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Appendix A Workshop Agenda September 10-11, 2009 Institute of Medicine Keck Center of the National Academies 500 Fifth Street, NW Room 100 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. One of the central conclusions of those reports was that the nation should move toward a more regionalized system of emergency care. This workshop brings stakeholders and policymakers together to discuss how the federal govern- ment can promote “regionalized, coordinated, and accountable” emergency and trauma care systems, as envisioned in the 2006 reports. It also provides an opportunity to examine the progress that has been made in various parts of the country over the past several years. Audience: Participants will include policymakers 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 

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 REGIONALIZING EMERGENCY CARE relevant disciplines will be in attendance, including nursing, EMS, special- 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 regionalization and key stakeholder groups from around the country. 2. Learn from past experience and current efforts. 3. Hold discussions with federal partners regarding policy options that could be the focus of future federal action. DAY 1: THURSDAY, SEPTEMBER 10, 2009 7:30 a.m.–8:30 a.m. Workshop Registration and Continental Breakfast 8:30 a.m.–8:45 a.m. Welcome and Workshop Overview Arthur Kellermann Professor and Associate Dean, Health Policy Emory University School of Medicine 8:45 a.m.–10:30 a.m. Regionalized Trauma Care: Past, Present, and Future Session Chair: A. Brent Eastman Chief Medical Officer Chair of Trauma Services Scripps Health Panelists: David Boyd National Trauma Systems Coordinator Office of Emergency Services Indian Health Services Federal Interagency Committee on Emergency Medical Services

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 APPENDIX A Bob Bailey Contractor, McKing Consulting Senior Advisor to the Director National Center for Injury Prevention and Control Division of Injury Response Centers for Disease Control and Prevention John Fildes Chief, Division of Trauma and Critical Care University of Nevada School of Medicine Ellen MacKenzie Chair, Health Policy and Management Fred and Julie Soper Professor in Health Policy and Management Johns Hopkins Bloomberg School of Public Health 10:30 a.m.–10:45 a.m. Break 10:45 a.m.–12:15 p.m. Emerging Models of Regionalization Session Chair: Robert Bass Executive Director Maryland Institute for Emergency Medical Services Systems Panelists: Joseph Ornato Chairman, Department of Emergency Medicine Medical Director, Richmond Ambulance Authority Virginia Commonwealth University/Medical College of Virginia Lance Becker Professor of Emergency Medicine Director, Center for Resuscitation Science University of Pennsylvania

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 REGIONALIZING EMERGENCY CARE Arthur Pancioli Vice Chair, Emergency Medicine Professor, Emergency Medicine University of Cincinnati Joseph Wright Vice Chair, Professor of Pediatrics Emergency Medicine and Health Policy Senior Vice President Children’s National Medical Center 12:15 p.m.–1:15 p.m. Lunch 1:15 p.m.–2:45 p.m. Lessons from Other Systems Session Chair: Rear Admiral Gregory Timberlake Director, Department of Defense/ Department of Veterans Affairs Interagency Program Office Panelists: Kenneth W. Kizer President and CEO Kizer & Associates John Holcomb Professor of Surgery Chief, Division of Acute Care Surgery Director, Center for Translational Injury Research University of Texas Health Sciences Center David Magid Senior Scientist, Institute for Health Research ` Director of Research, Colorado Kaiser Permanente Medical Group 2:45 p.m.–3:00 p.m. Break

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 APPENDIX A 3:00 p.m.–4:45 p.m. Regionalization: Potential and Pitfalls Session Chair: Jon Krohmer Principal Deputy Assistant Secretary Deputy Chief Medical Officer Office of Health Affairs Department of Homeland Security Panelists: Ron Anderson President and CEO Parkland Health & Hospital System Nels Sanddal President Critical Illness and Trauma Foundation Michael Sayre Associate Professor, Emergency Medicine College of Medicine Ohio State University Dennis Andrulis Associate Dean for Research Director, Center for Health Equality Drexel University Stephen Epstein Instructor in Medicine, Harvard Medical School Department of Emergency Medicine Beth Israel Deaconess Medical Center Alex Valadka Chief of Adult Neurosciences Seton Brain and Spine Institute

