Bioterrorism Hospital Preparedness - Priority Area 5

Bioterrorism Hospital Preparedness Program: HRSA Work Plan

Priority Area 5: Education and Preparedness Training

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Strategy 1: Improving integration with other programs
- Tasks, timelines, responsible parties
- Evaluation Metric
Strategy 2: Learning Needs Assessment and Training Plan
- Tasks, timelines, responsible parties
- Evaluation Metric
Strategy 3: Supporting Smallpox Response Training
- Tasks, timelines, responsible parties
- Evaluation Metric
Strategy 4: Learning Management System (LMS)
- Tasks, timelines, responsible parties
- Evaluation Metric
Strategy 5: Academic Collaboration
- Tasks, timelines, responsible parties
- Evaluation Metric

Summary of Priority Area 5

NOTE: As an integral part of both the FY 03 HRSA and CDC grants, the FY 03 HRSA Education and Preparedness Training Priority Area is included within the Focus Area G (Training) section of the FY 03 CDC grant application, specified below.

Please also see Cross-Cutting Activities F, Education and Training, and Cross-Cutting Activities F, Involvement of Academic Health Centers.

Addressing the training needs of health professionals in hospital settings will involve a number of categories of education and training activity. Strategies will include: 1) improving integration with CDC funded focus areas and other programs through the support of human resource capacity, 2) a learning needs assessment and training plan, 3) supporting smallpox response training, 4) defining a learning management system for Washington State, 5) academic collaboration and 6) learning technology improvements.

Strategy 1: Improving integration with CDC funded focus area and other programs through the support of human resource capacity:
Continue to leverage existing local, state and federal training and distance learning capacity through investments in local and state staff with expertise in technology applications, instructional design, and training/learner support at the regional and state levels.

To improve integration with each focus area and other related content areas, identify individuals within these areas and/or programs to serve as liaisons who have both content and training expertise. Some of these liaisons will require additional funding:

· Focus Area B liaison to serve as Epidemiology Learning Liaison

Smallpox education/training coordinator/liaison with the Immunization Program
Focus Area C/D liaison integrates with lab on HRSA ed/training activities with the hospitals
HRSA Learning Liaison for Ed/Training activities to integrate with the hospitals
Chemical and Radiological Liaison for ed/training activities to integrate with Environmental Health.

Tasks

Timelines

Responsible Party

State Level:

Identify or include additional funding and FTE support for:

Epidemiology Learning Liaison

Lab Learning Liaison

Communications Liaison

Hospital Learning Liaison

Chemical/Radiological Liaison (located in Environmental Health)

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

Focus Area G Coordinator/Budget Specialist

Focus Area Leads/Coordinators

Environmental Health Divisional Planner

Evaluation Metric:

Liaison roles identified or hired
Routine coordination/planning/development meetings planned and held
Number of workforce trained
Number of classroom training experiences provided
Number of distance-based experiences provided

Strategy 2: Learning Needs Assessment and Training Plan

Assessment

Using data identifying education/training priorities from the 2002 EPR LHJ and hospital capacity assessments, implement a qualitative assessment (using focus groups and/or other methods) to further clarify competency and performance areas to target for learning projects. Training needs assessment data will be used from all CDC focus areas including data from a needs assessment conducted through Environmental Health for chemical and radiological ed/training.

Analyze the qualitative data to make decisions about curriculum development projects
Review existing curriculum and learning resources, identify gaps and recommend additional products for development.

Training Plan

Create list of learning products and services that meet the priority learning needs and address performance needs as outlined in regional EPR plans.
Choose modes of delivery for identified list of learning products and services that fit within the technical capacity available to the priority stakeholders, based on the 2003 EPR capacity assessment. Develop strategies to deliver the most-needed learning first
Use LMS to assess individual competency level, link available learning resources to assessment and evaluate learning products and services.
Develop and implement evaluation tools for exercises and drills
Incorporate chemical and radiological education/training into regional training plans

Ensure regional hospital training plan integration with regional public health training plans.

Tasks

Timelines

Responsible Party

Assessment

Review and analyze 2003 WA Public Health Standards Baseline Evaluation Study to identify performance gaps and target learning initiatives to link with learning needs identified from the LHJ and hospital EPR assessments where appropriate.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Contractor (TBD)

· Focus Area G Coordinator

· PHIP WFD Committee

Collaborate with each RLS to review the existing quantitative data from the capacity assessments to further define regional learning priorities.

Select the appropriate qualitative methodology for those areas needing additional definition.

Implement the qualitative methodology to get input from representatives from each key stakeholder organization (local health agency, hospital emergency department, infectious disease specialists and emergency management agency) to further define roles and target performance areas for learning.

