C
Workshop Agendas1
Irvine Workshop
March 12, 2009
The Beckman Center
Irvine, CA
Orlando Workshop
April 14, 2009
Disney’s Coronado Springs Resort
Lake Buena Vista, FL
New York Workshop
April 27, 2009
Albert Einstein College of Medicine
Bronx, NY
Chicago Workshop
May 8, 2009
American Medical Association
Chicago, IL
Workshop Objectives:
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Illuminate the progress and successes of efforts underway to establish local, state, and regional standards of care protocols.
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What have been some of the barriers in establishing protocols?
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What solutions have been developed to operationalize standards of care protocols?
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Improve regional efforts by facilitating a dialogue and coordination among neighboring jurisdictions.
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Discuss the roles and responsibilities of each stakeholder community in the development and implementation of standards of care protocols, including officials from state and local health departments and providers.
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Examine what resources, guidelines, and expertise have been used to establish standards of care protocols, including legal and ethical expertise that has been used to establish standards of care protocols.
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Identify and discuss resource requirements that will be necessary from federal, state, and regional authorities to advance and accelerate the establishment of standards of care protocols.
Welcoming Remarks
New York
DEAN ALLEN SPIEGEL, Albert Einstein College of Medicine of Yeshiva University
Chicago
JAMES J. JAMES, American Medical Association
Welcome, Introductions, and Workshop Objectives
Irvine, Orlando, New York, Chicago
SALLY PHILLIPS, Agency for Healthcare Research and Quality, Workshop Chair
SESSION I:
OVERVIEW AND CURRENT NATIONAL EFFORTS
Session Objective: Provide an overview of current efforts under way nationally to assist state and local leaders in establishing standards of care protocols.
Standards of Care During a Mass Casualty Event—Federal Guidance
Irvine, Orlando, New York, Chicago
SALLY PHILLIPS, Agency for Healthcare Research and Quality, Workshop Chair
Surge Capacity Continuum: Conventional, Contingency, and Crisis
Irvine, Chicago
JOHN HICK, Hennepin County Medical Center, MN
Orlando, New York
DAN HANFLING, Inova Health System
Altered Standards of Care Continuum: Conventional, Contingency, and Crisis
Irvine, Orlando, New York, Chicago
DAN HANFLING, Inova Health System
Framing Legal and Ethical Considerations
Irvine
CHERYL STARLING, California Department of Public Health
Orlando, New York, Chicago
TIA POWELL, Montefiore-Einstein Center for Bioethics
Discussion with Attendees
SESSION II:
LOCAL AND STATE STANDARDS OF CARE PROTOCOLS
Session Objective: An interactive discussion with local, state, and regional officials about efforts to establish standards of care. Discuss implementation strategies and how these protocols were advanced to become operational entities in their respective communities. What are the current opportunities and barriers to facilitating improved implementation of protocols?
