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Denise Koo, MD, MPHDirector
Scientific Education and Professional Development Program Office, CDC
PHTC Annual Meeting, August 29, 2012
Primary Care and Public Health—The Intersection
Office of Surveillance, Epidemiology, and Laboratory Services
Scientific Education and Professional Development Program Office
The Intersection: A System for Health
A true health system (not just health care system)
System focused on improving and maintaining health
Public health and health care systems integrated together
Seamless system that leverages resources in community
Key Principles of this Health System (1)
Defines and measures impact on health of community
Recognizes that communities are different and efforts must be community-driven
Driven by community health needs and priorities for action
Leverages resources in the community Involves health department and community
partners Involves coalitions of non-traditional
partners (e.g., business, education)
Key Principles of this Health System (2)
Leverages data and technology for population health
Values critical thinking, accountability Identifies best practices Researches how to improve health Implements changes based on results Considers influences on health as a
systems issue Documents value of this integrated
approach both for health care and public health
Key Principles of this Health System (3)--
Workforce Development
Interprofessional focus that builds teams who can work together
Boundary spanners who can reach outside of “health” disciplines
Systems thinkers Critical thinking skills, analytic capacity
(judgment) Technology-savvy Focus on health and approach reinforced
and modeled at all stages of education (including faculty development)
Positive deviants
CDC Public Health Workforce Development Initiative
• Challenges to public health workforce• Funding, staffing declines• Workforce emphasis on health care, not health and
public health
• Goal: Determine priority activities and strategy for CDC
• Discuss changes in public health and impact on public health workforce
• Engaged partners through series of meetings
• Attended partner meetings for further input• Culmination late Fall 2012
Public Health Workforce Development Initiative
• Ongoing transformation — a “new” public health• Community-focused as well as state-based• Dealing with voluminous information from multiple
sources• Engaging more stakeholders• Navigating new territory given impact of health
reform• Developing stronger links to healthcare and
healthcare delivery• More monitoring and measuring
• Core functions of “new” public health• Convening and collaborating• Improved monitoring of community health status
through community engagement; defining shared indicators
• Leveraging policy change• Clear communications (including use of social
networks)
“New” Public Health Workforce Needs
• Collaborative leadership• Systems thinkers/broader definition
of public health• Community Engagement• Broaden partnerships • Multiple generational workforce• Non-traditional public health
workforce• Public health workforce who can link
the public health and health care worlds
• Informatics skills and use of technology
CDC Workforce Strategy-Individual Approaches
• Leveraged Prevention and Public Health Fund (PPHF) funds to increase available training (esp. e-learning) and to support more fellows in the field• Fellows in epidemiology, laboratory, informatics,
management
• Evolve fellowships consistent with new public health• Integrate new content and experiences, especially
informatics
• Develop “training-in-place” programs for public health workforce
CDC Workforce Strategy--Systems Approaches
• Defined competencies for applied epidemiologists• Collaboration with CSTE:
www.cdc.gov/appliedepicompetencies
• Competencies for multiple tiers of practitioner
• Sample position descriptions, self-assessments
• Mapped to curricula in SPHs
• Defined competencies for the public health informatician• Collaboration with Univ of WA and many other partners:
www.cdc.gov/informaticscompetencies• Coming this year: sample position descriptions
• Collaborate with Department of Labor (DOL) to designate PHIFP as a DOL Registered Apprenticeship• Lays the foundation for a standard occupational
code for the profession of Public Health Informatician
CDC Workforce Strategy--Systems Approaches
• Complete 101 curricula in core public health sciences• Epidemiology, surveillance, informatics,
prevention effectiveness, laboratory science, basic public health
• Classroom-based and e-learning
• Develop train-the trainer programs for 101s
• Job aids for the new public health
• Public health workforce enumeration• Collaboration with HRSA, academic and practice
partners
• Support accreditation and workforce development with CDC funding announcements
• Work toward integrated LMS
• Continue to support integration of applied public health in education system
Academic Partnerships
• Redesigned CDC’s cooperative agreements
• Framework: improving health outcomes• Strengthen academic-practice linkages• Population health in health professions
education• Interprofessional education and training • Hands-on experience for students with
communities• Expanded fellowship model: assignments at
CDC or in the field
• Eligible organizations: ASPH, APTR, AAMC, and AACN
Challenges to PHTCs
Coming together Leverage position in academia to bridge public health
and health care Help public health workforce learn the language of
health care system Leverage the convergence of public health and health
care Link activities to education
Learning needs to occur within a context Overarching curricular change: mission needs to be
improved health Engage learners, faculty in improving health
For more information please contact Centers for Disease Control and Prevention1600 Clifton Road NE, Atlanta, GA 30333Telephone, 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348E-mail: [email protected] Web: www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
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Office of Surveillance, Epidemiology, and Laboratory ServicesScientific Education and Professional Development Program Office
Thank you!