# Presentation: 622741

## Slide 1

## “A New Look at Networking for the 21st Century”

- Dennis McDowell
- NLIGHTIN04@AOL.COM
- 678-314-1085

## “Memories are the key not to the past, but to the future” - Corrie Ten Boom 

## Slide 4

**Notes:**
How many of you were there ? ... The dawn of a 21st century .... Seattle ... Microsoft .... Gates ... What were the major themes of the conference...?.. Well... Harnessing the emerging technology,  building technology infrastructure and strengthening the human network .. Especially of DLC’s   Today we will focus almost exclusively on the last of these themes 

## Have we experienced much change since 1999 ....?

- In the World..?
- In this Country..?
- In technology..?
- In In public Health..?
- In Distance Learning..?
- At CDC..?
- In your organization..?
- Who are we working with..?
- In the Language that we use..?

**Notes:**
Customers,segments, channels ..... Most of what we took for granted is turned up side down ...

## “We are living in a world today where lemonade is made from artificial flavors and furniture polish is made from real lemons” – Alfred E. Newman                  

**“****We are living in a world today where lemonade is made from artificial flavors and furniture polish is made from real lemons” – ****Alfred E. Newman****                  **

## Futures Deliverables & Implementation

**Strategic Imperatives**
**Organizational Re-design**
**Draft Goals – People (by Life Stage), Preparedness, Places & Global (in development)**
**Process for internal & external vetting of draft goals through 12/05**
**Health Protection Goals Management Pilot**
**Adolescent, Adult, & Preparedness **
**FY05 budget alignment to draft goals**
**Goals Action Plans implementation around: preparedness, adolescent health, obesity, & influenza**

**Notes:**
Remember the goals action plans 

## CDC’s New Strategic Imperatives

**Health impact focus: align strategies, goals, and performance**
**Customer-centricity: market what people want & need to choose health**
**Public health research: create & disseminate the knowledge people need to protect their health now & in the future**
**Leadership: leverage our unique capabilities, partnerships, & networks to improve the health system **
**Global health impact: extend our knowledge & tools to promote health protection around the world**
**Accountability: Sustain people’s trust & confidence by making**** the**** most efficient & effective use of their investments in us**

