3.0 Creation, Application and Advancement of Knowledge

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion One

3.0 CREATION, APPLICATION AND ADVANCEMENT OF KNOWLEDGE.

3.1 Research. The school shall pursue an active research program, consistent with its mission, through which its faculty and students contribute to the knowledge base of the public health disciplines, including research directed at improving the practice of public health. a. Description of the school’s research activities, including policies, procedures and practices that support research and scholarly activities. All UofL research activities are governed by the policies and procedures established by the university’s Office of the Executive Vice President for Research and Innovation (EVPRII). In addition, SPHIS establishes school-wide policies and procedures as necessary to regulate, improve and encourage the research efforts of faculty, staff and students. UofL The mission of the Office of the EVPRI (http://louisville.edu/research/) is “to promote and support research, scholarship, and creative activities, to assist faculty and staff in obtaining intramural and extramural support, to serve as an advocate for the value of research in an educational setting, to enhance the vitality of campus-based research, and to encourage its use to enrich education, enhance technology transfer and serve the community.” The Office of the EVPRI oversees the offices of Sponsored Programs Development, Sponsored Programs - Grants Administration, Sponsored Programs - Financial Administration, Industry Contracts, Technology Development, the Research Integrity Program and the Human Subjects Protection Program Office. The Offices of Grants Management and Industry Contracts are primarily responsible for proposal review and approval and post-award management of sponsored programs. Full descriptions of the services offered through these offices are available at http://louisville.edu/research/research- handbook/chapter-one-general-information.html. Selected policies established by the Office of the EVPRI include those affecting the following:  Conflicts of Financial Interest in Research: The university has established policies and procedures regarding oversight of both individual and institutional financial interests in research. In accordance with the highest standards of integrity and in compliance with legal, professional, ethical and other requirements that promote objectivity and protect against financial conflicts of interest in research, the university will identify possible financial conflicts of interest in research, whether apparent or real, and provide mechanisms for their management, reduction, or elimination.  Intellectual Property. Under the UofL Intellectual Property Policy, when faculty or staff members “create Intellectual property or obtain(s) exceptional research results that (in a reasonable opinion) may have commercial value and do not fall within the scope of the exception[s] of [the] Policy… the Creator shall notify the Technology Director in writing via an official Research Disclosure Form.” The Office of Technology Transfer (OTT) assists students, staff and faculty in this process.  Ownership of Data. The university is the administrative organization ultimately responsible for all tangible and intangible products resulting from activities at the university. As such, the university has the responsibility to ensure the preservation and availability of research data and can be held accountable for the integrity of research data even after the creator(s) have left the university. Therefore, except in special circumstances, all research data generated by personnel of the university or created with university facilities, regardless of the nature or sponsorship of such research, shall be owned by the university and its affiliates (e.g. University of Louisville Research Foundation, Inc.). In addition, as a public institution and in keeping with the traditions of academic freedom, all such research data and protocols shall be unrestricted as to its public dissemination, except in certain circumstances.  Proposal Clearance Requirement: All grants and contracts requesting extramural funding by full or part-time faculty, staff and students of UofL that represent academic responsibilities of any of the individuals listed as Applicants, and regardless of performance site, must be cleared by Research Administration.

 Support for ongoing research activities through the Office of the EVPRI is provided by the Research Infrastructure Fund (RIF) programs. Under the RIF program, 10% of recovered indirect costs of grants are returned to principal investigators, 10% are returned to department chairs of PIs and 10% are returned to recognized centers within the university. By so doing, productivity in research is recognized and critical ongoing research activity is sustained.  Research Misconduct: The “University of Louisville Policy and Procedures for Responding to Allegations of Research Misconduct” establishes a framework of methods and principles for assessing and conducting inquiries and investigations regarding allegations or incidents of research misconduct, defined as fabrication, falsification, plagiarism or other practices that seriously deviate from those that are commonly accepted within the scientific community in proposing, performing and reviewing research, or in reporting research results.  Roles and Responsibilities for Research: The Office of the EVPRI maintains a matrix of the roles and responsibilities expected of researchers, departments, units and university administration (including the Office of the EVPRI).  Scientific or Scholarly Merit: In order to protect the rights and welfare of human subjects involved in research, all proposed research activities involving human subjects must be reviewed for scientific merit prior to initiation. These policies are available at http://louisville.edu/research/policies-procedures. Faculty and staff are encouraged to take advantage of resources provided by the Office of the EVPRI, including access to the Sponsored Programs Information Network, Grant Advisor Plus, the Grants Resource Center (GRC) and ResearchResearch. The Sponsored Programs Information Network is a database of over 6,000 programs from both the public and private sectors that provide funding for research and special projects across a wide variety of subject areas. The Grant Advisor Plus is an on-line information service for research administrators and faculty in higher education. It provides monthly newsletters, searchable listings of grant and fellowship opportunities and a list of program deadlines by subject area for institutions and faculty. The Grants Resource Center (GRC) offers a full range of services, including the tracking of both public and private resources and the latest sponsored programs news and information. ResearchResearch is one of the world's leading publishers of news and information for the international research community, providing three interlinked, searchable databases. Other sponsored programs development services provided by Offices of the EVPRI include grants writing workshops, legislative updates, one-on-one assistance, proposal editing and proofreading, coordination of multi-investigator proposals and copying service for grant and contract proposals. In addition to the services described above, the Office of the President offers intramural grants for researchers. Types of awards include Multidisciplinary Research Grants (MRG), Vice President for Research Undergraduate Research Scholar Grants (URS), Project Completion Grants (PCG), Research Initiation Grants (RIG), Research on Women Grants (ROW) and Undergraduate Research Grants (URG). For additional information on intramural grant opportunities, please see the http://louisville.edu/research/irig/intramural-research-incentive-grants.html. Research!Louisville is an annual celebration of health-related research sponsored by the Jewish Hospital & St. Mary's Foundation, Norton Healthcare, UofL Health Care and the University of Louisville. The goals of Research!Louisville are to: (1) promote excellence in health sciences research, (2) promote public awareness of health sciences research, (3) promote the Louisville Medical Center, and, (4) generate additional funding for health sciences research. SPHIS faculty and students participate actively in this event by submitting papers and posters and by judging scientific merit of the submissions. SPHIS The SPHIS Research Committee, chaired by the Associate Dean for Research, consists of the five department chairs, the assistant and associate deans, and the Assistant Director for Sponsored Programs. The committee has created school-specific policies and procedures to address our evolving needs. Processes developed so far involve investigator compliance with research training, faculty consultation on sponsored programs and the establishment of monthly research incubation seminars to foster collaboration within the school and the larger university. An office to support the preparation, review and submission of research proposals and the conduct of

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion One research activities has been established. Two staff members are available to assist investigators with proposal development and processing, and also review all outgoing research proposals with SPHIS collaboration and serve as the primary point of contact with the Offices of Sponsored Programs – Grants Administration and Industry Contracts (described below). These individuals have attended national conferences such as the National Council of University Research Administrators (NCURA) national meeting and the National Institutes of Health (NIH) Regional Seminar on Program Funding and Grants Management. To support university and community researchers, the Department of Bioinformatics and Biostatistics has established the Statistical Consulting Center (StCC), which provides fee-for-service consulting. StCC services include: extensive research into applications of statistical methodology, data management, including design of data collection instruments, data storage device set-up and testing and data manipulation prior to analysis, data analysis, including power and sample size calculation, statistical modeling, hypothesis testing, estimation and plot generation, and technical writing for grants and protocols, journal articles and summary reports. More information about activities conducted through the StCC are available in section 3.2.a. SPHIS encourages collaboration with the research activities of state and local agencies in a variety of settings. These relationships encourage the development of innovative research projects in public health and health information sciences. Over the past three years, SPHIS has collaborated with the Louisville Metro Department of Public Health and Wellness, REACH of Louisville, Inc., Kentucky Office for Refugees/Catholic Charities of Louisville, Northern Kentucky Health Department, Kentucky Cabinet for Health and Family Services, Kentucky Department of Education, and the University of Kentucky, among others. A spectrum of strategies and objectives support the research activities of the school. These will be discussed in relationship to the research-related objectives outlined in the response to Criterion I. The SPHIS seeks to:  Acquire one new research position per year from university administration. As a rapidly expanding academic unit at the UofL, SPHIS looks to the university to provide endowments, new salary lines and other startup funds required to achieve the target level of full-time faculty within the specified timeline.  Provide funding to support travel to national meetings to present papers and further research networking. The provision of such support to new faculty who are productively engaged in research but who may not have sufficient independent support to travel to important regional and national meetings is critical to their development and to the recognition of the institution. Funding for such activities will be provided through the dean’s office to the department chairs and through the Research Infrastructure Fund (RIF) process described above.  Increase the number of published articles, books, book chapters and presentations by 10% per year. Evidence of scholarly activity is critical to the success of all faculty members as well as to the appropriate recognition of SPHIS and the university. Academic publications are expected to keep pace with the expansion of the faculty at an anticipated rate of 10% per year.  Increase total extramural funding by 10% per year. In addition to the essential support provided by the university, extramural funding from federal, state and non-governmental organization-based grants and contracts is critical to funding faculty salaries and supporting the research mission. Expansion of such extramural support is expected to be commensurate with the rate of faculty growth of approximately 10% annually. This will assure that average grant funding per faculty member will achieve a target level of approximately $100,000.  Hold monthly research incubation meetings to encourage faculty, staff and student involvement in collaborative research activities. These seminars were initiated in July 2005 to foster informal interaction with the entire UofL research community by the faculty, staff and students of the school. Such a forum promotes collegiality and awareness of research activities and interests and invites. A listing of the research incubation meetings over the past three years is included as Table 3.1.3.

