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衡量标准，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事件以来，国家在PHEP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“经过验证的标准和指标，使公共卫生系统能够实现持续改进，并证明社会投资的价值。”为了满足这一需求，我们提出了LAPS(将评估和测量与PHEP系统中的性能联系起来)，这是一个新的中心，将通过四个项目采取协调和集成的四步法来制定PHEP标准和指标。这些项目由一个解决四个关键问题的度量开发周期构成：(1)为什么要度量--澄清度量工作的目的和用途；(2)度量什么--确定要度量的域和标准；(3)如何度量--为每个概念制定具体的度量；以及(4)度量工作做得如何--评估所开发的度量的有效性、可靠性、实用性和实用性。项目1，将评估和测量与PHEP系统改进联系起来(“PHEP系统改进”)，最初侧重于该周期的第一步，即为什么进行测量--澄清与使用卫生保健改进研究所(IHI)的创新工作指导PHEP系统改进工作相关的测量工作的目的和用途。项目2，通过工程系统分析(“工程系统分析”)将评估和测量与公共卫生规划联系起来，将侧重于周期的第二步，即确定关于大流行性流感的防备领域和标准的非药物干预措施。将评估和测量与PHEP通信中的性能联系起来的项目3(“PHEP通信”)解决了如何衡量与PHEP通信相关的信息的暴露、处理和关注以及预期结果的领域的指标。将评估和测量与PHEP演习和演习(“演习和演习”)的绩效联系起来的项目4将在该周期的第四步开始，审查与演习和演习有关的指标的有效性和可靠性。通过这些项目和核心培训倡议，LAMP将照亮未来的科学和公共卫生实践。

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.