## CustomersSAFER  HEALTHIER  PEOPLE

**Coordinating Center for Health Information and Services**

**Business**

**Public Health **
**Systems**

**Health Care **
**Delivery**

**Federal **
**Agencies**

**Education**

**National**
**Center for Health ****Marketing**

**National Center ****for**
**Public Health**
**Informatics**

**National Center for**
**Health Statistics**

**Coordinating Center **
**for Infectious Diseases**
**NCID, NCHSTP, NIP**

**Coordinating ****Center for ****Health Promotion**
**NCCDPHP, NCBDDD, ****Genomics**

**Coordinating ****Center for Environmental**
**Health & Injury Prevention**
**NCEH/ATSDR**
**NCIPC**

**Coordinating Office ****of Global Health**

**Coordinating **
**Office for Terrorism**
**Preparedness & **
**Emergency Response**

**Strategy and**
** ****Innovation**

**Chief of **
**Science**

**Chief of Public**
**Health Improvement**

**Workforce and **
**Career Development**

**Executive Leadership Team**

**Management Council**

**Executive Board**

- Partners

- Alliances

- Stakeholders

**Office of the Chief ****Operating Officer**

**Office of the ****Chief of Staff**

**CDC Washington**

**Director**

- Channels

**Coordinating Center for Health Information and Services**

**Business**

**Public Health **
**Systems**

**Health Care **
**Delivery**

**Federal **
**Agencies**

**Education**

**National**
**Center for Health ****Marketing**

**National Center ****for**
**Public Health**
**Informatics**

**National Center for**
**Health Statistics**

**Coordinating Center **
**for Infectious Diseases**
**NCID, NCHSTP, NIP**

**Coordinating ****Center for ****Health Promotion**
**NCCDPHP, NCBDDD, ****Genomics**

**Coordinating ****Center for Environmental**
**Health & Injury Prevention**
**NCEH/ATSDR**
**NCIPC**

**Coordinating Office ****of Global Health**

**Coordinating **
**Office for Terrorism**
**Preparedness & **
**Emergency Response**

**Strategy and**
** ****Innovation**

**Chief of **
**Science**

**Chief of Public**
**Health Improvement**

**Workforce and **
**Career Development**

**Executive Leadership Team**

**Management Council**

**Executive Board**

- Partners

- Alliances

- Stakeholders

**Office of the Chief ****Operating Officer**

**Office of the ****Chief of Staff**

**CDC Washington**

**Director**

- Channels

**Coordinating Center for Health Information and Services**

**Business**

**Public Health **
**Systems**

**Health Care **
**Delivery**

**Federal **
**Agencies**

**Education**

**National**
**Center for Health ****Marketing**

**National Center ****for**
**Public Health**
**Informatics**

**National Center for**
**Health Statistics**

**Coordinating Center **
**for Infectious Diseases**
**NCID, NCHSTP, NIP**

**Coordinating ****Center for ****Health Promotion**
**NCCDPHP, NCBDDD, ****Genomics**

**Coordinating ****Center for Environmental**
**Health & Injury Prevention**
**NCEH/ATSDR**
**NCIPC**

**Coordinating Office ****of Global Health**

**Coordinating **
**Office for Terrorism**
**Preparedness & **
**Emergency Response**

**Strategy and**
** ****Innovation**

**Chief of **
**Science**

**Chief of Public**
**Health Improvement**

**Workforce and **
**Career Development**

**Executive Leadership Team**

**Management Council**

**Executive Board**

- Partners

- Alliances

- Stakeholders

**Office of the Chief ****Operating Officer**

**Office of the ****Chief of Staff**

**CDC Washington**

**Director**

- Channels

**Customers****SAFER ******** HEALTHIER ******** PEOPLE**

**Coordinating Center for Health Information and Services**

**Business**

**Public Health **
**Systems**

**Health Care **
**Delivery**

**Federal **
**Agencies**

**Education**

**National**
**Center for Health ****Marketing**

**National Center ****for**
**Public Health**
**Informatics**

**National Center for**
**Health Statistics**

**Coordinating Center **
**for Infectious Diseases**
**NCID, NCHSTP, NIP**

**Coordinating ****Center for ****Health Promotion**
**NCCDPHP, NCBDDD, ****Genomics**

**Coordinating ****Center for Environmental**
**Health & Injury Prevention**
**NCEH/ATSDR**
**NCIPC**

**Coordinating Office ****of Global Health**

**Coordinating **
**Office for Terrorism**
**Preparedness & **
**Emergency Response**

**Strategy and**
** ****Innovation**

**Chief of **
**Science**

**Chief of Public**
**Health Improvement**

**Workforce and **
**Career Development**

**Executive Leadership Team**

**Management Council**

**Executive Board**

- Partners

- Alliances

- Stakeholders

**Office of the Chief ****Operating Officer**

**Office of the ****Chief of Staff**

**CDC Washington**

**Director**

- Channels

**Coordinating Center for Health Information and Services**

**Business**

**Public Health **
**Systems**

**Health Care **
**Delivery**

**Federal **
**Agencies**

**Education**

**National**
**Center for Health ****Marketing**

**National Center ****for**
**Public Health**
**Informatics**

**National Center for**
**Health Statistics**

**Coordinating Center **
**for Infectious Diseases**
**NCID, NCHSTP, NIP**

**Coordinating ****Center for ****Health Promotion**
**NCCDPHP, NCBDDD, ****Genomics**

**Coordinating ****Center for Environmental**
**Health & Injury Prevention**
**NCEH/ATSDR**
**NCIPC**

**Coordinating Office ****of Global Health**

**Coordinating **
**Office for Terrorism**
**Preparedness & **
**Emergency Response**

**Strategy and**
** ****Innovation**

**Chief of **
**Science**

**Chief of Public**
**Health Improvement**

**Workforce and **
**Career Development**

**Executive Leadership Team**

**Management Council**

**Executive Board**

- Partners

- Alliances

- Stakeholders

**Office of the Chief ****Operating Officer**

**Office of the ****Chief of Staff**

**CDC Washington**

**Director**

- Channels

## Health Protection Goals Architecture

## Slide 11

## Preparedness Scenarios

**Scenario 1:  ****	****Nuclear Detonation – Improvised Nuclear Device**
**Scenario 2:  ****	****Biological Attack – Aerosol Anthrax**
**Scenario 3:  ****	****Biological Disease Outbreak – Pandemic Influenza*******
**Scenario 4: ****	****Biological Attack – Plague**
**Scenario 5: ****	****Chemical Attack – Blister Agent**
**Scenario 6: ****	****Chemical Attack – Toxic Industrial Chemicals**
**Scenario 7: ****	****Chemical Attack – Nerve Agent**
**Scenario 8: ****	****Chemical Attack – Chlorine Tank Explosion**
**Scenario 9: ****	****Natural Disaster – Major Earthquake**
**Scenario 10:  ****	****Natural Disaster – Major Hurricane**
**Scenario 11:  ****	****Radiological Attack – Radiological Dispersal Devices**
**Scenario 12:  ****	****Explosives Attack – Bombing Using Improvised Explosive Device**
**Scenario 13: ****	****Biological Attack – Food Contamination**
**Scenario 14:  ****	****Biological Attack – Foreign Animal Disease **
**Scenario 15:  ****	****Cyber Attack**