Table 3.1.1: Research Incubation Meetings Over the Past Three Years Title Presenter(s) Date Gene Expression, Aging and Mortality Richard Kerber, PhD 2/6/09 Local Healthcare Politics in Louisville David Houvenagle, PhD 3/23/09 Pb and Tobacco Smoke Exposure--Cellular and Molecular Effects Rachel Neal, PhD 4/29/09 An Overview of the Pandemic Planning and Preparedness Program Ruth Carrico, PhD, RN 5/27/09 W. Paul McKinney, MD Research Computing at the University of Louisville Harrison Simrall 6/24/09 Pandemic Flu: Behavioral Health Preparations A. Scott LaJoie, PhD 9/30/09 Looking at Early Detection of Breast Cancer Using a Dynamic Lorena Canales, MPH; Natasha 1/20/10 Software Modeling Tool DeJarnett, MPH; and Alex Kerns, MHA Fluoroquinolone Resistance: Prevalence and Risk Factors in Newly Rose D. Anderson, MD, MPH 1/27/10 Diagnosed TB Patients High-Dimensional Data: A New Paradigm of Biomedical Research Susmita Datta, PhD 3/17/10 Broadway Corridor Redesign Natasha DeJarnett, MPH; 5/26/10 Sadiatu Musah, MPH; and Sarah Walsh, MPH Prevalence of Neonatal Jaundice and Associated Disabilities in Tina Slusher, MD; Frank 6/1/10 Nigeria Groves, MD, MPH; and Paula Radmacher, PhD The National Children's Study: Evolution of a Good Idea David J Tollerud, MD, MPH 8/25/10 The Communities Putting Prevention to Work Project: Capturing Richard Wilson, DHSc 10/6/10 BMI as an Outcome Measuring Functional Recovery under Locomotor Training in Somnath Datta, PhD and Doug 10/27/10 Neurorecovery Network Lorenz, MA, MSPH Prevalence of Neonatal Jaundice and Associated Disabilities in Tina Slusher, MD; Frank 11/10/10 Nigeria Groves, MD, MPH; and Paula Radmacher, PhD A Presentation of Findings from an Action Research Initiative Bob Esterhay, MD and Judah 2/23/11 Thornewill, PhD(c) Examining the Epidemic of Methamphetamine Use in Kentucky Andrea Keatley; Jamie Long; 5/25/11 through Systems Thinking and Dynamic Modeling and Steve Zimmerman A Fulbright Year at Sichuan University's West China School of Robert Jacobs, PhD 8/31/11 Public Health AUDIT Screening and Campus Alcohol Abuse Richard Wilson, DHSc and 12/7/11 Scott LaJoie, PhD Quality Healthcare at the Right Price Russell Bessette, MD 3/28/12 Data Collection in International Settings Linda Young, MA 4/25/12 The Louisville Twin Study: Past, Present and Future Deborah Davis, PhD 05/30/12 The Rise of Childhood Obesity in America: The Causes, How It David Johnson; Christine 06/27/12 Has Led to the Rise of Type 2 Diabetes, and Its Impact and Swanson; and Srikanth Implications for the US Healthcare System Tangelloju b. Description of current research undertaken in collaboration with local, state, national or international health agencies and community-based organizations. Formal research agreements with such agencies should be identified. SPHIS collaborates with a number of local, state and national health agencies and community-based organizations. Over the past three years, SPHIS has collaborated with the Louisville Metro Department of Public Health and Wellness, REACH of Louisville, Inc., Kentucky Office for Refugees/Catholic Charities of Louisville, Northern Kentucky Health Department, Kentucky Cabinet for Health and Family Services, and Kentucky Department of Education, among others. A listing of formal research agreements is available in Table 3.1.2.

Table 3.1.3: Formal Research Agreements with Local, State and National Health Agencies and Community-Based Organizations Organization Project Title PI

The Louisville Metro Department of Public Health and Wellness’ Center for Health Equity (CHE) works to eliminate social and economic barriers to good health, reshape the public health landscape, and serve as a catalyst for collaboration between communities, organizations and government entities through capacity building, policy change and evidenced-based initiatives. In 2011, CHE restructured under the leadership if the new Director, Dr. Anneta Arno, creating three primary programs: (1) Health Equity Institute, (2) Community Engagement and Partnerships, and (3) Research and Evaluation. The Research and Evaluation program will ensure the utilization of data driven, evidence based practice, and timely awareness of emerging issues and trends to achieve health equity in Louisville Metro. Program activities include: Research, Policy Analysis and Evaluation; Community Data Tracking & Integration; and Community Based Participatory Research. While CHE currently host masters of public health candidates for the practicum experience, discussions are underway to expand the level of engagement between CHE and U of L SPHIS, primarily in the area of community based participatory research. c. A list of current research activity of all primary faculty identified in Criterion 4.1.a., including amount and source of funds, for each of the last three years. These data must be presented in table format and include at least the following information organized by department, specialty area or other organizational unit as appropriate to the school: a) principal investigator, b) project name, c) period of funding, d) source of funding, e) amount of total award, f) amount of current year’s award, g) whether research is community based and h) whether research provides for student involvement. See CEPH Data Template 3.1.1; only research funding should be reported here. Extramural funding for service or training/continuing education grants should be reported in Template 3.2.2 (funded service) or Template 3.3.1 (funded training/workforce development), respectively. Please see following page.

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion Three

Table 3.1.2. Research Activity from 2009 to 2012 - SPHIS Awards Project Name PI & Department Funding Funding Amount 2010 Amount Amo Community- Student Source Period 2011 unt Based Participation Start/End 2012 McKinney,William Paul LMPHW Medical Reserve Corps 4510100122 7/1/10 Pandemic Planning and Preparedness McKinney,William Paul Program. OTA HSHQDC-07-3-00005 4510100122 3/9/09 Ethnicity, Breast Cancer Recurrence & Baumgartner,Kathy B Long-Term QOL 4510200122 9/9/05 Heath, Eating, Activity, and Lifestyle Baumgartner,Richard N (HEAL) SEER Special Study 4510200122 9/30/08 Health, Eating, Activity and Lifestyle Baumgartner,Richard N Study (HEAL) 2008 4510200122 9/30/08 Health, Eating, Activity and Lifestyle Baumgartner,Richard N (HEAL) 4510200122 9/30/10 Genetic Characterization of Breast Kerber JR,Richard A Cancer Risk in Families 4510200122 9/1/08 Genetic Characterization of Breast Kerber JR,Richard A Cancer Risk in Families 4510200122 7/13/09 Genetic Characterization of Breast Kerber JR,Richard A Cancer Risk in Families 4510200122 7/13/10 The Utah Study of Fertility, Longevity Kerber JR,Richard A and Aging 4510200122 9/1/08 Mitochondrial Genetics of Exceptional Longevity in Multigeneration Kerber JR,Richard A Metrillneages 4510200122 9/1/11 Genetic Epidemiology of Causal Taylor,Kira Creswell Variants Across the Life Course 4510200122 8/1/11 Safety and Injury Among Teens Enrolled in School-To-Work Apprentice Zierold,Kristina M Programs. 4510200122 9/1/08 Evaluation of Safety Training, Supervision, and Injury among Working Zierold,Kristina M Teenagers 4510200122 8/1/09 Theory and Applications of U-statistics Datta,Somnath for Multistate Models Under Censoring 4510300122 7/1/07 NonParametric Regression of State Occupation Probabilities, State Entry, Exit and Waiting Time Distributions in a Datta,Somnath Multistate Model 4510300122 2/18/11 Rank tests for clustered data with Datta,Somnath 9/1/11 potentially informative cluster size: 4510300122

Project Name PI & Department Funding Funding Amount 2010 Amount Amo Community- Student Source Period 2011 unt Based Participation Start/End 2012 Novel statistical methods for analyzing dental data Statistical peak detection, adaptive classification and protein-protein network construction using mass Datta,Susmita spectra. 4510300122 6/1/08 Development of Statistical Methods for Datta,Susmita Analyzing Proteomic Cancer Data 4510300122 7/1/09 Harris,Muriel Jean ARRA SCFG Part Time BRFSS Analysis 4510400122 10/28/11 The Induction of Positive Affect through Smeltzer,Philip Andrew a Health Dialog or Telephony System 4510400122 9/1/09 Neuroanatomy and molecular biology Hoyle,Gary of airway neurons 4510500122 1/1/08 Neuroanatomy and molecular biology Hoyle,Gary of airway neurons 4510500122 4/1/11 Repair of Airway Epithelium Following Hoyle,Gary Chlorine Lung Injury 4510500122 9/23/10 Novel Therapies for Chlorine-Induced Hoyle,Gary Lung Injury 4510500122 7/1/11 Novel therapies for Chlorine-Induced Hoyle,Gary William Lung Injury 4510500122 6/1/09 Novel therapies for Chlorine-Induced Hoyle,Gary William Lung Injury 4510500122 6/1/10 Novel Therapies for Chlorine-Induced Hoyle,Gary William Lung Injury 4510500122 6/1/09 National Children's Study - Jefferson Tollerud,David John County, KY 4510500122 9/26/08 NCS Recruitment and Retention Tollerud,David John Network 4510500122 1/13/11 Activation of Endothelial Cells and Gene Expression in Lungs following exposure Zhang,Qunwei to Ultrafine Particles 4510500122 3/1/07 Activation of endothelial cells and gene expression alteration in lung following Zhang,Qunwei exposure to ultrafine particles 4510500122 7/1/10 Oxidative Stress and Endothelial Cell Dysfunction in Animals Exposed to Zhang,Qunwei Ultrafine Particles and Cigarette Smoke 4510500122 7/1/08 Mechanisms Underlying the Zhang,Qunwei 7/1/09 Susceptibility of Diabetics to Ultrafine 4510500122

Project Name PI & Department Funding Funding Amount 2010 Amount Amo Community- Student Source Period 2011 unt Based Participation Start/End 2012 Particles Totals

In addition, the school collaborates with other units within the university. … Table 3.1.3. Research Activity from 2009 to 2012 - Participation in Awards to Other Units Project Name PI & Department Funding Funding Amount 2010 Amount Amo Community-Based Student Source Period 2011 unt Participation Start/End 2012

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion Three d. Identification of measures by which the school may evaluate the success of its research activities, along with data regarding the school’s performance against those measures for each of the last three years. For example, schools may track dollar amounts of research funding, significance of findings (eg, citation references), extent of research translation (eg, adoption by policy or statute), dissemination (eg, publications in peer-reviewed publications, presentations at professional meetings) and other indicators. The following table shows annual objectives corresponding to SPHIS Goal 2, “build a public health and information science research enterprise.” These objectives will be the measures by which the school will evaluate the success of its research program. Table 3.1.4: Outcome Measures for Success of Research Activities Outcome Measure Target 2010 2011 2012 2.1.a Increasing the number of grants and 30 1919 >21 contracts awarded to 30 in 2013. 2.1.b Increasing the total dollar amounts of grants $5,000,000 $4.3 $5.3 $4.4 to $5,000,000 in 2013. million$4. million$6. million 3 million 0 million 2.1.c Increasing the number of faculty on 30 2528 27>26 26 sponsored research to 30 in 2013. 2.1.d Increasing the number of students on funded 6 88 8>7 8 research to 6 in 2013. 2.2.c Maintaining the total number of publications in 25 5846 68>25 85 refereed journals at 25 in 2013.Increasing the total number of publications in refereed journals to 25 in 2013. 2.2.d Maintaining the number of refereed 25 112>12 105>9 55 presentations and/or papers sponsored by national or international organizations at 25 in 2013.Increasing the number of refereed presentations and/or papers sponsored by national or international organizations to 25 in 2013. 2.2.a Adding one new faculty research position per One new 1 0 0 year from university administration. faculty per year 2.2.b Providing departmental funding for travel to Continued Ycontinue Ycontinue Ycontinue national meetings to present papers and further departmental d d d research. funding 2.2.e Holding monthly research incubation Continued YY YY Y meetings to encourage faculty, staff and monthly student involvement in collaborative research meetings activities. A full list of publications by SPHIS faculty and staff is available at https://sharepoint.louisville.edu/sites/sphis/cbg/acs/reaccred/Shared%20Documents/Resources/SPHIS %20Publications.docx[insert URL]. Additionally, the university maintains a searchable database of publications by faculty, staff and students, available at http://louisville.edu/research/for-faculty- staff/reference-search/. A list of presentations is available at [insert URL]. Since July 1, 20072, UofL has recovered $Yjust under $4 million in facilities and administrative (indirect) costs from extramural grants and contracts awarded to SPHIS researchers. Of this amount, $Zapproximately 20% was returned to the researchers and departments of the school in the form of Research Infrastructure Funds (RIF). The RIF program is described in detail in Section 3.1.a. We will follow indirect cost recovery and RIF allocation in the future as indicators of research-related resource

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion Three development rather than as formal outcome measures. e. Description of student involvement in research. Graduate Research Assistants (GRAs) are students who devote 20 hours per week to assigned research projects within the school. SPHIS provides stipends, fringe benefits and tuition remission to these students, who are selected for academic excellence and agree to become GRAs. Since July 2009, a total of 25 students have served as full-time GRAs.

