B
Workshop Agenda

Day 1

Tuesday, August 3, 2010

Keck Center, Room 100

National Academy of Sciences

500 Fifth Street, NW

Washington, DC


Workshop Objectives

The workshop discussions will provide participants an opportunity to examine the current capabilities and future opportunities to improve integrated mass casualty response in rural settings (note “rural” will be used to capture both rural and frontier settings). Specifically, the workshop will feature invited presentations and discussions that will

  • Review the findings from the NTSB report (NTSB/HAR-09/01) of the 2008 Mexican Hat incident and discuss near- and long-term opportunities to improve response capabilities in rural settings.

  • Explore existing standards, guidance, and innovative models and approaches in place for state and local jurisdictions.

  • Examine integrated systems approaches to improve the capability of the emergency medical services (EMS) system to respond to large-scale rural incidents.

  • Discuss opportunities to improve the integration and coordination with public health systems to address challenges to national public health security, particularly in rural settings.



The National Academies | 500 Fifth St. N.W. | Washington, D.C. 20001
Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement



Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.

OCR for page 91
B Workshop Agenda Day 1 Tuesday, August 3, 2010 Keck Center, Room 100 National Academy of Sciences 500 Fifth Street, NW Washington, DC Workshop Objectives The workshop discussions will provide participants an opportunity to examine the current capabilities and future opportunities to improve inte- grated mass casualty response in rural settings (note “rural” will be used to capture both rural and frontier settings). Specifically, the workshop will feature invited presentations and discussions that will · Review the findings from the NTSB report (NTSB/HAR-09/01) of the 2008 Mexican Hat incident and discuss near- and long-term opportunities to improve response capabilities in rural settings. · Explore existing standards, guidance, and innovative models and approaches in place for state and local jurisdictions. · Examine integrated systems approaches to improve the capability of the emergency medical services (EMS) system to respond to large-scale rural incidents. · Discuss opportunities to improve the integration and coordination with public health systems to address challenges to national public health security, particularly in rural settings. 91

OCR for page 91
92 RURAL MASS CASUALTY INCIDENT 8:00 a.m. Welcome, Introductions, and Workshop Objectives RobeRt bass, Workshop Chair Executive Director Maryland Institute for Emergency Medical Services Systems 8:10 a.m. Charge to Workshop Speakers and Participants DRew Dawson Director Office of Emergency Medical Services National Highway Traffic Safety Administration SESSION I: WORKSHOP CONTEXT: 2008 MEXICAN HAT INCIDENT Session Objective: Provide a brief overview of the 2008 Mexican Hat, Utah, incident. Consider unique and common barriers to rural response that were highlighted by the 2008 Mexican Hat incident. Review the findings from the NTSB report (NTSB/HAR-09/01). 8:25 a.m. Session Objectives and Introduction Jolene whitney, Session Chair Deputy Director Emergency Medical Services and Preparedness Utah Department of Health 8:35 a.m. Findings from the NTSB Report (NTSB/HAR-09/01) and Other Relevant Investigations ChRistopheR haRt Vice Chairman National Transportation Safety Board 8:50 a.m. Overview of the 2008 Mexican Hat, Utah, Incident and Response: Local Perspective linDa laRson Director EMS San Juan County, Utah

OCR for page 91
93 APPENDIX B 9:05 a.m. Overview of the 2008 Mexican Hat, Utah, Incident and Response: State and Regional Perspective paul patRiCk Director Bureau of EMS and Preparedness State of Utah Department of Health 9:20 a.m. Overview of Incident Response and Associated Challenges During the 2010 Caddo and Little Missouri Rivers, Arkansas, Flooding FloyD Dunson Deputy Emergency Manager Howard County Emergency Management Agency Mineral Springs Fire and Rescue 9:30 a.m. Discussion with Attendees Jolene whitney, Session Chair Deputy Director Emergency Medical Services and Preparedness Utah Department of Health 10:00 a.m. BREAK SESSION II: DEFINING THE CHALLENGES OF RESPONSE IN RURAL AREAS; EXPLORING STRATEGIES FOR IMPROVING RESPONSE Session Objective: Examine the specific challenges of responding to mass casualty incidents that occur in rural areas. Discuss specific challenges as they relate to 9-1-1 access and communications, the prehospital system, the healthcare system, and integration and coordination across response platforms. Examine local, state, and regional model systems that have been used to improve response to rural incidents. Explore strategies that have been tested in exercises as well as lessons learned from responding to real incidents.

