NBPHE Job Task Analysis



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NBPHE Job Task Analysis

Thank you for support from:

Why a job task analysis? Define a job task analysis Presentation Objectives State the purpose of the public health job task analysis Describe who conducted the analysis and their functions Describe the development of the survey Describe the survey respondents Describe the task domains and specific tasks that were most frequently selected by respondents

CPH Eligibility Graduates of CEPH accredited SPH/PHP Students who have taken the core courses Individuals who have taken the core and have a relevant graduate degree New Individuals who have a bachelor s degree and at least five years public health work experience. Pilot in October 2015

Who is requiring the CPH Exam? 1. Brigham Young University 2. St. George's University 3. University of Louisville 4. University of Kentucky 5. University of North Texas 6. University of Oklahoma 7. University of South Florida 8. Oregon MPH Program

Other schools/programs with significant CPH participation Columbia University CUNY Drexel University Eastern Virginia Medical School University of Florida Johns Hopkins University University of Pittsburgh Touro University CA

The CPH Examination 3 testing cycles per year at computerbased testing centers: February, June and October Exams given M-F and some Saturdays Paper-pencil testing administrations available by request Offered in locations in USA and globally

The CPH Examination No calculators or scratch paper allowed White board & markers may be used 4 hours to complete

The CPH Examination 200 items Pass rate is 80-85% Often described as Hard but Fair

Exam Coverage General Principles (25 items) Core areas Biostatistics (30 items) Epidemiology(30 items) Environmental Health Sciences (30 items) Health Policy & Management (30 items) Social and Behavioral Sciences (30 items) Cross Cutting areas (25 items) Communication & Informatics Diversity & Culture Leadership Professionalism Program Planning Public Health Biology Systems thinking

85.0% 80.0% 75.0% 70.0% 65.0% 60.0% 55.0% Exam Performance by Domain SBS CC EOH Epi Bio HPM 50.0% Bio EOH Epi HPM SBS Cross Cutting

$385 - Regular registration Price and discount program Schools/programs which sponsor minimum number of candidates can extend lower price to students and alumni: If minimum = 20% of graduating class: $345 If minimum = 30% of graduating class: $315 $250 for SPH/PHP which require the CPH $150 for pilot eligibility program

Study Resources Content Outline Sample Exam Questions Practice Exam Webinars

Bi-Annual Recertification Process (CEs) Bi-annual recertification process requiring CPH to earn 50 recertification credits Reporting via an online recertification portal CPH renewal fee is $95.00 every two years

Purpose of the Public Health Job Task Analysis The purpose of the public health job task analysis is to survey the domains and tasks identified by workers as associated with their positions as the basis for refining the Certification in Public Health examination sponsored by the NBPHE. As our purpose was to impact the CPH examination, our focus is on workers with advanced degrees.

Job Task Analysis Advisory Committee Julie Sheen Aaron, MPH, Chief Public Health Branch, HRSA Vladimir Berthaud, MD, MPH, Director, Division of Infectious Disease, Meharry Medical College Terry Brandenburg, MBA, MPA, MPH, Program Director, Medical College of Wisconsin Justin Frederick, MPH, CPH, Supervisor of Communicable Disease Epidemiology, Douglas County Health Department John Jacoby, MBA, PhD, Technical Advisor, Afton Chemical Pia MacDonald, PhD, MPH, Director, Epidemiology Center, Social & Scientific Systems, Inc. Elizabeth Majestic, MS, MPH, Association Director for Program Development, CDC David Palm, MA, PhD, Director of the Office of Community and Rural Health, Nebraska Department of Health and Human Services Kalpana Ramiah, DrPH, MPH, MSc, CPH, Principal Project Specialist, American Institutes for Research Mary Helen Smith, MPH, Director of Environmental Health, Mahoning County District Board of Health Laura Streichert, PhD, MPH, Executive Director, International Society for Disease Surveillance Karen Sicard, JD, MPH, Deputy Branch Chief, U.S. Public Health Service/Centers for Disease Control and Prevention Allison R. Sullivan, MPH, Consultant, Deloitte Consulting LLP

Responsibilities of Advisory Committee Define the target practitioner Develop demographic questions Develop job tasks and skills Determine distribution plan

What is a Job Task Analysis? Survey to define performance domains and tasks performed by a professional group, and the necessary knowledge and skills associated with these tasks. Domain #1 Task #1 Task #2 Domain #2 Task #1 Task #2

