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National Center for Disaster Medicine and Public Health
Kenneth Schor, DO, MPH
CAPT MC USN (Ret.)
Acting Director
240-833-4444
David Berry
Communications Associate
09 June 2010
Outline
• Origins
• Current Status
• Forward-Looking Questions
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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. 3
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 (NCDMPH) at USU
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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
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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
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Academic Joint Program
Vision & Mission
HSPD-21 and PAHPANational Health Security Strategy
FETIGNCDMPH – Initial Operating Capability
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The Nation’s academic center of excellence for education and training in disaster medicine and public health
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
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Current 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)– Strategic Plan
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SIGN UP!
PROVIDED IN CDROM
Federal Workshop
A Nation Prepared:
Education and Training Needs for Disaster Medicine and Public Health
Inaugural Federal Partner Workshop
September 24-25, 2009
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Non-Federal Workshop
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• 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
Forward-Looking Questions
1. National Core Competenciesa. Who are the key stakeholders?b. Individual competencies, Group competencies, or both?c. Relationship of international to domestic knowledge?
2. Core Curriculaa. Standards: What? How? By whom? b. Certification?
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Forward-Looking Questions
3. Continuous Improvementa. Gaps (competencies—curricula—response)?b. Value of After-Action Reports & Lessons Learned?
4. Lifelong learninga. Learning methods (virtual reality)?b. Education research gaps (ex. cost-effective modes)?
5. Workforce Developmenta. Aligning and supporting Goal 2 of National Health
Security Strategy?b. How?
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On the CD…
1. Proceedings of the Federal Partners Workshop
2. NCDMPH Initial Report
3. Proposed Strategic Plan
4. Spring 2010 Newsletter
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QUESTIONS?
THANKS
KENNETH SCHOR, DO, MPHACTING DIRECTOR
The Nation’s academic center of excellence for education and training in disaster medicine and public health.
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Back-up Slides
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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 Management17
Education & Training:Core Competency Development
PH Preparedness & ResponseDraft, March 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
Global HealthDraft Domains, February 2010, ASPH
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
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All-Hazard Disaster Core Competencies
DomainsAll Health Professionals1
Domains E.D. Physicians, Nurses, EMS2
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
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All-Hazard Disaster Core Competencies
DomainsAll Health Professionals1
Domains E.D. Physicians, Nurses, EMS2
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
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.
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