WHOLE IMAGE NEGOTIATION

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Achieving National Preparedness
National Governors Association Center for Best
Practices
Partnerships between Public agencies and
academia Building CONNECTIVITY To advance
PREPAREDNESS
LEONARD J. MARCUS, Ph.D. Harvard Center
for Public Health Preparedness National
Preparedness Leadership Initiative Program for
Health Care Negotiation and Conflict Resolution

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Academic centers for Pubic health preparedness
Located within schools of public health, the
national network of 22 Academic Centers for
Public Health Preparedness is a workforce
development initiative designed to ensure that
frontline public health and health care
workers are prepared to respond to any
biological, chemical, radiological or nuclear
threats or emergencies, as well as infectious
disease outbreaks and natural disasters.
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Academic centers for Pubic health preparedness
Partnership for Advancing Public Health Practice
and Preparedness
ASTHO
NACCHO
Centers for Disease Control and
Prevention Association of Schools of Public Health
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Academic centers for Pubic health preparedness
SCHOOLS
Columbia University Mailman School of Public
Health Center for Public Health  Emory
University, Rollins School of Public Health
Harvard School of Public Health Johns Hopkins
Bloomberg School of Public Health Saint Louis
University School of Public Health Tulane
University School of Public Health
and University of Alabama at Birmingham School
of Public Health University at Albany SUNY
School of Public Health University of California
at Berkeley School of Public Health University
of California at Los Angeles School of Public
Health University of Illinois at Chicago School
of Public Health
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Academic centers for Pubic health preparedness
SCHOOLS
University of Iowa Center for Public Health
Practice University of Medicine and Dentistry of
New Jersey School of Public Health University of
Michigan School of Public Health University of
Minnesota School of Public Health  University of
North Carolina Chapel Hill School of Public
Health University of Oklahoma College of Public
Health University of Pittsburgh Graduate School
of Public Health and  Ohio State University
School of Public Health University of South
Carolina, The Norman J. Arnold School of Public
Health University of South Florida College of
Public Health University of Texas School of
Public Health University of Washington School of
Public Health and Community Medicine
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Academic centers for Pubic health preparedness
PURPOSES and ACTIVITIES

• Support state and local public health agencies in
  achieving
• preparedness by assessing their needs and
  providing
• technical assistance.

2. Develop and deliver competency-based training
in BT preparedness.
3. Ensure best practices.
4. Evaluate trainings thereby ensuring
cost-effectiveness and minimizing duplication.

• Expand access to training for public health
  professionals
• across the Nation.

• Evaluate the success of these tailored trainings
  in meeting
• national goals for preparedness.

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ConnectivityTHE DILEMMA OF THE CUBE
Peep hole B
Peep hole A

Peep hole A
Peep hole B
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Negotiation Conflict resolution For public
health preparedness
CONNECTIVITY
A seamless web of
people, organizations, resources, information
that can best
catch, contain, and control
a bioterrorist incident
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What is necessary To achieve connectivity?
CONNECTIVITY
Linkages
A seamless web of
people, organizations, resources, information
Operations
that can best
Assets
catch, contain, and control
a bioterrorist incident
Decisions
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What are the greatest Obstacles to connectivity?
Symptoms of conflict
Linkages
not in place
Operations
Assets
impeded
not ready
Decisions
Lousy
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connectivity
Differential Levels of Connectivity
High
Integrated systems
Parallel systems
Middle
Competitive systems
Low
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connectivity
Decisions
Integrated
Decision-making occurs together on most topics
Decision-making occurs on specific topics
Parallel
Separate decision making
Competitive
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connectivity
Emergency Preparedness
Integrated
Key systems, people, resources, information
closely linked
The job gets done with limited efficiency
effectiveness
Parallel
System components unlinked with overlaps and
gaps
Competitive
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collaboration
Whole Image Negotiation
Interdependence - Fit - Collaboration
Imagination- Time dimensions
Interest based - Mutual benefits
W.I.N.
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conceptual Framework for PROBLEM SOLVING
MULTI-DIMENSIONAL PROBLEM SOLVING
Classic adversarial conflict
Uni-dimensional problem solving Me for Me
Two-dimensional problem solving Me against You
Collaboration
Us together
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connectivity
Differential Levels of Connectivity
High
Integrated systems
Interest-based negotiation
Multi-dimensional P.S.
?
Walk in the Woods
Performance
Values Models Methods
Parallel systems
Middle
Leadership
Performance
Power plays dominance
?
Uni, Two-dimensional PS
Competitive systems
Positional bargaining
Low
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connectivity
Improving System Performance
High
YOUR JOB
YOUR JOB
System Performance
?
Performance
Middle
Performance
YOUR JOB
YOUR JOB
?
Everyone doing their job very well
Low
Everyone connecting their efforts
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connectivity
Give Yourself and Your System a Connectivity
Grade
?
A
Integrated
What can you do to improve your grade?
B
?
?
C
Parallel
D
?
?
F
Competitive
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BARRIERS TO NEGOTIATING Collaborative strategies
Which door do you choose?
Pay
Get
A
B
Perceptions of risks?
Door A
Door B
Perceptions of rewards?
Decision analysis what criteria influence your
decisions?
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BARRIERS TO NEGOTIATING collaboration Preparedne
ss
Which door do you choose?
Pay
Get
A
B
Risks of Terrorism?
Door A
Door B
The Rewards of Funding?
Decision analysis what criteria influence your
decisions?
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THE ALIGNED and connected Seamless web
Strategy
- Leadership
- Productivity
Consistency
Direction
Internal
External
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responsibility
CONNECTIVITY
Each person and each entity that is part of the
bioterrorism preparedness effort
has the responsibility to promote efforts
to build collaboration, manage differences
(conflicts), and work toward resolving them.
To create a strong web of surveillance,
Detection, and response
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Partnerships between Public agencies and
academia Building CONNECTIVITY To advance
PREPAREDNESS Leonard J. Marcus, Ph.D.
Thank you
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For more information Leonard J. Marcus,
Ph.D. Harvard Center for Public Health
Preparedness 677 Huntington Avenue Boston, MA
02115 617-496-0867 To contact Dr. Marcus by
e-mail ljmarcus_at_hsph.harvard.edu
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