OCR for page 91
94 RURAL MASS CASUALTY INCIDENT 10:15 a.m. Panel Discussion: 9-1-1 Access and Communications, the Challenges · xplore the impact limited 9-1-1 access has on E emergency response in rural settings. Examine systematic strategies to overcome limited 9-1-1 access and improve rural response coordination. Identify and discuss opportunities to improve emergency response through improved integrated emergency communication. John ChiaRamonte, Panel Chair Lead Associate Booz Allen Hamilton paul patRiCk Director Bureau of EMS and Preparedness State of Utah Department of Health aaRRon ReineRt Executive Director Lakes Region EMS John isFoRt Director Business Development & Physician Services Marcum & Wallace Memorial Hospital Paramedic Madison County Emergency Medical Services 10:50 a.m. Discussion with Panelists and Attendees John ChiaRamonte, Panel Chair Lead Associate Booz Allen Hamilton 11:20 a.m. Panel Discussion: 9-1-1 Access and Communications, Innovative Models and Approaches to Improve Response John ChiaRamonte, Panel Chair Lead Associate Booz Allen Hamilton

OCR for page 91
95 APPENDIX B Jenny hansen CEO Strategic Partnerships RiCk Jones Operations Issues Director National Emergency Number Associations DoRothy speaRs-Dean Public Safety Communications Coordinator Integrated Services Program 11:50 a.m. Discussion with Panelists and Attendees John ChiaRamonte, Panel Chair Lead Associate Booz Allen Hamilton 12:15 p.m. LUNCH 1:00 p.m. Panel Discussion: The Prehospital System, the Challenges · xamine the unique challenges facing prehospital E response in rural settings. Identify and discuss strategies to improve coordinated response. Recognizing current fiscal constraints. What support can be provided to improve rural response? Explore opportunities to improve regional response in rural settings. Jon kRohmeR, Panel Chair Office of Health Affairs Department of Homeland Security GloRia tavenneR Dow Gwinnett County Department of Fire and Emergency Services Lawrenceville, Georgia noRm DineRman Medical Director LifeFlight of Maine

OCR for page 91
96 RURAL MASS CASUALTY INCIDENT baRbaRa QuiRam Director USA Center for Rural Public Health Preparedness School of Rural Public Health Texas A&M Health Sciences Center tim wieDRiCh Chief Emergency Preparedness and Response North Dakota Department of Health 1:30 p.m. Discussion with Attendees Jon kRohmeR, Panel Chair Office of Health Affairs Department of Homeland Security 2:00 p.m. Panel Discussion: The Prehospital System, Innovative Models and Approaches to Improve Response nels sanDDal, Panel Chair President Critical Illness and Trauma Foundation GaRy winGRove Director Government Relations & Strategic Affairs Mayo Clinic Medical Transport myRa wooD Director Vital Link Ambulance in Arkansas aimee binninG CVC Training Director, Region III NAEMT 2:30 p.m. Discussion with Panelists and Attendees nels sanDDal, Panel Chair President Critical Illness and Trauma Foundation

