Public Health Training Centers

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Public Health Training Centers

• A program funded by
• U.S. Department of Health and Human Services
• Health Resources and Services Administration
• 2006

r. 5/06
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HRSA The Access Agency

• Mission To improve and expand access to quality
  health care for all.
• Vision To improve and expand the availability
  of quality health care to low income, uninsured,
  isolated, vulnerable and special needs
  populations and to meet their unique health care
  needs.
• Strategies Move toward eliminating barriers to
  care and health disparities
• Improve quality of care
• Improve public health
• Improve health care systems

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Bureau of Health Professions Assuring an
Adequate Health Care Workforce

• Workforce Planning and Analyses The
  Right People
• High Quality Education The
  Right Skills
• Equitable Distribution
  The Right Places
• Performance/Outcome Measures The
  Right Outcomes

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PHTC Authorizing Legislation

• 105th Congress
• Health Professions Education Partnerships Act of
  1998,
• Public Law 105-392 Section 105,
• Public Health Workforce Development (Section 766
  (42 US Code 295a)) Public Health Training
  Centers

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PHTC Purpose

• Improve the Nations public health system by
  strengthening the technical, scientific,
  managerial and leadership competence of the
  current and future public health workforce

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PHTC Purpose

• Provide foundational competency-based
• training opportunities that prepare public
• health workers to pursue specialized
• Training in areas such as leadership
• development and emergency
• preparedness

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PHTC Purpose

• Develop the existing public health
• workforce as a foundation for improving
• the infrastructure of the public health
• system and helping achieve the
• objectives of Healthy People 2010

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Healthy People 2010

• Section 23 Public Health Infrastructure
• Competencies for public health workers (23-8)
• Training in essential public health services
  (23-9)
• Continuing education and training by public
  health agencies (23-10)
• Performance standards for essential public health
  services (23-11)
• Health improvement plans (23-12)
• Model statutes related to essential public health
  services (23-15)

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PHTC Offer Trainings Based on Public Health Core
Competencies
Leadership Competencies
Emergency Preparedness
Public Health Core Competencies
Nursing Competencies
Environmental Health Skills
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States Served by a PHTC
Total All PHTCs 44
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PHTC Partnership Structure

• Supported by an accredited school(s) of public
  health
• Collaboration with 118 academic and 342 practice
  partners
• In 2005, over 75 percent of PHTC trainings were
  co-sponsored with other organizations

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Health Resources and Services Administration
Public Health Training Centers

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Boston University Boston, MA Columbia
University New York, NY University of
Pittsburgh Pittsburgh. PA Johns Hopkins
University Baltimore, MD

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University of North Carolina Chapel Hill,
NC University of Michigan Ann Arbor,
MI University of Illinois Chicago, IL

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Tulane University New Orleans, LA University of
Minnesota Minneapolis, MN University of
Iowa Iowa City, IA St. Louis University St.
Louis, MO





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University of Texas-HSC Houston, TX University
of Washington Seattle, WA UCLA Los Angeles,
CA States Not Covered Academic Partners

Revised 8/2005
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PHTC Practice Partners

• 342 practice partners including
• Local, state, and federal health agencies
• Local, state, and federal health organizations
• National Association of County and City Health
  Officials (NACCHO)
• Association of State and Territorial Health
  Officials (ASTHO)
• State primary care associations
• National and state public health associations and
  foundations
• Boards of health

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PHTC Academic Partners

• 118 academic partners
• Schools of Public Health
• Universities and community colleges
• Area Health Education Centers
• CDC Centers for Public Health Preparedness

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PHTC Budget

• FY 2000 2.5 Million
• FY 2001 4.6 Million
• FY 2002 5.5 Million
• FY 2003 5.5 Million
• FY 2004 4.9 Million
• FY 2005 4.8 Million
• FY 2006 4.4 Million

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PHTC Budget
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Public Health IOM Reports
The Future of Public Health, 1988
The Future of the Publics Health in the 21st
Century, 2002
Who Will Keep the Public Healthy?, 2003
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PHTC Mission IOM
Recommendations

