (supported by several projects)
• National reach – 50 states• Web-streaming 24/7
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Center for Public Health Preparedness
Evaluation Capacity
• Automated analysis • Computer-generated reports• On-line evaluation, pre-test and post-test for
CME, CEU, CHES
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Center for Public Health Preparedness
Year One Activities
July 2002 – July 2003
2,000-4,000 Public Health professionals reached
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Center for Public Health Preparedness
Six 3-5 Day Courses(total participants = 349)
• Communicable Disease/Bioterrorism/Epidemiology (2-3 credits or non-credit) collaboration with NYS DOH
• Disease Forecasting with Geographic Information Systems: West Nile Virus (2 credits) collaboration with NYS DOH
• Infectious Disease Epidemiology: Zoonotic Diseases (2-3 credits) collaboration with NYS DOH
• NY SEMO Drill and Exercise Design (certificate of completion)• Preparing for Biological, Chemical & Radiological Threats
(certificate of completion) collaboration with NYS DOH
Year One (cont.)
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Center for Public Health Preparedness
Six 1-day workshops across NYS(total participants = 150)
• Addressed PH core competencies, Basic ICS, “BT 101” and interactive scenario of an infectious outbreak
• Core competencies material shared by Columbia CPHP• Audience included local health department Directors,
Educators, BT Coordinators, Comm. Disease Nurses, Sanitarians
• 41 of 57 NYS counties participated
Year One (cont.)
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Center for Public Health Preparedness
Preparedness Grand Rounds Series:
Included Five Live Presentations(total attendees at SPH = 240)
Three Satellite Broadcasts:• 446 New York State participants reported• 136-144 sites registered • 28-33 states participated • 200 videotaped copies of programs distributed to all
NYS LHDs, VT DOH, etc.
Year One (cont.)
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Center for Public Health Preparedness
Preparedness Grand Rounds Series Topics:
Dec 02: The Role of the Media During Public Health Emergencies*
Jan 03: Challenges in the Detection & Identification of Biologic Events**
Jan 03: Smallpox Vaccination Plan and Implementation* (presented in collaboration with T2B2)
Feb 03: Terrorism Preparedness: Chemical & Radiological Threats **
* Satellite broadcast ** Live presentation at SPH
Year One (cont.)
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Center for Public Health Preparedness
Preparedness Grand Rounds Series Topics:
Mar 03: Terrorism Preparedness: Effecting Local Response from a National Plan*
Apr 03: Public Health, Emergency Preparedness & Ensuring Civil Rights During Crisis (collaboration with the Northeast Public Health Leadership Institute)
Apr 03: Surveillance Systems for Biological and Other EventsMay 03: Enteric Diseases: Real Threats to our Public’s Health
* Satellite broadcast ** Live presentation at SPH
Year One (cont.)
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Center for Public Health Preparedness
“Customer and Market Focus”
CPHP Impact on Public Health Training
and Education Infrastructure
Partnership Building
SPH Capacity Building
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Center for Public Health Preparedness
Purpose• to understand organizations and systems that make up
New York State’s public health infrastructure• to identify strategies to strengthen its capabilities• to make appropriate recommendations for
improvement
Public Health Council Infrastructure Work Group
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Center for Public Health Preparedness
Enumeration of PH Workforce
• More than 12,700 FTE public health workers in NYS• 43% in New York State Department of Health/Health
Research Incorporated• 57% in local health departments
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Center for Public Health Preparedness
Composition of NYS Work Force in Local Health Departments
Education/Outreach10%
MDs1%
Nursing22%
Support Personnel28%
Administration7%
Other2%Other Clinical
5%
Scientif ic/Investigation
20%
Epi/Comm Disease/Disease Control
5%
Source: 2000-01 PH Leadership Institute Project Survey
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Center for Public Health Preparedness
Survey of Public Health Workforce by Public Health Council
• Representative sample counties surveyed• LHDs reported substantial need for continuing
education• Emerging public health issues consistently identified
as of great need
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Center for Public Health Preparedness
Survey of Public Health Workforce by Public Health Council
Access to training constrained by:• Limited resources • Poorly designed training • Competing priorities• Inaccessible times and locations
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Center for Public Health Preparedness
CPHP Needs Assessments• Surveys• Focus groups • Program evaluations • All feedback collected during Year One
reinforced Year Two plans to focus resources on building distance learning capacity and products to enhance preparedness efforts.
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Center for Public Health Preparedness
CPHP Focus Groups
• Focus group from 3 LHDs reviewed proposed on-line BT outline and objectives.
• Focus group from 5 LHDs defined training needs for the Spring ’04 course for LHD staff
Center for Public Health Preparedness
Activities Year TwoAugust 2003 - present
Preparedness Grand Round Series: monthly satellite broadcast
Terrorism, Preparedness and Public Health: An Introduction: on-line course Emergency Preparedness in Schools: Prevention, Response and Recovery: course developed in collaboration with UAlbany School of
Education (Summer Session 2004, 3 credits)
Center for Public Health Preparedness
Preparedness Grand Rounds Series:
• Complete series offered via satellite broadcast • Rebroadcast each 9 a.m. program at 4 p.m. (effective January 2004) to promote site registration outside EST• All broadcasts available via our web-site as Real Player web-streaming files• Re-distributing all programs via videotape (free)
Year Two (cont.)