## Participants – Preparedness Scenario Working Groups

**Homeland**** Security Council Department of Defense**
**Department of Labor**
**Nuclear Regulatory Commission**
**Department of Commerce**
**Environmental Protection Agency**
**Department of Veterans Affairs**
**Terrorism Threat Integration Center**
**Department of Transportation**
**Department of Justice / Federal Bureau of Investigation**
**Office for Science and Technology Policy**
**Department of Interior**
**National Aeronautics and Space Administration**
**Department of State**
**Department of Health and Human Services**

**Notes:**
In addition to all of the State and Local players, partners,

**Anthrax Attack 2001: Mail Flow Network ........**

- State Department  SA-32 (VA)

- AMI Building (FL)

***Brentwood            Mail Facility (DC)***

- Truck to  Atlanta, GA

***Hamilton Processing Facility (NJ)***

***Morgan Central               Postal Facility (NY)***

***Carteret Hub & Spoke  Facility (HSF) (NJ)***

- Boca Main Substation (FL)

- Blue Lake PO (FL)

***West Palm PO Main Branch (FL)***

- Lake Worth PO (FL)

- Green Acres PO (FL)

- Radio City PO (NY)

- Rockefeller Ctr PO (NY)

- Ansonia PO (NY)

**56 USPS Facilities including:**

- Lenox Hill PO (NY)

- Times Sq. PO (NY)

- ENT Hospital (NY)

- Pataki’s Office (NY)

- NBC (NY)

- ABC (NY)

- CBS (NY)

- New York           Post (NY)

**Distribution plants including: **(Bulk Mail Ctr, Dominic V Daniels, Hackensack, Central NJ, Performance, Monmouth, Newark Main, Patterson, West Jersey)

- Dirksen Bldg

- P-St. Mail Sorting (DC)

- Hart Bldg

- Ford Bldg

**All DC City Mail for Zips           20000-20099**

-  W. Trenton PO (NJ)

- Princeton PO (NJ)

**?**

**177 Federal Agencies  including:**

- Bellmawr Distribution plant (NJ)

**48 local Post Offices including: **

- Boulevard PO (NY)

- State Department    SA-3 (DC)

- Longworth Bldg

- Landover (Justice)

- Pentagon PO Branch

- Southwest PO Station

- Friendship PO Station

- Dulles PO Branch

- Anacostia mail room

- Walter Reed Complex

- DC VAMC

- BATF

- Supreme Court

**Local Businesses including: **

- Kuser Road Business

- US Embassy in Yekaterinburg, Russia

- US Embassy            in Lima, Peru

- US Embassy in Vilnius, Lithuania

- NYC001-47 Home

- Stamp Fulfillment     Kansas City, MO

- Lantana PO (FL)

**Notes:**
Roll back the clock to 9/11... Flashback ... Who did we have to work with to get this controlled and prevented....?Who were our target audiences for DL...?

## SARS

**Notes:**
Lets look at another flashback and ask our-selves the same questions ... Who did we have to work with to prevent and control SARS ... Who were our target audience for DL...?

## Protecting People’s Health in a Small World

- _Threat Characteristics_
- Global threats with local impact; local threats with global impact
- Health
- Security
- Economy
- Small world networks
- Zoonoses / Vectors / Treatment
- Emergency response / quarantine / Training
*      **Distance Learning coordinators “leaders"*

**Notes:**
A few examples of small world networks ... These are really just Communities of Practice, Partners, Players, Channels that reach segments

## Protecting People’s Health in a Small World

- _Preparedness Network Requirements_
- Fast detection
- Fast science
- Fast & effective communication
- Fast and Effective Training
- Fast & effective integration
- Fast & effective action!
*Globalization, connectivity, and speed*

## A Small World Network for Health Protection

- Multisector integration
- Public-private
- Non-profit
- Local - state – national
- Domestic – international
- Animal – Human - Plant

