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OCR for page 27
B
Agenda
OVERWHELMED: DEVELOPING CRISIS STANDARDS OF
CARE FOR CATASTROPHIC EMERGENCIES
When a nation or region prepares for public health emergencies such
as a pandemic influenza, an earthquake, or any disaster scenario in which
the health system may be stressed to its limits, it is important to describe
how standards of care would change due to shortage of critical resources.
“Crisis standards of care” is defined as a substantial change in usual
health care operations and the level of care it is possible to deliver, which
is made necessary by a pervasive (e.g., pandemic influenza) or
catastrophic (e.g., earthquake, hurricane) disaster. To ensure that the
utmost care possible is provided to patients in a catastrophic event,
nations/regions need a robust system to guide the public, health care
professionals and institutions, and governmental entities at all levels.
Building off a report of the U.S. Institute of Medicine, Guidance for
Establishing Crisis Standards of Care for Use in Disaster Situations, this
session focus on opportunities and challenges to integrate crisis standards
of care principles into international disaster response plans.
Learning Objectives:
Discuss the challenges of providing fair and equitable care in
mass casualty incidents
Discuss a potential framework for the equitable delivery of care in
situations of scarce resources and strategies for operationalizing
crisis standards of care in austere environments
27
OCR for page 28
28 CRISIS STANDARDS OF CARE: INTERNATIONAL DISASTER PLANS
Examine strategies for integrating crisis standards of care
principles into disaster response plans
Highlight the impact of international disaster response on
changing the standard of care in the host country
1:45 p.m. Introduction: Session Objectives
MARK KEIM, Session Chair
Senior Science Advisor
Office of the Director
National Center for Environmental Health
Centers for Disease Control and Prevention (CDC)
1:55 A Model for Equitable Delivery of Care in Situations
of Scarce Resources
DAN HANFLING
Institute of Medicine Committee Vice-Chair
Special Advisor
Emergency Preparedness and Response
Inova Health System
10 min Q&A
2:50 Operationalizing Crisis Standards of Care:
The Japanese Experience
YOSHIKURA HARAGUCHI
Division of Pathophysiology in Disaster (retired)
National Hospital Tokyo Disaster Medical Center
Tachikawa City, Tokyo, Japan
10 min Q&A
3:15 BREAK
OCR for page 29
29
APPENDIX B
4:00 Providing Austere Care in Mass Casualty Incidents:
Experiences from Latin America
JEAN LUC PONCELET
Area Manager in Emergency Preparedness and
Disaster Relief for Latin America and the Caribbean
Pan American Health Organization/World Health
Organization
10 min Q&A
4:25 International Health Regulations Treaty:
The Grand Experiment
FREDERICK “SKIP” BURKLE
Senior Fellow, Harvard Humanitarian Initiative
Harvard School of Public Health
10 min Q&A
4:50 Panel Discussion: Integrating Crisis Standards of
Care Principles into International Disaster Response
Plans
How can principles of crisis standards of care be
better integrated into existing health systems?
Examine strategies to facilitate operationalizing
crisis standards of care in austere environments.
Explore the roles and responsibilities of various
stakeholders in the implementation of crisis
standards of care.
MARK KEIM, moderator
Senior Science Advisor
Office of the Director
National Center for Environmental Health
Centers for Disease Control and Prevention (CDC)
OCR for page 30
30 CRISIS STANDARDS OF CARE: INTERNATIONAL DISASTER PLANS
DAN HANFLING
Institute of Medicine Committee Vice-Chair
Special Advisor
Emergency Preparedness and Response
Inova Health System, USA
YOSHIKURA HARAGUCHI
Department of Surgery (retired)
National Hospital Organization Disaster
Medical Center, Tokyo, Japan
JEAN LUC PONCELET
Area Manager in Emergency Preparedness and
Disaster Relief for Latin America and the Caribbean
Pan American Health Organization/World Health
Organization
FREDERICK “SKIP” BURKLE
Senior Fellow, Harvard Humanitarian Initiative
Harvard School of Public Health
5:30 ADJOURN
