emergency care are most amenable to coordinated federal action. Its objectives were threefold:

  1. Foster information exchange among federal officials involved in advancing emergency care and key stakeholder groups from around the country.

  2. Identify policy areas that are of great and immediate concern to stakeholders and federal policy makers.

  3. Hold discussions with federal partners regarding the policy and programmatic areas that should be the focus of coordinated federal action.

In attendance were policy makers from the various federal agencies involved in emergency care, state and local officials, and stakeholders from the health care provider community. These included thought leaders from a wide range of relevant disciplines, including nursing, emergency medical services (EMS), specialist physicians and surgeons, public health officers, and hospital and health system administrators.

The 2-day workshop was structured to emphasize interactive discussion among panelists and participants. Rather than giving long lectures, each panelist provided a 5-minute opening statement, accompanied by a single PowerPoint slide that summarized his or her key points. Following these presentations, the session chair opened the floor for discussion. This process ensured that attendees were actively engaged throughout the 2-day workshop. It also stimulated a number of rich interactive exchanges. These are captured in the chapters that follow.

Chapter 1 of this report contains the opening introduction by workshop chair Dr. Arthur Kellermann, followed by a keynote address by Dr. Jeff Runge. These are followed by presentations from three federal officials—Michael Handrigan (HHS/ASPR), Drew Dawson (Department of Transportation/National Highway Traffic Safety Administration), and DanKavanaugh (HHS/Health Resources and Services Administration), who detailed the federal progress in achieving the IOM recommendations set forth in 2006. A more detailed account of each agency’s activities, addressing each report recommendation in detail, is contained in Appendix C.

Chapter 2 captures a facilitated interactive exchange among the members of the audience. These participants brought their personal insights and expertise to the table. The interactions that followed covered a wide range of topic areas related to emergency care. The focus of this discussion was the impact of federal policies on emergency care providers at the community level.

Chapters 36 detail the four panel sessions. Each was focused on a critical topic in emergency care. These included quality and patient safety, emergency care research, health professions training, and emergency care eco-



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