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National Emergency Care Enterprise: Advancing Care through Collaboration - Workshop Summary
Appendix A
Workshop Agenda
May 21–22, 2009
Embassy Suites
900 10th Street, NW
Washington, DC 20001
Background:
In 2006, the Institute of Medicine (IOM) released a series of three reports on the Future of Emergency Care in the United States Health System. This workshop provides an opportunity to examine the progress that has been made since that time in moving the nation toward the IOM’s vision of a “regionalized, coordinated, and accountable” emergency care system. One of the central recommendations contained in the IOM reports encouraged the federal government to more effectively coordinate emergency care-related activities that are widely dispersed through various federal departments and agencies. Now, three years later, structures are being put in place to address this challenge. This workshop is being convened to bring stakeholders and policy makers together to discuss which of the many challenges facing emergency care are most amenable to coordinated federal action.
Audience:
Participants will include policy makers from the various federal agencies involved in emergency care, state and local officials, and stakeholders from the health care provider community. Thought leaders from a wide range of relevant disciplines will be in attendance, including nursing, EMS, special-
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ist physicians and surgeons, public health officers, and hospital and health system administrators.
Objectives:
Foster information exchange between federal officials involved in advancing emergency care and key stakeholder groups from around the country.
Identify policy areas that are of great and immediate concern for emergency care stakeholders and federal policy makers.
Hold discussions with federal partners regarding the policy and programmatic areas that should be the focus of coordinated federal action.
DAY 1: THURSDAY, MAY 21, 2009
7:30 a.m.–8:30 a.m.
Continental Breakfast and Workshop Registration
8:30 a.m.–8:45 a.m.
Welcome and Workshop Overview
Art Kellermann (Workshop Chair)
Professor and Associate Dean for Health Policy
Emory School of Medicine
8:45 a.m.–9:15 a.m.
Keynote Address
Jeff Runge
President, Biologue, Inc.
Former Assistant Secretary for Health Affairs
Department of Homeland Security
Former Administrator, National Highway Traffic Safety Administration
Department of Transportation
9:15 a.m.–10:30 a.m.
Status Reports: Federal Progress Since the IOM Report Releases (2006)
Hospital-Based Emergency Care
Mike Handrigan
Acting Director, Emergency Care Coordination Center
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
Chair, Council on Emergency Medical Care
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Prehospital EMS
Drew Dawson
Director, Office of Emergency Medical Services
National Highway Traffic Safety Administration
Department of Transportation
Chairman, Technical Working Group
Federal Interagency Committee on Emergency Medical Services
Emergency Care for Children
Dan Kavanaugh
Senior Program Manager
Emergency Medical Services for Children Program
Maternal and Child Health Bureau
Health Resources and Services Administration
Department of Health and Human Services
10:30 a.m.–10:45 a.m.
Break
10:45 a.m.–12:15 p.m.
How Federal Policy Affects Emergency Care at the Community Level
Facilitator:
Mary Jagim
Client Engagement Manager, Intelligent InSites
Senior Health Policy Analyst, Emergency Nurses Association
Following a short presentation describing recent data on ED crowding, participants will provide input on how the policies implemented by the various federal agencies are impacting emergency care systems throughout the United States. The facilitator will direct questions to the audience and solicit their feedback. Topics will include (1) EMTALA (e.g., changing on-call staffing requirements); and (2) EMS and trauma systems planning and development (history of federal involvement).
12:15 p.m.–1:15 p.m.
Lunch
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National Emergency Care Enterprise: Advancing Care through Collaboration - Workshop Summary
FOCUS AREAS
Objective: The workshop will focus on four areas that are of central concern for policy makers and stakeholders: (1) quality and patient safety, (2) research, (3) workforce training, and (4) financing and reimbursement. Each of these sessions will last an hour and 45 minutes. Representatives from 5 disciplines will provide introductory remarks (5 minutes each), and then the session chair will engage them in interactive discussions. The chair will also invite the participation of the audience for their questions and comments.
1:15 p.m.–3:00 p.m.
Focus Area #1: Quality and Patient Safety
Session Chair:
Michael Rapp
Director, Quality Measurement and Health Assessment Group
Office of Clinical Standards and Quality
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Panelists:
Ron Anderson
President and CEO
Parkland Health & Hospital System
Susan Nedza
Vice President, Clinical Quality and Patient Safety
American Medical Association
John Fildes
Chief, Division of Trauma & Critical Care
University of Nevada School of Medicine
Dia Gainor
Chief, Bureau of EMS
Idaho Department of Health
Charlotte Yeh
Chief Medical Officer
AARP Services
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National Emergency Care Enterprise: Advancing Care through Collaboration - Workshop Summary
3:00 p.m.–3:15 p.m.