Table 3.1.5: Number of Graduate Research Assistants (GRAs) and Fellows Type FY10 FY11 FY12 Full-time GRAs 8 9 8 Full-time paid fellows 2 8 8 Grant-funded 8 8 16 SPHIS-funded full-time GRAs 1 0 0 SPHIS-funded tuition scholarships 26 27 21 The MPH program has also brought many additional students into SPHIS. Each has been required to participate in a practicum project which requires that they to demonstrate knowledge of scientific research techniques. In addition, a variety of practices within SPHIS foster the development of research projects on the part of students, including:  As part of the graduation requirements for the MSc/CIS Program, SPHIS allows and encourages students to prepare a grant proposal in NIH format or a manuscript suitable for submission to a major biomedical journal in lieu of a thesis.  The Department of Bioinformatics and Biostatistics offers PHST 602, ““Biostatistics - Decision Science Seminar,” a weekly seminar series concentrating in Biostatistics and Decision Science. The seminar enriches students’ education by opening windows to a wide variety of research topics and by giving students the chance to improve their critical analysis skills and public speaking abilities. Doctoral students are required to present at least two seminars in PHST 602 in order to complete their degree. Master’s level students are encouraged by advisors to present their thesis work as part of the seminar series as well.  Students have also participated in the research incubation meeting series as described in section 3.1.d. See Table 3.1.6 below. Table 3.1.6: Students Presenting at Research Incubation Meetings Over the Past Three Years Title Presenter(s) Date Looking at Early Detection of Breast Cancer Using a Dynamic Lorena Canales, MPH; Natasha 1/20/10 Software Modeling Tool DeJarnett, MPH; and Alex Kerns, MHA Broadway Corridor Redesign Natasha DeJarnett, MPH; 5/26/10 Sadiatu Musah, MPH; and Sarah Walsh, MPH Examining the Epidemic of Methamphetamine Use in Andrea Keatley; Jamie Long; 5/25/11 Kentucky through Systems Thinking and Dynamic and Steve Zimmerman Modeling The Rise of Childhood Obesity in America: The Causes, How It David Johnson; Christine 06/27/12 Has Led to the Rise of Type 2 Diabetes, and Its Impact and Swanson; and Srikanth Implications for the US Healthcare System Tangelloju KPHA and APHA In addition, SPHIS students have made a number of presentations at the annual meetings of the Kentucky Public Health Association and American Public Health Association. Listings of these presentations are available in the tables and at the URLs below.

2012 - KPHA - http://louisville.edu/sphis/news-and-events/sphis-students-and-faculty-to-present-at-kpha- 2012.html 2011 - KPHA - For more information, see Table 3.1.7 below. 2010 - KPHA - http://louisville.edu/sphis/news-and-events/sphis-students-to-present-at-kpha.html 2011 - APHA - http://louisville.edu/sphis/news-and-events/sphis-presenters-at-apha-2011.html 2010 - APHA - For more information, see Table 3.1.8 below. 2009 - APHA - http://louisville.edu/sphis/news-and-events/faculty-students-in-environmental-and- occupational.html Table 3.1.7: Student presentations at 2011 KPHA annual meeting Student Presentation Duke Appiah Predictors of Alcohol, Cigarette, and Marijuana Use Among National Samples of High School Seniors Cardiovascular Disease among Diabetic Women With Surgical Menopause Joan Buchar, Policy Development…What You Need to Know!! MPH, CHES Whitney Kirzinger The Effect of Menu Labeling on Consumer's Choices for Lower Calorie Foods Crystal Barriers and Facilitators to Recruiting and Training Behavioural Health Professionals as Vahrenhold Volunteers During a Disaster Lauren Rollins Incorporating a Community Survey as part of a Health Impact Assessment related to Proposed Coal Gasification Plants in Western KY Bobby Hawkins Multivariate Analysis of Prostrate Cancer Screening and Results Data from the Norton Cancer Institute Prevention and Early Detection Program Table 3.1.8: Student presentations at 2010 APHA annual meeting Student Presentation Caroline Chan Calibration and validation of a dynamic model that projects population outcomes from methylmercury exposure from local fish consumption Building a dynamic model linking human exposure to mercury emission regulations: Step one: Risk to susceptible populations" Whitney Kirzinger Improved Access to Nutritious Food Drives Behavior Change in Louisville Food Desert Joan Buchar Advocacy is part of the job description Other Presentations UofL produced a Research Minute spotlighting postdoctoral associate Avonne Connor and doctoral students Nandita Das and Stephanie Denkhoff and their research to understand the influence of genetics, lifestyle and environment on breast cancer in minority populations. Video is available at http://www.youtube.com/watch?v=dl46CMwKjWA. Health promotion MPH student, Gagandeep Kaur, presented "Utility Analysis of a HPV Vaccine Mandate for Public School Enrollment" at the Sigma Theta Tau International's 22nd International Nursing Research Congress (2011) in Cancun, Mexico: http://louisville.edu/sphis/news-and-events/students-to-present- decision-analysis-for-hpv.html Three doctoral students presented posters at the 2010 American College of Epidemiology Annual: http://louisville.edu/sphis/news-and-events/epidemiology-students-to-present-at-national.html MPH students Tifany Ables, Peter Adhiawodzi, Scott Bankhead, Bryn Frerics, Paxton Mongtomery, Trinidad Jackson, Pretesh Parmar and Caitlin Shelton travelled to Atlanta to present posters during the 2010 National Immunization Conference. The posters highlighted local H1N1 activities and lessons learned from the mass vaccination event in November 2009. For more information, please see: http://louisville.edu/sphis/news-and-events/national-immunization-conference-presentations-by.html f. Assessment of the extent to which this criterion is met and an analysis of the school’s

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion Three strengths, weaknesses and plans relating to this criterion. This criterion is met. Drawing upon its foundation as the university’s Institute for Public Health Research, SPHIS has a highly productive research faculty, with well-established policies and procedures supporting its activities. Strengths  The continuing operation of the Statistical Consulting has created an effective support system for collaborative research at the Health Sciences Center.

 Well-established relationships exist with the community aimed at furthering the development of collaborative research projects.

 Since July 2007, SPHIS has been awarded a total of over $17 million in direct cost support from grants and contracts, including federal support from NIH, CDC, NSF, and the Department of Homeland Security, with 26 faculty on sponsored research projects in fiscal year 2011-12.

 Indirect cost recovery of just under four million dollars to the university since July, 2007, with a return of approximately 20% of this amount to SPHIS, supports the school's research infrastructure. Weaknesses  There has been heavy reliance on major funding through federal agencies whose budgets are at risk for reduction. Plan  Revised strategies need to be developed to assure continuation and expansion of research funding, such as exploration of new support from foundations and the Commonwealth of Kentucky.

3.2 Service. The school shall pursue active service activities, consistent with its mission, through which faculty and students contribute to the advancement of public health practice. Service is one of the three cornerstones of the mission of the school to advance knowledge for the public’s health in the 21 st century, and the school has implemented a range of service activities for faculty, staff and students. The school is dedicated to transdisciplinary, collaborative partnerships with Louisville Metro, the Commonwealth of Kentucky and their environs, and the national network of public health professionals, in full accordance with its previously stated mission, goals and objectives. Faculty, students and staff are committed to working on recognized problems that result in tangible benefits to the population. The school sees itself as truly bridging academia, community, government and the profession through service-related work. 3.2.a. Description of the school’s service activities, including policies, procedures and practices that support service. If the school has formal contracts or agreements with external agencies, these should be noted. The school’s service program is an integral part of the university’s mission to serve as Kentucky’s urban/metropolitan university. Located in the Commonwealth’s largest metropolitan area, the university addresses the specific educational, intellectual, cultural, service and research needs of the greater Louisville region as well as many rural communities and partners across Kentucky. It has a special obligation to serve the needs of a diverse population, including many ethnic minorities and place-bound, part-time, non-traditional students. Service-related activities occurring within SPHIS are designated in and governed by the document establishing the role of community and professional service and the charge to the Community and Professional Service Committee (Service Committee), both of which are available at https://sharepoint.louisville.edu/sites/sphis/cbg/service/default.aspx.The first document outlines the mission, goals, activities and organization of the school’s community and professional service, including the responsibilities of the committee chair, faculty director, support staff and the Service Committee members. The charge to the Service Committee includes its purpose, organization and composition, support, term and rules. Service represents a tangible demonstration of the faculty’s commitment to create and sustain community and national partnerships characterized by open communication, collaboration and outreach. Faculty service activities are important evaluation factors in hiring and promotion decisions. In addition, service is part of faculty members’ required annual work assignments. The annual work assignment is determined and agreed upon by the department chairs and each faculty member. Faculty members track these activities on their curricula vitae and Digital Measures and meet with their department chair on an annual basis to discuss the percentage of work assignment for teaching, research and service. Faculty service occurs as part of formal agreements and consulting services as well as informal ongoing partnerships. State and Local Service The faculty and staff of the school provide evaluation, research, technical assistance and program development service support to a diverse range of community and public health groups and agencies. The school provides service to the Kentucky Department for Public Health (KDPH) through formal agreements for support of adult and child health programs. Our service program has also been strengthened by our partnership with the Louisville Metro Department of Public Health and Wellness (LMPHW). Collaborative activities with LMPHW span a wide spectrum including training, education, public events, research, student activities and staff support. Regular interaction among SPHIS personnel and LMPHW continue to yield innovative approaches to public health and garners local and national attention. Our faculty members work actively with the LMPHW to create opportunities for students to learn in a public health settings and to take course and curriculum concepts into partnerships with community collaborators. Working with the health department’s Center for Health Equity ensures that faculty and students have opportunities for addressing public health issues through an equity lens. The school also maintains a formal agreement with the LMPHW to engage the services and expertise of LaQuandra Nesbitt, MD, MPH, Director for LMPHW. Dr. Nesbitt’s service work assignment is 90%; Louisville Metro government pays the school for this service. Dr. Nesbitt’s remaining 10% level of effort is devoted to teaching in SPHIS.

