D

Agenda

Disaster Preparedness, Response, and Recovery Considerations for Children and Families: A Workshop

June 10-11, 2013

Keck Center, Room 100
500 Fifth Street, NW
Washington DC 20001

Background:

Communities across the United States face the threat of disasters almost every day, both large and small. Children represent nearly 25 percent of the U.S. population, but current state and local preparedness plans often do not include specific considerations for pediatric populations and families. The preparedness and resilience of communities related to children will require a systems framework for disaster preparedness across traditional and nontraditional medical and public health stakeholders, including community organizations, schools, and other partners in municipal planning.

This workshop will examine medical and public health preparedness related to children and families, including children with special health care needs. The workshop will review already existing tools and frameworks that can be modified to include pediatric needs, as well as partnerships and organizations with vested interest that can be leveraged



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D Agenda Disaster Preparedness, Response, and Recovery Considerations for Children and Families: A Workshop June 10-11, 2013 Keck Center, Room 100 500 Fifth Street, NW Washington DC 20001 Background: Communities across the United States face the threat of disasters almost every day, both large and small. Children represent nearly 25 percent of the U.S. population, but current state and local preparedness plans often do not include specific considerations for pediatric pop- ulations and families. The preparedness and resilience of communities related to children will require a systems framework for disaster preparedness across traditional and nontraditional medical and public health stakeholders, including community organizations, schools, and other partners in municipal planning. This workshop will examine medical and public health preparedness related to children and families, including children with special health care needs. The workshop will review already existing tools and frame- works that can be modified to include pediatric needs, as well as partnerships and organizations with vested interest that can be leveraged 133

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134 CONSIDERATIONS FOR CHILDREN AND FAMILIES in planning to improve outcomes and allow for pediatric considerations to be integrated throughout local and state emergency plans. A special focus on resilience and recovery will highlight best practices already being employed specifically for children, and what opportunities exist to explore successful recovery strategies further. Meeting Objectives:  Discuss progress being made in different sectors around the country related to the 2010 National Commission Recommend- ations and opportunities for integrating related pediatric work into local and state planning efforts  Discuss opportunities to augment children’s benefits by leveraging existing coalitions o Explore coalition challenges and successes from federal, state, local, and provider perspectives  Describe opportunities to strengthen public health partnerships to address the needs of children and families  Understand barriers and challenges to better financial systems related to pediatric preparedness o Discuss importance of health care financing education among stakeholders o Consider strategies to reduce the financial burden on public health and health care facilities  Emphasize different capabilities needed for mass care and sheltering to provide for families and children with special health care needs  Examine resilience strategies that lead to successful recovery in children after a disaster  Understand current approaches and interventions to improve recovery in children after any type of emergency or disaster

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APPENDIX D 135 DAY ONE June 10, 2013 8:15 a.m. Welcome and Introductions Michael R. Anderson, Workshop Chair Vice President and Chief Medical Officer, University Hospitals Case Medical Center Chief Medical Officer, UH Rainbow Babies and Children’s Hospital Associate Professor of Pediatric Critical Care, Case Western Reserve University School of Medicine 8:30 a.m. Keynote Speaker: Highlighting the Demand for a Focus on Children and Families Irwin Redlener Director National Center for Disaster Preparedness Session I: Progress Made/Highlights from National Commission on Children and Disasters Session Objectives:  Examine highlighted recommendations and gaps identified during the National Commission on Children and Disasters  Discuss progress being made in different sectors around the country and opportunities for integrating work into local and state planning efforts 8:50 a.m. Overview of 2010 Commission Recommendations

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136 CONSIDERATIONS FOR CHILDREN AND FAMILIES David Schonfeld Pediatrician-in-Chief, St. Christopher’s Hospital for Children Director, National Center for School Crisis and Bereavement 9:05 a.m. Progress of 2010 Commission Recommendations Dan Dodgen Director Division for At-Risk Individuals, Behavioral Health and Community Resilience Office of the Assistant Secretary for Preparedness and Response 9:20 a.m. Discussion with Attendees 9:35 a.m. BREAK Session II: How Can We Leverage Health Care Coalitions for the Benefit of Children? Session Objectives:  Discuss opportunities to augment children’s benefits by leveraging existing coalitions  Discuss achieving duality of service delivery and level of preparedness to increase capacity every day and not just during disasters  Explore coalition challenges and successes from federal, state, local, and provider perspectives 9:50 a.m. Session Chair: Introduction and Overview of Objectives