Session Objectives and Background
Irvine, Chicago
JOHN HICK, Hennepin County Medical Center, MN, Session Chair
Orlando, New York
DAN HANFLING, Inova Health System, Session Chair
Panel Discussion with State and Local Leaders
Irvine
KAY FRUHWIRTH, Los Angeles County Emergency Medical Services Agency
KRISTI KOENIG, University of California–Irvine
PAUL PATRICK, State of Utah Department of Health
SUSAN ALLAN, University of Washington School of Public Health
CHRISTINE DENT, Saint Alphonsus Regional Medical Center, ID
Orlando
JOHN ROBINSON, Baptist Memorial Hospital–North Mississippi
ROY ALSON, North Carolina Office of Emergency Medical Services
ROBERT HOOD, Florida Department of Health
KENN BEEMAN, Mississippi State Department of Health
New York
TIA POWELL, Montefiore-Einstein Center for Bioethics
DONNA LEVIN, Massachusetts Department of Public Health
LISA KAPLOWITZ, Alexandria Health Department, Virginia
RICK HONG, Delaware Division of Public Health
Chicago
JANET ARCHER, Indiana State Department of Health
DAVID FLEMING, University of Missouri School of Medicine
KERRY KERNEN, Summit County Health District, OH
KEN BERKOWITZ, Veterans Health Administration National Center for Ethics in Health Care
Response Panel
Irvine
STEPHEN CANTRILL, Denver Health Medical Center
JEFFREY DUCHIN, Public Health, Seattle and King County
CHERYL STARLING, California Department of Public Health
Orlando
STEPHEN CANTRILL, Denver Health Medical Center
RADM ANN KNEBEL, Office of the Assistant Secretary for
Preparedness and Response, U.S. Department of Health and Human Services
JACK HERRMANN, National Association of County and City Health Officials
New York
STEPHEN CANTRILL, Denver Health Medical Center
CHERYL PETERSON, American Nurses Association
Chicago
STEPHEN CANTRILL, Denver Health Medical Center
CHERYL PETERSON, American Nurses Association
TIA POWELL, Montefiore-Einstein Center for Bioethics
Discussion with Attendees
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What resources, guidelines, and expertise have been used to establish standards of care protocols?
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What are the current opportunities and barriers to creating stronger partnerships and how can these issues be addressed?
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What strategies have been used to help integrate these protocols into practice?
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What are the current opportunities and barriers to facilitating improved implementation of protocols?
SESSION III:
PROVIDER COMMUNITIES
Session Objective: Discuss the roles and responsibilities of the key provider communities in the development and implementation of standards of care protocols. Identify and discuss solutions related to implementing protocols into practice.
Session Objectives and Background
Irvine, Orlando, New York, Chicago
STEPHEN CANTRILL, Denver Health Medical Center, Session Chair
Panel Discussion with Stakeholder Leaders
Irvine
SUE HOYT, St. Mary Medical Center, Long Beach, CA
DEBRA WYNKOOP, Utah Hospitals and Health Systems Association
ASHA DEVEREAUX, Sharp Coronado Hospital, CA
KEVIN MCCULLEY, Association for Utah Community Health
Orlando
J. PATRICK O’NEAL, Georgia Department of Human Resources
KNOX ANDRESS, Louisiana Poison Center
SHAWN ROGERS, Oklahoma State Department of Health
LORI UPTON, Texas Children’s Hospital
MARY FALLAT, University of Louisville, KY
New York
VALERIE SELLERS, New Jersey Hospital Association
BRIAN CURRIE, Montefiore Medical Center
CATHERINE RUHL, Association of Women’s Health, Obstetric and Neonatal Nurses
GEORGE FOLTIN, New York University School of Medicine/Bellevue Hospital
Chicago
MICHAEL ROBBINS, Chicago Department of Public Health
LESLEE STEIN-SPENCER, National Association of State EMS Officials
MARIANNE LORINI, Akron Regional Hospital Association
CONNIE J. BOATRIGHT, Managed Emergency Surge for Healthcare (MESH), IN
Response Panel
Irvine
EDWARD GABRIEL, The Walt Disney Company
KATHRYN BRINSFIELD, Office of Health Affairs, Department of Homeland Security
MARGARET MCMAHON, Emergency Nurses Association
Orlando
EDWARD GABRIEL, The Walt Disney Company
KATHRYN BRINSFIELD, Office of Health Affairs, Department of Homeland Security
MARGARET MCMAHON, Emergency Nurses Association
CHERYL PETERSON, American Nurses Association
New York
JACK HERRMANN, National Association of County and City Health Officials
MARGARET MCMAHON, Emergency Nurses Association
CHERYL PETERSON, American Nurses Association
Chicago
JAMES J. JAMES, American Medical Association
MARGARET MCMAHON, Emergency Nurses Association
CHERYL PETERSON, American Nurses Association
Discussion with Attendees
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What concerns do provider communities have in implementing policies into practice?
