National Center for Disaster Medicine and Public Health

1. National Center for Disaster Medicine and Public Health Kandra Strauss-Riggs, MPH Joint Program Coordinator kstraussriggs@hjf.org Kenneth Schor, DO, MPH CAPT MC USN (Ret.) Acting Director kschor@usuhs.mil 240-833-4444 09 June 2010

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

3. 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.

4. 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

5. 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

6. Origins –HSPD-21, Paragraph 38 Applicable authorities • HHS authorities: civilian missions within Joint Program • DoD authorities: military missions within Joint Program

7. 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

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

9. 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

10. 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

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

12. Some Forward-Looking Questions • National Core Competencies—across the “houses” of medicine, nursing, public health, first responder, emergency management, etc….. • Who are the key stakeholders? • Individual competencies, Group competencies, or both? • Relationship of international to domestic knowledge? • Core Curricula • Standards—What? How? By whom? …or not? • Certification?

13. Some Forward-Looking Questions • Continuous Improvement • Gaps (competencies—curricula—response)? • Value of After-Action Reports & Lessons Learned? • Lifelong learning • Learning methods (virtual reality)? • Education research gaps (ex. cost-effective modes)? • Workforce Development • Aligning and supporting Goal 2 of National Health Security Strategy? • How?

14. Results from May 5-6 Workshop

15. Results from May 5-6 Workshop

16. On the CD… • Proceedings of the Federal Partners Workshop • NCDMPH Initial Report • Proposed Strategic Plan

17. The Nation’s academic center of excellence for education and training in disaster medicine and public health. Questions?Thanks

18. Back-up Slides

19. DHS Target Capabilities List (TCL): 13 Public Health & Medical Functions (draft) Isolation & Quarantine Animal Disease Emergency Support Responder Safety & Health Food/Agriculture Safety & Defense Laboratory Testing Mass Care (shelter, feeding) Fatality Management • Medical Surge • Epidemiological Surveillance & Investigation • Medical Supplies Logistics • Mass Prophylaxis • Emergency Triage & Pre-Hospital Treatment • Environmental Health

20. Education & Training:Core Competency Development PH Preparedness & Response Draft, March 2010, ASPH Global Health Draft Domains, February 2010, ASPH Capacity-Building Collaboration & Partnering Ethical Reasoning & Professional Practice Health Equity & Social Justice Leadership Project & Process Mgt. Socio-cultural & Political Awareness Strategic Analysis & Evaluation • Communication • Assessment (Hazard, Vulnerability, Risk) • Interventions (all phases) • Leadership • Legal • National Response Framework • Planning & Improvement • Surveillance & Investigation • Worker Health, Safety, Resilience Ref: www.asph.org/document.cfm?page=1083

21. All-Hazard Disaster Core Competencies

22. All-Hazard Disaster Core Competencies 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.