The Department of Health Promotion and Behavioral Sciences has provided professional development workshops to the LMPHW employees responsible for community health promotion, stationed in the main branch on East Gray Street and in the Center for Health Equity. The focus of the workshops is on public health competencies and on using existing data sources to complete community health assessments. These activities inform strategic program planning and support the health department’s effort to seek accreditation. We know that our strong relationships with other Louisville agencies are also essential to impact change in the community. Joint activities include the West Jefferson County Community Task Force, an area air quality workgroup and the Partnership for a Green City, a collaborative long-term project between Metro Louisville, the university and Jefferson County Public Schools (JCPS) to address environmental issues facing the region. These efforts also support research priorities such as the investigation of health impacts on susceptible populations, such as children, the elderly and asthmatics, and a better understanding of the specific pollutants that pose the most serious health risks. One specific example of collaboration between the SPHIS, LMPHW and the city of Louisville was the role we played in the community H1N1 Vaccination Clinic held Nov. 11-12, 2009 at Papa John’s Cardinal Stadium. Nearly 400 University of Louisville faculty, staff and students volunteered their time and the SPHIS played a key role in arranging the logistics for this event, with 28 SPHIS volunteers participating over the two-day period. The community clinic, which included a walk-in tent and 10 drive-through bays, was open on the first day from 7:45 a.m-8 p.m. and concluded the second day at 2 p.m., after all the vaccine had been distributed. The first day alone, 12,613 people received the vaccine—the largest single day event according to available data. In total, more than 19,000 people were inoculated against the H1N1 virus, with an average rate of 908 people per hour. Dr. Ruth Carrico, an assistant professor at the SPHIS provided oversight for training and medical protocol. Our public health students assisted with the consent form process and answered questions about the vaccine, serving as vaccine information specialists. SPHIS graduate students Mr. Pretesh Parmar and Ms. Caitlin Shelton did advanced planning and worked on the scene to keep track of and manage the details. This included working with researchers from the university’s Speed School of Engineering to map out the location and use simulation to efficiently guide the traffic and determine equipment and volunteers. The University of Louisville’s participation in the clinic was likely one of the largest volunteer efforts in university history and evidence of ongoing collaboration between the university and local agencies. Statistical Consulting Center The school’s Statistical Consulting Center (StCC) and Center for Health Hazards Preparedness (CHHP) are two internal entities that provide unique services to the community. The Department of Bioinformatics and Biostatistics provides consulting services through its Statistical Consulting Center (StCC) designed to provide expertise in statistics in support of research. The center's services are available to health researchers at the university, but are also used by members of the community, including local health care and research centers, local businesses and nonprofit organizations. Clients of the StCC collaborate with members of the StCC staff and faculty. The StCC participates in both long- and short-term cooperative research projects and provides technical personnel and specialized computational services as needed. Initial project feasibility consultations are provided at no charge, and data analysis and statistical programming jobs on a fee-for-service basis. The StCC provides assistance in many of the phases of research, such as assistance in framing of research questions, design of research studies, design of data collection instruments, statistical analysis and preparation of professional publications. Given the extensive number and range of the services they provide, a full listing of StCC activities will be included in the electronic resource file for the final self-study. Community Outreach and Educational Core, Center for Environmental Genomics and Integrative Biology Several SPHIS faculty members work with the Center for Environmental Genomics and Integrative Biology Community Outreach and Educational Core under the leadership of Dr. Irma N. Ramos and in collaboration with faculty from the Schools of Medicine and Dentistry. The aim of this initiative is to implement a community-based educational program designed to address health literacy gaps among disadvantaged communities in the Metro Louisville Area. This educational program was established in 2008 as a core component of the first National Institutes of Health Center of Excellence at UofL. Strong

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion Three community partnerships have been established in Shelbyville and West Louisville as a result of this effort. A key partner is El Centro Latino, a community-based resource center established by several community groups in collaboration with Assumption Catholic Church. In collaboration with the center, a train-the- trainer program was established to educate members of the community on ethical issues, basic health concepts, environmental health, community safety, and community-based research. The trained lay health workers completed a first-ever comprehensive social and environmental health assessment of Hispanics in Shelbyville, KY in 2010 that has provided valuable information to health officials and community leaders on community perceptions of health and perspectives on key health issues requiring special attention. The knowledge obtained has been used to develop community-wide programs of education designed to improve health outcomes and health literacy for community members and service professionals. The collective effort also has been extended to the West Louisville area working cooperatively with faith-based organizations and Jefferson County Public School Adult Education to address health literacy issues among disadvantaged community residents. Center for Health Hazards Preparedness One of the school’s most successful programs is the Center for Health Hazards Preparedness (CHHP), which was established in 2002 through a cooperative agreement with the Centers for Disease Control and Prevention (CDC). The CHHP is a nationally recognized center of excellence in coordinating research, education and service to improve the local, regional and national response to potential acts of terrorism, natural disasters and infectious diseases. By defining competencies, disseminating best practices and offering virtual drills and exercises, communities will be strengthened as their health care workers and administration are prepared to appropriately assess and respond to a variety of public health hazards. Since 2002, approximately 40,000 individuals have participated in CHHP educational programs. These include physicians, nurse practitioners, nurses, allied health, EMS and public health professionals who work in a variety of settings and encompass the majority of hands-on healthcare providers within a given community. One highlight we want to share is the collaboration that CHHP–affiliated faculty has established with faculty at the JB Speed School of Engineering. They are working together on a National Institute for Hometown Security project funded through a $3.3 million contract. The purpose of this three-year project is to create a real-time decision support system that provides emergency responders and health care decision makers with pertinent information to make critical decisions in the event of a medical surge due to a pandemic. Under the leadership of the PI, Dr. Sunderesh Heragu, SPHIS faculty Drs. Ruth Carrico and Scott LaJoie are working on their own individual research projects. Dr. Carrico’s research will evaluate personal protective equipment for healthcare workers. Dr. LaJoie’s efforts will focus on protecting the health care and public health workforce by promoting mental health before, during and after disease outbreak. CHHP involvement with the Medical Reserve Corp (MRC) has been ongoing for several years. The responsibilities of MRC volunteers vary, depending on the nature of the needs in the community. MRC volunteers can assist during emergencies and assist with public initiatives and ongoing community health outreach and education efforts. Major emergencies can overwhelm the capabilities of first responders, particularly during the first 12 to 72 hours. Medical and other health volunteers can provide an important "surge" capacity during this critical period. They also can augment medical staff shortages at local medical and emergency facilities. In short, communities often need medically trained individuals and others to fill in the gaps in their emergency response plans and to improve their response capabilities overall. In recent years, the CHHP has facilitated several MRC events that resulted in hundreds of new and trained MRC volunteers. In 2011, CHHP received funding from the CDC to address Emergency Countermeasures using students as a workforce supplement. This 12-month project involved curriculum development for nursing, pharmacy and public health student training so they are a capable and competent workforce for communities of all sizes. Also in 2011, CHHP received funding from the Kentucky Office of Refugee Health/Catholic Charities to assist with health assessment and health improvement among the more than 2000 refugees that are resettled every year in Kentucky. Other service activities performed through CHHP include assistance with the Louisville area’s Medical Reserve Corps and asthma evaluation initiatives both part of the ongoing partnership with the Louisville Metro Department of Public Health and Wellness.

A full listing of the many CHHP continuing education activities be included with the final self-study as Table 3.3.1. Gray Street Farmers’ Market As part of its outreach program, the SPHIS worked with community partners to establish a farmers’ market in the downtown area in 2009. The Gray Street Farmers’ Market is one of few markets in Louisville dedicated to increasing availability of fresh foods to generally underserved areas in what are known as food deserts. The Gray Street Farmers’ Market fits with two parts of the university’s 2020 Plan: to be an engaged member of this community and to become more sustainable in our choices and practices. To ensure the success of the market, SPHIS has worked closely with the LMPHW, University of Louisville Hospital, Norton Healthcare, the Louisville Area Chapter of the American Red Cross chapter and Metro United Way, the UofL Sustainability Council and the Office of David W. Tandy, Fourth District Councilman. The Gray Street Farmers’ Market is within walking distance of UofL's Health Sciences Center and the Louisville Medical Center and is open every Thursday from May through October, from 10:30 a.m. to 2 p.m. on the 400 block of East Gray Street, in front of the school’s building. This area is home to a number of families and individuals who have very limited food choices. This market provides additional access to healthy foods for area residents and for those working in the area. With 12 vendors, customers can find the finest in local farm products including fruits, vegetables, grass-fed beef, breads, jam, granola, kettle corn and more. In 2010, the Gray Street Farmers’ Market opened for the second season with a new EBT/Debit machine that allows the market to accept food stamps and process debit cards. The machine was purchased with a grant from the Kentucky Farmers Market Association. This addition expands access to area residents with lower incomes and stimulates market success by making it easier for customers to make purchases. To date, the market has processed over $22,000 in transactions using the new machine; 10% of these transactions are EBT purchases. In its third season, the market took part in the Farmers Market Nutrition Program (FMNP), which provides vouchers to eligible participants - those who are at least 60-years-old with household incomes of no more than 185 percent of the federal poverty income guidelines. Vouchers are obtained from the commodities office and redeemed at certified farmers markets for fruits, vegetables and honey. This new benefit enabled low income adults to purchase $3170 of fresh, local produce during the 2011 season. Results of post-season surveys administered to vendors and customers indicate the market is well received and help coordinators with more information about customer expectations and satisfaction. Attendance has increased over the three seasons. In 2009, total attendance was estimated at 2200 with an average of 192 people. In 2011, we estimate that 7500 customers visited the market, with a weekly average of 312 people. In addition to maintaining a listserv of over 300 names, the market manager has helped put together a community-wide farmers’ market guide to help increase support for farmers markets in Louisville. University-Community Engagement A broader approach to service involves the entire community. This emphasis extends beyond SPHIS and is one of the five critical areas of the University of Louisville’s strategic plan (http://louisville.edu/communityengagement/office-of-the-vice-president). As stated in The 2020 Plan, the community engagement goal is for UofL to be “known as a model metropolitan university, integrating academic excellence and research strength with civic engagement to transform Kentucky” (p. 12). The narrative explains that the university creates mutually beneficial partnerships that are “strong, effective and results-oriented” in these capacities:  Provide leadership and expertise to identify and solve problems  Provide leadership and support for the arts and cultural life of our city  Promote strong interaction with K – 12 school children in Jefferson County and statewide  Address business, environmental, social, and legal issues  Provide outreach services to individuals out in the state lacking health care facilities

University-community engagement, as defined by the Carnegie Foundation, describes the collaboration between institutions of higher education and their larger communities (local, regional/state, national, global) for the mutually beneficial exchange of knowledge and resources in a context of partnership and reciprocity. UofL has a rich and proud tradition of working with community. Under the leadership of President James Ramsey the university is committed to building upon that tradition and extending our reach into community and around the world. In 2010, President Ramsey created the Office of Community Engagement to coordinate university-wide community engagement. This office works with units across the university to foster more community engagement opportunities for students and faculty. The Vice President for Community Engagement, Daniel Hall, reports directly to the President. The Office of Community Engagement has developed mechanisms to track service activities within schools and programs. This document summarizes data submitted to the university annually:  Community Engagement Partnerships  Community Service Hours  Signature Partnership Activities

The Office of Community Engagement has developed mechanisms to track service activities within schools and programs. Since the data collection system began in 2009, a Community Engagement Partnerships Record (CEPR) form has been completed for each SPHIS partnership or collaborative relationship. A total of 42 partnerships were recorded for the 2011- 12 academic year. Additional information about SPHIS collaborations can be found in the UofL Partnership Report available at https://sharepoint.louisville.edu/sites/sphis/cbg/acs/reaccred/Shared%20Documents/Resources/2011- 12%20Partnership%20Report.pdf. The following is a selection of partnerships organized by department and center. Bioinformatics and Biostatistics  The Department of Bioinformatics and Biostatistics and JG Brown Cancer Center Biostatistics Shared Facility (BSF) are working together to mentor high school students working on science projects, judging science fair, and presenting awards to those who have applied sound statistics in their projects. The purpose of these activities is to encourage students to use and appreciate statistics in their careers.  The Kentucky Spinal Cord Injury Research Center project involves the collaboration between faculty and the KSCIRC. Faculty have provided and continue to provide statistical consulting services for the research initiatives of the KSCIRC including grant protocol development, data analysis for individual projects for members of the KSCIRC, and technical report writing for external presentation (conference posters, manuscripts, etc.)  The NeuroRecovery Network is a national network of specialized treatment centers providing standardized activity-based therapy for spinal cord injured patients. It is sponsored by the Christopher and Dana Reeve Foundation, which provides financial, administrative, and managerial support. Environmental and Occupational Health Sciences  Faculty are engaged with the Center for Environmental Genomics and Integrative Biology Community Outreach and Educational Core to educate disadvantaged communities in the Louisville Metropolitan Area (nine counties in Kentucky and four counties in Indiana) on the importance of interactions between genes, environment, culture, and disease. Faculty also work to build partnerships with community-based organizations addressing health issues of minorities and disadvantaged communities.