A separate focus group will be conducted with key state public health professionals.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Contractor in coordination with RLS

· Focus Area G Coordinator

Inventory, review (with SMEs-focus area/program liaisons), and catalogue existing products related to targeted performance areas for learning.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· RLS

· Focus Area /Program Liaisons

Conduct chemical and radiological training needs assessment

Review and analyze assessment data

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· EHP Divisional Planner

· Focus Area G Coordinator

· RLS

· RERC’s

· EH Learning Liaison

· Hospital Learning Liaison

Training Plan

Inventory and evaluate available learning offerings that meet identified priorities.

Identify gaps to design products for needs that are not met by existing offerings

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· RLS

· Focus Area /Program Liaisons

Use multiple modalities to deliver learning modules

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Distance Learning Managers

· RLS

Develop fast-track learning for the frontline workforce on topics needing rapid and timely public health response.

Monitor Health Alert Network and other sources of emerging public health concerns and issues for those topics needing rapid response

Collaborate with Focus Area F to identify credible sources of information so that learning tools can be identified, developed and disseminated quickly

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Distance Learning Managers

· RLS

· Focus Area/Program Learning Liaisons

Incorporate into regional training plans based upon assessment determination

Update and disseminate chemical and radiological materials as required and appropriate

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· EHP Divisional Planner

· Focus Area G Coordinator

· RLS

· RERC’s

· Focus Area Leads/Coordinators

· Hospital Learning Liaison

As users enroll in the LMS, assess their competency level and track use of learning resources. Use evaluation results for performance improvement

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Focus Area/Program Liaisons

Collaborate with Focus Area A Learning Liaison to develop criteria for evaluation within drills and exercises that will identify performance gaps.

Use evaluation data to identify competency areas requiring additional learning strategies.

Develop and implement learning strategies to address identified areas for improvement.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

Focus Area G Coordinator
Focus Area A Learning Liaison
RLS

Evaluation Metric:

Prioritized list of learning needs identified from analysis of 2002 Washington State Public Health Standards Baseline Evaluation Study, analyses of EPR assessments and regional EPR plans
Specific performance areas targeted for learning for each region
On-line catalogue of existing resources linked to EPR and PHIP competencies for the top 3 public health and hospital priority areas
Learning Products and services that can be accessed by all end users
A system that tracks the competency of the workforce to identify training needs as well as a system that can quickly respond to critical newly identified needs.
Number of learning products provided
Number of participants from each stakeholder group
List of performance gaps identified from drills and exercises
Learning strategies implemented to address performance gaps from drills and exercises
Completed chemical and radiological training needs assessment
Chemical and radiological education/training incorporated into regional training plans (with special attention to protocols and procedures training)
Chemical and radiological education/training tracked and reported through an LMS or WAPHTN
Distribution of updated chemical and radiological materials

Strategy 3: Supporting Smallpox Response Training

Review lessons learned from pilot clinics and implementation of Stage 1 focusing on pre-event preparation. Disseminate to the public health agencies and hospitals. Revise the Washington State Smallpox Response Plan as necessary to include a pre-event component as well as post-event.
Continue to update and disseminate materials to those at the regional level trained in 2003 as trainers and who serve in key roles as take readers, adverse events monitors, vaccinators etc.
Provide ongoing training sessions as needed to address Stage 1 implementation needs and for Smallpox Response teams
Upon modification of Smallpox Response plan, modify the pre-event training plan to address post-event scenarios.

Tasks	Timelines	Responsible Party
Review and evaluate after action reports from all clinics being held in the state to assess the level of competencies gained from training to determine what changes, additions, deletions, etc. need to be made to improve training materials Additional training will occur based on assessments. A plan for continuation of training for new staff added and updating of those already trained will be developed in collaboration with the 9 Regions in Washington State and other focus area leads.	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator Smallpox Training Liaison Focus Areas A/B Learning Liaisons RLS
Review smallpox response plans and identify protocols and procedures that are needed to guide the PHSRT. Conduct training needs assessment based on protocols and procedures Implement training as indicated by the assessment and package into a format for routine use by response team members.	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator Smallpox Training Liaison Focus Area B Learning Liaison RLS
Upon modification and revision of the DOH Response plan, modify pre-event Stage 1 training plan so that there is more emphasis on mass vaccination of large populations. Pre-vaccination and post-vaccination education will have to be conducted differently for a post-event. Materials or techniques will need to be adapted. Utilization of pre-existing materials will be an important technique. CDC has developed a post-event pre-vaccination patient advice video, DVD and accompanying materials that will be utilized as well. Implement mass vaccination training plan as needed	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator Smallpox Training Liaison Focus Areas B/A Learning Liaisons RLS

