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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

PHTCNetworkSprng2006_V2

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Public Health Training Centers

 A program funded by

U.S. Department of Health and Human ServicesHealth Resources and Services Administration

2006

r. 5/06

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HRSA: The Access Agency

Mission: To improve and expand access to qualityhealth 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 meettheir unique health care needs.

Strategies: Move toward eliminating barriers to careand 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 Purpose

Improve the Nation¶s public healthsystem by strengthening the

technical, scientific, managerial andleadership competence of thecurrent 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 emergencypreparedness

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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 Inf rastructure

Competencies for public health workers (23-8)

Training in essential public health services (23-9)

Continuing education and training by public healthagencies (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

Public Health

Core Competencies

Emergency

Preparedness

Leadership

Competencies

 Nursing

CompetenciesEnvironmental

Health Skills

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States Served by a PHTC

Award Recipient States Covered #

Boston University M A, CT, ME, RI, VT, NH 6

U. Pittsburgh OH, PA 2

UNC Chapel Hill NC, SC, VA, KY, WV, TN 6

U. Michigan MI 1

Tulane University LA, AL, MS, AR 4

U. Texas Houston HSC TX 1

U. Washington W A, ID, OR, AK, MT, WY 6

UCLA CA, HI, NV, UT 4

Columbia University NY, NJ 2

U. Illinois-Chicago IL, IN 2

U. Minnesota MN, WI, ND 3

U. Iowa I A, NE, SD 3

St. Louis University MO, KS 2

Johns Hopkins University MD, DE, DC 2

Total All PHTCs 44

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PHTC Partnership Structure

Supported by an accredited school(s) of publichealth

Collaboration with 118 academic and 342 practicepartners

In 2005, over 75 percent of PHTC trainings wereco-sponsored with other organizations

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Public Health Training CentersPublic Health Training CentersPublic Health Training CentersPublic Health Training Centers

Health Resources and Services AdministrationHealth Resources and Services AdministrationHealth Resources and Services AdministrationHealth Resources and Services Administration

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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 CityHealth Officials (NACCHO)

 Association of State and Territorial HealthOfficials (ASTHO)

State primary care associations

National and state public healthassociations and foundations

Boards of health

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PHTC Academic Partners

118 academic partners

Schools of Public Health

Universities and communitycolleges

 Area Health Education Centers

CDC Centers for Public HealthPreparedness

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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

FY 2000-2006 (in millions)

0

1

2

3

45

6

FY

2000

FY

2001

FY

2002

FY

2003

FY

2004

FY

2005

FY

2006

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Public Health IOM Reports

The Future of Public Health, 1988

Who Will Keep the Public Healthy?, 2003

The Future of the Public¶s Health in the 21st

Century, 2002

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PHTC Mission IOM Recommendations

Forge academic and practice partnerships toaddress the learning needs of the current andfuture public health workforce

 Assess the learning needs of the public healthworkforce in the geographic area served by thecenter 

Develop/deliver learning programs to addressthose needs

Foster ties between academic faculty, graduatepublic health students and leaders in thepractice community via collaborative projects in

underserved areas or with underservedpopulations

Foster ties between academic faculty, graduatepublic health students and leaders in thepractice community via improved or expandedfield training opportunities in underserved areasor 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 areaddressed (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)

Practitioner involvement in training public health students (p.23)

Improve practice experience for public health students (p.23)

Practical training in public health activities (p.14-15)

Fund degree oriented public health fellowship programs (p.23)

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Needs Assessment Efforts

PHTC Needs Assessments are ongoing andinclude:

Education and training needs of the publichealth workforce

Educational assets and resources in servicearea

 Assessment results inform the development of training initiatives

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Number of Public Health Workers

Trained

84,000

55,428

37,889

13,048

93,278

0

20,000

40,000

60,000

80,000

100,000

2001 2002 2003 2004 2005

N umber of  P ublic He alth Wo rkers

T rained by P H T C : 2001-2005

   N

  u  m   b  e  r   T  r  a   i  n  e   d

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

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 Number of PHTC Distance Learning

Participants

20,278

49,432

6,296

64,927

13,6850

20,000

40,000

60,000

80,000

2001 2002 2003 2004 2005

Nu of PH C D st nc L n ng

P t c p nts: 2001-2005

       N  u

 

  n

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

405

1,012

2,705

1,3321,396

0

500

1,000

1,500

2,000

2,500

3,000

2001 2002 2003 2004 2005

Number of PHTC Trainings

Offered: 2001-2004

   N  u  m   b

  e  r  o   f   T  r  a   i  n   i  n  g  s

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Percentage of Face-to-Face and

Distance Learning Trainings

66

34

63

3729

71

52 4846

54

0

20

40

60

80

100

   P  e  r  c  e  n   t  o   f   T  r  a   i  n

   i  n  g  s

2001 2002 2003 2004 2005

Face-to-Face Trainings DL Trainings

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PHTC Accomplishments

Over 1,900 differenttrainings/courses havebeen developed or are in

development Over 75% of trainings co-

sponsored with other organizations in 2005-2006

67% of trainings arebased on one or more of the Council on Linkages(COL) competencies

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Workforce Served

Percentage of Trainees by Occupation/Professional

Discipline

6

63322

53

25 NursesHealth AdministratorsHealth EducatorsEnvironmental HealthEmergency/BT PreparednessNutritionEpidemiologyOther Public Health Workers

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Workplace Served

Pe en e f  T inee b p e

54

3

43e l h ep t en

Publi e l h C unit

B e O niz ti nO he

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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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P HT C