 Department faculty are working with Project Waterway Improvements Now (WIN) to address the challenges of improving our water quality, Louisville’s Metropolitan Sewer District (MSD) embarked on a comprehensive sewer improvement program that will eliminate major sources of water pollution throughout Louisville Metro. Planned upgrades under Project WIN will allow MSD to comply with Clean Water Act regulations. Project WIN will address problems with combined and sanitary sewer overflows. During rain storms, the sewers become overloaded with rainwater and discharge the

combined water and sewage into local streams and the Ohio River. MSD has committed to take necessary measures to control sewer overflows under a federal Consent Decree with the U.S. Environmental Protection Agency and the Kentucky Division of Water. The Partnership for a Green City consists of the University of Louisville, Louisville Metro Government, Jefferson County Public Schools. Committee members from UofL include the KY Institute Environment & Sustainable Development (KIESD), School of Public Health and Information Sciences (SPHIS), Center for Environmental Education/College of Ed & Human Development, Geography/Geosciences Dept., Pediatrics/UCHS, School of Medicine (SOM), School of Nursing (SON). Other committee members include representatives from JCPS, LMPHW, Passport, Kentucky Lung Association, Kosair Children’s Hospital, and the Air Pollution Control District. Dr. Robert Jacobs is the SPHIS Department of Environmental & Occupational Health Sciences representative on the committee. The committee current focus is on climate change.

 Faculty are part of the MSD-chartered Wet Weather Team (WWT) to assist with the development of an integrated Wet Weather Program (WWP) that complies with Clean Water Act requirements and addresses the community's problems with combined sewer overflows and sanitary sewer overflows that occur during the wet weather conditions. The WWT consists of community representatives, elected officials and MSD personnel. Stakeholders in the WWT will advise MSD on its investment, policy and performance choices in the design of the WWP, so that these choices can be made wisely and in ways that best meet the needs of the local community. Health Management and Systems Sciences  The department’s HARP Project (Health Attendance and Report Platform) was a collaborative initiative to develop near real- time school absence and reporting for Kentucky schools and the nation for pandemic flu. This project is part of a larger funded contract from the National Institute for Hometown Security to SPHIS.  Faculty have worked for several years with Healthy Hoops Kentucky, a special initiative that uses basketball and fun to focus on the needs of kids with asthma. Under the guidance of celebrity basketball coaches and medical experts, children between the ages of 7 and 13 - and their families participate in a full day of health awareness, entertainment, asthma screenings, and basketball drills and skills workshops. Our faculty manage the data collection and analysis efforts.  The Kentucky Prescription Assistance Program assists the public with accessing prescription drug programs and free medications that are offered by discount drug programs, the drug manufacturers, and also those from various discount pharmacy programs. These prescription assistance programs provide medicines and prescription drugs for free or at greatly discounted costs for both individuals and qualifying families.  Louisville Health Information Exchange, Inc., (LouHIE), is a not-for-profit 501(c)4 corporation formed in January 2006 to serve as a community health information exchange for the greater Louisville community. Faculty work with LouHIE's on its mission to contain rising costs and improve quality of healthcare by providing consumers and their providers anytime, anywhere access to complete healthcare information and decision-support. Health Promotion and Behavioral Sciences  The Association for Professionals in Infection Control and Epidemiology (APIC) is a national professional organization, has partnered with SPHIS faculty for training, education, research and publication. This organization represents the more than 12,000 Infection Preventionists practicing in the US and abroad. Capturing trends in the field and providing assistance with development of products and services for the organization has been the basis for an active partnership.

 Collaboration with the Center for Health Equity ensures that faculty and students have opportunities for addressing public health issues through an equity lens. The CHE was established in June 2006 by Dr. Adewale Troutman, the director of the Louisville Metro Department of Public Health and Wellness at that time.

 Work with the Kentuckiana Chapter of the Association for Professionals in Infection Control and Epidemiology (APIC) results in partnering with infection preventionists from healthcare facilities, healthcare settings and public health across Central Kentucky and Southern Indiana gather as part of an educational and practice network with the focus being prevention of healthcare-associated infection. Faculty work with this group on collaborative training and research activities that impact patient and healthcare worker outcomes.

 The Kentucky Hospital Association (KHA) has been a strong and essential partner for the school. Through this partnership statewide initiatives have been formed in the areas of infection prevention and emergency preparedness. These activities have resulted in national attention and improved outcomes for patients and healthcare response systems. Additionally, this partnership has led to research projects that benefit all Kentuckians.

 The Smoketown/Shelby Park neighborhood provides many of its services to the community through the Presbyterian Community Center (PCC). PCC and the Harambe Clinic have provided opportunities to students in SPHIS to get hands-on experience in the Community Based Participatory Research and the Culture and Public Health courses. In addition, we provide ongoing consultation as the neighborhoods continue to grow and transform.

 The YMCA Pioneering Health Communities Committee provides funding and oversight activities that improve access to fruits and vegetables as well as increasing physical activity in schools. Students in SPHIS as well as faculty have been involved in projects to evaluate these activities.

 The mission of the Men's Health Initiative is to help change men’s behaviors and attitudes toward their health and healthcare services. We developed a forum for men to voice their concerns regarding their health care needs and to address the lack of services provided for men that are uninsured and underinsured. Center for Health Hazards Preparedness  The Real Time Decision Support System project is part of a larger funded contract from the National Institute for Hometown Security. Dr. Ruth Carrico’s project will evaluate the real-world application of various recommendations that the CDC, IOM, and OSHA have made regarding the use of respiratory personal protective equipment for healthcare workers. Dr. Carrico evaluates the implications and limitations of these recommendations in a practical setting.

 The Real Time Decision Support System led by Dr. Scott LaJoie aims to provide evidence-based training, recruitment and retention of mental health professionals as a means of building surge capacity for a pandemic to create a geographic information system (GIS) database of disaster mental health trained volunteers to integrate GIS database with existing and future decision support tools.

 The CHHP partners with the Healthcare Emergency Response Association (HERA) Region 6 by serving on the Training Committee as well as participating in monthly meetings to determine additional training opportunities for the local healthcare work force. An example of recent collaborative efforts was that the CHHP developed training materials for both pediatric and adult ventilators that the Region has in their emergency reserves. Training materials allow non-medical personnel to correctly assemble the ventilator and accompanying pieces so as to enable a respiratory therapist to step in and quickly do their job without wasting time in setting up the equipment.

 Pandemic Preparation for the Sentinel Healthcare Workforce is part of a larger funded contract from the National Institute for Hometown Security (NIHS). This project is focused on strengthening the health care workforce via training surrounding pandemic planning and preparedness. Training modules have been developed and presented in a variety of formats (in person, online, and via the statewide TeleHealth network) and have been focused around pandemic influenza. International Service Activities

Clearly, a critical aspect of public health involves a global perspective. In support and recognition of that, the SPHIS has worked to develop opportunities for faculty and students to participate in action learning through international service. SPHIS faculty member, Muriel Harris, PhD, Associate Professor, Department of Health Promotion and Behavioral Sciences facilitates an annual student trip to Ghana. These trips are an opportunity for service and teaching SPHIS students about global aspects of public health. An example of an activity is the 2010 performance of a feasibility study on improving maternal health. Currently, Ghana loses 560 mothers for every 100,000 live births. Dr. Harris and three SPHIS students spent three weeks in and around Tamale, Ghana visiting with community members and leaders, health care professionals, officials at the University for Development Studies (UDS) and with traditional birth attendants to find out some of the issues they face. They identified a lack of health care facilities, shortage of health care providers, lack of basic amenities and lack of transportation to the available facilities as critical factors in poor maternal health. The SPHIS team compiled their study results and recommendations into a report shared with Tamale Teaching Hospital and UDS so they can use it to expand resources for service delivery, research, teaching and learning. Building upon the international perspective, Dr. Robert Jacobs, Professor in Environmental and Occupational Health Sciences and Director of the MPH program, completed a Fulbright Fellowship in China during 2011. As part of that fellowship he instituted a virtual learning environment that connected MPH students at SPHIS with student colleagues in China in order to share public health experiences. Dr. Jacobs is in the midst of planning an exchange that extends beyond the virtual connections he established. A formal exchange program is under development. A second faculty member, Steven McCabe, MD, MSc, Department for Bioinformatics and Biostatistics, completed a Fulbright in Spring 2012, researching and exchanging knowledge about decision analysis with colleagues in Italy. While there, he also taught scientific research methodology to graduate students at the University of Siena. Additional information is available at http://louisville.edu/uofltoday/campus- news/public-health-professor-bound-for-italy-through-fulbright-program. b. Description of the emphasis given to community and professional service activities in the promotion and tenure process. Community service activities of faculty members are highly valued and assessed at all steps along the appointment, promotion, tenure and periodic review continuum. The department chairs, PAT Committee, associate deans and dean of SPHIS all participate in elements of this assessment process. The range of activities considered includes, but is not limited to: membership on community boards, assistance with grant development in partnership with community organizations, participation in candidate selection committees, publicizing joint activities between the school and the community and joint educational projects. Particular emphasis and recognition is given to the development or substantial enhancement of new programs of service linking SPHIS and the community. A complete listing of recent service activities by faculty members may be found in Table 3.2.1. Performance in the SPHIS has three distinct cornerstones: research, teaching and service. All are parts of periodic career reviews and are integral in the promotion and tenure process. Guidelines regarding proficiency and excellence with respect to service activities are noted in the “Policy for Promotion, Appointment, and Tenure and for Periodic Career Review,” one of the guiding documents for the PAT Committee. As part of faculty responsibilities, they maintain records of their service activities in Digital Measures, a web-based service and data management system. The purpose of that documentation is to maintain an accurate record and description of service goals and activities for annual and periodic performance reviews and promotion and tenure reviews. It is the faculty member’s responsibility to provide accurate and complete documentation of their service activities in Digital Measures. According to the PAT guidelines, the information and materials should provide evidence for duration, extent of involvement, leadership, innovation, effectiveness, impact, and outcome of service activities that can be used to evaluate the quantity and quality of service. Service activities must support the collective missions of the department, SPHIS, university, community (county, state, region, nation), or profession and draw on a faculty member’s professional expertise to be considered relevant. The service information should describe the nature, quality and importance of a faculty member’s service contributions, particularly with regard to productivity, innovation, leadership, sustainability, and impact. Academic service activities often overlap and integrate with teaching and

University of Louisville School of Public Health and Information Sciences April 4, 2018 Response to Criterion Three research activities and it is helpful for the faculty member to include a brief statement that describes how their most significant service-related activities contribute to their teaching and research or provide independent contributions to the SPHIS and the university. The following listing is a guide that describes the types of service that faculty may record in Digital Measures.  Committee memberships at department, SPHIS, university, community, state or federal levels, including expert, policy-making or scientific review committees  Administrative and leadership positions with a brief description of the position and associated activities  Public contracts, economic development and outreach partnerships  Training contracts or services  Practice-based and research services  Community and civic engagement that benefit the health of communities  Peer review of manuscripts  Peer review of grants or contracts (Participation as a grant or contract reviewer, noting funding entity, dates, and location, if pertinent)  Editing of journals, reports, or books  Invited presentations, especially those focused on service that engages the community as it relates to public health  Organization of symposia, meetings or community forums