Council of Linkages ASTHO Blue Ribbon ASPPH MPH Report NBPHE JTA CEPH Criteria Revision MPH Foundational Skills Analytical/Assessment Skills Informatics and Analytics Analytic Methods & Technology and Information Analysis Critical / Strategic Analysis Data Analysis Communication Skills Communicating Persuasively Communications Communication Communication Communication Cultural Competency Skills Working with Diverse Populations & Working; Managing a Diverse Workforce & Staff Development Management and teamwork Diversity Diversity and Cultural Proficiency Cultural Competency Policy Development/Program Planning Skills Political Sensitivity Policy Policy Advocacy Policy & Advocacy Leadership and Systems Thinking Skills Systems Thinking & Problem Solving How the Health System Works Problem Solving Systems Thinking Leadership & Systems Thinking Systems Thinking Financial Planning and Management Skills Change Management/Flexibility Leadership; Budgeting and Finance Management, Finance & Policy Professionalism Public Health Sciences Skills Science Biological & Environmental Applications Program Planning, Management & Evaluation Community Dimensions of Practice Skills Global Health Global Health Policy Health Systems Collaboration Collaborating and Partnering Adaptability; Resilience ; Staff Development and WOrkforce Ethics

Council of Linkages ASTHO Blue Ribbon Job Task Analysis ASPPH MPH Report Analytical/Assessment Skills Informatics and Analytics Analytic Methods & Technology and Information Critical / Strategic Analysis Analysis Communication Skills Communicating Persuasively Communications Communication Communications Diversity Cultural Competency Skills Working With Diverse Populations & Recruiting and Managing a Diverse Diversity and Cultural Proficiency Diversity Policy Development/Program Planning Skills Political Sensitivity Policy Advocacy Policy Leadership and Systems Thinking Skills Systems Thinking How the health system works Leadership & Systems Thinking Systems thinking Financial Planning and Management Skills Change Management/Flexibility Management and teamwork & Budgeting and finance Management, Finance & Policy Public Health Sciences Skills Biological and Environmental Applications in Public Health Biological and Environmental Applications Science Global Health Global Health Collaborating and Partnering Collaboration

Identifying major classifications of tasks Critical/Strategic Analysis Collaborating and Partnering Biological and Environmental Applications Diversity and Cultural Proficiency Communication Leadership & Systems Thinking Program Planning Advocacy Management, Finance & Policy Ethics

Survey link was sent to: Direct Distribution 124,567 individuals Organizational Distribution 51 organizations including: APHA ASTHO CDC NACCHO Public Health Institutes

Survey development Identify (200) task statements for the survey instrument Determine the rating scales 0 to 4: Never performed = 0 Not very important = 1 Important = 2 Very important = 3 Essential = 4

Survey response Do not rate statements based on what you think other public health professionals do or should do. Rather, base your ratings on your current work as a public health professional. 8,100 started the survey 7,441 completed part of the survey 4,850 provided usable survey responses 4,392 were employed and not current students

Task Significance Distribution Range # of Tasks % Essential 3.50-4.00 0 -- Very important 2.50-3.49 182 91% Important 1.50-2.49 18 9% Not very important.50-1.49 0 -- Total 200 100%

Reliability of Significance Ratings Domain N # of Tasks Between Tasks Between Raters (Inter-rater Valid* Missing (Coefficient Alpha) Reliability) Critical / Strategic Analysis 1,681 3,169 23 0.94 0.39 Biological & Environmental 1,834 3,016 13 0.95 0.60 Applications in Public Health Leadership & Systems Thinking 1,490 3,360 27 0.97 0.53 Management, Finance & Policy 1,448 3,402 28 0.98 0.60 Program Planning 1,601 3,249 42 0.99 0.64 Collaborating & Partnering 2,489 2,361 11 0.95 0.66 Communication 1,593 3,257 27 0.98 0.64 Advocacy 2,067 2,783 9 0.95 0.67 Ethics 2,173 2,677 8 0.95 0.68 Diversity & Cultural Proficiency 1,852 2,998 12 0.97 0.70

Domain Ratings Domain N Mean Std. Deviation Critical/Strategic Analysis 4391 2.38 0.87813 Collaborating & Partnering 4281 2.28 1.18245 Ethics 4108 2.27 1.18404 Leadership & Systems Thinking 4391 2.12 1.06881 Diversity & Cultural Proficiency 4113 1.98 1.28345 Program Planning 4391 1.96 1.18287 Communication 4167 1.95 1.13054 Management, Finance, & Policy 4391 1.95 1.12520 Advocacy 4147 1.83 1.28283 Biological & Environmental Applications in Public Health 4391 1.73 1.19116

