National Center for Disaster Medicine and Public Health

National Center for Disaster Medicine and Public Health Kenneth Schor, DO, MPH CAPT MC USN (Ret. ) Acting Director kschor@usuhs. mil 240 -833 -4444 David Berry Communications Associate dberry@hjf. org 09 June 2010

Outline • Origins • Current Status • Forward-Looking Questions 2

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 allhazards 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 Do. D – 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 (NCDMPH) at USU 4

Origins HSPD-21, Paragraph 38 More key elements: – Center to lead federal efforts to develop & propagate: • Core curricula • Training • Related research – Academic center of excellence in DMPH – Co-locate education and research in • Domestic medical preparedness and response • International health + international disaster & humanitarian assistance • Military medicine 5

NCDMPH Charter • Signed Oct 2008, between President USU and Do. D 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 6

Vision & Mission NCDMPH – Initial Operating Capability FETIG National Health Security Strategy HSPD-21 and PAHPA Trusted National Resource Lifelong Learning Continuous Improvement Core Curricula Nat’l. Core Competencies The Nation’s academic center of excellence for education and training in disaster medicine and public health Academic Joint Program

FETIG “Federal Education and Training Interagency Group (FETIG) for Public Health and Medical Disaster Preparedness and Response” • Core members: Do. D, HHS, DHS, VA, DOT • Functions relative to NCDMPH – Board of advisors – Federal coordination mechanism – Support communication to non-federal partners 8

Current Status • Initial Operating Capability – Office established & core staff hired – Web site (Share. Point® framework)-- http: //ncdmph. usuhs. edu – Strategic Communication SIGN UP! • 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) – Strategic Plan PROVIDED IN CDROM 9

Federal Workshop A Nation Prepared: Education and Training Needs for Disaster Medicine and Public Health Inaugural Federal Partner Workshop September 24 -25, 2009 10

Non-Federal Workshop • May 5 -6 in Gaithersburg, MD • 189 representatives from state and local governments, private sectors involved in the development of competencies, and professional and accredited academic organizations attended 11

Forward-Looking Questions 1. National Core Competencies a. Who are the key stakeholders? b. Individual competencies, Group competencies, or both? c. Relationship of international to domestic knowledge? 2. Core Curricula d. Standards: What? How? By whom? e. Certification? 12

Forward-Looking Questions 3. 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 c. Aligning and supporting Goal 2 of National Health Security Strategy? d. How? 13

On the CD… 1. Proceedings of the Federal Partners Workshop 2. NCDMPH Initial Report 3. Proposed Strategic Plan 4. Spring 2010 Newsletter 14

QUESTIONS? THANKS KENNETH SCHOR, DO, MPH ACTING DIRECTOR KSCHOR@USUHS. MIL 240 -833 -4444 The Nation’s academic center of excellence for education and training in disaster medicine and public health. 15

Back-up Slides 16

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 Management 17

Education & Training: Core Competency Development PH Preparedness & Response Global Health Draft, March 2010, ASPH Draft Domains, February 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 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 18

All-Hazard Disaster Core Competencies Domains All Health Professionals 1 Domains E. D. Physicians, Nurses, EMS 2 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 19

All-Hazard Disaster Core Competencies Domains All Health Professionals 1 Domains E. D. Physicians, Nurses, EMS 2 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 1 Subbarao 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. 2 Development of National Standardized All-Hazard Disaster Core Competencies for Acute Care Physicians, Nurses, and EMS Professionals. EMS Foundation, Final Report, 20 November, 2009.