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Leading the Transformation of the Public Health System: Are “We” Prepared?. Dennis Lenaway, PhD, MPH Office of the Chief of Public Health Practice Centers for Disease Control and Prevention November 4, 2007 2007 PHLS Annual Program. Public Health Challenges. Public Health Challenges.
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Leading the Transformation of the Public Health System:Are “We” Prepared? Dennis Lenaway, PhD, MPH Office of the Chief of Public Health Practice Centers for Disease Control and Prevention November 4, 2007 2007 PHLS Annual Program
Public Health Challenges Emerging Diseases (SARS, Pandemic Flu) Re-emerging Diseases (XDR-TB) Food Safety Bioterrorism Natural Disasters Obesity Aging Population Health Disparities Global Warming
Health Care Crisis Aging Population Re-emerging Diseases Emerging Diseases Obesity Health Disparities Access to Quality Health Care Health Insurance Costs Uninsured and Underinsured
Federal, State and Local Silos Health Care Emergency Management Education Law Enforcement Public Health
Affected people without complications (undiagnosed asymptomatic) Safer Healthier People Vulnerable people Affected people with complications Rebalancing Health Priorities General protection Targeted protection Primary prevention Secondary protection Tertiary protection Death from Complications
Affected People without complications (undiagnosed asymptomatic) Safer Healthier People Vulnerable People Affected People with complications Traditional Healthcare Disease Care Traditional Healthcare
Affected People without complications (undiagnosed asymptomatic) Safer Healthier People Vulnerable People Affected People with complications Public Health System Traditional Public Health
Affected People without complications (undiagnosed asymptomatic) Safer Healthier People Vulnerable People Affected People with complications Healthcare Delivery System Public Health Network Health Protection: Health Promotion, Prevention, and Preparedness Disease Care Need to Rebalance Health Priorities
Questions “Given the significant public health and health care challenges we face, are Public Health Leaders adequately prepared to address these issues?” “What are the requisite leadership competencies needed to address these challenges?” “Do we have a system of leadership development that can meet this challenge?”
Structure and Functions • Setting Agency Standards • Public Health Accreditation Board • Setting System Standards • National Public Health Performance Standards • Establishing Public Health Laws and Policies • Community Engagement • MAPP • Local – State – Federal interaction (SMOs)
Workforce • Competencies for Public Health professionals • Epidemiologists • Environmental Health • Nursing • Credentialing and certification • National Board of Public Health Examiners (2005) • Existing programs in nursing, environmental health, laboratorians
Politics Policy Programs PH Leaders Resources Experience Community The “Strategic Influence” of Public Health Leaders
Goals and Priorities • National-level Goals and Priorities • CDC’s Health Protection Goals • Healthy People 2010 • State and Community-level Goals • MAPP • State and Local Health Departments
Leadership Improved Health Outcomes Improved Performance + Workforce Leadership is Essential to Success Agency Standards System Standards Laws and Policies Community Engagement Portfolio Management
Leadership Development at CDC • National Public Health Leadership Institute • Regional Public Health Leadership Institutes • National Public Health Leadership Development Network • Association of Public Health Laboratories • National Center for Environmental Health • Emerging efforts
CDC Leadership Development Framework ArchitectureInitiative for Leadership Enhancement and Development (I LEAD) • Leadership Development efforts are most effective when they are strategic, coordinatedandmeasurable. Outcome Evolving High Performing Leaders Evaluation Components: Development Offerings Leadership Assessment and Consultation Center (LACC) Tier 1 Leader Development Map Tier 2 Leader Development Map Tier 3 Leader Development Map Tier 4 Leader Development Map Foundation Four-Tier Leadership Competency Model Learning Management System (LMS) Strategic Human Capital Management Plan CDC Health Protection Goals and Organizational Excellence Assessment
Leadership Development at CDC Office of Workforce and Career Development Crisis Leadership Competencies • Communication • Conflict management • Credibility • Decisiveness • Flexibility • Initiative • Influence • Partnering
Thoughts about Leadership Competencies Foresight Insight Action (Johansen, 2007) • Anticipate needs and sense emerging trends • Forecast what “might” happen • Provoke new thoughts and ideas • Move from problem-solving to tackling dilemmas • Early action Better results
Issues Surrounding Leadership Development Continuum Dilemma • Leadership vs. Management competencies • Basic vs. Advanced • Regional vs. National Crisis Leadership • Integrated or single program? Discipline specific Leadership • How to build effective networks Fragmentation • Develop a “system” for Leadership • Shared vision, shared funding, common purpose
Final Thoughts “Leaders are visionaries with a poorly developed sense of fear and no concept of the odds against them” (Robert Jarvik) “Success is the child of audacity” (Disraeli)