Break
3:15 p.m.–5:00 p.m.
Focus Area #2: Enhancing Emergency Care Research
Session Chair:
Tom Scalea
Physician-in-Chief, Shock Trauma Center
University of Maryland Medical Center
Panelists:
Roger Lewis
Professor, Department of Emergency Medicine
Harbor–UCLA Medical Center
Gregory “Jerry” Jurkovich
Chief of Trauma and Surgical Critical Care
Harborview Medical Center
President, American Association for the Surgery of Trauma
Walter Koroshetz
Deputy Director
National Institute of Neurological Disorders and Stroke
National Institutes of Health
Department of Health and Human Services
Richard Hunt
Director, Division of Injury Response
National Center for Injury Prevention and Control
Centers for Disease Control and Prevention
Department of Health and Human Services
Ryan Mutter
Economist, Center for Delivery, Organization, and Markets
Agency for Healthcare Research and Quality
Department of Health and Human Services
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DAY 2: FRIDAY, MAY 22, 2009
7:30 a.m.–8:30 a.m.
Continental Breakfast
8:30 a.m.–10:15 a.m.
Focus Area #3: Health Professions Training
Session Chair:
Jon Krohmer
Assistant Secretary (Acting) and
Chief Medical Officer
Office of Health Affairs
Department of Homeland Security
Panelists:
Leon Haley
Associate Professor and Vice-Chairman
Department of Emergency Medicine
Emory University
Deputy Senior Vice-President Medical Affairs
Grady Health System
Wayne Meredith
Chair, Department of General Surgery
Director, Division of Surgical Sciences
Residency Program Director
Wake Forest University Baptist Medical Center
Patricia Kunz Howard
Operations Manager, Emergency and Trauma Services
University of Kentucky Chandler Medical Center
Dan Manz
Director, Emergency Medical Services
Vermont Department of Health
Sue Prentiss
Chief, Bureau of Emergency Medical Services
Division of Fire Standards & Training
New Hampshire Department of Safety
10:15 a.m.–10:30 a.m.
Break
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10:30 a.m.–12:15 p.m.
Focus Area #4: Emergency Care Economics
Session Chair:
Guy Clifton
Professor and Runnells Distinguished Chair
Department of Neurosurgery
University of Texas Health Science Center, Houston
Panelists:
Catherine Hoffman
Senior Researcher and Associate Director
Kaiser Commission on Medicaid and the Uninsured
Marc Hartstein
Deputy Director, Hospital and Ambulatory Policy Group
Center for Medicare Management
Centers for Medicare & Medicaid Services
Department of Health and Human Services
Gary Little
Medical Director
George Washington University Hospital
C. William Schwab
Chief, Division of Traumatology & Surgical Critical Care
CEO, University of Pennsylvania Trauma Network
Professor of Surgery, University of Pennsylvania School of Medicine
Kurt Krumperman
Clinical Assistant Professor
Emergency Health Services Department
University of Maryland, Baltimore County
Michael A. Granovsky
Vice President
Medical Reimbursement Systems, Inc.
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12:15 p.m.–1:15 p.m.
Lunch
1:15 p.m.–3:00 p.m.
Federal Partners Roundtable
The Federal partners will discuss issues raised by stakeholders during the course of the workshop. Panelists include the Federal partner panelists from Day 1 and the four session chairs.
Session Chair:
Art Kellermann
Professor and Associate Dean for Health Policy
Emory School of Medicine
Panelists:
Mike Handrigan
Acting Director, Emergency Care Coordination Center
Office of the Assistant Secretary for Planning and Response
Department of Health and Human Services
Drew Dawson
Director, Office of Emergency Medical Services
National Highway Traffic Safety Administration
Department of Transportation
Dan Kavanaugh
Senior Program Manager
Emergency Medical Services for Children Program
Maternal and Child Health Bureau
Health Resources and Services Administration
Department of Health and Human Services
Michael Rapp
Director, Quality Measurement and Health Assessment Group
Office of Clinical Standards and Quality
Centers for Medicare & Medicaid Services
Department of Health and Human Services
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Jon Krohmer
Assistant Secretary (Acting) and
Chief Medical Officer
Office of Health Affairs
Department of Homeland Security
Tom Scalea
Physician-in-Chief, Shock Trauma Center
University of Maryland Medical Center
Guy Clifton
Professor and Runnells Distinguished Chair
Department of Neurosurgery
University of Texas Health Science Center, Houston
3:00 p.m.
Adjourn
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