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3. Twenty Years After 9/11: The Public Health Preparedness We Need Now

Author

Raphael M. Barishansky, James S. Blumenstock, and Michael R. Fraser

Subjects
National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division, medicine.medical_specialty, 2019-20 coronavirus outbreak, Behavioral Risk Factor Surveillance System, Coronavirus disease 2019 (COVID-19), Civil defense, business.industry, Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), Public health, medicine.medical_treatment, Public Health, Environmental and Occupational Health, Civil Defense, Disaster Planning, Planning Techniques, United States, Crisis Intervention, Family medicine, Medicine, Humans, Public Health, Emergencies, business, Public health preparedness, Crisis intervention
Published
2023

9. Implementation of a Nationwide Knowledge-Based COVID-19 Contact Tracing Training Program, 2020

Author

Elizabeth Ruebush, Amanda Dennison, J.T. Lane, Paris Harper-Hardy, Amelia Poulin, Bill Prather, Shauntā Wright, David Harvey, and Michael R. Fraser

Subjects
Public Health, Environmental and Occupational Health, Workforce, Humans, COVID-19, Public Health, Contact Tracing, Pandemics, United States
Abstract

In the United States, the public health response to control COVID-19 required rapid expansion of the contact tracing workforce from approximately 2200 personnel prepandemic to more than 100 000 during the pandemic. We describe the development and implementation of a free nationwide training course for COVID-19 contact tracers that launched April 28, 2020, and summarize participant characteristics and evaluation findings through December 31, 2020. Uptake of the online asynchronous training was substantial: 90 643 registrants completed the course during the first 8 months. In an analysis of a subset of course participants (n = 13 697), 7724 (56.4%) reported having no prepandemic public health experience and 7178 (52.4%) reported currently serving as case investigators, contact tracers, or both. Most participants who completed a course evaluation reported satisfaction with course utility (94.8%; 59 497 of 62 753) and improved understanding of contact tracing practice (93.0%; 66 107 of 71 048). These findings suggest that the course successfully reached the intended audience of new public health practitioners. Lessons learned from this implementation indicate that an introductory course level is appropriate for a national knowledge-based training that aims to complement jurisdiction-specific training. In addition, offering a range of implementation options can promote course uptake among public health agency staff. This course supported the emerging needs of the public health practice community by training a workforce to fill an important gap during the COVID-19 pandemic and could serve as a feasible model for enhancing workforce knowledge for future and ongoing public health threats.

Published
2022

11. Building Strategic Skills for Better Health : A Primer for Public Health Professionals

Author

Michael R. Fraser, Brian C. Castrucci, Michael R. Fraser, and Brian C. Castrucci

Subjects
Leadership, Health services administration, Decision making
Abstract

While academic programs prepare public health graduates for the technical challenges of practice, many professionals new to the field also need training in the cross-cutting strategic skills required for successful leadership and management of health agencies. Successful practitioners blend subject matter expertise with administrative and leadership acumen to ensure that improvements in public health reach the communities they serve. Building Strategic Skills for Better Health: A Primer for Public Health Professionals offers a dynamic guide for implementing and developing leadership, management, and advocacy skills to transform public health work across disease-focused services toward integrated population health initiatives. Authored by key leaders in public health, this professional primer defines the nine essential strategic skills for effective public health practice across public health specialties: · Systems and Strategic Thinking · Change Management · Justice, Equity, Diversity, and Inclusion · Effective Communication · Resource Management · Data-Based Decision-Making · Policy Engagement · Community Engagement · Cross-Sectoral Partnerships Building Strategic Skills for Better Health equips professionals at all levels with the workforce-readiness tools and knowledge needed to thrive in today's public health agencies.

Published
2024

12. The Exodus Of State And Local Public Health Employees: Separations Started Before And Continued Throughout COVID-19.

Author

Leider JP, Castrucci BC, Robins M, Hare Bork R, Fraser MR, Savoia E, Piltch-Loeb R, and Koh HK

Subjects
Humans, Pyrantel, Disease Outbreaks, Local Government, Public Health, COVID-19
Abstract

Understanding the size and composition of the state and local governmental public health workforce in the United States is critical for promoting and protecting the health of the public. Using pandemic-era data from the Public Health Workforce Interests and Needs Survey fielded in 2017 and 2021, this study compared intent to leave or retire in 2017 with actual separations through 2021 among state and local public health agency staff. We also examined how employee age, region, and intent to leave correlated with separations and considered the effect on the workforce if trends were to continue. In our analytic sample, nearly half of all employees in state and local public health agencies left between 2017 and 2021, a proportion that rose to three-quarters for those ages thirty-five and younger or with shorter tenures. If separation trends continue, by 2025 this would represent more than 100,000 staff leaving their organizations, or as much as half of the governmental public health workforce in total. Given the likelihood of increasing outbreaks and future global pandemics, strategies to improve recruitment and retention must be prioritized.

Published
2023
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