Page 187 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

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A

Meeting Agendas

First Committee Meeting
January 30–31, 2018
National Academies Keck Center, Room 106
500 Fifth Street, NW
Washington, DC 20001

AGENDA
January 30, 2018
Open Session

10:30–10:45 a.m.	Welcome and Introductions
	Linda Hawes Clever, Committee Co-Chair
	Bonnie Rogers, Committee Co-Chair
10:45 a.m.–12:15 p.m.	Context for the Study and Charge to the Committee
	Maryann D’Alessandro, National Institute for Occupational Safety and Health (NIOSH)/National Personal Protective Technology Laboratory (NPPTL)
	Anita Patel, Centers for Disease Control and Prevention
	Lewis Radonovich, NIOSH/NPPTL
	Discussion
12:15–1:15 p.m.	Lunch (Keck Atrium)

Page 188 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

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1:15–1:45 p.m.	Elastomeric Respirators—Details on Fit and Protection Factor Issues
	Chris Coffey, NIOSH/NPPTL
	Discussion
1:45–3:00 p.m.	Committee Discussion with Study Sponsors
1:45–3:00 p.m.	Study context Any edits to the Statement of Task Ideas for March and May workshop speakers and topics Additional discussion
3:00 p.m.	Open Session Adjourns

Page 189 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

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Second Committee Meeting and Workshop
March 22–23, 2018
National Academy of Sciences Building
2101 Constitution Avenue, NW
Washington, DC 20001

AGENDA

Thursday, March 22, 2018
Lecture Room

OPEN SESSION: 8:30 a.m. to 5:00 p.m.

8:00–8:30 a.m.	Breakfast, Available in the NAS Cafeteria
8:30–8:40 a.m.	Welcome and Opening Remarks
	Linda Hawes Clever, Committee Co-Chair
	Bonnie Rogers, Committee Co-Chair
8:40–10:00 a.m.	Panel 1—Elastomeric Respirators: Context and Efficacy
8:40–10:00 a.m.	Facilitator: Chris Nyquist
8:40–9:30 a.m.	Panel Introductions and Presentations
8:40–9:30 a.m.	Overview of Respiratory Protection Issues in Health Care; Innovations in Respiratory Protection Programs Mary Godwin, Cone Health (web conference) Comparative Efficacy of Elastomerics Ronald Shaffer, National Personal Protective Technology Laboratory (NPPTL) Project BREATHE Lew Radonovich, NPPTL Comparative Costs of Elastomerics Sheri Eisert, University of South Florida (web conference)
9:30–10:00 a.m.	Discussion with the Committee

Page 190 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

	Issues for Presentations and Discussion: Provide an overview of your hospital/facility’s respiratory protection program (e.g., number of users, types and numbers of respirators used, decision criteria regarding types of respirators) and innovations in your program; discuss challenges in fully implementing respiratory protection programs Discuss the overall efficacy of elastomeric respirators in comparison to N95s and powered air-purifying respirators (PAPRs) and specifics on the efficacy of elastomerics to prevent infectious disease transmission (particularly influenza transmission) Discuss the economic landscape on respirators with comparisons across the types of respirators regarding purchase costs, life cycle/maintenance costs, and other costs Discuss Project BREATHE and its work in identifying performance characteristics and innovative approaches for respirators for health care workers of elastomerics to prevent infectious disease transmission (particularly influenza transmission)
10:00–11:15 a.m.	Panel 2—Elastomeric Respirators: Effectiveness and Use Issues
10:00–11:15 a.m.	Facilitators: Gio Baracco and Jim Johnson
10:00–10:50 a.m.	Panel Introductions and Presentations
	Physiology and Psychology
	Ray Roberge, retired NPPTL
	Disinfection
	Brian Heimbuch, Applied Research Associates
	Decision Criteria on Respirators Including Storage and Maintenance Issues
	Christopher Shields, Chicago Department of Public Health

Page 191 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

10:50–11:15 a.m.	Discussion with the Committee
10:50–11:15 a.m.	Issues for Presentations and Discussion: Provide an overview of the research on elastomeric half-mask respirators regarding communication, comfort, disinfection, and storage and maintenance issues Discuss decision criteria on selection, use, and storage of respirators
11:15–11:30 a.m.	BREAK
11:30 a.m.–1:00 p.m.	Panel 3—Use of Elastomeric Respirators in Clinical Practice
11:30 a.m.–1:00 p.m.	Facilitator: Jim Chang
11:30 a.m.–12:30 p.m.	Panel Introductions and Presentations
	Texas Center for Infectious Diseases
	Annie Quratulain Kizilbash, Medical Director (web conference)
	Debbie Mata, Registered Nurse (web conference)
	Cynthia Guenther, Respiratory Therapist (web conference)
	Jim Chang, University of Maryland Medical Center
12:30–1:00 p.m.	Discussion with the Committee
	Issues for Presentations and Discussion:
	Describe your respirator program, e.g., number of users, types and numbers of respirators used; decision criteria regarding types of respirators purchased and used; training programs Discuss your experience with elastomeric respirators (and compare with other types of respirators) from the perspectives of