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APPENDIX D 137 Andrew C. Rucks, Planning Committee Member Professor, Department of Health Care Organization and Policy School of Public Health The University of Alabama at Birmingham 10:00 a.m. Panel Presentations: Challenges and Benefits of Regional Coalitions, How to Overcome Barriers, Best Practices Richard Hunt Senior Medical Advisor National Healthcare Preparedness Programs Office of the Assistant Secretary for Preparedness and Response Allison Blake Commissioner New Jersey Department of Children and Families Patricia Frost, Planning Committee Member Director Emergency Medical Services Contra Costa County Health Services George Foltin Vice President, Clinical Services Department of Pediatrics Maimonides Infants & Children’s Hospital Esther Chernak Philadelphia Area Project Drexel School of Public Health 11:15 a.m. Discussion with Attendees 11:30 a.m. LUNCH

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138 CONSIDERATIONS FOR CHILDREN AND FAMILIES Session III: Opportunities for Integration of Children and Family Needs to State and Local Planning Session Objectives:  Discussing potential alignment of Public Health Emergency Preparedness/Hospital Preparedness Program (PHEP/HPP) capabilities with pediatric planning considerations  Describe opportunities to strengthen public health partnerships  Exploring cross collaboration with community agencies 12:30 p.m. Session Chair: Introduction and Overview of Objectives Georgina Peacock, Planning Committee Member Developmental-Behavioral Pediatrician Medical Officer Centers for Disease Control and Prevention 12:40 p.m. Panel Discussion: Benefits, Gaps and Tactics in Including Child Serving Partners in Municipal Emergency Planning Ginny Sprang Professor, College of Medicine Department of Psychiatry Executive Director, UK Center on Trauma and Children Evelyn Lyons Emergency Medical Services for Children Manager Division of EMS & Highway Safety Illinois Department of Public Health Linda Smith Deputy Assistant Secretary Inter-Departmental Liaison for Early Childhood Development Administration for Children and Families

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APPENDIX D 139 1:30 p.m. Discussion with Attendees 1:45 p.m. Panel Discussion: Augmenting the Reach of Public Health Planning Through Community Action Patricia Wright National Director Autism Services at Easter Seals Peter Gudaitis Chief Response Officer New York Disaster Interfaith Services Ashley Houston Youth Preparedness Council Citizen Corps/FEMA 2:45 p.m. Discussion with Attendees 3:05 p.m. BREAK Session IV: Financing Health Care for Children in Emergencies: Understanding Barriers Session Objectives:  Discuss importance of healthcare financing education among stakeholders  Understand barriers and challenges to better financial systems related to pediatric preparedness  Consider strategies to reduce the financial burden on public health and health care facilities 3:20 p.m. Session Chair: Introduction and Overview of Objectives Importance of Education of Health Care Financing and How Its Changes Impact Organizations and Communities

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140 CONSIDERATIONS FOR CHILDREN AND FAMILIES John Wible (Ret.) General Counsel Alabama Department of Public Health 3:35 p.m. Panel Discussion: Funding and Legal Barriers Encountered and Opportunities for Enhanced Payment Health System Policy Perspective Gregg S. Margolis Director Division of Health System Policy Department of Health and Human Services Private Insurer Perspective Robert W. Smith Senior Medical Director Central Region UnitedHealthcare Clinical Services Hospital Perspective Amy Knight Senior Vice President Children’s Hospital Association Provider Perspective Scott Needle, Planning Committee Member Community Pediatrician Healthcare Network of Southwest Florida 4:35 p.m. Discussion with Attendees 5:00 p.m. ADJOURN