OCR for page 91
97 APPENDIX B 3:00 p.m. BREAK 3:15 p.m. Panel Discussion: The Rural Healthcare Systems: Challenges Due to Resource Realities and the Need for Regionalization JeRRy Johnston, Panel Chair Immediate Past President, NAEMT EMS Director Henry County Health Center, Mt. Pleasant, Iowa timothy bohlenDeR Medical Director St. Anthony Granby Medical Center Debbie von seGGeRn-Johnson EMS/Trauma Coordinator University of Nebraska Medical Center Henry County Health Center, Mt. Pleasant, Iowa RanDy easteR EMS Director and Safety Officer McPherson EMS 3:45 p.m. Discussion with Panelists and Attendees JeRRy Johnston, Panel Chair Immediate Past President, NAEMT EMS Director Henry County Health Center, Mt. Pleasant, Iowa 4:15 p.m. Panel Discussion: The Rural Healthcare System, Innovative Models and Approaches to Improve Response Dia GainoR, Panel Chair Director Idaho State Emergency Medical Services RobeRt winChell Director Division of Trauma Maine Medical Center

OCR for page 91
98 RURAL MASS CASUALTY INCIDENT ken knippeR Director State National Volunteer Fire Council, Kentucky RiFat latiFi Professor of Surgery Director Southern Arizona Teletrauma and Telepresence Program Vice Chair, International Relations Department of Surgery, University of Arizona 4:45 p.m. Discussion with Panelists and Attendees Dia GainoR, Panel Chair Director Idaho State Emergency Medical Services 5:30 p.m. ADJOURN Day 2 Wednesday, August 4, 2010 Keck Center, Room 100 National Academy of Sciences 500 Fifth Street, NW Washington, DC 8:30 a.m. Welcome RobeRt bass, Workshop Chair Executive Director Maryland Institute for Emergency Medical Services Systems SESSION III: COORDINATION AND INTEGRATION ACROSS THE RESPONSE PLATFORMS Session Objective: Examine the key components of an integrated health sys- tem. Explore the unique challenges associated with ensuring integration in a rural setting. Discuss benefits of establishing effective incident command structure that fully integrates the health response system.

OCR for page 91
99 APPENDIX B 8:40 a.m. Panel Discussion: Coordination and Integration Across Response Platforms Dan hanFlinG, Panel Chair IOM Crisis Standards of Care Committee Vice-Chair Special Advisor Emergency Preparedness and Response Inova Health System leonaRD J. weiReteR, JR. Arthur and Marie Kirk Family Professor of Surgery Eastern Virginia Medical School Medical Director Shock Trauma Center Sentara Norfolk General Hospital Glenn Gaines Deputy U.S. Fire Administrator Federal Emergency Management Agency JenniFeR hameRlinCk Director Emergency Management Agency Mercer County, Illinois Glenn mitChell Chief Medical Officer Sisters of Mercy Health System Roy alson Medical Director, Forsyth County EMS Medical Director, Disaster Services North Carolina Office of EMS linDa williams Emergency Services Coordinator Chouteau County, Montana

OCR for page 91
100 RURAL MASS CASUALTY INCIDENT 9:35 a.m. Discussion with Panelists and Attendees Dan hanFlinG, Panel Chair IOM Crisis Standards of Care Committee Vice-Chair Special Advisor Emergency Preparedness and Response Inova Health System SESSION IV: ESTABLISHING METRICS TO ASSESS RISK ALONG RURAL ROADS Session Objective: Review common elements that define public health risk along rural roads. Identify and discuss potential metrics that can be used to assess risk. Identify and discuss metrics that can be used to determine what areas are at risk. Examine how both baseline and surge capacity can be assessed in rural areas. Explore gaps that need to be addressed to establish improved metrics that can assess the capabilities of an integrated health response system. 10:05 a.m. Session Objectives and Introduction Dia GainoR, Panel Chair Director Idaho State Emergency Medical Services 10:15 a.m. Panel Discussion: Common Elements and Associated Metrics ChaRles mains Trauma Director St. Anthony Central Hospital, Denver, Colorado CRaiG thomas Chief, Outcome Monitoring and Evaluation Branch Division of State and Local Readiness Centers for Disease Control and Prevention GReGoRy meaRs Associate Professor of Emergency Medicine University of North Carolina Medical School Medical Director North Carolina Office of EMS