Page 192 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

	Employee issues, comments, and experiences using elastomeric half-mask respirators Implementation—storage, disinfection, maintenance Fit testing Training Provide your thoughts on the benefits and limitations of elastomeric half-mask respirators Discuss issues regarding sustainability of use of elastomerics including any future plans, evaluations, or anticipated changes in type of respirators that will be used
1:00–1:45 p.m.	LUNCH—NAS Cafeteria
1:45–2:45 p.m.	Panel 4—Elastomeric Respirators: Lessons Learned from Other Industries
1:45–2:45 p.m.	Facilitator: Bruce Lippy
1:45–2:15 p.m.	Panel Introductions and Presentations
	Mike Schmoldt, Argonne National Laboratory (web conference) Bruce Lippy, Center for Construction Research and Training
2:15–2:45 p.m.	Discussion with the Committee
	Issues for Presentations and Discussion:
	Describe your respirator program, e.g., number of users, types and numbers of respirators used; hazards protecting against, environment where respirators are used; decision criteria regarding types of respirators purchased and used; training programs Discuss your experience with elastomeric respirators (and compare with other types of respirators) from the perspectives of

Page 193 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

	Employee issues, comments, and experiences using elastomeric half-mask respirators Implementation—storage, disinfection, maintenance Fit testing Training Provide your thoughts on the benefits and limitations of elastomeric half-mask respirators Discuss issues regarding sustainability of use of elastomerics including any future plans, evaluations, or anticipated changes in type of respirators that will be used
2:45–3:00 p.m.	BREAK
3:00–4:30 p.m.	Panel 5—Stockpiling of Elastomeric Respirators: Public Health Preparedness
3:00–4:30 p.m.	Facilitators: Tener Veenema and Gloria Addo-Ayensu
3:00–4:00 p.m.	Panel Introductions and Presentations
	Manufacturing Perspective
	Ellen White, 3M (web conference)
	Stockpile Logistics and Decision Points
	Paul Petersen, Tennessee Department of Health
	Hospital Systems Perspective
	Carol Barsky, Hackensack Meridian Health
4:00–4:30 p.m.	Discussion with the Committee
4:00–4:30 p.m.

Page 194 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

	Issues for Presentations and Discussion: To what extent are elastomeric respirators currently part of the preparedness response? What are the primary factors driving decisions about elastomerics? What are the issues regarding volume, cost, shelf life, monitoring, etc., for the stockpiles? What are the manufacturing, supply chain, and distribution opportunities and challenges? How are hospital systems preparing for the potential of respirator shortages?
4:30–5:00 p.m.	Public Comment Period
4:30–5:00 p.m.	Facilitators: Linda Hawes Clever and Bonnie Rogers
5:00 p.m.	Public Session Adjourns

Page 195 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

Third Committee Meeting and Workshop
May 22–23, 2018
May 22—National Academy of Sciences Building, Lecture Room
May 23—National Academy of Sciences Building, NAS Board Room
2101 Constitution Avenue, NW
Washington, DC 20001

AGENDA

Tuesday, May 22, 2018
Lecture Room

OPEN SESSION: 8:30 a.m. to 5:30 p.m.

8:00–8:30 a.m.	Breakfast, Available in NAS Cafeteria
	(Breakfast tickets available for committee and speakers in the Lecture Room—sign the ticket and give it to the cashier)
8:30–8:40 a.m.	Welcome and Opening Remarks
	Linda Hawes Clever, Committee Co-Chair
	Bonnie Rogers, Committee Co-Chair
8:40–10:00 a.m.	Panel 1—Reusable Elastomeric Respirators: User and Infection Control Perspectives
	Facilitators: Chris Friese and Allison McGeer
8:40–9:30 a.m.	Panel Introductions and Presentations
	Mark Catlin, SEIU Louise Dembry, Yale University Marguerite Gribogiannis, Advocate Lutheran General Hospital (via web conference)
9:30–10:00 a.m.	Discussion with the Committee