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Center for Public Health Preparedness
Broadcast Month Program Title
Number Sites Registered
Number States Viewed
Estimated # Viewers Reported
Oct. 2003 Food & Agricultural Terrorism 81 27 769
Nov. 2003 Community Response 135 27 1014
Dec. 2003 PH Law and Terrorism 252 43 1935
Jan. 2004 BT & Zoonoses 400 49 3312
Feb. 2004 Water Contamination Threats 330 43 3076
Mar. 2004 Psych Aspects of Terrorism 404 45 3032
Satellite Broadcast Audience Report
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Center for Public Health Preparedness
Broadcast Month Program Title
Videotapes Distributed
Videostream Hits
Oct. 2003 Food & Agricultural Terrorism 79 454
Nov. 2003 Community Response 86 259
Dec. 2003 PH Law and Terrorism 104 310
Jan. 2004 BT & Zoonoses 126 378
Feb. 2004 Water Contamination Threats 120
Post-Broadcast Distribution Report
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Center for Public Health Preparedness
CPHP Partnership Building
• BT Training Partnership • Community Partners (e.g., Iroquois Healthcare Alliance, Hudson
Headwaters Health Network, Oneida Nation) • NYS DOH Offices (e.g., Bureau of Communicable Disease Control,
Emergency Preparedness Training Office, Center for Environmental Health, EMS)
• VT DOH• Governor’s Office of Public Security• Local Health Department Professionals• New York State Association of County Health Officers • National Guard• NY State Police• NY NJ Public Health Training Center• UAlbany School of Education
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Center for Public Health Preparedness
Role of New York State Department of Healthin developing and assisting collaborations and
partnerships
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Center for Public Health Preparedness
NYSDOH Preparedness Training Advisory GroupKey partners for collaboration and integration
Academic Partners• University at Albany CPHP• Columbia CPHP• NYU• NY/NJ Public Health Training Center
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Center for Public Health Preparedness
Professional Organizations• New York State Association of County Health
Officials• Medical Society of the State of New York• New York State Nurses Association• Health Care Association of New York State• Greater New York Hospital Association
NYSDOH Preparedness Training Advisory GroupKey partners cont.
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Center for Public Health Preparedness
NYSDOH Preparedness Training Advisory Group Key partners cont.
Professional Organizations • New York State Public Health Association• New York State Dental Society• Association of Homes and Services for the Aging• Community Health Centers Association of New York
State• Home Care Association of New York State
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Center for Public Health Preparedness
NYSDOH Preparedness Training Advisory Group Key partners cont.
Other State Agencies• Division of Criminal Justice Services• Office of Alcohol and Substance Abuse Services• Office of Mental Health• State Emergency Management Office
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Center for Public Health Preparedness
NYSDOH Preparedness Training Advisory Group Key partners cont.
Other Organizations• American Indian Health Care Facility• New York City Department of Health and Mental
Hygiene• Onondaga County Health Department
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Center for Public Health Preparedness
NYSDOH Training for Local Health Departments
Training to complement UAlbany CPHP mission to enhance preparedness of the public health workforce• Training for all roles associated with smallpox
vaccination clinics • Joint training on Forensic Epidemiology for law
enforcement and local health departments• Packaging and shipping of infectious clinical
specimens
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Center for Public Health Preparedness
NYSDOH Training for Local Health Departments
Training to complement University at Albany CPHP mission to enhance preparedness of the public health workforce• SARS
• Laboratory issues• Contact tracing and epidemiology• Isolation and quarantine• Data reporting and management• Clinical diagnosis, treatment and management• Standard respiratory precautions
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Center for Public Health Preparedness
NYSDOH Training for Local Health Departments
Training to complement University at Albany CPHP mission to enhance preparedness of the public health workforce• Training for Public and Environmental Health
Response Teams• Development and implementation of drills and
exercises• Risk Communications
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Center for Public Health Preparedness
LHD FeedbackJoanne Cocozzoli, RN, MS
Assistant Director of Prevention and Patient Services/BT CoordinatorSchenectady County Public Health
• Week-long Communicable Disease Course• Focus groups• Satellite broadcasts• On-line course development
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Center for Public Health Preparedness
“Information and Analysis”
CPHP Impact on Development and Dissemination
of Education and Training
Center for Public Health Preparedness
Certificate In Public Health
• Designed for local, state and national public health workers interested in formal public health training• Builds on SPH goal to provide professional public health education (MD, RN, Pharm D)• Serves to attract public health professionals into advanced degree programs (MPH, DrPH) • Courses offered by distance learning and traditional classroom-based format
Center for Public Health Preparedness
Graduate Certificate Program (MPH core = 18 hours)
• EPI 501: Principles and Methods of Epidemiology I
• EPI 503: Principles of Public Health
• STA 552: Principles of Statistical Inference I
• HPM 500: Health Care Organization, Delivery & Financing
• HPM 525: Social & Behavioral Aspects of Public Health
• EHT 590: Introduction to Environmental Health
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Center for Public Health Preparedness
Specific Preparedness Topics Covered within MPH Core:
• Epidemiology 501: 2 ½ hr session on syndromic surveillance
• Epidemiology 503: assignment to review and comment on CPHP Preparedness Grand Round Series program
