National Center for Disaster Medicine and Public Health

1. National Center for Disaster Medicine and Public Health Kenneth Schor, DO, MPH CAPT MC USN (Ret.) Acting Director kschor@usuhs.mil 240-833-4444 David Berry Communications Associate dberry@hjf.org 09 June 2010

2. Outline • Origins • Current Status • Forward-Looking Questions

3. 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.

4. 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

5. 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

6. 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

7. Vision & Mission Academic Joint Program The Nation’s academic center of excellence for education and training in disaster medicine and public health Lifelong Learning Continuous Improvement Core Curricula Trusted National Resource Nat’l. Core Competencies NCDMPH – Initial Operating Capability FETIG National Health Security Strategy HSPD-21 and PAHPA

8. 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

9. 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 SIGN UP! PROVIDED IN CDROM

10. Federal Workshop A Nation Prepared: Education and Training Needs for Disaster Medicine and Public Health Inaugural Federal Partner Workshop September 24-25, 2009

11. Non-Federal Workshop • 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

12. Forward-Looking Questions • National Core Competencies • Who are the key stakeholders? • Individual competencies, Group competencies, or both? • Relationship of international to domestic knowledge? • Core Curricula • Standards: What? How? By whom? • Certification?

13. Forward-Looking Questions • Continuous Improvement • Gaps (competencies—curricula—response)? • Value of After-Action Reports & Lessons Learned? • Lifelong learning • Learning methods (virtual reality)? • Education research gaps (ex. cost-effective modes)? • Workforce Development • Aligning and supporting Goal 2 of National Health Security Strategy? • How?

14. On the CD… • Proceedings of the Federal Partners Workshop • NCDMPH Initial Report • Proposed Strategic Plan • Spring 2010 Newsletter

15. The Nation’s academic center of excellence for education and training in disaster medicine and public health. Questions?ThanksKenneth Schor, DO, MPHActing Directorkschor@usuhs.mil240-833-4444

16. Back-up Slides

17. DHS Target Capabilities List (TCL): 13 Public Health & Medical Functions (draft) Isolation & Quarantine Animal Disease Emergency Support Responder Safety & Health Food/Agriculture Safety & Defense Laboratory Testing Mass Care (shelter, feeding) Fatality Management • Medical Surge • Epidemiological Surveillance & Investigation • Medical Supplies Logistics • Mass Prophylaxis • Emergency Triage & Pre-Hospital Treatment • Environmental Health

18. Education & Training:Core Competency Development PH Preparedness & Response Draft, March 2010, ASPH Global Health Draft Domains, February 2010, ASPH Capacity-Building Collaboration & Partnering Ethical Reasoning & Professional Practice Health Equity & Social Justice Leadership Project & Process Mgt. Socio-cultural & Political Awareness Strategic Analysis & Evaluation • Communication • Assessment (Hazard, Vulnerability, Risk) • Interventions (all phases) • Leadership • Legal • National Response Framework • Planning & Improvement • Surveillance & Investigation • Worker Health, Safety, Resilience Ref: www.asph.org/document.cfm?page=1083

19. All-Hazard Disaster Core Competencies

20. All-Hazard Disaster Core Competencies 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.