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6 REGIONALIZING EMERGENCY CARE 4:45 p.m.–5:00 p.m. Concluding Comments Arthur Kellermann Professor and Associate Dean, Health Policy Emory University School of Medicine DAY 2: FRIDAY, SEPTEMBER 11, 2009 Objectives: Day 2 will focus on a number of critical issues that arise in developing and implementing regionalization strategies. 7:30 a.m.–8:30 a.m. Continental Breakfast 8:30 a.m.–8:45 a.m. Framing Discussion for Day 2 Ricardo Martinez Executive President of Medical Affairs President, Division East The Schumacher Group 8:45 a.m.–10:15 a.m. Governance and Accountability Session Chair: Bob Bailey Contractor, McKing Consulting Senior Advisor to the Director National Center for Injury Prevention and Control Division of Injury Response Centers for Disease Control and Prevention Panelists: Robert Bass Executive Director Maryland Institute for Emergency Medical Services Systems

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 APPENDIX A Dia Gainor Chief, Bureau of EMS Idaho Department of Health Ed Racht Chief Medical Officer Piedmont-Newnan Hospital Greg Mears Associate Professor, Emergency Medicine North Carolina EMS Medical Director EMS Performance Improvement Center University of North Carolina-Chapel Hill 10:15 a.m.–10:30 a.m. Break 10:30 a.m.–12:00 p.m. Financing Session Chair: Ricardo Martinez Executive President of Medical Affairs President, Division East The Schumacher Group Panelists: Lynne Fagnani Senior Vice President National Association of Public Hospitals and Health Systems Jane Englebright Chief Nursing Officer and Vice President Clinical Services Group Hospital Corporation of America Kurt Krumperman Clinical Assistant Professor Emergency Health Services Department University of Maryland, Baltimore County

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 REGIONALIZING EMERGENCY CARE Harry Teter Executive Director American Trauma Society Rodney Armstead Senior Vice President, West Region Plan Operations AmeriChoice, a UnitedHealth Group Company 12:00 p.m.–12:45 p.m. Lunch 12:45 p.m.–2:15 p.m. Data and Communications Session Chair: 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 Panelists: Kevin McGinnis Program Advisor National Association of State EMS Officials N. Clay Mann Professor, Associate Director for Research University of Utah School of Medicine Intermountain Injury Control Research Center Richard Hunt Director, Division of Injury Response National Center for Injury Prevention and Control Centers for Disease Control and Prevention

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 APPENDIX A Joseph Acker Director Birmingham Regional Emergency Medical Services System 2:15 p.m.–2:30 p.m. Break 2:30 p.m.–4:00 p.m. Preparedness Session Chair: Lewis Goldfrank Professor and Chair, Department of Emergency Medicine Director of Emergency Medicine Bellevue Hospital Center and New York University Hospitals New York University School of Medicine Panelists: David Marcozzi Director, Public Health Policy White House Homeland Security Council Jon Krohmer Principal Deputy Assistant Secretary Deputy Chief Medical Officer Office of Health Affairs Department of Homeland Security Lori Upton Assistant Director, Emergency Management Texas Children’s Hospital Executive Director, Catastrophic Medical Operations Center Regional Hospital Preparedness Council Joseph Waeckerle Chief Medical Officer Office of Homeland Security, State of Missouri

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0 REGIONALIZING EMERGENCY CARE 4:00 p.m.–5:00 p.m. Wrap-Up Discussion with Federal Partners Session Chair: Arthur Kellermann Professor and Associate Dean, Health Policy Emory University School of Medicine Panelists: ` Michael Handrigan Acting Director, Emergency Care Coordination Center Chair, Council on Emergency Medical Care Office of the Assistant Secretary for Preparedness and Response Department of Health and Human Services Drew Dawson Director, Office of Emergency Medical Services National Highway Traffic Safety Administration Department of Transportation Chair, Technical Working Group Federal Interagency Committee on Emergency Medical Services Jon Krohmer Principal Deputy Assistant Secretary Deputy Chief Medical Officer Office of Health Affairs Department of Homeland Security