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Defining Context-Sensitive Evaluative Criteria: Lessons From the Development of National Public Health Preparedness Standards
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| Presenter(s):
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| Christopher Nelson, RAND Corporation, ffcarp123@yahoo.com
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| Abstract:
Recent legislation requires that federal public health preparedness funding to states is linked to clear performance measures and standards. Yet, the variation in risk profiles, community characteristics, and governance structures across the nation's 2,600 health departments means that the standards must strike a balance between the simplicity associated with national uniformity and the flexibility needed to ensure that the standards are not counterproductive in some communities. This paper describes lessons learned from a project to develop national standards (a form of evaluative criteria) on communities' ability to deliver lifesaving medications to their populations in response to a bio-terrorist attack, disease outbreak, or other disaster. The paper provides a taxonomy of models for evaluative criteria that balance standardization and flexibility and describes some of the sources of evidence used to develop the criteria, including a survey of community practices, mathematical modeling of disaster scenarios, and expert elicitation.
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Measuring Community Resilience Within Public Health Emergency Preparedness and Response: Complexities and Lessons Learned
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| Presenter(s):
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| Karen Kun, Centers for Disease Control and Prevention, icn3@cdc.gov
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| Dale Rose, Centers for Disease Control and Prevention, ido8@cdc.gov
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| Thomas Morris, Centers for Disease Control and Prevention, tom8@cdc.gov
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| Monique Salter, Centers for Disease Control and Prevention, hjf2@cdc.gov
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| Tamara Lamia, ICF Macro, tlamia@icfi.com
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| Amee Bhalakia, ICF Macro, abhalakia@icfi.com
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| Anita McLees, Centers for Disease Control and Prevention, amclees@cdc.gov
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| Abstract:
The Centers for Disease Control and Prevention (CDC) manages funds appropriated by Congress for public health preparedness and response activities. Since 2001, CDC has provided support through the Public Health Emergency Preparedness (PHEP) Cooperative Agreement to 62 state, territorial and local public health agencies to build their infrastructure and capabilities in preparedness and response.
A new five-year funding cycle begins in 2011 that requires PHEP awardees to demonstrate 15 preparedness capabilities. Community resilience (i.e. community preparedness and community recovery) represents two of these capabilities. This presentation will briefly describe the methodology used for developing community resilience performance measures, and the relevance of these measures for purposes of program accountability and improvement. The presentation will also focus on the complexities inherent in measuring community resilience, particularly within the context of public health emergency preparedness and response activities, and the lessons learned during the measurement development process.
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Performance Measurement of Laboratory, Public Health Surveillance and Epidemiological Investigation Capabilities Within the Context of Public Health Emergency Preparedness: A Pilot Project
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| Presenter(s):
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| Salter Monique, Centers for Disease Control and Prevention, msalter@cdc.gov
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| Rupesh Naik, Centers for Disease Control and Prevention, rnaik@cdc.gov
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| Dale Rose, Centers for Disease Control and Prevention, ido8@cdc.gov
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| Bushong Erica, Centers for Disease Control and Prevention, ebushong@cdc.gov
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| Rose Dale, Centers for Disease Control and Prevention, drose@cdc.gov
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| Jacqueline Avery, Centers for Disease Control and Prevention, hjn9@cdc.gov
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| Erica Bushong, Centers for Disease Control and Prevention, goj8@cdc.gov
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| DeAndrea Martinez, Centers for Disease Control and Prevention, hez0@cdc.gov
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| Anita McLees, Centers for Disease Control and Prevention, amclees@cdc.gov
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| Thomas Morris, Centers for Disease Control and Prevention, tom8@cdc.gov
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| Karen Mumford, Centers for Disease Control and Prevention, kmumford@cdc.gov
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| Abstract:
The Pandemic and All-Hazards Preparedness Act of 2006, requires the development and application of evidence-based benchmarks and objective standards that measure levels of preparedness. The National Health Security Strategy, released in December 2009, identifies those priority areas for practice and measurement in public health (PH) preparedness and response, which includes Biosurveillance.
In order for state and local PH jurisdictions to be able to demonstrate Biosurveillance (i.e. PH surveillance, epidemiological investigation, and PH laboratory testing) capabilities, the Centers for Disease Control and Prevention (CDC) in collaboration with federal, state, and local PH partners developed a set of formative measures that would capture performance in these areas.
This presentation will briefly describe the design and methodology of a pilot study utilized to test this draft set of Biosurveillance performance measures. Additionally, there will be a summary of key findings and recommendations for implementing these measures across a wide assortment of PH jurisdictions.
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