Top Ten Rated Tasks Task N Mean Std. Deviation Collect valid and reliable quantitative or qualitative data. (Critical/Strategic Analysis) 4391 3.26 1.05 Use information technology for data collection, storage, and retrieval. (Critical/Strategic Analysis) Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. (Ethics) Interpret quantitative or qualitative data following current scientific standards. (Critical/Strategic Analysis) Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). (Ethics) 4384 3.18 1.04 4105 2.92 1.32 4370 2.85 1.25 4103 2.82 1.39 Identify key stakeholders. (Collaborating & Partnering) 4265 2.75 1.30 Identify opportunities to partner with health and public health professionals across sectors and related disciplines. (Collaborating & Partnering) Interpret results of statistical analyses found in public health studies or reports. (Critical/Strategic Analysis) Identify the limitations of research results, data sources, or existing practices and programs. (Critical/Strategic Analysis) Synthesize information from multiple data systems or other sources. (Critical/Strategic Analysis) 4272 2.68 1.29 4372 2.68 1.29 4365 2.67 1.27 4361 2.66 1.30

Task Domains by Degree MPH N = 2675 Domain Mean Critical/Strategic Analysis 2.42 DrPH N = 142 Domain Mean Critical/Strategic Analysis 2.90 Collaborating & Partnering 2.31 Collaborating & Partnering 2.54 Ethics 2.27 Ethics 2.52 Leadership & Systems Thinking 2.12 Leadership & Systems Thinking 2.43 Diversity & Cultural Proficiency 1.99 Diversity & Cultural Proficiency 2.37 Program Planning 1.96 Program Planning 2.37 Communication 1.95 Advocacy 2.28 Management, Finance, & Policy 1.94 Communication 2.20 Advocacy 1.82 Management, Finance, & Policy 2.14 Biological & Environmental Applications in Public Health 1.69 Biological & Environmental Applications in Public Health 2.06

Top Task Ratings by Degree MPH N = 2675 Task Mean Collect valid and reliable quantitative or qualitative data. 3.30 DrPH N = 142 Task Mean Collect valid and reliable quantitative or qualitative data. 3.56 Use information technology for data collection, storage, and retrieval. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Interpret quantitative or qualitative data following current scientific standards. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). 3.21 2.94 2.90 2.82 Interpret quantitative or qualitative data following current scientific standards. Interpret results of statistical analyses found in public health studies or reports. Apply descriptive techniques commonly used to summarize public data. 3.43 3.35 3.32 Use information technology for data collection, storage, and retrieval. 3.30 Identify key stakeholders. 2.81 Identify the limitations of research results, data sources, or existing practices and programs. 2.74 Identify the limitations of research results, data sources, or existing practices and programs. 3.22 Synthesize information from multiple data systems or other sources. 3.15 Synthesize information from multiple data systems or other sources. Interpret results of statistical analyses found in public health studies or reports. Identify opportunities to partner with health and public health professionals across sectors and related disciplines. 2.72 2.71 2.71 Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Describe a health problem in terms of magnitude, person, time, and place. 3.11 3.09 Describe the characteristics of a population-based health problem. 3.06

Task Domains by Gender Female N = 3332 Domain Mean Critical/Strategic Analysis 2.33 Male N = 1033 Domain Mean Critical/Strategic Analysis 2.54 Collaborating & Partnering 2.24 Ethics 2.49 Ethics 2.20 Collaborating & Partnering 2.40 Leadership & Systems Thinking 2.07 Leadership & Systems Thinking 2.27 Diversity & Cultural Proficiency 1.97 Management, Finance, & Policy 2.14 Communication 1.93 Advocacy 2.12 Program Planning 1.92 Biological & Environmental Applications in Public Health 2.10 Management, Finance, & Policy 1.89 Program Planning 2.07 Advocacy 1.73 Communication 2.02 Biological & Environmental Applications in Public Health 1.61 Diversity & Cultural Proficiency 2.01

Task Ratings by Gender Female N = 3332 Task Mean Collect valid and reliable quantitative or qualitative data. 3.24 Male N = 1033 Task Mean Collect valid and reliable quantitative or qualitative data. 3.33 Use information technology for data collection, storage, and retrieval. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Interpret quantitative or qualitative data following current scientific standards. 3.16 2.91 2.8 2.78 Identify key stakeholders. 2.74 Identify opportunities to partner with health and public health professionals across sectors and related disciplines. Identify the limitations of research results, data sources, or existing practices and programs. Synthesize information from multiple data systems or other sources. Interpret results of statistical analyses found in public health studies or reports. 2.68 2.65 2.6 2.6 Use information technology for data collection, storage, and retrieval. Interpret quantitative or qualitative data following current scientific standards. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Interpret results of statistical analyses found in public health studies or reports. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Apply descriptive techniques commonly used to summarize public data. Synthesize information from multiple data systems or other sources. 3.23 3.04 2.95 2.91 2.88 2.85 2.81 Identify key stakeholders. 2.81 Identify the limitations of research results, data sources, or existing practices and programs. 2.74