Page 196 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

	Issues for Presentations and Discussion: What are the strengths and limitations of elastomeric respirators? What have been your experiences or considerations regarding the decontamination of elastomeric respirators? What is the impact of elastomeric use by health care workers on the patient? Do elastomerics affect patient interactions with health care workers differently than N95s or other respirators? What is the impact on perception of risk? Do health care workers perceive that their risk of infection is different when using elastomerics as compared with N95s? As compared with PAPRs?
10:00–11:30 a.m.	Panel 2—Elastomeric Respirators Research and Hazard Assessment
10:00–11:30 a.m.	Facilitator: Bob Harrison
10:00–11:00 a.m.	Panel Introductions and Presentations
10:00–11:00 a.m.	Quinn Danyluk, Fraser Health Mary Bessesen, University of Colorado Denver Andy Palmiero, National Personal Protective Technology Laboratory Rachael Jones, University of Illinois at Chicago
11:00–11:30 a.m.	Discussion with the Committee
	Issues for Presentations and Discussion:
	Provide an overview of the research on elastomeric half-mask respirators regarding communication, comfort, disinfection, and use Identify knowledge and research gaps

Page 197 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

11:30 a.m.–1:00 p.m.	Panel 3—Reusable Elastomeric Respirators: Decision Making and Implementation in Emergencies
	Facilitator: Skip Skivington
11:30 a.m.–12:40 p.m.	Panel Introductions and Presentations
	Joanne McGlown, McGlown LLC Jeff Nesbitt, Mayo Clinic MaryAnn Gruden, occupational health consultant Gloria Graham, Cincinnati Children’s Hospital Medical Center Linda Rouse-O’Neill, Health Industry Distributors Association
12:40–1:00 p.m.	Discussion with the Committee
	Issues for Presentations and Discussion:
	Who makes the decisions on the types of respirators used by your organization? Who has input into the decisions? What are the decision criteria? Have elastomeric respirators been considered to be part of your organization’s routine use of respirators? Part of your organization’s emergency plans? What factors were involved in these decisions? What impact would moving to a new type of respirator during an emergency or non-emergency situation have on your organization? Impact on clinical care, fit testing, and training/education? What recommendations do you have for improving decision making regarding respiratory protection options?
1:00–1:45 p.m.	LUNCH—NAS Cafeteria

Page 198 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

×

1:45–3:15 p.m.	Panel 4—Reusable Elastomeric Respirators: Communications and Education
	Facilitator: Pat Stone
1:45–2:45 p.m.	Panel Introductions and Presentations
	Kathy Eklund, The Forsyth Institute Dave DeJoy, University of Georgia Barbara Braun, Joint Commission Gregg Pane, Association of American Medical Colleges
2:45–3:15 p.m.	Discussion with the Committee
	Issues for Presentations and Discussion:
	What are the levers for changing the worker safety culture in health care? How can those levers be applied to the use of respiratory protection? Are there specific issues for education and training of health care workers (students and practitioners) related to elastomeric respirators? What mechanisms (standards, policies, guidelines, etc.) were put in place by dental professionals to ensure the use of face shields, masks, and other personal protective equipment? Are N95 respirators used? What are the plans for pandemic or other crisis management regarding respiratory protection? What recommendations do you have for improving training and education efforts on respiratory protection and for improving the worker safety culture?
3:15–5:00 p.m.	Panel 5—Reusable Elastomeric Respirators: Innovation
	Facilitator: Sundaresan Jayaraman

Page 199 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

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3:15–4:30 p.m.	Panel Introductions and Presentations
3:15–4:30 p.m.	Matthew Weinger, Vanderbilt University (via web conference) Rodney Wallace, Biomedical Advanced Research and Development Authority Sergey Grinshpun, University of Cincinnati (via web conference) Alex Birrell and Alex Virr, CleanSpace Technologies (via web conference)
4:30–5:00 p.m.	Discussion with the Committee
	Issues for Presentations and Discussion:
	What are the key usability issues that need to be considered in improving the design of elastomeric respirators for health care workers? What innovations in materials could be explored for moving to a more patient-care-friendly (less industrial) design for health care respirators? What are the materials challenges and how should they be addressed? What are the key issues that must be considered in the design of elastomeric respirators to facilitate their easy and effective decontamination and reuse in health care settings? What are the engineering and financial barriers to innovations in respiratory protection? Other types of barriers? What are your recommendations for overcoming those barriers and moving to the next generation of respirators for health care workers?
5:00–5:30 p.m.	Public Comments and Closing Discussion
5:00–5:30 p.m.	Facilitators: Linda Hawes Clever and Bonnie Rogers
5:30 p.m.	Public Session Adjourns

Page 200 Cite

Suggested Citation:"Appendix A: Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2019. Reusable Elastomeric Respirators in Health Care: Considerations for Routine and Surge Use. Washington, DC: The National Academies Press. doi: 10.17226/25275.

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