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Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
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D

Agenda

The Impact of the Affordable Care Act on
U.S. Preparedness Resources and Programs:
An Institute of Medicine Workshop


November 18-19, 2013

Lecture Room of the National Academy of Sciences Building
2101 Constitution Avenue, NW, Washington, DC 20418

Background:

With many elements of the Affordable Care Act (ACA) going into effect in 2014, and the establishment of many new rules and regulations, there have been and will continue to be significant changes to the U.S. health system. However, it is not clear what impact these changes will have on medical and public health preparedness programs around the country. As funding for these programs continues to decline, leveraging changes in health care delivery and structure to enhance and increase individual and community preparedness becomes even more important.

This workshop will examine how the changes to the health system as a result of the ACA may impact the medical and public health preparedness programs across the nation, and how the ACA provisions may be leveraged to strengthen the resilience of the medical and public health preparedness systems. Beginning with discussions on changing financing and delivery, and moving to more detailed conversations on roles and potential within threat identification and information technology infrastructure, participants will examine current and future opportunities for

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×

protecting the nation’s health in disasters through new relationships and more integrated care.

Meeting Objectives:

  • Explore opportunities to leverage benefits of health care reform and develop action steps that the preparedness community can take to mitigate identified challenges.
  • Discuss challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country.
  • Consider how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.
  • Explore potential impacts that the changing health care delivery infrastructure may have on disaster preparedness and response.
  • Consider how impacts on the health system workforce may impact resilience, emergency preparedness, response, mitigation, and recovery.
  • Explore how changes to data collected through health information technology may be used to strengthen community resilience.
  • Evaluate needs and opportunities in data collection, surveillance, and communication for robust threat identification and public health response.

November 18, 2013

8:30 a.m. Welcome and Introductions
 

GEORGES BENJAMIN, Workshop Co-Chair

Executive Director

American Public Health Association

 

GREGG MARGOLIS, Workshop Co-Chair

Director

Division of Health Systems and Health Care Policy

Office of the Assistant Secretary for Preparedness and Response

8:40 a.m.

Keynote: Challenges and Opportunities for Public Health and Health Care Preparedness

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×

NICOLE LURIE

Assistant Secretary for Preparedness and Response

Department of Health and Human Services

SESSION I: Overview of the Affordable Care Act Provisions and Financing Changes

Session Objectives:

  • Discuss changes taking place within health care delivery reform and possible implications on preparedness.
  • Explore a case study of Massachusetts health reform and its impact on preparedness and response.
  • Consider how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.

9:10 a.m.

How the Health Delivery System Will Be Changing and Lessons Learned in Massachusetts Since 2006

BRUCE RUEBEN

President

Florida Hospital Association

LISA TOFIL, Planning Committee

Partner

Holland & Knight

S. ATYIA MARTIN

Director, Office of Public Health Preparedness

Boston Public Health Commission

10:10 a.m.

Discussion with Attendees

10:40 a.m.

BREAK

11:00 a.m.

Opportunities and Challenges Within Financing Changes

JACK EBELER, Planning Committee

Principal

Health Policy Alternatives

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×

KAREN DESALVO

Health Commissioner

City of New Orleans

11:40 a.m.

Discussion with Attendees

12:00 p.m.

LUNCH

SESSION II: Impacts of Changes in Health Care Workforce and Delivery

Session Objectives:

  • Explore potential impacts that changing health care delivery infrastructure may have on disaster preparedness and response.
    • Discuss community health models and systems integration to augment population health care.
  • Consider how impacts on the health system workforce may impact resilience, emergency preparedness, response, mitigation, and recovery.

1:00 p.m.

Session Chair: Introduction and Overview of Objectives

 

CHARLES CAIRNS

Chair of Emergency Medicine

University of North Carolina–Chapel Hill Principal

Investigator of the National Collaborative for Bio-Preparedness

1:15 p.m.

Panel Discussion: Impacts of Changing Physical and Social Infrastructure

 

XIAOYI HUANG

Assistant Vice President for Policy

America’s Essential Hospitals

NORMAN MILLER

Trauma System Administrator

Mississippi State Department of Health

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×

MATT ZAVADSKY, Planning Committee

MedStar Mobile Community Health Program

2:15 p.m.

Discussion with Attendees

2:45 p.m.

BREAK

3:05 p.m.

Panel Discussion: New Expectations and Capabilities of Preparedness Workforce

ELLEN EMBREY

Managing Partner, Stratitia

Former Deputy Assistant Secretary of Defense

Force Health Protection & Readiness

Department of Defense

ANI TURNER

Deputy Director

Center for Sustainable Health Spending

Altarum Institute

“View from the ground”

CHAD PRIEST

MESH Coalition

Indianapolis, IN

4:00 p.m.