• Forge academic and practice partnerships to
  address the learning needs of the current and
  future public health workforce
• Assess the learning needs of the public
  health workforce in the geographic area served by
  the center
• Develop/deliver learning programs to
  address those needs
• Foster ties between academic faculty,
  graduate public health students and leaders in
  the practice community via collaborative projects
  in underserved areas or with underserved
  populations
• Foster ties between academic faculty,
  graduate public health students and leaders in
  the practice community via improved or expanded
  field training opportunities in underserved areas
  or with underserved populations

• Address public health workforce agency needs
  (p.20-22)
• Encourage continuing education and degree program
  learning (p.22)
• Competency development (p.7)
• Life-long learning (p.14)
• Assess public health workforce development needs
  (p.22)
• Develop plans to assure that public health
  training needs are addressed (p.22)
• Address issues of demographics,disparities,
  diversity (p.4)
• Community-based research, learning and service
  (p. 14-15)
• Practice oriented faculty (p.15)
• Develop staff and faculty exchanges (p.22)

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Needs Assessment Efforts

• PHTC Needs Assessments are ongoing and include
• Education and training needs of the public health
  workforce
• Educational assets and resources in service area
• Assessment results inform the development of
  training initiatives

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PHTC Trainings

• Target audience- all public health workers,
• including those working in
• Health Departments
• Community Based Organizations
• Hospitals/Health Care Organizations
• Training based on
• 10 Essential Public Health Services
• Council on Linkages (COL) Core
• Competencies

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Number of Public Health Workers Trained

• Over 280,000 public health workers have been
  trained by PHTCs

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Number of PHTC Distance Learning Participants
154,000 workers trained at a distance
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Number of PHTC Trainings

• Over 6,800 trainings delivered to date
• Over 3,400 distance learning trainings

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Percentage of Face-to-Face and Distance Learning
Trainings
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PHTC Accomplishments

• Over 1,900 different trainings/courses have been
  developed or are in development
• Over 75 of trainings co-sponsored with other
  organizations in 2005-2006
• 67 of trainings are based on one or more of the
  Council on Linkages (COL) competencies

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Workforce Served
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Workplace Served
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Examples of Training Topics

• Public Health Practice
• PH Nursing
• Grant writing
• Maternal and Child health
• Environmental Health
• Public Health 101
• Nutrition
• Leadership
• Ethics
• Management
• Finance
• Computer skills
• PH Law
• Advocacy/Policy

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Examples of Training Topics

• Cultural Competency
• Community-focused
• Public Health Sciences
• Epidemiology (including Avian Flu)
• Communication
• Risk Communication
• Language courses
• Data Use and Analysis
• Biostatistics
• Foundational skills for Emergency Preparedness
• Other
• Genomics
• Drug abuse prevention
• PH career recruitment

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PHTC 2005 Training Topics(3/05 3/06)
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PHTC 2005 Training Delivery Modes (3/05 3/06)

• Face-to-Face
• Satellite Broadcast
• Video
• Web-based
• CD-Rom
• Live Web-based (Hybrid)
• Coursebook/ manual
• Telehealth

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Free Web-Based PHTC Courses
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South Central Public Health Training Center 14
Courses

• Managing Conflict in the Workplace
• Public Health Financial Management
• Public Health Law
• Managing and Motivating Effective Public Health
  Performance
• Preparing a Competitive Grant Application
• Public Health Information Systems
• Public Health Insurance

• Community Health and Disease
• Health Economics for Public Health Professionals
• Health Risk Assessment and Taking an Exposure
  History
• Improving Your Communication Skills
• Introduction to Epidemiology
• Leadership, Strategic Planning System
  Approaches
• Managerial Communications

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New York New Jersey Public Health Training
Center

• http//www.nynj-phtc.org
• Provides learners with a basic understanding of
  public health's mission and functions
• Designed to orient newly hired support and
  technical staff to the field, the course consists
  of two parts
• Mission and six obligations of public health
• Ten essential services
• The course uses the metaphor of a computer-based
  new worker orientation to present information
• Students read e-mails, complete assigned tasks,
  and participate in simulated desktop conferences

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Michigan Public Health Training Center
https//www.sph.umich.edu/iscr/mphtc/ Six Weeks
to Genomic Awareness

