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: cdcinfo@cdc.gov 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!