OCR for page 91
101 APPENDIX B kelly haRDy Safety Program Manager American Association of State Highway and Transportation Officials sally phillips Director Public Health Emergency Preparedness Program, AHRQ James GRoves Interagency and First Responder Programs Office of Science and Technology Department of Homeland Security 11:15 a.m. Discussion with Panelists and Attendees · hat are some common guiding principles that will W guide the users of resources and assets? Dia GainoR, Panel Chair Director Idaho State Emergency Medical Services 11:45 a.m. LUNCH SESSION V: IMPROVING RURAL MASS CASUALITY RESPONSE IN THE UNITED STATES—THE WAY AHEAD Session Objective: Review current security plans and examine the resources available, as well as those that are needed, to ensure appropriate safety and security of assets and individuals during the dispensing of medical countermeasures. 12:15 p.m. Session Objectives and Introduction Jon kRohmeR, Session Chair Office of Health Affairs Department of Homeland Security

OCR for page 91
102 RURAL MASS CASUALTY INCIDENT 12:25 p.m. Panel Discussion: The Way Forward bethany CumminGs Physician/EMS Physician Immediate Past Chair Rural Domestic Preparedness Consortium and Emergency meRCeDes benitez-mCCRaRy Director of the Division of Emergency Preparedness Centers for Medicare & Medicaid Services eileen holloRan Public Health Analyst Office of Rural Health Policy Health Resources and Services Administration RiCk Jones Operations Issues Director National Emergency Number Association mike zankeR Associate Chief Medical Officer (Acting) Office of Health Affairs Department of Homeland Security James Detienne Supervisor EMS & Trauma Systems Montana Department of Public Health & Human Services DRew Dawson Director Office of Emergency Medical Services National Highway Traffic Safety Administration 1:30 p.m. Discussion with Panelists and Attendees · iven the limited financial resources, what can and G should be done by the relevant stakeholders to improve preparedness and response in rural settings? Jon kRohmeR, Session Chair Office of Health Affairs Department of Homeland Security

OCR for page 91
103 APPENDIX B SESSION VI: GENERAL DISCUSSION WITH WORKSHOP PARTICIPANTS AND ATTENDEES Session Objective: Discuss what opportunities and constraints exist to im- proving medical surge capacity in rural settings. Review opportunities and challenges identified during the workshop. Identify and discuss the most promising near-term opportunities for improving integration of emergency care in rural settings. 2:15 p.m. Panel Discussion: Synopsis of Workshop Discussions RobeRt bass, Panel Chair Executive Director Maryland Institute for Emergency Medical Services Systems Jolene whitney Deputy Director Emergency Medical Services and Preparedness Utah Department of Health John ChiaRamonte Lead Associate Booz Allen Hamilton Jon kRohmeR Office of Health Affairs Department of Homeland Security Dia GainoR Director Idaho State Emergency Medical Services nels sanDDal President Critical Illness and Trauma Foundation JeRRy Johnston Immediate Past President, NAEMT EMS Director Henry County Health Center, Mt. Pleasant, Iowa

OCR for page 91
104 RURAL MASS CASUALTY INCIDENT Dan hanFlinG IOM Crisis Standards of Care Committee Vice-Chair Special Advisor Emergency Preparedness and Response Inova Health System 2:45 p.m. Discussion with Panelists and Attendees · hat new ideas have surfaced in this workshop that W should be explored further? · hat action steps are required to integrate these W strategies into the current public health system? · hat resources and further infrastructure investments W will be necessary in the short and long term? 3:00 p.m. Closing Remarks: The Path Forward RobeRt bass, Workshop Chair Executive Director Maryland Institute for Emergency Medical Services Systems 3:15 p.m. ADJOURN