• Foundation for understanding genomic advances and
  identifying the relevance of genomics to public
  health via lecture format
• Joint effort between the Michigan Center for
  Genomics and Public Health (MCGPH) and the
  Michigan Public Health Training Center (MPHTC)
• Continuing education credits available
• Six modules
• Week 1 Introduction to Genomics
• Week 2 Genes in Populations
• Week 3 Genetic Testing
• Week 4 Gene-Environment Interactions
• Week 5 Ethical, Legal and Social Issues
• Week 6 An Overview of State and National
  Resources

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Upper Midwest Public Health Training
Centerhttp//www.public-health.uiowa.edu/UMPHTC/

• Video series designed to help public health
  workers better understand the ten essential
  services that form a comprehensive public health
  program
• First-person stories from outstanding regional
  public health practitioners
• Each one-hour video focuses on one essential
  service

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Pacific Public Health Training Center
http//www.pphtc.org

• Principles of Public Health
• Offered in English and Spanish
• Provides an overview of the most important issues
  and topics related to public health departments
  and public health practice
• Course modules include

• Public health law
• Environmental health issues
• Epidemiology and biostatistics
• Evaluation
• Community needs assessment
• Future challenges in public health

• Definition and history of public health
• Health status and determinants of health
• Health disparities
• Culture and health
• Public health programs and infrastructure
• Core functions and essential services

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Public Health Training Center Projects
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Recruiting Public Health Professionals

• Field Placements
• Public Health Career Recruitment
• Community Health Centers Careers

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Field Placements and Public Health Career
Recruitment

• Mid-Atlantic Public Health Training Center Public
  Health Applications for Student Experience
  (PHASE)
• Collaboration with the Maryland Department of
  Health and Mental Hygiene
• Program has offered 30 internships for public
  health graduate students since 2002.
• Students gain insight on how a degree in public
  health can be applied to a career and real
  world experiences
• New York New Jersey Public Health Training
  Center
• Collaborated with Bergen County Department of
  Health Services to open a health department
  training unit specifically for graduate public
  health students
• Internship and funding opportunities for MPH
  students continually researched and posted on
  Center website

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Midwest Center for Life-Long-Learning in Public
Health http//www.mclph.umn.edu/watersedge/
Public Health Game targets K-12 Students

• Interactive CD-ROM and internet-accessible game
  designed to expose young adults to the public
  health field
• Introduces
• Basic science principles
• Challenges the investigational and
  problem-solving skills of the player
• Provides information about environmental health
  issues
• Includes Teachers Guide and Mac/PC versions
• Available in English and Spanish

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Community Health Centers Career Path Project
CD-ROM

• The Upper Midwest PHTC worked with the Iowa and
  Nebraska Primary Care Association
• Ongoing efforts toward recruitment and retention
  led to Community Health Centers Careers in
  Providing Care to the Medically Underserved
  CD-ROM
• Showcases opportunities and experience for
  careers at public health centers

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Cultural Competency/Health Disparities

• Measuring Health Disparities CD-ROM
• Communicate to Make a Difference Series

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Measuring Health Disparities CD-ROM

• Self-paced, interactive course
• Explores what health disparities are and how they
  are defined
• Provides an overview of common issues faced in
  measuring health disparities
• Introduces users to a range of technical health
  disparity measures, providing advantages and
  disadvantages of each
• Identifies different measures to communicate and
  evaluate health disparity in our communities

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NY NJ PHTC Communicate to Make a Difference
Series

• Practicing Cross-Cultural
• Communication
• Consists of three separate modules, each with its
  own evaluation and continuing education credits
  forms
• Each module should take about 1.5 hours to
  complete

• Exploring Cross-Cultural
• Communication
• Learners explore the meaning of
• culture, methods of communication,
• and strategies for communicating
• more effectively by taking part in
• virtual group conferences, reading
• and responding to simulated e-mails,
• and utilizing resource documents

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Environmental Health Nursing Initiative

• Supplemental funding provided by Agency for Toxic
  Substances and Disease Registry (10,000 per
  center) FY 2002-2004
• Over 10,000 nurses and other health care
  professionals trained
• Examples of Trainings
• Online course developed by the Midwest Center for
  Lifelong Learning in Public Health
• Live workshops/telehealth conferences provided by
  all PHTCs
• Topics covered include
• Taking an Exposure History
• Foodborne Illness
• Lead Toxicity
• Exposure Case Studies

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Public Health Nursing Committee

• Mission To advance public health nursing by
  addressing learning and training needs through
  the partnership between public health academia
  and practice.
• Comprised of over 40 members representing
  academia and nursing practice
• Public health nursing is an umbrella term used
  for public health and community health nursing.