In addition to tracking service activities, it is suggested that faculty seeking promotion and tenure provide notation of peer-assessments of the quality of service performance. Examples of such materials include documentation of funded service-related grants and contracts and letters from collaborators, partners, other colleagues or experts that document a formal service involvement or commitment. It is also recommended that faculty include a self-assessment of personal growth and development over time in the area of service. This may be based on the materials noted above, or on other materials that help to describe and document service-related activities or on correspondence including letters, memos, emails, federal, state, local or community-based organization brochures, newspaper and magazine clippings, web-based sites, and so forth. 3.2.c. A list of the school’s current service activities, including identification of the community, organization, agency or body for which the service was provided and the nature of the activity, over the last three years. As previously mentioned, all faculty members are required to maintain an accounting of their professional service contributions in Digital Measures. SPHIS faculty reported a total of 238 activities serving as consultants, in leadership, editorial, and reviewer positions, and on boards and committees. Table 3.2.1 provides a summary of these service activities. Faculty also gave 280 presentations during 2009-12 at conferences and invited lectures for local, state, national, and international audiences. A complete listing is available at https://sharepoint.louisville.edu/sites/sphis/cbg/acs/reaccred/Shared %20Documents/Resources/DM%20Faculty%20Presentations%2008132012.xls. Table 3.2.1: Faculty Service from 2009 to 2012 Faculty Member Role Organization Start End Baumgartner, Editorial Review Journal of Cancer Survivorship (editorial board) 2007 2010 Kathy Board Member Member American College of Epidemiology (Annals of 2005 Epidemiology) International Society for Environmental 2005 Epidemiology (Epidemiology) American Association for Cancer Research 2004 Obesity Society (Obesity: A Research Journal) 2007 2010

Faculty Member Role Organization Start End Society for Executive Leadership in Academic 2008 2012 Medicine (SELAM) Reviewer, Ad Hoc International Society on Hypertension in Blacks 2003 Reviewer (Ethnicity and Disease) Reviewer, Journal Society for Epidemiologic Research (American 1998 Article Journal of Epidemiology) Baumgartner, Consultant University of Colorado 2007 2010 Richard University of Texas SOM Galveston 2007 2011 Brock, Guy Reviewer, Grant Office of the Associate Director for Science, 2011 2011 Proposal Centers for Disease Control and Prevention Pennsylvania Department of Health and the Oak 2011 2011 Ridge Associated Universities Pennsylvania Department of Health and the Oak 2010 2010 Ridge Associated Universities Reviewer, Journal Bioinformatics 2004 Article BMC Bioinformatics 2009 BMC Medical Genetics 2009 BMC Systems Biology 2012 OMICS Biometrics and Biostatistics 2012 Statistics in Medicine 2007 Computers in Biology and Medicine 2009 PLoS One 2012 Information Fusion 2007 Pattern Recognition Letters 2007 Statistical Methodology 2009 Communications in Statistics - Simulation and 2007 Computation Communications in Statistics - Theory and Methods 2010 BioData Mining 2009 Computational Statistics and Data Analysis 2010 Briefings in Bioinformatics 2010 Journal of Dental Research 2012 Journal of Intelligent Systems 2008 Journal of Experimental Medicine 2007 Disease of the Colon and Rectum 2008 Carrico, Ruth Board of Directors Kentucky Institute for Patient Safety and Quality 2011 of a Company Certification Board of Infection Control and 2010 2016 Epidemiology Committee Association of Schools of Public Health 2009 Member National Biosurveillance Advisory Subcommittee 2008 Consultant Humana 2008 Seven Counties Services 2008 Louisville Metro Dept. of Public Health and 2009 Wellness Editor, Textbook APIC 2002

Faculty Member Role Organization Start End Editorial Review American Journal of Infection Control 2007 Board Member Reviewer, Ad Hoc Institute of Medicine 2009 2009 Reviewer Reviewer, Journal Journal of Public Health Nursing 2010 Article Critical Care Medicine 2009 Infection Control and Hospital Epidemiology 2009 Datta, Somnath Editor, Associate The American Statistician 2009 2012 Editor Communications in Statistics 2009 2012 BMC Bioinformatics 2009 2012 BMC Bioinformatics 2010 American Statistician 2005 Communications in Statistics 2002 Editor, Journal Statistics & Probability Letters 2009 2012 Editor Statistics & Probability Letters, Elsevier 2007 Special Issue on Statistics in Biological & Medical 2010 2011 Sciences Statistics & Probability Letters Editorial Review International Journal of Statistics and Systems 2009 2012 Board Member International Journal of Statistics and Systems 2004 Reviewer, Ad Hoc Jadavpur University, External Reviewer, Doctoral 2005 Reviewer Dissertation Reviewer, Grant Panel member: Integrative Cancer Biology and 2010 2010 Proposal Tumor Microenvironment Reviewer, Journal Statistics & Probability Letters 2009 2012 Article Journal of Nonparametric Statistics 2012 BMC Bioinformatics 2009 2011 SANKHYA, Ser B 2011 Computational Statistics & Data Analysis 2011 Journal of Statistical Planning & Inference 2010 Statistical Methodology 2010 Biostatistics 2009 Journal of American Statistical Association 2009 Datta, Susmita Conference- CAMDA 2008 Conference Scientific Committee, 2007 2008 Related Vienna, Austria, December 2008. Consultant School of Medicine, University of Louisville 2011 2016 Department of Biochemistry, School of Medicine 2009 2014 Department of Biochemistry, University of Louisville 2008 2013 Editor, Associate BMC Research Notes 2008 Editor Bioinformation 2007 Statistical Methodology 2007 Statistics and Probability Letters 2007 Member International Statistical Institute (elected) 2007 Esterhay, Robert Member (Work Association of American Medical Colleges Group 1999

Faculty Member Role Organization Start End J. Group) on Information Resources American Medical Informatics Association Ethical, 1988 Legal, & Social Issues Working Group American Medical Informatics Association Clinical 1988 Information Systems Working Group American Medical Informatics Association People & 1988 Organizational Issues Working Group Reviewer, Grant NLM Institutional Training Grants for Research 1997 Proposal Training in Biomedical Informatics (T-15) Goldsmith, Jane Chairperson American Statistical Association, Kentucky Chapter 2005 2007 Harris, Muriel Committee Chair Susan G Komen for the Cure, Louisville Affiliate 2008 Consultant Cabinet for Health and Family Services - Division of 2007 2008 TB Center for Health Equity 2006 Louisville Metro Dept. of Public Health and 2006 2010 Wellness, Men's Health Initiative Family Health Centers Inc. 2010 Center for Community Health Evaluation 2007 Editor, Journal Sierra Leone Journal of Biomedical Research 2010 Editor Member (Work ASPH Global Health Core Competency 2010 2011 Group) Development Project: Socio-Cultural and Political Awareness Officer, Other Delta Omega National Honor Society, Member-at- 2008 Officer Large Delta Omega Beta Pi Chapter, National 2008 Representative Officer, Delta Omega Public Health Honor Society 2010 President/Elect/Pa Delta Omega National 2010 2012 st Reviewer, Ad Hoc Public Health Reports 2008 Reviewer Hoyle, Gary Reviewer, Grant NIH 2010 2010 Proposal Jacobs, Robert Chairperson Associated Schools of Public Health - 2007 Environmental Health Committee Committee Metro Louisville Dept. of Health and Wellness - 2010 Member Environmental Health Committee Consultant Louisiana Board of Regents 2007 Editorial Review Journal of Cotton Science 1997 Board Member Editorial Review Annals of Agricultural and Environmental Medicine 1995 Board Member Reviewer, Ad Hoc National Board of Public Health Examiners, Item 2008 Reviewer writer for National Board Exam Reviewer, Ad Hoc Council for Education in Public Health 2000 Reviewer Reviewer, Grant Associated Schools of Public Health Review Panel 2008 Proposal Reviewer, Journal Applied Occupational and Environmental Hygiene 1999 Article Kim, Seong Ho Consultant Dr. Barski/ School of Medicine, University of 2009 2010 Louisville

Faculty Member Role Organization Start End Dr. Vuppalanchi/ Indiana University School of 2009 2009 Medicine Reviewer, Journal Journal of Chromatography A 2011 Article Pharmaceutical Statistics 2011 Journal of Statistical Computation and Simulation 2008 Kong, Maiying Conference- JSM 2010 topic-contributed session 2009 2010 Related The 1st Joint Biostatistics Symposium invited 2009 2010 session Consultant Abhishek Amar Bavle/Department of 2011 2012 Pediatrics/UofL Michael D. Deel/Department of Pediatrics 2011 2011 Yong Li/Department of Biochemistry/UofL 2009 2011 Garth M. Beache/Department of Radiology/UofL 2011 2011 Bibhuti B Das /Department of Pediatrics 2010 2011 LaJoie, Scott Committee Chair Medical Decision Making 2006 Reviewer, Ad Hoc Journal of Public Health Practice and Management 2007 Reviewer Medical Decision Making 2007 Quality of Life Research 2007 Reviewer, Medical Decision Making 2008 Conference Paper Lorenz, Douglas Consultant University of Louisville 2009 J. Christopher & Dana Reeve Foundation 2006 Reviewer, Journal American Academy of Pediatrics 2011 2011 Article McCabe, Steven Officer, American Association for Hand Surgery 2007 2012 President/Elect/Pa st McKinney, Paul Committee National Board of Medical Examiners 2009 Member Consultant Various Attorneys' Offices in Kentucky 2002 Member (Advisory Advisory Committe on Immunization Practices, 2000 Group) Liaison Member (Association for Prevention Teaching and Research) Reviewer, Journal Infection Control & Hospital Epidemiology 2000 Article Myers, John Chairperson CDC Review Panel 2010 Reviewer, Ad Hoc Oak Ridge Associated University 2009 Reviewer NIH Review Panel 2008 Neal, Rachel E. Reviewer, Grant NIH NIEHS proposal review panel 2011 2011 Proposal NIH 2009 2009 Reviewer, Journal Toxicology 2006 Article Ramos, Irma N. Committee Journal of Immigrants and Minority Health 2011 Member Editor, Journal Environmental Justice Journal 2010 Editor Reviewer, Journal American Journal of Public Health 2007