2  0  0  5 Tr  ai  ni  n gT o pi   c 

 (   3  /   0  5 ± 3  /   0  6  )  

 0  2   0  

4   0  

 6   0  

 8   0  

1   0   0  

1  2   0  

1  4   0  

1   6   0  

1   8   0  

# ining

Emer Prep

PH Practice

anagement

PH Science

Other 

Communicati n

En r  Health

Leader  hip

Cultural mp

Advocacy/Policy

Nutr ition

Data Analy i

PH 101

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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(³Hybrid´)

Coursebook/ manual Telehealth

17%

10%

8%

6%

21%46%

Face-to-Face

Satellite

roadcast

Video

Other

Web-based

Live & Web-

based

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Free Web-Based PHTC Courses

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South Central Public Health

Training Center ± 14 Courses

Managing Conflict in theWorkplace

Public Health FinancialManagement

Public Health Law Managing and Motivating

Effective Public HealthPerformance

Preparing a Competitive

Grant Application Public Health Information

Systems

Public Health Insurance

Community Health andDisease

Health Economics for PublicHealth Professionals

Health Risk Assessment andTaking an Exposure History

Improving Your Communication Skills

Introduction to Epidemiology

Leadership, StrategicPlanning & System

 Approaches

Managerial Communications

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New York & New Jersey

Public Health Training Center

http: www.n nj-phtc.org

Provides learners with a basic understanding of public health'smission and functions

Designed to orient newly hired support and technical staff to thefield, 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 

Foundation for understanding genomic advances and identifying therelevance 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

https://www.sph.umich.edu/iscr/mphtc/

Six Weeks to Genomic Awareness

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Upper Midwest Public Health

Training Center

http: www.public-health.uiowa.edu/UMPHTC /

Video series designed to help public healthworkers better understand the ten essentialservices that form a comprehensive publichealth program

First-person stories from outstandingregional public health practitioners

Each one-hour video focuses on oneessential service

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Pacific Public Health Training Center

http: //www.pphtc.org

Pr inciples of Public Health Offered in English and Spanish

Provides an overview of the most important issues and topicsrelated to public health departments and public health practice

Course modules include:

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

Public health law 

Environmental health issues

Epidemiology and biostatistics

Evaluation

Community needs assessment 

Future challenges in public health

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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 xper ience (PHASE) 

Collaboration with the Maryland Department of Health andMental Hygiene

Program has offered 30 internships for public healthgraduate students since 2002.

Students gain insight on how a degree in public health canbe applied to a career and ³real world´ experiences

New York & New Jer sey Public Health Training 

Center  Collaborated with Bergen County Department of Health

Services to open a health department training unitspecifically for graduate public health students

Internship and funding opportunities for MPH studentscontinually researched and posted on Center website

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Midwest Center for Life-Long-Learning in Public Healthhttp://www.mclph.umn.edu/watersedge/

Interactive CD-ROM and internet-accessible game designed toexpose 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 Teacher¶s Guide and Mac/PC versions

 Available in English and Spanish

Public Health Game targets K-12 Students

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Community Health Centers

Career Path Project CD-ROM

The Upper Midwest PHTC worked with theIowa 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, providingadvantages and disadvantages of each

Identifies different measures to communicateand evaluate health disparity in our communities

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 NY & NJ PHTC Communicate

toMake a Difference Series

Practicing Cross-CulturalCommunication: Consists of three separate

modules, each with its ownevaluation and continuingeducation credits forms

Each module should takeabout 1.5 hours to complete

Exploring Cross-CulturalCommunication:

Learners explore the meaning of culture, methods of communication,and strategies for communicatingmore effectively by taking part in³virtual´ group conferences, readingand responding to simulated e-mails,

and utilizing resource documents

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Environmental Health Nursing

Initiative

Supplemental funding provided by Agency for Toxic Substancesand 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 nur sing by 

addressing lear ning and training needs thr ough the 

partner ship between public health academia and 

practice.*

  Compr ised of over  40 member s representing 

academia and nur sing 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 andprogramming, particularly as it relates to the needs of the rural public health workforce with an emphasis onlearning and training needs.

Rural Public Health Research Agenda SettingMeeting:

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 Apr il 2004

University of PittsburghCenter for Rural Health Practicehttp://www.upb.pitt.edu/crhp/

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National PHTC Network 

Improve quality and outcomes of public healthtraining

Increase efficiency of PHTC operations and trainingdelivery

Expand the coverage of PHTC and the NationalPHTC 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 traininginitiatives (e.g. AHEC, ACPHP)

 Address multi-state training jurisdictionalissues

Serve as a vehicle for:

Coordinating, facilitating, and disseminatinginformation

Providing technical assistance for individualCenters and their partners

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Expanding Coverage of PHTC

PHTC will devise a logical and equitable planto extend the coverage of the PHTC toinclude:

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 planto extend the coverage of the PHTC toinclude:

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 andorganization 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-Amer ica Public Health Training Center 

www.uic.edu/sph/maphtc

Mid-Atlantic Public Health Training Center 

maphtc.jhsph.edu

Midwest Center for  Lif e Long Lear ning in Public Health

www.publichealthplanet.org

New England Public Health Workforce Development Alliance

www.bu.edu/publichealthworkforce/index.html

New York and New Jer sey Public Health Training Center 

www.nynj-phtc.org

Northwest Center for  Public Health Practicewww.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 

www.public-health.uiowa.edu/UMPHTC/

Health Resources and Ser vices Administration

http://bhpr.hrsa.gov/publichealth/phtc.htm

 Association of Schools of Public Healthbli h ltht i i t