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2015 State of CSTE CSTE Business Meeting Boston, Massachusetts Strategic Plan 2012-2014 Drive the use of epi data to address major preventable causes of morbidity and mortality in the nation • Built ID and non-ID programs, Surveillance and Informatics • Home organization for applied PH epi: opened Board election to all active members • Diversify funding sources: CDC/EPA (waterborne fellows), CDC/HRSA (MCH Epi), SAMHSA (in progress) • Communications: established marketing and communication position at national office; blogs and social media replacing quarterly newsletter Strategic Plan 2015-2017 CSTE Membership CSTE Membership • CSTE has 1,578 members (June 15, 2015) • Grown from under 400 in 2002 to 1,208 in 2014 • Breakdown: • 70 % active members • 21 % associate members • 9 % student members CSTE Membership Structure CD/MCH/Oral Health Steering Committee Chronic disease Cross Cutting I Steering Committee Cross Cutting II Steering Committee Environmental/ Occupational/ Injury Steering Committee Alcohol Border/ International health Climate change Alcohol and other drug indicators Disparities Local epidemiology Epidemiology methods Environmental epidemiology Overdose PH emergency preparedness Injury surveillance and control Maternal and child health PH and Primary Care Integration Oral health Substance abuse Workforce Public health law Tribal epidemiology Surveillance/ Informatics Steering Committee Food Safety Disaster epidemiology CD/MCH/Oral Health Epi Capacity Building Infectious Disease Steering Committee Occupational health surveillance Healthcareassociated infections HIV Influenza Electronic laboratory and disease reporting STDs Surveillance policy Vaccinepreventable diseases Surveillance practice & implementation Vector-borne diseases Significant Accomplishments Significant Accomplishments Workforce • Hosted 2015 CDC Orientation for New State Epidemiologists in May 2015 for 7 new State and Territorial Epis • Held Epi Info in-person training for 15 epidemiologists in May 2015 • Launched Epi Info Needs Assessment • Applied Epidemiology Fellowship • 32 Class XI graduating • 30 Class XII beginning their 2nd year • 26 Class XIII matches as of 5/27/15, anticipating additional matches • New partnership with SAMHSA for Behavioral Health positions in the fellowship Significant Accomplishments Workforce • APHIF • 10 fellows graduated from Class III; 4 completing 2nd year extension pilot • Class IV begins Summer 2015 with 10 funded positions and an extension year for Class III to have a 2nd year • •9 Class I HSIP fellows graduating • •8 Class II HSIP fellows begin Summer 2015 • •10 I-TIPP fellows graduating from Class II • •10 new Class III I-TIPP fellows beginning Summer 2015 Significant Accomplishments Chronic Disease, Maternal & Child Health, and Oral Health • Completed and distributed the final report for the CD/MCH/Oral Health epidemiology module as part of the 2013 ECA • Finalized the Chronic Disease Epidemiology Orientation Manual • Continued partnership with Westat to improve methods and surveillance of diabetes • Completed a four part CD Evaluation Webinar series • Drafted an oral health three year training plan to improve oral health epidemiology capacity Significant Accomplishments Cross Cutting • Completed a Tribal Data Linkage Toolkit as a resource to states working with tribal health data linkages • Completed the Applied Epidemiology Scientific Writing Trends, Needs, and Recommendations 2014 Report • Distributed the 2013 ECA Final Report, Developed ECA State Profiles, and a MMWR Publication was released in April 2015 • Convened a Marijuana Workgroup to assist states in the surveillance of marijuana use and the development of evidence-based intervention strategies Significant Accomplishments Cross Cutting (continued) • Submitted an article describing overdose death surveillance guidelines which will be published in Public Health Reports • Released a tool to analyze text on death certificates by identifying specific drugs to improve drug overdose surveillance • Partnered with SAMHSA to form a workgroup to develop case definitions for reporting and identification of key indicators for statebased surveillance of substance abuse and mental health Significant Accomplishments Environmental Health, Occupational Health, & Injury • Highlighted