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Improving the Presumptive Disability Decision-Making Process for Veterans (2008)
Board on Military and Veterans Health (BMVH)

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. "Appendix B: Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas." Improving the Presumptive Disability Decision-Making Process for Veterans. Washington, DC: The National Academies Press, 2008.

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Improving the Presumptive Disability Decision-Making Process for Veterans

Appendix B
Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas

Committee Meeting #1

May 31, 2006

Keck Center of the National Academies

Washington, D.C.

AGENDA

Wednesday, May 31

Room 201

8:30 a.m.

Closed Session (Committee Members and IOM Staff Only)

10:30 a.m.

Open Session Begins

10:30 a.m.

Welcome and Introductory Remarks, Introduction of Committee Member and Attendees

Jonathan Samet, M.D., M.S., Committee Chair

10:40 a.m.

Expectations of the Study Sponsor

Commissioner John Grady (Member, Veterans’ Disability Benefits Commission)

11:00 a.m.

An Overview of the Disability Benefits Program and Presumptions Affecting Veterans’ Benefits

Thomas Pamperin, M.B.A. (Assistant Director for Policy, Compensation and Pension Service, Department of Veterans Affairs)

11:45 a.m.

Legislative and Regulatory History of Presumptions

David Barrans, J.D. (Deputy Assistant General Counsel, Office of General Counsel, Department of Veterans Affairs)

Page
344
Front Matter (R1-R32)
General Summary (1-6)
Summary (7-26)
1 Introduction (27-35)
2 A Brief History of Presumptive Disability Decisions for Veterans (36-51)
3 The Presumptive Disability Decision-Making Process (52-69)
4 Legislative Background on Presumptions (70-82)
5 Case Studies Summary Chapter (83-135)
6 Establishing an Evidence-Based Framework (136-149)
7 Scientific Evidence for Causation in the Population (150-174)
8 Synthesizing the Evidence for Causation (175-197)
9 Applying Population-Based Results to Individuals: From Observational Studies to Personal Compensation (198-236)
10 Health and Exposure Data Infrastructure to Improve the Scientific Basis of Presumptions (237-297)
11 Governmental Classification and Secrecy (298-308)
12 The Way Forward (309-328)
13 Recommendations (329-338)
Appendix A: Statement of the Veterans' Disability Benefits Commission to the Institute of Medicine's Committee on the Presumptive Disability Decision-Making Process, May 31, 2006 (339-343)
Appendix B: Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas (344-348)
Appendix C: Glossary (349-408)
Title Page (409-409)
Appendix D: Historical Background (410-423)
Appendix E: Arguments Favoring and Opposing Presumptions (424-433)
Appendix F: Tables: Summary of Presumptive Disability Decision-Making Legislative History (434-565)
Appendix G: VA's White Paper on the Presumptive Disability Decision-Making Process (566-569)
Appendix H: IOM's Statements of Task and Conclusions for Agent Orange and Gulf War Reports (570-591)
Appendix I: Case Studies (592-709)
Appendix J: Causation and Statistical Causal Methods (710-719)
Appendix K: Sources of Health and Exposure Data for Veterans (720-763)
Appendix L: Additional Classification and Secrecy Information (764-773)
Appendix M: Biographical Sketches of Committee Members, Consultants, and Staff (774-781)

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OCR for page 344
Improving the Presumptive Disability Decision-Making Process for Veterans Appendix B Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans Open Session Meeting Agendas Committee Meeting #1 May 31, 2006 Keck Center of the National Academies Washington, D.C. AGENDA Wednesday, May 31 Room 201 8:30 a.m. Closed Session (Committee Members and IOM Staff Only) 10:30 a.m. Open Session Begins 10:30 a.m. Welcome and Introductory Remarks, Introduction of Committee Member and Attendees Jonathan Samet, M.D., M.S., Committee Chair 10:40 a.m. Expectations of the Study Sponsor Commissioner John Grady (Member, Veterans’ Disability Benefits Commission) 11:00 a.m. An Overview of the Disability Benefits Program and Presumptions Affecting Veterans’ Benefits Thomas Pamperin, M.B.A. (Assistant Director for Policy, Compensation and Pension Service, Department of Veterans Affairs) 11:45 a.m. Legislative and Regulatory History of Presumptions David Barrans, J.D. (Deputy Assistant General Counsel, Office of General Counsel, Department of Veterans Affairs)

OCR for page 345
Improving the Presumptive Disability Decision-Making Process for Veterans 12:15 p.m. Lunch 1:15 p.m. The Role of Science in Establishing VA Disability Compensation Policies Mark Brown, Ph.D. (Director, VA’s Environmental Agents Service, Office of Public Health and Environmental Hazards, Department of Veterans Affairs) 1:45 p.m. Presumptions in VA’s Disability Program—The Effect Thomas Pamperin, M.B.A. (Assistant Director for Policy, Compensation and Pension Service, Department of Veterans Affairs) 2:05 p.m. PANEL Q&A—VA Presenters and Committee Members 2:45 p.m. Break 3:00 p.m. An Examiner’s Use of the Clinician’s Guide and How Examiners Are Selected and Trained by VHA Patrick Joyce, M.D., J.D., M.P.H. (Chief Physician, Compensation and Pension Program, VA Medical Center, Washington, D.C.) 3:45 p.m. Making Decisions Based on Medical Evidence Bradley Flohr (Chief of Advisory Review Staff, Compensation and Pension Service) 4:15 p.m. Public Comments (Attendees will be given the opportunity to make brief remarks to the Committee Members) 5:15 p.m. Open Session Ends 5:15 p.m. Closed Session (Committee Members and IOM Staff Only) 6:15 p.m. Adjourn Committee Meeting #2 July 27, 2006 Keck Center of the National Academies Washington, D.C. AGENDA Thursday, July 27 Room 101 8:30 a.m. Closed Session (Committee Members and IOM Staff Only) 9:00 a.m. Open Session Begins 9:00 a.m. Welcome and Introductory Remarks, Introduction of Committee Members and Attendees Jonathan Samet, M.D., M.S., Committee Chair