- Healthcare
- Delivery
- System

- Federal
- Partners

- Education
- System

- Public Health
- System

**Notes:**
Lets move away from responding to emergencies to addressing other kinds of public health problems ...say obesity 

## “A dream is the bearer of new possibilities, the enlarged horizon, the great hope” – Howard Thurman

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**ELB**

**Notes:**
The science drives the need .... Obesity ...Exec leadership decides to take action

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**CMO**

**ELB**

**Lead**

**Obesity HE**
** ****Goal Trailblazer**
**Team**

**Champion**

**Notes:**
The select a champion and lead and assemble a multidisciplinary team chartered to develop goals and action plans

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**Champion**

**CMO**

**ELB**

**STEPS**

**Built**
**Environment**

**Lead**

**Diabetes**
**Translation**

**Sector**
**Management**

**HAI**

**VERB**

**Education**

**Health**
**Assessment**

**Genomics**

**Obesity HE**
** ****Goal Trailblazer**
**Team**

**Cancer**

**Nutritional and Physical Activity**

**Marketing**

**Notes:**
These teams are made up of reps from all of the key areas with active interventions or that have the potential to make a contribution .. An integrated intervention is designed “a portfolio of activities”

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**CMO**

**ELB**

**STEPS**

**Built**
**Environment**

**Lead**

**Diabetes**
**Translation**

**Sector**
**Management**

**HAI**

**CCHP**

**VERB**

**COCHIC**

**Education**

**CCEIO**

**Health**
**Assessment**

**Genomics**

**Obesity HE**
** ****Goal Trailblazer**
**Team**

**Cancer**

**Nutritional and Physical Activity**

**Marketing**

**Champion**

**Notes:**
The broader leadership is aligned 

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**CMO**

**ELB**

**STEPS**

**Built**
**Environment**

**Lead**

**Diabetes**
**Translation**

**Sector**
**Management**

**CIO**

**HAI**

**CCHP**

**DASH**

**VERB**

**CIO**

**COCHIC**

**Education**

**CCEIO**

**Division**

**CIO**

**Division**

**Health**
**Assessment**

**Genomics**

**Obesity HE**
** ****Goal Trailblazer**
**Team**

**Cancer**

**Nutritional and Physical Activity**

**Marketing**

**Champion**

**Notes:**
Right down to the program level ... All talking, planning, contributing and coordinating the many activities need to impact this formidable problem 

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**CMO**

**ELB**

**STEPS**

**Built**
**Environment**

**Lead**

**Diabetes**
**Translation**

**Sector**
**Management**

**Built Environment Local**

**Steps**
**Local**

**Physical Activity**

**Public**
**Health**

**Nutritionist**

**Physicians**

**Supermarkets**

**Family**

**Media**

**CIO**

**HAI**

**CCHP**

**DASH**

**VERB**

**Schools**

**CIO**

**COCHIC**

**Education**

**CCEIO**

**Division**

**CIO**

**Division**

**Health**
**Assessment**

**Genomics**

**Obesity HE**
** ****Goal Trailblazer**
**Team**

**Cancer**

**Nutritional and Physical Activity**

**Marketing**

**Champion**

**Notes:**
Activation of the sectors in a planned and coordinated way

## Obesity Health Impact Goal“Trailblazer Team Small World Network”

**CMO**

**ELB**

**STEPS**

**Built**
**Environment**

**Lead**

**Diabetes**
**Translation**

**Sector**
**Management**

**Built Environment Local**

**Steps**
**Local**

**Physical Activity**

**Public**
**Health**

**Nutritionist**

**Physicians**

**Supermarkets**

**Family**

**Media**

**CIO**

**HAI**

**CCHP**

**DASH**

**VERB**

**Schools**

**CIO**

**COCHIC**

**Education**

**CCEIO**

**Division**

**CIO**

**Division**

**Health**
**Assessment**

**Genomics**

**Obesity HE**
** ****Goal Trailblazer**
**Team**

**Cancer**

**Nutritional and Physical Activity**

**Marketing**

**Champion**

**Notes:**
It is complex and it will take new ways of approaching the future ... how do you see Distance Learning Operating in this Environment ...?

## “Don’t dwell on what went wrong. Instead, focus on what to do next. Spend your energies on moving forward toward finding the answers”-Denis Waitley

## What is “Governing By Network”

-    Governments working in a new model that relies less on public employees in traditional roles and more on a web of partnerships, contractors and alliances to do the publics work.

## Why Governing By Network?.. The Problem!

- Traditional hierarchical models simply do not meet the demands of this complex, rapidly changing age.
- Rigid bureaucratic systems with command-&-control procedures, narrow work restrictions & inward-looking cultures are ill suited to address problems that transcend organizational boundaries.