and generated state occupational health success stories • Convened the 7th Annual Western States Occupational Network (WestON) Meeting • Collaborated with the Association of Occupational and Environmental Clinics (AOEC) Occupational Health Internship Program to fund 4 students for 8-week internships in occupational health (summer 2014) • Convened the 6th Annual Disaster Epidemiology Workshop • Completed the Assessment of State Activities in Noninfectious Environmental Health Exposure Monitoring and Investigation Report • Partnered with NAPHSIS to strengthen the surveillance capability of the National Vital Statistics System for tracking disaster-related deaths • Distributed the Environmental Health Module of the 2013 ECA Significant Accomplishments Infectious Disease • Coordinated Ebola responses activities among CSTE members with CDC, partner organizations and other partners • Supported 3 epidemiologists to travel to unaffected regions in West Africa and 7 French-speaking epidemiologists to affected regions in West Africa • Distributed the 2nd Edition of the CIFOR Guidelines and Toolkit • Supported SAS e-learning courses to HIV/AIDS surveillance coordinators and supported peer to peer consultations Significant Accomplishments Infectious Disease (continued) • Influenza surveillance pilots: Continued to support at multiple sites through 3 projects • Influenza Hospitalization Surveillance Project (IHSP) • Influenza Incidence Surveillance Project (IISP) • Severe Acute Respiratory Infections (SARI) • Completed international Influenza Surveillance Reviews • Supporting 8 sites to promote One Health initiatives by educating youth on the epidemiology of zoonotic diseases with PH impact • Convened the Hepatitis C Taskforce to assess current surveillance capacity for Hepatitis C in the United States Significant Accomplishments Surveillance and Informatics • Supported jurisdictions in the National Notifiable Diseases Surveillance System (NNDSS) Modernization Initiative (NMI) – a multi-year collaboration with CDC and APHL • Supported CDC Message Mapping Guide Development • Partnering with CDC in a project to demonstrate the feasibility of the RCKMS for use in electronic case reporting • Submitted formal feedback for Meaningful Use Stage 3 and the accompanying ONC NPRM 2015 Edition Certification Criteria and the Federal Health IT Strategic Plan 2015-2020 New and Continued Partnerships AMCHP* ASTHO CDC NASPHV NIOSH SAMHSA* NACCHO APHL CIFOR ISDS NFID* PHII * New partner Administrative Report Financial Results for Year Ending 9/30/14 Financial Results for Year Ending 9/30/14 CSTE Revenues by Area - Year Ending 9-30-14 Infectious Disease Applied Epidemiology Fellowship Epidemiology & Surveillance SHINE Fellowship Maternal Child Health Occupational Environmental Preparedness Chronic Disease NASPHV Oral Health - 500,000.00 1,000,000.00 1,500,000.00 2,000,000.00 2,500,000.00 3,000,000.00 3,500,000.00 4,000,000.00 CDC Cooperative Agreement Trend $18,000,000 $16,000,000 $14,000,000 * $12,000,000 $10,000,000 Carry forward $8,000,000 Funding * projected $6,000,000 $4,000,000 $2,000,000 $2009 2010 2011 2012 2013 2014 Advocacy • Hill visits supported several priorities in CDC budget: • • ELC, food safety, public health workforce capacity program Updated letter of support for President’s budget in April • Agreed with $226.754 million for the Core Infectious Diseases program • Agreed with $40 million for the Advanced Molecular Detection and Response to Infectious Disease Outbreaks (AMD) • Agreed with $30M expansion request for antimicrobial resistance response Advocacy • Communicable Disease Reporting by VA Medical Centers • • • Working with Congress on proposed House legislation that mandates VA reporting via existing mechanism of state laws and rules Working with VA on implementation of the June 2013 VA Reporting Directive CSTE conducted assessment in December 2013 about implementation of Directive and found uneven implementation Organizational Challenges and Opportunities • Integrating informatics and epidemiology and modernizing the PH workforce • Improving National Office public health emergency response capacity with CDC/OPHPR • Managing the growth and diversity of CSTE within mission CSTE National Office 2872 Woodcock Boulevard, Suite 250 Atlanta, Georgia 30341 770.458.3811 770.458.8516 [email protected]