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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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 depart- ments and agencies. Now, three years later, structures are being put in place to address this challenge. This workshop is being convened to bring stake- holders 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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4 NATIONAL EMERGENCY CARE ENTERPRISE ist physicians and surgeons, public health officers, and hospital and health system administrators. Objectives: 1. Foster information exchange between 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 for emer- gency care stakeholders and federal policy makers. 3. Hold discussions with federal partners regarding the policy and program- matic 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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 APPENDIX A 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 FOCUS AREAS Objective: The workshop will focus on four areas that are of central con- cern 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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 APPENDIX A 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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 NATIONAL EMERGENCY CARE ENTERPRISE 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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 APPENDIX A 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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0 NATIONAL EMERGENCY CARE ENTERPRISE 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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 APPENDIX A 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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