Improving the Public Improving the Public Health Workforce Health Workforce

of the of the New Mill Department New Mill Department

of Public Healthof Public Health

Recommendations by the Recommendations by the Great Harvest Public Health Great Harvest Public Health

Workforce Development Task ForceWorkforce Development Task Force

New Mill DPH New Mill DPH Vision and MissionVision and Mission

VisionVision

“…“…nation’s premier system of public health…”nation’s premier system of public health…”

MissionMission“…“…systematic approaches to health promotion, safety systematic approaches to health promotion, safety

and disease prevention... and disease prevention...

……assess and document measurable improvements… assess and document measurable improvements…

……individual achievement, organizational competence individual achievement, organizational competence and teamwork…”and teamwork…”

Recommendation OneRecommendation One

Investing in Current WorkforceInvesting in Current Workforce

Need for a well-prepared workforceNeed for a well-prepared workforce

Core competency development in public health Core competency development in public health service: building on experienceservice: building on experience

Cost effectiveness and return on public tax Cost effectiveness and return on public tax investment investment

Recommendation TwoRecommendation Two

Specialized positions, Specialized positions,

including management and including management and

leadership roles may necessitate leadership roles may necessitate

MPH trained employees: MPH trained employees:

Position reclassificationsPosition reclassifications

Multidisciplinary ApproachMultidisciplinary Approach

Interdisciplinary approach enhances capacity Interdisciplinary approach enhances capacity for program and service delivery, assessment for program and service delivery, assessment and policy developmentand policy development

Varied departmental and employee Varied departmental and employee contributions to public health initiativescontributions to public health initiatives

Recommendation ThreeRecommendation Three

Training programs should include a Training programs should include a multidisciplinary approach to improve multidisciplinary approach to improve

public health competencies across public health competencies across departments as well as across specific departments as well as across specific

responsibility levelsresponsibility levels

Competencies for Assessment and Policy Competencies for Assessment and Policy DevelopmentDevelopment

PH CompetenciesPH Competencies Defining problemsDefining problems Understanding quantitative and qualitative data Understanding quantitative and qualitative data Collecting, summarizing and interpreting information Collecting, summarizing and interpreting information Effective written and verbal communicationEffective written and verbal communication Advocacy skillsAdvocacy skills Effective presentation skillsEffective presentation skills

Competencies for Assessment and Policy Competencies for Assessment and Policy DevelopmentDevelopment

PH Competencies ContinuedPH Competencies Continued Cultural competencyCultural competency Maintaining ethical standardsMaintaining ethical standards Understanding/applying public health sciences to workUnderstanding/applying public health sciences to work Using and managing financial budgetsUsing and managing financial budgets Monitoring program performanceMonitoring program performance Force field analysisForce field analysis

Competencies for Assessment and Policy Competencies for Assessment and Policy

DevelopmentDevelopment

Core CompetenciesCore Competencies AssessmentAssessment Policy DevelopmentPolicy Development CommunicationCommunication Cultural CompetencyCultural Competency Community Dimensions of PracticeCommunity Dimensions of Practice Basic Public Health SciencesBasic Public Health Sciences Financial Planning and ManagementFinancial Planning and Management Leadership and Systems Thinking SkillsLeadership and Systems Thinking Skills

Competencies for Assessment and Policy Competencies for Assessment and Policy DevelopmentDevelopment

Technical CompetenciesTechnical Competencies Maternal Child HealthMaternal Child Health Mental Health Mental Health Health EducationHealth Education ManagementManagement Public Health NursingPublic Health Nursing EpidemiologyEpidemiology Emergency PreparednessEmergency Preparedness

Recommendation FourRecommendation Four

Utilize SMART goals to guide Utilize SMART goals to guide

training curriculum developmenttraining curriculum development

Recommendation FiveRecommendation Five

Develop an existing employee training Develop an existing employee training curricula using nationally available curricula using nationally available resources and by building upon best resources and by building upon best

practice modelspractice models

Recommendation SixRecommendation Six

Once PH specific curricula is developed, Once PH specific curricula is developed, modify PH training for other agency modify PH training for other agency

audiences audiences

Partners in Public HealthPartners in Public Health

Proposed tiered approach to ensuring Proposed tiered approach to ensuring development of workforce partners in development of workforce partners in public health:public health:

Tier 1: Public Health NursesTier 1: Public Health Nurses

Tier 2: Police, Fire and Rescue personnelTier 2: Police, Fire and Rescue personnel