Faculty Member Role Organization Start End Article Reproductive Toxicology 2007 Steiner, Rob Board of Directors Kentucky Academy Family Physicians 2008 2011 of a Company Committee American Academy Family Physicians Commission 2007 2010 Member on Health of the Public and Science Editor, Journal Kentucky Academy Family Physicians 2010 2012 Editor Member PLEXUS - Community for Study of Complexity 2004 2010 Sciences Officer, Other Kentucky Academy of Family Physicians, Director 2008 2011 Officer Region 2 Taylor, Kira Conference-‐ The Obesity Society 2011 2011 Related Consultant Carolyn Chi, M.D., Assistant Professor, Baylor 2009 College of Medicine Reviewer, Journal PLoS One (Journal) 2011 Article Annals of Epidemiology (Journal) 2009 Human Reproduction (Academic Journal) 2007 Tollerud, David Chairperson NIEHS Review of Planning Grants - Global 2012 2012 Environmental & Occupational Health Committee Chair National Acadmy of Science, IOM, Committee on 2012 Air Force Health Study Assets National Academy of Sciences, IOM, Committee on 2011 SHAD II National Academy of Sciences, IOM, Committee on 2010 2011 the Long-Term Health Consequences of Exposure to Burn Pits in Iraq and Afghanistan Committee Kentucky Environmental Foundation, Advisory 2010 Member Panel NIH/NIEHS National Childrenâ€™s Study, 2010 Publications Committee Metro Louisville Government, Wet Weather Team 2006 Stakeholder Group Institute of Medicine, Environmental Roundtable 2005 Institute of Medicine, Peer-Review Reports, NIH 2005 Study Sections and Editorial Boards Consultant Kennametal 1998 Editorial Review American Industrial Hygiene Assoc. Editoral 1991 Board Member Review Board Troutman, Board of Directors Academy for Health Equiaty Executive Committee NA Adewale of a Company NACCHO Board of Directors NA Seven Counties Board of Directors NA Committee Advisory Committee to the CDC on Minority Health NA Member and Health Disparities Elimination Institute of Medicines Committee on Childhood NA Obesity Prevention Actions for Local Governments. National Board of Public Health Examiners NA Member (Advisory Board of Advisors to the Men's Health Network NA Group) Secretary's Advisory Committee on Health NA Promotion and Disease Prevention Objective for 2020

Faculty Member Role Organization Start End Wainscott, Barry Consultant Louisville Metro Dept. of Public Health and 2011 Wellness Kentucky Department for Public Health 2005 Officer, Other Kentucky Public Health Association 2006 Officer Wilson, Richard Committee Behavioral Risk Factor Surveillance System 2008 Member Steering Committee Kentucky Public Health Association 2007 2010 Kentucky State Epidemiologic Outcomes 2005 Workgroup Consultant Kentucky Department for Public Health 2011 U.S. Centers for Disease Control 2010 Lifeskills Regional Prevention Center 2008 2009 Reviewer, American Public Health Association 2006 Conference Paper Reviewer, Journal Health Promotion Practice 2009 Article Journal of Alcohol and Drug Education 2005 Wu, Dongfeng Consultant Abhijit P. Mahalingashetty/Anatomy and 2008 Neurobiology/U of L Johnnie Sue Cooper/School of Nursing, Univ. of 2004 MS Medical Center Justin T Phillips, a neurology resident 2011 Micah Worley, an assistant prof. in Biology 2010 Editor, Associate Journal of Cancer Science & Therapy 2010 Editor Editor, Journal Open Access Medical Statistics 2011 Editor Editorial Review Journal of Biometrics and Biostatistics 2010 Board Member Journal of Modern Applied Statistical Method 2002 Member International Biometric Society 2000 American Statistical Association 1995 Reviewer, Grant National Institute of Health/PCORI 2012 Proposal Medical Research Foundation/Williams Barker 2011 Bequest NIH/Challenge Grants 2009 Reviewer, Journal American Journal of Epidemiology 2012 Article The Annals of Applied Statistics 2010 Computational Statistics and Data Analysis 2010 Cancer 2009 Statistical Methodology---A journal published by 2008 Elsevier Quality of Life Research--A journal published by 2008 Springer Information Sciences 2007 Statistics in Medicine 2006 Reviewer, Prentice Hall 2005 Textbook W.H. Freeman & Company 2001

Faculty Member Role Organization Start End Zhang, Qunwei Editor, Journal ISRN Toxicology 2011 Editor Reviewer, Ad Hoc NIH 2012 Reviewer Chemical Research in Toxicology 2009 Journal of Nanobiotechnology 2009 Toxicology and Applied Pharmacology 2009 Environmental Health Perspectives 2006 Antioxidant Redox Signal 2004 American Journal of Physiology 2003 Reviewer, Book EPA 2012 Elservier, Inc 2011 Reviewer, Society for Biomaterial 2011 Annual Meeting 2011 Conference Paper Reviewer, Grant California Tobacco-Related Disease Research 2012 Proposal Program (TRDRP) Medical Research Council 2011 Reviewer, Journal Molecules NA Article BBA - General Subjects 2012 Current Nanoscience 2012 Journal of Biomedical Nanotechnology 2012 Journal of Functional Foods in Health and 2012 Diseases Life Sciences 2011 Nutrition and Metabolism 2011 PloS ONE 2011 The Journal of Toxicological Sciences 2011 Toxicology Research 2011 Toxicology Sciences 2011 Toxicology Letters 2010 Zierold, Kristina Reviewer, Ad Hoc ASPH Alan Rosenfield Global Health Fellowship 2010 2010 Reviewer Program, Applicants Reviewer, American Public Health Association 2010 Conference Paper Reviewer, Grant National Institutes of Health 2009 2009 Proposal Reviewer, Journal Social Science & Medicine 2009 Article Journal of Adolescent Health 2006 American Journal of Industrial Medicine 2005 American Journal of Health Behavior 2004 American Journal of Public Health 2003

Table 3.2.2 provides a quick look at some of the types of service activities in which SPHIS faculty and staff are involved. Table 3.2.2: Selected Service Activities (July 1, 2009 through June 30, 2012) List of Service Activities by Type of Service Number of

Activities Consulting 35 Editorial Positions (Journal editor, associate editor, textbook, editorial review board) 29 Leadership Positions (Board of Directors, Officer, Chair, etc.) 22 National, State and Local Advisory Boards and Committees 38 Reviewer Positions (Textbook/book, conference papers, grant proposals, journal 114 articles) Total 238

The following information is a summary of funded service activities and has been compiled by the university’s tracking process for funded projects including grants, contracts, service agreements, and other such agreements. Please see the following page.

Table 3.2.3: Funded Service Activity from 2009 to 2012 Project Name PI & Department Funding Source Funding Amount 2010 Amo Amount 2012 Community- Student Period unt Based Participation Start/End 2011 McKinney,Willia m Paul LMPHW Asthma Project 4510100122 1/1/11 McKinney,Willia m Paul FY11 UL WebEOC 4510100122 7/1/10 Schreck,Melissa Ann Gray Street Farmers' Market 4510100122 3/4/10 Walsh,Mary S. FY09 & FY10 - Telehealth - UL 4510100122 7/1/08 Walsh,Mary S. FY11 & 12 Telehealth/UL 4510100122 7/1/10 Walton,Peter Eliminating Health Barriers Lewis Work 4510100122 4/30/10 Carrico,Ruth Kentucky Refugee Health Lynne Program Assistant 4510400122 11/1/11 Carrico,Ruth Lynne Executive Nurse Fellows 4510400122 11/1/11 Carrico,Ruth Primary Care & Oral Health Lynne Workforce Study 4510400122 1/3/11 Harris,Muriel FHK/Group Health Evaluation Jean Project 4510400122 11/1/07 Harris,Muriel ARRA Louisville Putting Jean Prevention to Work 4510400122 3/19/10 Harris,Muriel ARRALouisville Putting Jean Prevention to Work 4510400122 3/19/11 ARRA Louisville Putting Prevention to Work (LPPW) -Health & the Built Allen,Susan Olson Environment 4510600122 3/19/10 FY10 CHFS/DPH KPDPAP/UL Esterhay 7/1/09

Project Name PI & Department Funding Source Funding Amount 2010 Amo Amount 2012 Community- Student Period unt Based Participation Start/End 2011 School of Public Health & Info JR,Robert J Scien. 4510600122 Totals

3.2.d. Identification of the measures by which the school may evaluate the success of its service efforts, along with data regarding the school’s performance against those measures for each of the last three years. Table 3.2.4 shows the objectives corresponding to SPHIS Goal 4, “promote collaboration and community/state partnerships.” These objectives are the measures by which the school will evaluate the success of its service program. Table 3.2.4: Outcome Measures for Success of Service Efforts Outcome Measure Target Year 1 Year 2 Year 3 4.2.a Continuing leadership through monthly meetings continued Y Y Y of the Environmental Health Committee of the meetings Partnership for a Green City, involving UofL, Louisville Metro Government and the Jefferson County Public Schools. 4.2.b Promoting the utilization of an electronic continued Y Y Y clearinghouse for service opportunities with support community and government agencies through annual presentations to faculty, staff and students. 4.2.c Maintaining the number of community 25 38 38 42 partnerships that support local metropolitan area government agencies, metropolitan area businesses, community-based organizations and health care organizations at 25 in 2013. 4.2.d Maintaining the number of partnerships with state, 10 21 21 Data regional and federal agencies at 10 in 2013. collection ongoing 4.2.e Maintaining the number of collaborative programs 2 4 4 Data with K-12 educational institutions at two in 2013. collection ongoing

3.2.e. Description of student involvement in service, outside of those activities associated with the required practice experience and previously described in Criterion 2.4. One hallmark of our school's service activities is the range of community experiences in the practice of public health available to our students. These opportunities highlight the integral part service plays in achieving our desired mission, goals and objectives. They introduce our students to the broader context and concept of community and what it means to provide service to the community. Relationships created through the identification of field placement sites for students also advance our service activities by growing our network of collaborative partnerships for teaching and research. SPHIS tracks student community service efforts annually and submits this to the Office of Community Engagement. For each activity, we record the date of service, the community group or organization served, the location of service, a description of the service performed, numbers of student and employee participants as well as the number of hours served. Additional information includes the amount of money raised, the relationship to university activities and the primary issue addressed (e.g. community and economic development, disaster response and recovery, environment health/ nutrition, youth development, etc.). Beginning Fall 2012, students will have a new opportunity to record their service experiences through the web-based Student Engagement Record (SER) system. A summary of student service/community engagement activities in Table 3.2.5 on the following pages.

Table 3.2.5: Student Service and Community Engagement Activities Student, Group or Date Organization Description of Service # of # Hours Served Organization Served Student s o f

F a c u l t y /

S t a f f UofL Chapter of the 10/24/2009 Wheatley Volunteers pick up trash in a two block 20 2 8 Kentucky Public Health Elementary and the grid of the California neighborhood Association California Neighborhood California Love Project: UofL Chapter of the 4/6/2010 Public health field Hosted a booth to let students know about 5 3 5 Kentucky Public Health public health as part of National Public Association health week SPHIS Student 9/1/2009 Louisville AIDS Walk Each year, the SPHIS SGA organizes and 25 4 12 Government sponsors the Louisville AIDS Walk week Association in September. Department of Health 10/1/2009 Healthy Hoops A special initiative that uses basketball 7 5 10 Management and Kentucky and fun to focus on the needs of kids with Systems Science asthma. Children between the ages of 7 and 13 - and their families, participate. SPHIS Dean's Office 11/7/2010 Out of the Darkness Suicide Prevention Walk in Louisville 6 1 4 Metro 0 Center for Health 11/11/2009 H1N1 Drive Thru Helped with the Louisville Metro 19 9 20

Student, Group or Date Organization Description of Service # of # Hours Served Organization Served Student s o f

F a c u l t y /

S t a f f Hazards Preparedness Clinic Department of Public Health and Wellness H1N1 immunization clinic for two-days SPHIS Dean's Office May - June Service Trip to Conducted a field study in a remote 4 2 120 2010 Ghana village shared findings with local university Jade Ashley Mar-10 Service Trip to 10-day service trip to India over winter 1 1 80 Ghana break. helped operate medical camps in needy communities. Stephanie Denkhoff 11/18/2010 JCPS school - Presented on public health for the AHEC- 2 1 4 and Avonne Connor AHEC sponsored health career fair at Moore High School Whitney Kirzinger and 3/30/2011 JCPS school - Presented on public health for the AHEC- 2 1 5 Avonne Connor AHEC sponsored health career fair at Olmsted South Middle SPHIS Student 9/1/2010 Louisville AIDS Walk Each year, the SPHIS SGA organizes and 15 3 26 Government sponsors the Louisville AIDS Walk week Association in September SPHIS Student 3/26/2011 Supplies Over Seas A local organization that collects, sorts, 6 0 24 Government (SOS) and packages surplus medical supplies Association from medical offices in Louisville and ships them to sites in need throughout the

Student, Group or Date Organization Description of Service # of # Hours Served Organization Served Student s o f

F a c u l t y /

S t a f f world. SPHIS Student 4/4/2010 National Public Activities included a cook-out, a 10,000 10 2 12 Government Health Week Step Challenge, and an Alcohol Association Awareness table. SPHIS Student 4/8/2011 American Cancer Sponsored a team in support of the UofL 4 0 20 Government Society American Cancer Society Relay For Life, Association SPHIS Student 4/9/2011 Community Drug Drug Toss event at various locations - 4 1 5 Government Toss Event accepted expired or unused medications. Association Coordinated by University of Louisville Department of Health 10/1/2010 Healthy Hoops An initiative that uses basketball and fun 7 5 10 Management and Kentucky to focus on the needs of kids with asthma. Systems Sciences SPHIS Dean's Office 5/1/2011 Service Trip to Conducted a needs assessment in 4 1 120 Ghana Tamale, Ghana with an emphasis on Maternal Health Department of Health 10/1/2011 Healthy Hoops An annual initiative that uses basketball 8 4 14 Management and Kentucky and fun to focus on the needs of kids with Systems Sciences asthma. Please see following page.

