LINKING ASSESSMENT AND MEASUREMENT TO PERFORMANCE IN PHEP SYSTEMS (LAMPS)

描述（由申请人提供）：来自哈佛大学和其他机构的一个独特的多学科团队将采用公共卫生系统研究方法来生成有效和可靠的标准和指标，以评估并最终改善美国的公共卫生应急准备（PHEP）。尽管自9/11以来，国家在公共卫生项目培训上投入了数十亿美元，但国际移民组织最近指出，该国缺乏“有效的标准和指标，使公共卫生系统能够持续改进，并证明社会投资的价值。”为了满足这一需求，我们提出了lamp（将PHEP系统中的评估和测量与绩效联系起来），这是一个新的中心，将通过四个项目采用协调和综合的四步方法来制定PHEP标准和指标。这些项目是由解决四个关键问题的度量开发周期构成的：(1)为什么度量——阐明度量工作的目的和用途；(2)测量什么——确定要测量的领域和标准；(3)如何衡量——为每个概念制定具体的衡量标准；(4)度量标准的工作效果如何——评估所开发的度量标准的有效性、可靠性、效用和实用性。项目1，将评估和测量与PHEP系统改进联系起来（“PHEP系统改进”）最初侧重于周期的第一步，即为什么要测量-澄清测量工作的目的和用途，以指导使用医疗保健改进研究所（IHI）的创新工作的PHEP系统改进工作。项目2，通过工程系统分析（“工程系统分析”）将评估和测量与PHEP联系起来，将重点放在周期的第二步，即确定大流行性流感非药物干预措施（npi）的防范领域和标准方面的测量内容。项目3将评估和测量与PHEP通信（“PHEP通信”）中的绩效联系起来，讨论如何测量与PHEP通信相关的信息的暴露、处理和注意以及预期结果相关的领域的指标。项目4将评估和测量与PHEP演练和练习中的绩效联系起来（“演练和练习”）将从周期的第四步开始，检查与演练和练习相关的指标在有效性和可靠性方面的表现。通过这些项目和一项核心培训倡议，lamp将为未来的科学和公共卫生实践指明方向。

DESCRIPTION (provided by applicant): A unique multidisciplinary team from Harvard University and other institutions will employ a public health systems research approach to generate valid and reliable criteria and metrics to assess, and ultimately improve, public health emergency preparedness (PHEP) in the United States. Despite the national investment of billions of dollars in PHEP training since 9/11, the IOM recently noted that the country lacks" validated criteria and metrics that enable public health systems to achieve continuous improvement and to demonstrate the value of society's investment." To address this need, we propose LAMPS (Linking Assessment and Measurement to Performance in PHEP Systems), a new center that will pursue a coordinated and integrated four-step approach to the development of PHEP criteria and metrics through four projects. These projects are framed by a measurement development cycle that addresses four key questions: (1) why measure - clarify the purposes and uses of the measurement effort; (2) what to measure -- identify the domains and criteria to be measured; (3) how to measure - develop specific metrics for each concept; and (4) how well do the metrics work -- assess the validity, reliability, utility, and practicality of the measures developed. Project 1, Linking Assessment and Measurement to PHEP Systems Improvement ("PHEP Systems Improvement") focuses initially on the first step of the Cycle, i.e., why measure- to clarify the purposes and uses of the measurement effort related to guide PHEP systems improvement efforts using the innovative work of the Institute for Healthcare Improvement (IHI). Project 2, Linking Assessment and Measurement to PHEP through Engineering Systems Analysis ("Engineering Systems Analysis") will focus on the second step of the Cycle, i.e., identifying what to measure with respect to preparedness domains and criteria non-pharmaceutical interventions (NPIs) for pandemic influenza. Project 3 Linking Assessment and Measurement to Performance in PHEP Communications ("PHEP Communications") addresses how to measure metrics for domains relevant to exposure, processing and attention to information pertaining to PHEP communications, and the intended outcomes. Project 4 Linking Assessment and Measurement to Performance in PHEP Drills and Exercises ("Drills and Exercises") will start at the fourth step of the Cycle by examining how well metrics related to drills and exercise perform with respect to their validity and reliability. Through these projects and a Core training initiative, LAMPS will illuminate science and public health practice for the future.