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Rural Public Health Committee

• Purpose to share best practices, concerns and
  programming, particularly as it relates to the
  needs of the rural public health workforce with
  an emphasis on learning and training needs.
• Rural Public Health Research Agenda Setting
  Meeting
• Purpose Identify and articulate areas of public
  health research that can impact the health of
  rural populations
• Outcome Report distributed by University of
  Pittsburgh Center for Rural Health Practice

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Rural Public Health Research Agenda Report
Bridging the Health Divide The Rural Public
Health Research Agenda Published April 2004

University of Pittsburgh Center for Rural Health
Practice http//www.upb.pitt.edu/crhp/
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National PHTC Network

• Improve quality and outcomes of public health
  training
• Increase efficiency of PHTC operations and
  training delivery
• Expand the coverage of PHTC and the National PHTC
  Network
• Evaluate the impact of training
• Advocate for broadened support for public health
  workforce training in general and the PHTC in
  particular

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Improving Quality and Outcomes of Training

• Standardize PHTC training programs
• Collaborate in designing a culturally competent
  core curriculum
• Share resources and best practices with each
  Center

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Increasing Efficiency of PHTC Operations and
Training Delivery

• Develop relationships with other training
  initiatives (e.g. AHEC, ACPHP)
• Address multi-state training jurisdictional
  issues
• Serve as a vehicle for
• Coordinating, facilitating, and disseminating
  information
• Providing technical assistance for individual
  Centers and their partners

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Expanding Coverage of PHTC

• PHTC will devise a logical and equitable plan to
  extend the coverage of the PHTC to include
• Six remaining schools of public health
• Remaining six states
• Puerto Rico, and U.S. Virgin Islands

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Expanding Coverage of PHTC

• PHTC will devise a logical and equitable plan to
  extend the coverage of the PHTC to include
• Five remaining schools of public health
• Remaining five states
• Puerto Rico, and U.S. Virgin Islands

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Evaluating the Impact of Training

• Develop a PHTC Logic Model
• Assess the outcomes on the agency and
  organization as a function of PHTC training
• Evaluate PHTC program's performance
• Develop guidelines for PHTC annual reports

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Advocating for Public Health Workforce Training

• Increase awareness of PHTC
• Develop case studies and lessons learned
• Specifically advocate for local public health,
  local training, and the local/regional PHTC
• Speak on behalf of all the PHTC collectively
• Collaborate with others working on public health
  workforce issues

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For More Information, Contact the PHTC Serving
Your Area

• Heartland Public Health Education and Training
  Center
• www.heartlandcenters.slu.edu/hc_education.htm
• Michigan Public Health Training Center
• www.mitrainingcenter.org
• Mid-America Public Health Training Center
• www.uic.edu/sph/maphtc
• Mid-Atlantic Public Health Training Center
• maphtc.jhsph.edu
• Midwest Center for Life Long Learning in Public
  Health
• www.publichealthplanet.org
• New England Public Health Workforce Development
  Alliance
• www.bu.edu/publichealthworkforce/index.html
• New York and New Jersey Public Health Training
  Center

• Northwest Center for Public Health Practice
• www.nwcphp.org/phtc
• Pacific Public Health Training Center
• www.pphtc.org
• Pennsylvania and Ohio Public Health Training
  Center
• www.pophtc.pitt.edu/
• South Central Public Health Training Center
• www.scphp.sph.tulane.edu/scphtc/
• Southeast Public Health Training Center
• www.sphtc.org
• Texas Public Health Training Center
• www.txphtrainingcenter.org/
• Upper Midwest Public Health Training Center

Health Resources and Services Administration http
//bhpr.hrsa.gov/publichealth/phtc.htm Association
of Schools of Public Health www.publichealthtrain
ingcenters.org
r. 05/22/06