Evaluation Metric:

Report on lessons learned from pre-event pilot clinics and subsequent regional clinics
DOH Smallpox Response Plan modified into pre and post event procedures and guidelines
Smallpox Training Plan modified according to Response Plan modifications
Distribution of updated materials
Protocols and procedures developed for Smallpox Response Teams (SRT)
Training Assessment of Smallpox Response Teams completed
Training completed for SRT
Package training in format for ongoing us

Strategy 4: Learning Management System (LMS)

Define and prioritize the functional requirements (to include the ability to share best practices) for an LMS to be run by DOH and used as administrative tools by the regions and other stakeholders
Select vendor, LMS product or enhance existing on-line registration system.
Establish infrastructure, consistent with state Washington State standards, Public Health Information Network (PHIN) and other national standards
Test and refine as appropriate
Develop implementation and ongoing evaluation plan

Tasks

Timelines

Responsible Party

Educate Regional Learning Specialists (RLS’s) about LMS and collaborate to define functional elements for an LMS.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Learning Technology Specialist

Communicate, inform and educate priority stakeholders (State, regional and local public health with special attention to laboratorians, hospitals and others) about LMS and its business value as it relates to the EP/BT program.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Learning Technology Specialist

· Regional Learning Specialists

· NWCPHP

Meet with vendors to review functionality requirements (including reporting capabilities), feasibility, costs and compatibility with PHIN/DOH functions, specifications and standards.

Determine if several different sets of competencies can be incorporated into an LMS (e.g. DOH, PHIP, Public Health Nursing, etc.) and if they can be used in conjunction with EPR/BT competencies.

Determine capabilities for “best practices” identification within LMS.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Learning Technology Specialist

· Contractor

Select web based courses to be offered through LMS.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Learning Technology Specialist

· RLS

· Focus Area/

Program Liaisons

· NWCPHP

Establish LMS pilot for key stakeholders.

Develop full implementation and ongoing evaluation plan.

Evaluate pilot of LMS making adjustments as necessary.

Please see Appendix E, “HBPP FY 03 Workplan Timelines”.

· Focus Area G Coordinator

· Learning Technology Specialist

· Regional Learning Specialists

· Key Stakeholders

(Hospitals, NWCPHP, Focus Area/Program Liaisons)

Evaluation Metric:

List of functional requirements for the LMS
Contract, lease or purchase
A functional LMS consistent with all appropriate standards
Pilot program completed and evaluated

DOH implementation completed for primary stakeholders

Tracking and management of education/training occurring consistently for participating stakeholders

Strategy 5: Academic Collaboration

Continue providing funding support at the current level to the Northwest Public Health Leadership Institute and market the program to the Washington State public health workforce.
Collaborate with the UW Center for Preparedness to disseminate lessons learned from Top-off2 to key stakeholders.
Collaborate with NWCPHP and Thurston County Health Department on Public Health Ready pilot project.
Review and evaluate existing learning products developed by academic institutions to address priority learning needs that emerge from the EPR hospital and LHJ assessments
Collaborate with the NWCPHP and HHS Region 10 to identify groups in the Northwest region who are looking into using web conferencing soft ware to deliver presentations.

Tasks	Timelines	Responsible Party
Provide funds to UW to support scholars attending from Washington State	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator
· Participate in scheduled meetings and activities for PH Ready pilot program as required	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator RLS Region 3 NWCPHP Representative
§ Collect and synthesize available information to identify lessons learned from Top-off2. § Determine the best methods for dissemination. § Deliver to key stakeholders using a variety of mediums.	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator NWCPHP HHS Region 10
§ In collaboration with DOH, the RLS group, develop criteria to evaluate learning products produced by academic institutions and others for use with various stakeholders. § Upon determining LHJ and hospital learning priorities from analyses of both the quantitative (completed FY02-03) and qualitative assessment (to be completed in FY 03-04) data, use the criteria to review existing learning products produced by academic institutions and others.	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator RLS
§ Work with the NCCPHP and HHS Region 10 to identify stakeholder groups investigating web conferencing services. § Collaborate with these stakeholder groups to test possible solutions, compare notes on functionality. § Recommend a solution.	Please see Appendix E, “HBPP FY 03 Workplan Timelines”.	Focus Area G Coordinator NWCPHP HHS Region 10

Evaluation Metric:

Number of scholars from Washington State
Dissemination of lessons learned from Top-off2 to local health and other stakeholders and number of participants
Criteria established for review and number of learning products evaluated Web conferencing solution recommended
Certificate received for PH Ready

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