Partners in Public HealthPartners in Public Health

Tier 3: Physicians Tier 3: Physicians

Tier 4: Other branches of government (social welfare, Tier 4: Other branches of government (social welfare, social services, mental health, education)social services, mental health, education)

Tier 5: NGO’s (churches, community Tier 5: NGO’s (churches, community organizations, organizations, senior citizen groups, pregnancy crisis centers, other senior citizen groups, pregnancy crisis centers, other allied health organizations)allied health organizations)

Tier 6: Public & Private Schools (K-12 & post-secondary)Tier 6: Public & Private Schools (K-12 & post-secondary)

Work with Partners to ensure trainingWork with Partners to ensure training

Establish Strategic Planning Advisory CouncilEstablish Strategic Planning Advisory Council

Develop comprehensive training planDevelop comprehensive training plan

Identify those responsible within each agency Identify those responsible within each agency

Establish plan for impact, outcome, process evaluationsEstablish plan for impact, outcome, process evaluations

Identify clear, specific timelineIdentify clear, specific timeline

TrainingTraining

Internal staff engagement Internal staff engagement

Establish schedule for training Establish schedule for training Timeframe – over two year periodTimeframe – over two year period Specific progress indicators identifiedSpecific progress indicators identified

TrainingTraining

Comprehensive Delivery PlanComprehensive Delivery Plan::

Assessment of current skills, knowledge and Assessment of current skills, knowledge and experiences of staffexperiences of staff

On-line training courses in public healthOn-line training courses in public health Facilitating “train-the-trainer” coursesFacilitating “train-the-trainer” courses On-staff personnel to conduct trainingsOn-staff personnel to conduct trainings

Putting it TogetherPutting it Together

Basic and Core CompetenciesBasic and Core Competencies Build skill set of entire workforceBuild skill set of entire workforce

Disciplines of focusDisciplines of focus Technical competenciesTechnical competencies

Levels of ResponsibilityLevels of Responsibility Advanced skill in public health competenciesAdvanced skill in public health competencies

ResourcesResources

Government agenciesGovernment agencies Non-profitsNon-profits Foundations (private and public)Foundations (private and public) PublicationsPublications Types – financial and/or trainingTypes – financial and/or training Continuing EducationContinuing Education

Resources and Programs to Support Resources and Programs to Support this Initiativethis Initiative

North Carolina Center for Public Health Preparedness:  North Carolina Center for Public Health Preparedness:  http://www.sph.unc.edu/nccphp/training/training_list/http://www.sph.unc.edu/nccphp/training/training_list/

Institute for Emerging Issues Institute for Emerging Issues regional forums at different state universitiesregional forums at different state universities

Government and Non-profit Government and Non-profit ResourcesResources

Centers for Disease Control and Prevention Centers for Disease Control and Prevention www.cdc.govwww.cdc.gov

Council on Linkages between Academia and Public Council on Linkages between Academia and Public Health Practice Health Practice www.phf.orgwww.phf.org

CDC Office of Workforce Policy and Planning CDC Office of Workforce Policy and Planning www.phppo.cdc.govwww.phppo.cdc.gov

American Public Health Association American Public Health Association www.apha.orgwww.apha.org

FoundationsFoundations

WK Kellogg Foundation WK Kellogg Foundation www.wkkf.orgwww.wkkf.org

Commonwealth Fund Commonwealth Fund www.cmwf.orgwww.cmwf.org

Kaiser Family Foundation Kaiser Family Foundation www.kff.orgwww.kff.org

Robert Wood Johnson Foundation Robert Wood Johnson Foundation www.rwjf.orgwww.rwjf.org

Medical Schools, UniversitiesMedical Schools, Universities

Morehouse School of Medicine, National Center for Morehouse School of Medicine, National Center for Primary Care, Community Voices Initiative Primary Care, Community Voices Initiative www.communityvoices.orgwww.communityvoices.org

UNC-Chapel Hill School of Public HealthUNC-Chapel Hill School of Public Health

Johns Hopkins UniversityJohns Hopkins University

George Mason University School of Public HealthGeorge Mason University School of Public Health

In summary:In summary:

1.1. Train current staffTrain current staff

2.2. Target important areas-assessment, policy Target important areas-assessment, policy development and emergency responsedevelopment and emergency response

3.3. Minimize costs by utilizing resources already Minimize costs by utilizing resources already created by Public Health leaderscreated by Public Health leaders

Thank you!Thank you!