• HPM 525: Paper on stress and coping post- 9/11• Environmental Health 590: 2 ½ hr session on BT and
PH Preparedness, with lecture, discussion and groups working through an emergency scenario
Center for Public Health Preparedness
CDC/ASPH Cooperative Agreement for Academic Health Departments
One Year Grant: Pilot project based on UA SPH/NYS DOH model with goals to:
• Encourage SPH students to intern at LHDs• Encourage LHD staff to pursue formal academic
training• Develop model for replication in LHDs across NYS and the nation
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Center for Public Health Preparedness
Emergency Preparedness in Schools:Prevention, Response and Recovery
Collaborative course developed with UAlbany School of Education
Topics include: • infectious diseases/bioterrorism• natural/industrial disasters• development of comprehensive school crisis plans• violence and child abuse• creation of safe and healthy classrooms and schools• legal and ethical issues
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Center for Public Health Preparedness
Hudson Valley Regional Health Officers’ Network Emergency Preparedness Website
A collaboration among 7 NYS county health departments, the NYS Department of Healthand the UAlbany CPHP
Center for Public Health Preparedness
Syndromic Data Systemsin collaboration with NYS DOH
(under development)
• Emergency Department syndromic data• Medicaid pharmaceutical sales• Analysis of 911 data in selected counties
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Center for Public Health Preparedness
HVRHON Next Steps
• Develop new system for northeast New York region based on HVRHON model
• Provide technical assistance to two other New York regions interested in developing similar systems
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Center for Public Health Preparedness
“Systems Development”
A-CPHP Collaboration/Network Development Through:
• Shared Learning• Information Dissemination• Best Practices• Reduced Duplication
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Center for Public Health Preparedness
Shared Learning
National Dissemination
• Participation in A-CPHP PI, Coordinators’ and Evaluators’ conference calls and meetings
• Distance learning coordinators network• Free distance learning reaching 50 states + Puerto Rico• PH Training Calendar• PH Foundation distribution of materials• TRAIN
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Center for Public Health Preparedness
TRAIN-New YorkTRAIN-New York• Learning Management
System for state and local public health work force
• Comprised of national www.train.org site and participating state sites
• Supported by CDC, NYS BT grant and UAlbany SPH
• BT grant deliverable
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Center for Public Health Preparedness
Shared Learning
NYS Systems of Dissemination
• NYS TRAIN partner• SPEED Rounds• Local Health Department videoconferencing
network
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Center for Public Health Preparedness
Shared Learning:
Columbia University CPHP
University of Medicine and Dentistry of New Jersey
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Center for Public Health Preparedness
CPHP Distance Learning Capacity
and Product Growth Since Year One
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Center for Public Health Preparedness
Marketing Outreach System
• Interactive email system• Provides web-based database • Technology benefits Office of Continuing Education
and SPH
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Center for Public Health Preparedness
Subscriber Growth Since Inception of Interactive Email Marketing System
0
200
400
600
800
1000
Jul-03 Aug Sept Oct Nov Dec-03 Jan-04 Feb Mar-03
Center for Public Health Preparedness
Web-based Product Development
• On-line courses (core and BT)• On-line evaluation system• On-line continuing education process• Web-streaming
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Center for Public Health Preparedness
On-line Course:Terrorism, Preparedness and Public Health:
An Introduction
Six lesson, interactive course (1-hour per lesson) For certificate with option for CEU, CME, or CHES For public health workforce and community partners Includes objectives, quizzes, final exam, learning center and links for
additional educational resources Completed beta-testing and currently ‘piloting’ course in NYS and VT
thru March 31, 2004. Public release in April 2004
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Center for Public Health Preparedness
Web-streaming capacity added(now standard for all programs)
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Center for Public Health Preparedness
“Business Focus”
Use of Resources to Reach Goal
of Supporting Life-long Learning
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Center for Public Health Preparedness
Supporting Lifelong Learning:
• Local Health Department BT grants• Academic Health Departments• NYNJ PHTC Orientation to PH• Evaluation system development across the board
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Center for Public Health Preparedness
Summary of CPHP Progress to Date:
• Developing on-line course material and distance learning products
• Providing expert broadcast topics nationwide• Working with all partners to meet regional needs for
our public health workforce• Sharing all information across the country
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Center for Public Health Preparedness
Our Future:
Add to our on-line course: Terrorism, Preparedness and Public Health:
• Psychological considerations in disaster planning
• More depth on agents of BT, CT, RT and responses
Adapt Emergency Preparedness in Schools course on-lineComplete on-line versions of remaining core MPH Make spring course available state-wideReach 50 states and 500 sites each broadcast
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Center for Public Health Preparedness
Our Future:
Conduct Preparedness Research:• Sample of upstate NY ER staff• Sample of public school teachers & nurses• Sample of NYS community response teams:
determine to what degree school system and public health staff are integrated into preparedness efforts