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Improving the Presumptive Disability Decision-Making Process for Veterans 9:10 a.m. Summary of Recent IOM Studies Conducted for VA Rose Marie Martinez, Sc.D. (Director, Board on Population Health and Public Health Practice, Institute of Medicine) 9:45 a.m. VA Health Care Utilization Among Operation Iraqi Freedom/ Operation Enduring Freedom Veterans Han K. Kang, Dr.P.H. (Director, Environmental Epidemiology Service, Department of Veterans Affairs) 10:15 a.m. Overview of VA Registries Han K. Kang, Dr.P.H. (Director, Environmental Epidemiology Service, Department of Veterans Affairs) 10:45 a.m. Break 11:00 a.m. Assessing Environmental and Occupational Exposures—VA Disability and Compensation Policies Lawrence R. Deyton, M.S.P.H., M.D. (Chief Officer, Public Health and Environmental Hazards, Department of Veterans Affairs) 12:00 p.m. Lunch 1:00 p.m. Overview of DoD Deployment and Installation-Based Occupational and Environmental Health Programs R. Craig Postlewaite, D.V.M., M.P.H. (Senior Analyst, Environmental Health Surveillance, DoD Deployment Health Support Directorate) 1:20 p.m. Deployment Health Surveillance: Past, Current, and Future Operations Jack M. Heller, Ph.D. (Director, Health Risk Management, U.S. Army Center for Health Promotion and Preventive Medicine) 2:05 p.m. DoD Occupational Health Exposure Assessment Processes John Seibert, C.I.H., C.S.P. (Assistant for Safety, Health and Fire Protection, Office of the Deputy Under Secretary of Defense for Installations and Environment) 2:50 p.m. Break 3:00 p.m. Panel Discussion with DoD Representatives 4:00 p.m. Public Comments from Veterans Service Organizations   The American Legion Cathy Wiblemo, M.H.A. (Deputy Director, Veterans Affairs and Rehabilitation Division) AMVETS Jim Doran (National Service Director) United Spinal Association Leonard Selfon, Esq. (National Service Director)

OCR for page 347
Improving the Presumptive Disability Decision-Making Process for Veterans   Veterans of Foreign Wars of the United States Quentin Kinderman (Deputy Director, National Legislative Service) Vietnam Veterans of America Rick Weidman (Executive Director for Policy and Government Affairs) 4:30 p.m. Public Comments from Attendees (Attendees will also be given the opportunity to make brief remarks to the Committee Members) 5:00 p.m. Open Session Ends 5:15 p.m. Closed Session (Committee Members and IOM Staff Only) 6:00 p.m. Adjourn Committee Meeting #3 October 4, 2006 Emily Morgan Hotel 705 East Houston Street San Antonio, Texas AGENDA Wednesday, October 4 Emily Morgan Hotel (Room 2) 7:30 a.m. Closed Session (Committee Members and IOM Staff Only) 8:00 a.m. Open Session Begins 8:00 a.m. Welcome and Introductory Remarks, Introduction of Committee Members and Attendees Jonathan M. Samet, M.D., M.S., (Chair, Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans) 8:10 a.m. Presentations from Past Congressional Staffers Laura Petrou Patrick Ryan, J.D. Edward Scott, J.D. Chris Yoder 9:10 a.m. Panel Q&A—Panel Presenters and Committee Members 9:50 a.m. Break 10:00 a.m. DoD and Veterans Affairs: Health Information Sharing Nhan Do, M.D., M.S., F.A.C.P. (Information Manager, Medical Informatics, TricareManagement Activity) Cliff Freeman, M.A., M.S. (Director, VA/DoD Health IT Sharing Program)

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Improving the Presumptive Disability Decision-Making Process for Veterans 10:30 a.m. Panel Q&A—Health IT Presenters and Committee Members 11:00 a.m. Public Comments from Veterans Service Organizations Public Comments from Attendees (Attendees will also be given the opportunity to make brief remarks to the Committee Members) Comments from LTG James Terry Scott, U.S. Army (Ret.) (Chairman, Veterans Disability Benefits Commission) Closing Comments from Jonathan M. Samet, M.D., M.S. (Chair, Committee on Evaluation of the Presumptive Disability Decision-Making Process for Veterans) 12:00 p.m. Open Session Ends 1:00 p.m. Closed Session (Committee Members and IOM Staff Only) 6:00 p.m. Adjourn