Discussion with Attendees

4:30 p.m.

ADJOURN

November 19, 2013

8:30 a.m.

Welcome and Introduction

GEORGES BENJAMIN, Workshop Co-Chair

Executive Director

American Public Health Association

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×

GREGG MARGOLIS, Workshop Co-Chair

Director, Division of Health Systems and Health Care Policy

Office of the Assistant Secretary for Preparedness and Response

SESSION III: Information Infrastructure

Session Objectives:

  • Explore how changes to data collected through health information technology may be used to strengthen community resilience.
    • Discuss corresponding benefits and barriers to greater access to patient and population data in disasters.

8:40 a.m.

Session Chair: Introduction and Overview of Objectives

KEVIN LARSEN

Medical Director of Meaningful Use

Office of the National Coordinator for Health Information Technology

Department of Health and Human Services

8:50 a.m.

Panel Discussion: Opportunities for Enhanced Resilience Through Technology: Aggregate and Individual Patient Focus

ROLAND GAMACHE

Director, Public Health Informatics

National Association of County and City Health Officials

JUSTIN BARNES

Vice President

Greenway Medical Technologies

Board Member, CommonWell Health Alliance

JAMES MARCIN

Director, Pediatric Telemedicine Program

University of California, Davis

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
 

“View from the ground”

 

CONNIE CHAN

Project Director, PCCI

Dallas, TX

9:50 a.m.

Discussion with Attendees

10:15 a.m.

BREAK

SESSION IV: Needs and Opportunities for Threat Identification and Public Health Response

Session Objectives:

  • Evaluate needs and opportunities in data collection, surveillance, and communication for robust threat identification and public health response.
    • Discuss roles for public health in mass vaccinations or routine immunization provision.

10:30 a.m.

Session Chair: Introduction and Overview of Objectives

GEORGES BENJAMIN, Workshop Co-Chair

Executive Director

American Public Health Association

10:40 a.m.

Panel Discussion: Data Collection, Surveillance, and Communication: Potential for Enhancing Threat Identification

GARRETT DAWKINS

Director, Transitions of Care and Public Health

Surescripts, LLC

GUS BIRKHEAD

Deputy Commissioner and Director of Public

Health Programs

New York State Department of Health

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
 

CHARLES CAIRNS

Chair of Emergency Medicine

University of North Carolina–Chapel Hill

Principal Investigator of the National Collaborative for Bio-Preparedness

“View from the ground”

ANDREW SCHROEDER

Director of Research and Analysis

Direct Relief

11:40 a.m.

Discussion with Attendees

12:10 p.m.

LUNCH

1:10 p.m.

Panel Discussion: Continuing Roles for Public Health
Response: Mass Immunization/Medical Countermeasure
Delivery and Public–Private Partnership

NATHANIEL HUPERT

Associate Professor of Public Health and Medicine

Weill Cornell Medical College

BRANDON DEAN

Staff Analyst

Los Angeles County Department of Public Health

“View from the ground”

MICHELLE MCGUIRE

Senior Project Manager

Kansas Health Information Network

2:10 p.m.

Discussion with Membership

2:35 p.m.

BREAK

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×

SESSION V: “Views from the Ground”

Session Objectives:

  • Explore opportunities to leverage benefits of health care reform and action steps the preparedness community can take to mitigate identified challenges.
    • Review perspectives of “on the ground” panelists and top areas for the preparedness community to capitalize on moving forward.

2:50 p.m.

Session Chair: Introduction and Overview of Objectives

TERRY ADIRIM, Planning Committee

Special Consultant, Maternal and Child Health

Health Resources and Services Administration

Department of Health and Human Services

3:00 p.m.

Response Panel: Views from the Ground across Focus Areas

KAREN DESALVO

Health Commissioner

City of New Orleans

CONNIE CHAN

Project Director, PCCI

Dallas, TX

ANDREW SCHROEDER

Director of Research and Analysis

Direct Relief

MICHELLE MCGUIRE

Senior Project Manager

Kansas Health Information Network (KHIN)

4:00 p.m.

Discussion with Attendees

4:20 p.m.

Next Steps: Key Takeaway Messages

  • What issues have not been addressed?
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
  • How can people engage their communities to pass on lessons learned?

4:45 p.m.

ADJOURN

Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 107
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 108
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 109
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 110
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 111
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 112
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 113
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 114
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 115
Suggested Citation:"Appendix D: Agenda." Institute of Medicine. 2014. The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/18755.
×
Page 116
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Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system.

The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities.

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