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How do protocols get implemented operationally?
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Who is responsible for implementing plans during events?
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What are the triggers?
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What action steps are required to improve involvement of the provider community in the development of standards of care protocols?
SESSION IV:
INTERSTATE AND NEIGHBORING COMMUNITY COOPERATION AND COORDINATION
Session Objective: Discuss what cooperation and coordination will be required between neighboring states and communities in preparation and when implementing standards of care protocols. Discuss the roles of specific stakeholders. Identify what resources will be required and how those may be shared. Explore the current opportunities and barriers to facilitating improved cooperation and coordination and how these may be overcome.
Session Objectives and Background
Irvine
CHERYL STARLING, California Department of Public Health, Session Chair
Orlando
EDWARD GABRIEL, The Walt Disney Company, Session Chair
New York
JACK HERRMANN, National Association of County and City Health Officials, Session Chair
Chicago
SALLY PHILLIPS, Agency for Healthcare Research and Quality, Session Chair
Panel Discussion with State and Local Leaders
Irvine
NANCY AUER, Swedish Medical Center, WA
MARK GOLDSTEIN, Memorial Health System, CO
JEFFREY RUBIN, California Emergency Medical Services Authority
Orlando
TERRY SCHENK, Florida Department of Health
ROBERT BALL, South Carolina Department of Health and Environmental Control
RAYMOND PEPE, Uniform Law Commission
New York
STEVEN GRAVELY, Troutman Sanders LLP
JAMES HODGE, Johns Hopkins University
FLOYD RUSSELL, West Virginia University
JAMES GEILING, White River Junction Veterans Administration Medical Center
Chicago
TIM WIEDRICH, North Dakota Department of Health
WILLIAM FALES, Michigan State University–Kalamazoo Center for Medical Studies
PAULA NICKELSON, Department of Health and Senior Services, MO
TIMOTHY CONLEY, Western Springs Fire Department and Emergency Medical Services, IL
Response Panel
Irvine
DAN HANFLING, Inova Health System
SHAWN FULTZ, Department of Veterans Affairs
LTC(P) WAYNE HACHEY, Department of Defense
CAPT DEBORAH LEVY, Centers for Disease Control and Prevention
Orlando
DAN HANFLING, Inova Health System
SHAWN FULTZ, Department of Veterans Affairs
LTC(P) WAYNE HACHEY, Department of Defense
CAPT DEBORAH LEVY, Centers for Disease Control and Prevention
JAMES BLUMENSTOCK, Association of State and Territorial Health Officials
New York
DAN HANFLING, Inova Health System
RICHARD CALLIS, Department of Veterans Affairs
Chicago
DAN HANFLING, Inova Health System
DARLENE WEISMAN, Department of Veterans Affairs
Discussion with Attendees
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What cooperation will be needed between states and neighboring communities?
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What are the roles of providers and other stakeholders in ensuring cooperation and coordination?
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How can resources best be shared during an event and what plans and agreements need to be in place?
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What strategies can be used to improve coordination and cooperation among neighboring jurisdictions?
SESSION V:
GENERAL DISCUSSION WITH WORKSHOP PARTICIPANTS AND ATTENDEES
Session Objective: Discuss what opportunities and constraints exist to implementing standards of care at local, state, and regional jurisdictions. Review opportunities and challenges identified during the workshop. Identify and discuss the most promising near-term opportunities for improving standards of care protocols at local, state, and regional jurisdictions. Discuss common threads that emerged among each of the regional workshops.
Synopsis of Today’s Discussions: Common Threads
SALLY PHILLIPS, Agency for Healthcare Research and Quality, Workshop Chair
Discussion with Attendees
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What new ideas have surfaced in this meeting today that should be explored further?
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What specific challenges arise in the development of standards of care protocols?
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What action steps are required to integrate these strategies into the current public health system?
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What resources and further infrastructure investments will be necessary in the short- and long-term?