**Notes:**
I hope that by now I have painted the why picture 

## Why Governing By Network.. The opportunity!

- The Rise of Third Party Govt.
- The Rise of Joined Up Govt.
- The Digital Revolution
- Consumer Demand

##  What are the Advantages to this Approach?

- Distributed leadership & decisions making
- Goals driven but self Governing
- Coordinated operations customized @ all levels
- Fast, adaptable, effective, empowering
- Superior market penetration
- Requires technical integration
- Accountability & trust

## What are the Implications of “Governing By Network”..?

- To our Distance Learning System..?
- To its products customers & operations..?
- To accountability and Trust?
- To how we support the mission of Public Health..?
- To the way we view Technology..?
- To the competencies we need to lead in this new environment..?

**Notes:**
Your Performance plan must have these “new” leadership elements if they are not already there

## Accountability Models

**Type of Accountability**
**Traditional**
**Hybrid/ Transitional**
**Flexible network**

**Finances **

**Standard, prescriptive, record-keeping**

**Proof of Performance**

**Proof of $s for contracted services**

**Service-level agreements**

**Performance**

**Rules emphasize fairness & equity**

**Compliance with program rules**

**Equity/quality**

**Compliance with input & record-keeping**

**Trust**

**Activities**

**Outcomes**

**Low**

**Medium**

**High**

**From “Governing by Network – The New Shape of the Public Sector” by Goldsmith & Eggers**

**Notes:**
We have a lot of new player in the game public, private, etc how do we engineer relationships to deal with this ..?

## Value of High Trust Relationships

**From “Governing by Network – The New Shape of the Public Sector” by Goldsmith & Eggers**

**Contract oversight**

**Value Equation**

**Low cost, high value**

**Low Trust**

**Flexible **
**Outcome-based oversight **
**Constant modifications to capture value**

**High Trust**

**Tight       Input audits **
**Intrusive & frequent output exams **
**Rigidity on modifications**

**High cost, low value**

## Achieving Results from Networks

**Set Goals Align Values Build Trust**

**Structure incentives Share risk**

** ****Measure network performance**

** ****Manage change**

**From “Governing by Network – The New Shape of the Public Sector” by Goldsmith & Eggers**

## “If you think you are to small to have an impact, try going to bed with a mosquito.”-Anita Roddick

## Represent the Vision Of Distance Learning

- Champion Its Benefits
- Demonstrate Its uses
- Prove Its Effectiveness
- You Tell Me.....
- What are the sales points related to Governing by Network..?

## Effectively Lead the Ongoing Process of Change..

- Lead & motivate people to achieve the DL vision
- Continually integrate new goals & priorities
- ID & consider changes in environment
- Be open to change & new information
- Be tolerant of ambiguity
- Displays initiative, effort & commitment
- Remember that distance learning supports the mission of Public Health

## Provide Leadership in Developing, Maintaining & Improving Partnerships

- Evaluate the potential for new partnerships In terms of goals,risks & benefits
- Lead the formation of new partnerships
- Insure open lines of communication
- Proactively identify & prevent or resolve difficulties with partners
- Teach peers how to apply tested frameworks

## Lead Efforts to Cultivate & Maintain a Climate of Creativity & Innovation

- Master proven techniques of being deliberately creative
- Apply these techniques to key issues & problems in critical areas
- Foster equal participation by all in generating “out of the box ideas”
- Systematically evaluate each new idea
- Select solutions & develop action plans
- Reward innovation

## Lead Applying the Principles & Practices of Excellent Customer Service

- Maintain a cooperative, diplomatic, polite, professional & helpful manner/Customers
- Aid in specifying & managing customers needs and expectations
- Willingly offer customers assistance
- Deliver the required product or service in a manner as to assure satisfaction
- Keep customers informed throughout

**Notes:**
This is above and beyond just knowing who the customer is ... 

## What does the Future of Distance Learning Look like?

- Will we be increasing “Governed by Network?
- Will we be more integrated technically or operationally?
- Will we be seen as important to the Public Health Mission?
- Who controls the Future of Distance learning?

## “How can I reconcile this world of fact with the bright world of my imagining? My darkness has been filled with the light of intelligence, and behold, the outer day-light world is stumbling and groping in social blindness” –Helen Keller

## “It is one of the most beautiful compensations of this life that no man can sincerely try to help another without helping himself” – Ralph Waldo Emerson

## Slide 46