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CDC’s National Center onBirth Defects and Developmental
DisabilitiesBirth Defects and Developmental DisabilitiesHereditary Blood DisordersHuman Development and Disability
“Aligning our Future” by José F. Cordero, MD, MPH Assistant Surgeon General Director, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention
CityMatch Conference, September 14, 2004, Portland Oregon
Promoting the health of babies, children, and adults, and enhancing
the potential for full, productive living
CDC’s Organization Prior to Future’s Initiative
Coordinating Centerfor Health Promotion
Coordinating Centerfor Environmental andOccupational Health
and Injury Prevention
CoordinatingCenter for Infectious
Diseases
Office of TerrorismPreparednessand Response
Office of GlobalHealth
Coordinating Center for Public Health Information
and Services
Office of the Director
People Living inAll Communities
Partners Alliances
Channels
Stakeholders
Operational Perspective of the New Customer Centric CDC Organizational Chart
Coordinating Center for Health Information and Services
BusinessBusinessBusinessBusinessPublic Health Public Health SystemsSystems
Public Health Public Health SystemsSystems
Health Care Health Care DeliveryDelivery
Health Care Health Care DeliveryDelivery
Federal Federal AgenciesAgenciesFederal Federal
AgenciesAgenciesEducationEducationEducationEducation
NationalNationalCenter for Health Center for Health
MarketingMarketing
NationalNationalCenter for Health Center for Health
MarketingMarketing
National Center National Center forfor
Public HealthPublic HealthInformaticsInformatics
National Center National Center forfor
Public HealthPublic HealthInformaticsInformatics
National Center forNational Center forHealth StatisticsHealth Statistics
National Center forNational Center forHealth StatisticsHealth Statistics
Coordinating Center Coordinating Center for Infectious Diseasesfor Infectious Diseases
NCID, NCHSTP, NIPNCID, NCHSTP, NIP
Coordinating Center Coordinating Center for Infectious Diseasesfor Infectious Diseases
NCID, NCHSTP, NIPNCID, NCHSTP, NIP
Coordinating Coordinating Center for Center for
Health PromotionHealth PromotionNCCDPHP, NCBDDD, NCCDPHP, NCBDDD,
GenomicsGenomics
Coordinating Coordinating Center for Center for
Health PromotionHealth PromotionNCCDPHP, NCBDDD, NCCDPHP, NCBDDD,
GenomicsGenomics
Coordinating Center for Coordinating Center for Environmental and Environmental and
Occupational Health Occupational Health and Injury Preventionand Injury Prevention
NCEH/ATSDRNCEH/ATSDR
NCIPC, NIOSHNCIPC, NIOSH
Coordinating Center for Coordinating Center for Environmental and Environmental and
Occupational Health Occupational Health and Injury Preventionand Injury Prevention
NCEH/ATSDRNCEH/ATSDR
NCIPC, NIOSHNCIPC, NIOSH
Office Office of Global Healthof Global Health
Office Office of Global Healthof Global Health
Office for TerrorismOffice for TerrorismPreparedness & Preparedness &
Emergency ResponseEmergency Response
Office for TerrorismOffice for TerrorismPreparedness & Preparedness &
Emergency ResponseEmergency Response
Strategy andStrategy and InnovationInnovation
Strategy andStrategy and InnovationInnovation
Chief of Chief of ScienceScienceChief of Chief of ScienceScience
Chief of PublicChief of PublicHealth ImprovementHealth Improvement
Chief of PublicChief of PublicHealth ImprovementHealth Improvement
Workforce and Workforce and Career DevelopmentCareer Development
Workforce and Workforce and Career DevelopmentCareer Development
CustomersSAFER HEALTHIER PEOPLE
Executive Leadership TeamManagement Council Executive Board
Partners Alliances Stakeholders
Office of the Chief Office of the Chief Operating OfficerOperating Officer
Office of the Chief Office of the Chief Operating OfficerOperating Officer
Office of the Office of the Chief of StaffChief of StaffOffice of the Office of the Chief of StaffChief of Staff
CDC WashingtonCDC WashingtonCDC WashingtonCDC Washington
DirectorDirectorDirectorDirector
Channels
Health Protection Goals
Preparedness
• People in all communities will be protected from infectious, environmental, and terrorist threats.
Health Promotion & Prevention of Disease, Injury, and Disability
• All people will achieve their optimal lifespan with the best possible quality of health in every stage of life
The Role of Coordinating Center for Health Promotion
• Minimize silos
• Identify and capitalize on opportunities for coordination of research
• Decrease duplication and redundant activities
• Provide leadership, management, and accountability for cross-center goals
Why the Futures Initiative Matters
• Health impact• CDC—a customer-centric organization• Public health research• Leadership for the nation’s health system• Global health• Effectiveness and accountability
Quote from CityLights
“MCH specialists… look for a door at CDC marked ‘MCH’ as the point of entry to the wealth within. Finding none, they face the daunting prospect of navigating a maze of programs, people and projects to access and effectively use CDC’s many wonders - without a map.”