Task Domains by Employment Setting Academic Business or Corporation Clinic or Hospital Government Non profit Critical/Strategic Analysis Critical/Strategic Analysis Ethics Critical/Strategic Analysis Collaborating & Partnering Ethics Ethics Critical/Strategic Analysis Collaborating & Partnering Leadership & Systems Thinking Collaborating & Partnering Collaborating & Partnering Collaborating & Partnering Ethics Critical/Strategic Analysis Diversity & Cultural Proficiency Leadership & Systems Thinking Leadership & Systems Thinking Leadership & Systems Thinking Diversity & Cultural Proficiency Leadership & Systems Thinking Management, Finance, & Policy Diversity & Cultural Proficiency Communication Program Planning Program Planning Program Planning Communication Management, Finance, & Policy Management, Finance, & Policy Communication Communication Management, Finance, & Policy Biological & Environmental Applications in Public Health Communication Management, Finance, & Policy Advocacy Program Planning Diversity & Cultural Proficiency Ethics Advocacy Biological & Environmental Applications in Public Health Diversity & Cultural Proficiency Biological & Environmental Applications in Public Health Biological & Environmental Applications in Public Health Advocacy Advocacy Program Planning Advocacy Biological & Environmental Applications in Public Health

Academic Business or Corporation Clinic or Hospital Government Non Profit Collect valid and reliable quantitative or qualitative data. Use information technology for data collection, storage, and retrieval. Interpret quantitative or qualitative data following current scientific standards. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Identify the limitations of research results, data sources, or existing practices and programs. Interpret results of statistical analyses found in public health studies or reports. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Apply descriptive techniques commonly used to summarize public data. Use statistical packages or software to analyze data. Illustrate how gender, race, ethnicity, and other evolving demographics affect the health of a population. Use information technology for data collection, storage, and retrieval. Collect valid and reliable quantitative or qualitative data. Interpret quantitative or qualitative data following current scientific standards. Synthesize information from multiple data systems or other sources. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Identify the limitations of research results, data sources, or existing practices and programs. Identify key stakeholders. Apply descriptive techniques commonly used to summarize public data. Apply team building skills. Use information technology for data collection, storage, and retrieval. Collect valid and reliable quantitative or qualitative data. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Apply team building skills. Interpret quantitative or qualitative data following current scientific standards. Apply conflict management skills. Interpret results of statistical analyses found in public health studies or reports. Communicate with other health professionals in a responsive and responsible manner that supports a team approach to maintaining health of individuals and populations. Identify the limitations of research results, data sources, or existing practices and programs. Collect valid and reliable quantitative or qualitative data. Use information technology for data collection, storage, and retrieval. Identify key stakeholders. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Identify opportunities to partner with health and public health professionals across sectors and related disciplines. Interpret quantitative or qualitative data following current scientific standards. Synthesize information from multiple data systems or other sources. Apply descriptive techniques commonly used to summarize public data. Interpret results of statistical analyses found in public health studies or reports. Collect valid and reliable quantitative or qualitative data. Identify key stakeholders. Use information technology for data collection, storage, and retrieval. Identify opportunities to partner with health and public health professionals across sectors and related disciplines. Develop collaborative and partnership agreements with various stakeholders on specific projects. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Communicate an organization s mission, goals, values, and shared vision to stakeholders. Identify challenges to program implementation. Develop strategies for collaboration and partnership among diverse organizations to achieve common public health goals. Implement strategies for collaboration and partnership among diverse organizations to achieve common public health goals.