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APPENDIX D 141 DAY TWO June 11, 2013 8:15 a.m. Welcome and Introduction Michael R. Anderson, Workshop Chair Vice President and Chief Medical Officer, University Hospitals Case Medical Center Chief Medical Officer, UH Rainbow Babies and Children’s Hospital Associate Professor of Pediatric Critical Care Case Western Reserve University School of Medicine SESSION V: Operationalizing Response Considerations for Children Session Objectives:  Discuss child and family specific needs during response phase  Emphasize different capabilities needed for mass care and sheltering to provide for families and children with special health care needs  Explore best practices and future strategies for comprehensive response plans related to children 8:20 a.m. Session Chair: Introduction and Overview of Objectives Kari Tatro Executive Vice President Emergency Management Operations BCFS Health and Human Services 8:35 a.m. Panel Discussion: Children and Family Needs During Mass Care/Sheltering Operations Functional Needs Support Services

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142 CONSIDERATIONS FOR CHILDREN AND FAMILIES Marcie Roth Director, Office of Disability Integration and Coordination Federal Emergency Management Agency Nutritional Needs and Family Reunification Mary Casey-Lockyer Manager, Disaster Health Services American Red Cross Mental Health David Schonfeld Pediatrician-in-Chief, St. Christopher’s Hospital for Children Director, National Center for School Crisis and Bereavement Temporary Child Care Judy Bezon Former Associate Director Children’s Disaster Services 9:45 a.m. Discussion with Membership 10:10 a.m. BREAK 10:25 a.m. Panel Discussion: Existing Best Practices and Future Potential Strategies During Response Bruce Clements, Planning Committee Member Director Community Preparedness Section Texas Department of State Health Services Richard Devylder Senior Advisor for Accessible Transportation Department of Transportation

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APPENDIX D 143 Jeff Upperman Program Director Disaster Resource and Training Center Children’s Hospital Los Angeles 11:15 a.m. Discussion with Attendees 11:45 a.m. LUNCH SESSION VI: Fostering Recovery Through Community Resilience Session Objectives:  Examine resilience strategies that lead to successful recovery in children after a disaster  Understand connections between pre-event mitigation and post- event recovery for children and families  Discuss opportunities for employing community resilience in different community sectors 12:45 p.m. Session Chair: Introduction and Overview of Objectives Kathryn Brinsfield National Security Staff The White House 1:00 p.m. White Paper Presentation: Resilient Practices and Characteristics That Lead to a Successful Recovery for Children After Disasters David Abramson Deputy Director National Center for Disaster Preparedness Assistant Professor of Clinical Sociomedical Sciences Mailman School of Public Health 1:25 p.m. Discussion with Attendees

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144 CONSIDERATIONS FOR CHILDREN AND FAMILIES 1:40 p.m. Panel Discussion: Promising Practices of Community Sectors Related to Children That Contribute to Successful Recoveries After Disasters Ann S. Masten, Planning Committee Member Irving B. Harris Professor of Child Development Distinguished McKnight University Professor Institute of Child Development University of Minnesota, Twin Cities Angie Besendorfer Assistant Superintendent Joplin Public School District Joplin, Missouri Kathy Spangler Vice-President U.S. Programs Save the Children 2:30 p.m. Discussion with Attendees 2:50 p.m. BREAK SESSION VII: Disaster Recovery with a Focus on Children and Families Session Objectives:  Understand current approaches and interventions to improve recovery in children after any type of emergency or disaster  Examine available data and evidenced based methods to promote children’s needs  Consider importance of measuring recovery through social and economic well-being of children 3:05 p.m. Session Chair: Introduction and Overview of Objectives

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APPENDIX D 145 LCDR Jonathan White Deputy Director Office of Human Services Emergency Preparedness and Response Administration for Children and Families 3:15 p.m. Panel Presentation: Approaches and Interventions in Disaster Recovery that Promote the Social and Economic Well-Being of Children? Joyce Thomas Regional Administrator Administration for Children and Families Region II Janice Molnar Deputy Commissioner Division of Child Care Services New York State Office of Children and Family Services LCDR Jonathan White Deputy Director Office of Human Services Emergency Preparedness and Response Administration for Children and Families Merritt Schreiber Associate Clinical Professor of Emergency Medicine Center for Disaster Medical Sciences University of California, Irvine, School of Medicine University of California, Irvine, Medical Center 4:15 p.m. Discussion with Attendees 4:35 p.m. Next Steps: Report from Session Chairs on Key Takeaway Messages

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146 CONSIDERATIONS FOR CHILDREN AND FAMILIES  What issues have not been addressed?  How can people engage their communities to pass on lessons learned? 5:00 p.m. ADJOURN