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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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.

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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.

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

10:15 a.m.

Panel Discussion: 9-1-1 Access and Communications, the Challenges

  • Explore the impact limited 9-1-1 access has on 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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

 

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

  • Examine the unique challenges facing prehospital 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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

 

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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

 

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 system. 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.

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

 

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

  • What are some common guiding principles that will 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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

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

  • Given the limited financial resources, what can and 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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

SESSION VI:
GENERAL DISCUSSION WITH WORKSHOP PARTICIPANTS AND ATTENDEES

Session Objective: Discuss what opportunities and constraints exist to improving 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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×

 

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

  • What new ideas have surfaced in this workshop that should be explored further?

  • What action steps are required to integrate these strategies into the current public health system?

  • What resources and further infrastructure investments 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

Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
×
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Suggested Citation:"Appendix B: Workshop Agenda." Institute of Medicine. 2011. Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/13070.
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Next: Appendix C: Biographical Sketches of Invited Speakers and Panelists »
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Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities.

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