Task Domains by Employment Level Clinical Consultant Entry Mid Upper Ethics Critical/Strategic Analysis Critical/Strategic Analysis Critical/Strategic Analysis Collaborating & Partnering Biological & Environmental Applications in Public Health Collaborating & Partnering Ethics Collaborating & Partnering Critical/Strategic Analysis Critical/Strategic Analysis Leadership & Systems Thinking Collaborating & Partnering Ethics Leadership & Systems Thinking Diversity & Cultural Proficiency Ethics Diversity & Cultural Proficiency Leadership & Systems Thinking Ethics Communication Diversity & Cultural Proficiency Leadership & Systems Thinking Program Planning Management, Finance, & Policy Leadership & Systems Thinking Program Planning Communication Management, Finance, & Policy Program Planning Collaborating & Partnering Communication Program Planning Diversity & Cultural Proficiency Advocacy Advocacy Management, Finance, & Policy Biological & Environmental Applications in Public Health Communication Communication Program Planning Advocacy Advocacy Advocacy Diversity & Cultural Proficiency Management, Finance, & Policy Biological & Environmental Applications in Public Health Management, Finance, & Policy Biological & Environmental Applications in Public Health Biological & Environmental Applications in Public Health

Clinical Consultant Entry Mid Upper Collect valid and reliable quantitative or qualitative data. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Use information technology for data collection, storage, and retrieval. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Identify the laws and regulations that govern the scope of one s legal authority. Communicate with other health professionals in a responsive and responsible manner that supports a team approach to maintaining health of individuals and populations. Identify communication gaps. Apply conflict management skills. Communicate with colleagues, patients, families, or communities about health disparities and health care disparities. Apply team building skills. Collect valid and reliable quantitative or qualitative data. Use information technology for data collection, storage, and retrieval. Identify key stakeholders. Interpret quantitative or qualitative data following current scientific standards. Synthesize information from multiple data systems or other sources. Identify opportunities to partner with health and public health professionals across sectors and related disciplines. Identify the limitations of research results, data sources, or existing practices and programs. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Interpret results of statistical analyses found in public health studies or reports. Develop collaborative and partnership agreements with various stakeholders on specific projects. Collect valid and reliable quantitative or qualitative data. Use information technology for data collection, storage, and retrieval. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Interpret quantitative or qualitative data following current scientific standards. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Identify the limitations of research results, data sources, or existing practices and programs. Interpret results of statistical analyses found in public health studies or reports. Apply descriptive techniques commonly used to summarize public data. Synthesize information from multiple data systems or other sources. Identify key stakeholders. Collect valid and reliable quantitative or qualitative data. Use information technology for data collection, storage, and retrieval. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Interpret quantitative or qualitative data following current scientific standards. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Identify key stakeholders. Synthesize information from multiple data systems or other sources. Identify the limitations of research results, data sources, or existing practices and programs. Identify opportunities to partner with health and public health professionals across sectors and related disciplines. Apply descriptive techniques commonly used to summarize public data. Collect valid and reliable quantitative or qualitative data. Use information technology for data collection, storage, and retrieval. Identify key stakeholders. Ensure the application of ethical principles in the collection, maintenance, use, and dissemination of data and information. Identify opportunities to partner with health and public health professionals across sectors and related disciplines. Identify regulations regarding privacy, security, confidentiality (e.g., personal health information, etc.). Interpret quantitative or qualitative data following current scientific standards. Give constructive feedback to others about their performance on the team. Engage key stakeholders in problem solving and policy development. Communicate an organization s mission, goals, values, and shared vision to stakeholders.

Next Steps A more refined analysis of the tasks within each category A more refined analysis with all of the possible correlates of the ratings of task importance An analysis of the relationship of the task domains and the tasks to our current outline of topics for the CPH examination Distribution of the findings from our analyses to the profession and the general public

Job Task Analysis Areas 1. Critical / Strategic Analysis 2. Biological and Environmental Applications in Public Health 3. Leadership & Systems Thinking 4. Management, Finance & Policy 5. Program Planning 6. Collaborating and Partnering 7. Communication 8. Advocacy 9. Ethics 10.Diversity and Cultural Proficiency CPH Content Outline 1. Epidemiology 2. Biostatistics 3. Health Policy Management 4. Environmental Health 5. Behavioral Social Sciences 6. Program Planning 7. Informatics and Communications 8. Diversity and Inclusion 9. Public Health Biology 10.Systems Thinking 11.Leadership

Presentations of JTA Data Association of Teachers of Prevention Research, March 17 Association of Schools and Programs of Public Health, March 22 NACCHO Workforce Development Committee webinar April 15, 2015 Keeneland Conference, April 21/22, 2015 National Network of Public Health Institutes, May 13, 2015 2015 USPHS Scientific and Training Symposium, May 18 21, 2015 CSTE, June 15, 2015 Webinar for ASPPH membership - TBD Summer 2015

Questions? Allison J. Foster, MBA, CAE President, National Board of Public Health Examiners afoster@nbphe.org