Commitment to scientific excellence
Commitment to partners
Integrity and stewardship of the public’s trust
Roles of centers
What is not changing
NCBDDD Strategic Planning
MANAGEMENT PLAN
RESEARCH PLANHEALTH
MARKETING PLAN
Center Focus Areas
VisionMission
Core Values
Partner and Customer
Management
Programmatic Resource Planning
•Governance•Resource Management•Process Improvement Goals
•Research Topics
•Research Strategies
•Intervention/Program Strategies
•Communication Strategies
•Policy Strategies
PUBLIC HEALTH STRATEGIC PLANNING MODEL
Promote healthy birth outcomes Promote healthy birth outcomes
Ensure optimal child development and well-being through early early identification and intervention
Ensure optimal child development and well-being through early early identification and intervention
Ensure a healthy environment and appropriate emergency response
Ensure a healthy environment and appropriate emergency response
Prevent secondary conditions and promote health of adolescents and adults
Prevent secondary conditions and promote health of adolescents and adults
Address health disparities Address health disparities
For populations served by the center’s mission, we will:
NCBDDD Focus Areas
Center Focus Area 1
Promote Healthy Birth Outcomes
Primary prevention of adverse congenital and developmentaloutcomes with origins in the preconception, prenatal, andperinatal periods.
Research and surveillance into thecauses and risk factors associatedwith these outcomes.
Folic Acid:A Prevention Program
Fetal Alcohol Syndrome Prevention Program
Kernicterus in Full-Term Infants
Birth Defects State Programs
Healthy Birth Outcomes
Center Focus Area 2
Ensure Optimal Child Development and Well-Being Through Early Identification
and Intervention
Primary and secondary prevention of adverse physical, social, emotional, and developmental outcomes in children from birth through pre-adolescence.
Developmental Milestones: Target Audiences
Primary Audiences: Child health care providers, including pediatricians, family physicians, PAs and NPs, nurses, parents of Children Ages 4 and Younger
Secondary Audience:Childcare providers, including day care workers, Head Start, and preschool teachers
Center Focus Area 4
Address Health Disparities
Research and intervention in promoting health equity across the lifespan, regardless of disability status, race, ethnicity, socio-economic status, or age.
Study of differential incidence, treatment access, and survival rates among special populations, including infants with birth defects or genetic conditions, children with developmental disabilities, people with bleeding disorders, and people with physical and mental disabilities.
Measurement and improvement of quality of life and participation in social and community activities.
1995 1996 1997 1998 1999 2000 2001
Year & quarter of birth
Pre-fortification Optional fort. Mandatory fortification
Impact of Fortification by Race/Ethnicity (Prevalence of Spina Bifida and Anencephaly)
0.0
2.0
4.0
6.0
8.0
10.0
12.0
Pre
vale
nce
(per
10,
000)
HispanicWhiteBlack
Spanish-language Folic Acid CampaignIntervention Strategy
Mass Media
Interpersonal Communication
A “surround sound” approach
AND
Washington
Montana
Oregon
Nevada
California
Utah
Arizona
New Mexico
Colorado
Idaho
Wyoming
North Dakota
South Dakota
Minnesota
IowaNebraska
Kansas
TexasFlorida
Mississippi
Louisiana
Alabama
Georgia
South Carolina
North Carolina
Virginia
Maine
New York
Michigan
Wisconsin
Oklahoma
Missouri
Arkansas
Tennessee
Kentucky
IllinoisIndiana
Michigan
Ohio
West Virginia
DC
Maryland
Delaware
New Jersey
Vermont
Rhode Island
Connecticut
New Hampshire
Massachusetts
Alaska
Hawaii
Pennsylvania
U.S. Virgin Islands
SFACES Communities
Puerto Rico
Guam
Bakersfield
Miami
San AntonioLos Angeles
Sacramento
New York
Denver
Las Vegas
Intervention
Comparison
SFACES: Consumption from multivitamin or folic acid alone
44.0
36.8
37.5
35.0
42.2
30.4
0
7.45.6
3.41.6
05
101520253035404550
2000 2002 2003
Survey year
Per
cent
age
of r
espo
nden
ts
Intervention Multivitamin
Comparison Multivitamin
Intervention Folic acidComparison Folic acid
CDC’s National Center onBirth Defects and Developmental
Disabilities
Birth Defects and Developmental DisabilitiesDisability and HealthHereditary Blood Disorders
THANK YOU !
Promoting the health of babies, children, and adults, and enhancing
the potential for full, productive living