3.2.f. Assessment of the extent to which this criterion is met and an analysis of the school’s strengths, weaknesses and plans relating to this criterion. This criterion is met. A formal program has been constituted and a committee has been formed to coordinate service activities of the school. SPHIS administration supports the engagement of faculty, staff and students in a variety of important service activities. Strengths  Students have been involved in a variety of service activities with Louisville Metro Department of Public Health and Wellness and other local organizations as well as international projects.

 Digital Measures, an electronic system for entry and tracking of service activities, is now in place and utilized by all faculty. Weaknesses None identified. Plans  The Transition Team will review the need for awards for excellence in service in Fall 2012.

3.3 Workforce Development. The school shall engage in activities other than its offering of degree programs that support the professional development of the public health workforce. 3.3.a. Description of the ways in which the school periodically assesses the continuing education needs of the community or communities it intends to serve. The assessment may include primary or secondary data collection or data sources. Continuing education needs assessment includes several approaches. We are in regular contact with the Commissioner, Kentucky Department for Public Health, who has made direct requests for our development of coursework for specific situations. For example, the H1N1 swine influenza epidemic of 2009 prompted a discussion with the Commissioner’s office that resulted in a statewide symposium on the topic that was held in Frankfort in Sept 2009. On a local level, the Director of the Louisville Metro Department of Public Health and Wellness is a faculty member of SPHIS who participates regularly in faculty meetings and discussions with the leadership of the school. This relationship facilitates requests for development of courses that are of specific use to the staff at the largest local health department in Kentucky. Needs for continuing education coursework are also conveyed through professional organizations, such as the Kentucky Public Health Association, the Kentucky Health Departments Association, the Association of Practitioners of Infection Prevention and Control, the Kentucky Nursing Association, the Kentucky Medical Association, the Kentucky Psychology Association, and the Kentucky Hospital Association based on perceived needs of their leadership. Finally, needs are regularly expressed as part of the evaluation process for most coursework that is delivered in the state. Respondents are thereby routinely asked what other topics they would consider to be important for their professional development. 3.3.b. A list of the continuing education programs, other than certificate programs, offered by the school, including number of participants served, for each of the last three years. Those programs offered in a distance-learning format should be identified. Funded training/continuing education activities may be reported in a separate table. See CEPH Template 3.3.1 (Optional template for funded workforce development activities). Only funded training/continuing education should be reported in Template 3.3.1. Extramural funding for research or service education grants should be reported in Templates 3.1.1 (research) or 3.2.2 (funded service), respectively.

A full listing of the many CHHP continuing education activities be included with the final self-study as Table 3.3.1. 3.3.c. Description of certificate programs or other non-degree offerings of the school, including enrollment data for each of the last three years. The graduate certificate in Clinical Investigation Sciences includes 16 credit hours of didactic instruction with required courses in epidemiology, biostatistics, the responsible conduct of research, evaluating the health care literature and an elective in behavioral and social science, health economics or health services and outcomes research plus a one credit hour research paper. The certificate program can be completed in one year and is designed for those who want a career in a clinical research setting as well as those who want to upgrade their research skills. Courses taken in the certificate program can be applied toward the MSc degree. The certificate in Clinical Investigation Sciences is offered in the school’s Clinical Research, Epidemiology and Statistics Training (CREST) Program. The goal of the certificate program in Clinical Investigation Sciences is to provide a core curriculum of coursework in clinical investigation. Physicians and other health professionals who plan on conducting clinical research often are lacking the didactic training in order to gain the skills necessary to do so. The certificate program curriculum, a structured series of lectures of basic required courses, provides training in clinical research skills that were not previously available to UofL students prior to the program’s inception. There are also faculty and fellows who are not able to take the entire masters track, but would like evidence that they have successfully completed limited training in clinical research. The goal of the certificate program is to provide this option. Learning objectives: Upon completion of the certificate program, students will be able to:

 Develop collaborative clinical research studies in accordance with appropriate epidemiologic and biostatistical methodologies  Apply the principles of data collection, monitoring, management and analysis within the context of a multidisciplinary team  Disseminate study results to professional and lay audiences through oral and written communication  Analyze human subjects issues and apply ethical principles in performing and disseminating clinical research  Discuss and respond to the legal issues in new drug and device development In most cases, applicants have completed a professional doctoral degree (e.g., DMD, D.O., M.D.) or academic degree from an accredited institution or its equivalent, but applicants with research experience are considered (e.g., research coordinator). Standard application procedures are followed for the Graduate Certificate program, including completed application, two letters of recommendation, CV/resume, transcripts, and submission of GRE scores. The personal statement is a one-page essay that discusses the student’s background and his or her long-term goals in clinical research. Upon matriculation in the program, each student meets with the CREST program coordinator and develop a program of study based on the selection of the Certificate program curriculum. The program of study may be modified as the student’s needs change or course availability is altered. Required coursework includes five credit-hours of epidemiology, 7 credit-hours in research design and statistics, 4 credit-hours in outcomes and ethics, and 1 hour of mentored research and a research paper. The paper can be a literature review or a research project. Data collection is not required. The curriculum can be found here: http://louisville.edu/graduatecatalog/programs/cert/clinical-investigation-sciences-certificate/ The majority of courses in the CREST program are taught by SPHIS faculty. SPHIS faculty’s expertise in epidemiology, biostatistics, health management, and health behavior add to the success of the students and the program. Students can be involved in research conducted by SPHIS faculty, or more frequently, pursue a clinical hypothesis relevant to their practice specialty. The number of students who matriculate each year has varied between 10-40, but the average for the past five years has been approximately 15 students. Thus the faculty to student ratio is 2.7:1, well below other university programs and national norms. The program does not meet the CPE Program Productivity Goals because the vast majority of the students are physicians who are seeking a MSc in Clinical Investigation Sciences in order to enhance their research careers. Since they are physicians, after they complete the certificate program, their employment rate is near 100%. Similarly, those engaging in research are in faculty positions at UofL, or at other research institutions. The CREST program partners with the clinical departments and divisions of the university health science center in the work that students do. Each student works with at least two types of mentors: one from SPHIS and one from the clinical entity of their interest. There may be opportunities to perform service within their clinical rotations, however, there is no student service component in the CREST program. Since the students’ professional aims are clinical research, community engagement projects are not appropriate uses of their time. 3.3.d. Description of the school’s practices, policies, procedures and evaluation that support continuing education and workforce development strategies. After each training course that is completed, all participants are requested to complete an evaluation form for the presentations they attended. These data are collected, collated, analyzed, summarized, and shared with the course director, instructors, sponsoring organization, and other interested parties. These results are used in the modification of materials for future presentations and for assistance in planning future curricula. While SPHIS does not have independent policies and procedures that support continuing education and workforce development, a collaboration having such policies and procedures is in place with the University of Kentucky College of Public Health and other entities, as described below. 3.3.e. A list of other educational institutions or public health practice organizations, if any, with which the school collaborates to offer continuing education.

SPHIS has collaborated with other schools and programs of public health in Kentucky (Eastern Kentucky University, University of Kentucky, and Western Kentucky University) in submitting a grant application for a newly formed KY Public Health Institute (PHI). The universities will serve in a convening role and also provide evaluative research on the effectiveness of cross- jurisdictional sharing. We will also perform research aimed at creating evidence-based decisions about sharing of resources between single-county health departments. We also have the opportunity in Kentucky to compare single county operations with counties that are part of an existing district. In addition to the above institutions, the proposed PHI includes partnerships with the Kentucky Department for Public Health and Office of Performance Management; Kentucky Health Department Association; Kentucky Public Health Association; Foundation for a Healthy Kentucky; Kentucky Public Health Leadership Institute; Kentucky and Appalachia Public Health Training Center; Kentucky Rural Health Centers; Kentucky Public Health Research Network; National Coordinating Center for Public Health Systems and Services Research; and the Practice Based Research Networks National Coordinating Center. The PHI will serve as a neutral convener and provide an independent and collective voice for the public’s health in Kentucky. The Kentucky Public Health Leadership Institute (KPHLI) also provides opportunities for the SPHIS faculty to provide direct mentorship to public health professionals throughout Kentucky. The faculty members have been active in KPHILI since 2007, completing nine projects with 42 public health practitioners. Participants in KPHILI receive a Certificate in Public Health Leadership from the Kentucky College of Public Health after the year-long development program. The institute’s mission is to “strengthen the public health system in the commonwealth of Kentucky by improving the skills of the professionals who administer state, regional, and local public health systems”. SPHIS mentors include Drs. Richard Wilson, Muriel Harris, and Scott LaJoie, all of the Department of Health Promotion and Behavioral Science. 3.3.f. Assessment of the extent to which this criterion is met and an analysis of the school’s strengths, weaknesses and plans relating to this criterion. This criterion is met. SPHIS recognizes its role in the education of the public health workforce and specifically the need for formal continuing education activities to support maintenance of the CPH distinction. Strengths  The Center for Health Hazards Preparedness, through funding from CDC, HRSA, the Assistant Secretary for Preparedness and Response, and the Department of Homeland Security/National Institute for Hometown Security has provided continuing education from 2002-2012 for a large number of health professionals in a variety of disciplines throughout the region in the recognition and response to potential acts of terrorism and natural disasters.

 The CREST program offers a certificate in clinical investigation sciences that the university has recognized as a valuable resource and wishes to expand. Weaknesses  Continuing education efforts over the last decade have focused almost exclusively on all-hazards preparedness.

 SPHIS was not able to secure independent funding for a Public Health Training Center during the recent round of funding through HRSA. Plan  Through its designated faculty liaison, Dr. Susan Muldoon, the school will collaborate with the University of Kentucky College of Public Health (UKCPH) in needs assessments and workforce development activities through the newly proposed Kentucky Public Health Institute. The school will explore collaboration with UKCPH in its plan for renewal of support for its PHTC.