National Bioterrorism National Bioterrorism Hospital Preparedness Hospital Preparedness Program:Program:Education and TrainingEducation and Training

Terri Spear, Ed.M.Terri Spear, Ed.M.Bioterrorism Education and Training

SpecialistEmergency Preparedness Evaluation and

Specialty BranchSpecial Programs BureauHealth Resources and Services

Administration U.S. Department of Health and Human

ServicesRockville, MD

Program MissionProgram Mission

““Ready Hospitals and supporting Ready Hospitals and supporting health care systems to deliver health care systems to deliver coordinated and effective care to coordinated and effective care to victims of terrorism and other victims of terrorism and other public health emergencies.”public health emergencies.”

Education and TrainingEducation and Training

FY 02 Guidance – Secondary PriorityFY 02 Guidance – Secondary Priority

FY 03 Guidance – Optional FY 03 Guidance – Optional Benchmark #5Benchmark #5 89% of the jurisdictions addressed 89% of the jurisdictions addressed

education and training directly.education and training directly. 100% described educational activities100% described educational activities

Targeted TraineesTargeted Trainees69%

10%

60%

65%

0%

65% 63%

0%

10%

20%

30%

40%

50%

60%

70%

80%

Labo

rato

ry

Fire/P

olice

/EM

T

Med

icine

Men

tal H

ealth

Nursin

g

Allied

Health

Emer

genc

y Mgm

nt

Per

cen

tag

e o

f P

rog

ram

s

Topics AddressedTopics Addressed

21%

37%45%48%

58%60%56%

79%70%

0%10%20%30%40%50%60%70%80%90%

Work

er S

afet

y

Psych

osoci

al

Biolo

gical

Chemic

al

Inci

dent C

omm

and

Specia

l Popula

tions

Radio

logic

al

Risk

Comm

unic

atio

n

Explo

sive

s

Educational MethodologyEducational Methodology

61%52% 50%

69%55%

42%

11%

0%10%20%30%40%50%60%70%80%

Face

to F

ace

Distan

ce E

duca

tion

Dissem

inat

ion

of W

ritte

n M

ater

ials

Tablet

op E

xerc

ises

Field

Exerc

ises/

Drills

Train

the

train

er

Libra

ry D

evelo

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Pe

rce

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of

Pro

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ms

The Overriding QuestionThe Overriding Question What percentage of the Nation’s health care What percentage of the Nation’s health care

workforce is prepared to respond workforce is prepared to respond competently to a public health emergency?competently to a public health emergency? Federal Response TodayFederal Response Today

Progress reportsProgress reportscan’t tell uscan’t tell us State and Local Response TodayState and Local Response Today

Can’t tell usCan’t tell us Providers ResponseProviders Response

G. Caleb Alexander et al, “Ready and G. Caleb Alexander et al, “Ready and Willing? Physician Sense of Preparedness for Willing? Physician Sense of Preparedness for Bioterrorism”, Bioterrorism”, Health Affairs, Oct. 2003.Health Affairs, Oct. 2003.

Future DirectionFuture Direction Assist awardees in transforming Assist awardees in transforming

bioterrorism education bioterrorism education fromfrom a focus on a focus on content alonecontent alone

SmallpoxSmallpox AnthraxAnthrax Radiation IllnessRadiation Illness

towardtoward competencies competencies All hospital employees should be able to describe All hospital employees should be able to describe

their emergency response role and be able to their emergency response role and be able to demonstrate it during drills or actual demonstrate it during drills or actual emergencies.emergencies.

Existing Bioterrorism Existing Bioterrorism CompetenciesCompetencies

Public HealthPublic Health MedicineMedicine NursingNursing EMSEMS Hospital-based employeesHospital-based employees Hospital administratorsHospital administrators

Expected Benefits of Expected Benefits of Competency-Based Competency-Based EducationEducation

Programmatic definition and Programmatic definition and differentiationdifferentiation

Increased focus on obtaining the Increased focus on obtaining the answers to the real question: answers to the real question: What percentage of our health care What percentage of our health care

workforce is prepared to respond?workforce is prepared to respond? Increased relationship between training Increased relationship between training

and workplace applicabilityand workplace applicability Training outcomes are observable and Training outcomes are observable and

therefore measurabletherefore measurable

Improved transferability and Improved transferability and comparability of trainingcomparability of training Educational mappingEducational mapping

Efficiency in resource utilizationEfficiency in resource utilization Clearer definition of health care provider Clearer definition of health care provider

preparednesspreparedness Expensive drills will have added Expensive drills will have added

utilization.utilization.

Expected Benefits of Expected Benefits of Competency-Based Competency-Based EducationEducation

For More InformationFor More Information

For more information on HRSA’s For more information on HRSA’s National Bioterrorism Hospital National Bioterrorism Hospital Preparedness Program, go to: Preparedness Program, go to:

www.hrsa.gov/bioterrorism.htmwww.hrsa.gov/bioterrorism.htm