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Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×

Appendix A

Workshop Agenda

Crisis Standards of Care: Ten Years of Successes and Challenges—A Workshop

November 21–22, 2019

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

Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×

Day One—November 21, 2019

8:00 a.m. Chairs’ Welcome
Aim:
  • Orient participants to the space and the workshop
John Hick
Professor of Emergency Medicine and Medical
Director of Emergency Preparedness
Hennepin Healthcare, University of Minnesota
Workshop Planning Committee Co-Chair
Suzet McKinney
Executive Director and Chief Executive Officer
Illinois Medical District
Workshop Planning Committee Co-Chair
8:15 a.m. Presentation I
Setting the Stage—History of Crisis Standards of Care
Aims:
  • Review (briefly) the history of CSC
  • Understand how CSC fit into current preparedness and response landscape
Dan Hanfling
Vice President, Technical Staff
In-Q-Tel
8:45 a.m. Panel I
Case Study Presentations
Aim:
  • Provide brief examples of how CSC have been incorporated into planning and implemented at the local, state, and federal levels
Moderator:
Suzet McKinney
Executive Director and Chief Executive Officer
Illinois Medical District
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Cases:
  • Federal Planning and Response
    • Centers for Disease Control and Prevention Crisis Standards of Care Guidance for Threats, Clinical Care, and Infection Control
      Satish Pillai,
      Acting Director, Division on Preparedness and Emerging Infections, Centers for Disease Control and Prevention
    • Repatriation Process for Haiti
      Nicole Lurie,
      Former Assistant Secretary for Preparedness and Response
    • Puerto Rico Recovery
      Jonathan White,
      Director, Recovery Division, Office of the Assistant Secretary for Preparedness and Response
  • State-Level Planning
    • Minnesota
      Judy Seaberg,
      Healthcare Preparedness Program Manager, Minnesota Department of Health
    • Illinois
      Win Rawls,
      Director, Preparedness Division, Illinois Department of Health
  • Activities in Clinical Settings
    • Burn Preparedness and Management
      Colleen Ryan,
      Professor of Surgery, Harvard Medical School
Q&A with workshop participants
10:15 a.m. BREAK
10:45 a.m. Panel II
Lessons Learned, Opportunities for Improvement, and Gaps in Knowledge
Aims:
  • Understand how CSC fit into the current preparedness and response landscape
  • Reflect on cases to reveal successes and failures at 10,000-foot level
  • Suggest range or priorities for enhancing CSC, given advancements and changing landscape
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Moderator:
John Hick
Professor of Emergency Medicine and Medical Director of Emergency Preparedness
Hennepin Healthcare, University of Minnesota
Discussants:
James Hodge, Jr.
Professor of Law
Sandra Day O’Connor College of Law
Arizona State University
Anita Patel
Senior Special Advisor
Pandemic Medical Care and Countermeasures Lead
Centers for Disease Control and Prevention
Charles Little
Associate Professor of Emergency Medicine
University of Colorado
12:15 p.m. LUNCH
Buffet lunch is available in the Great Hall. Please take 10–15 minutes to collect your lunch and find a seat before Panel III begins.
12:30 p.m. Panel III
Engagement: Communicating Crisis Standards of Care
Aims:
  • Explore strategies for engagement and communication around CSC with providers, the public, and political leadership
  • Reflect on examples of past outreach efforts to understand best practices and lessons learned
Moderator:
Freda Lyon
Vice President, Emergency Services
Wellstar Health System
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Discussants:
Danita Koehler
Rural Medical Director
Tanana Chiefs Conference
Eric Toner
Senior Scholar
Johns Hopkins Center for Health Security
Garry DeJong
Formerly, Response Branch Manager
Colorado Department of Public Health and Environment
1:00 p.m. Work Session I
Table Discussions

The full group will hear instructions for breakout sessions. It will be important for the moderator to describe the breadth of stakeholders. Then, small groups will form by sector or affinity to discuss issues pertinent to their experiences with CSC and to capture the opportunities and leverage points to enhance CSC and threats and barriers to the future success of CSC.
Aim:
  • Describe the challenges and opportunities various stakeholders face when implementing CSC
Small Groups
  • Emergency Medical Services (EMS)—Ira Nemeth, Associate Medical Director for EMS and LifeFlight, UMass Memorial Hospital
  • Local and State Public Health—Steve Huleatt, Director of Health, West Hartford-Bloomfield Health District
  • Federal—Jon Krohmer, Director, Office of EMS, National Highway Traffic Safety Administration
  • Health Care—Eric Toner, Senior Scholar, Johns Hopkins Center for Health Security
  • Vendors—Nicolette Louissaint, Executive Director, Healthcare Ready
  • Subspecialties
    • WMD—Mark Kirk, Director, Chemical Defense Program, Department of Homeland Security
    • Trauma—Jennifer Ward, President, Trauma Center Association of America
    • Legal—James Hodge, Jr., Professor of Law, Sandra O’Connor School of Law, Arizona State University
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
2:45 p.m. BREAKTransition to Auditorium
3:00 p.m. Work Session I
Report Outs
Aim:
  • Share discussions from small groups
    Each group recaps the challenges, threats, and opportunities for enhancement and improvement for CSC.
4:00 p.m. Panel IV
Ethical and Legal Considerations
Aim:
  • Discuss the resolved and existing legal and ethical implications of CSC
Moderators:
Matthew Wynia
Director, Center for Bioethics and Humanities
University of Colorado
James Hodge, Jr.
Professor of Law
Sandra Day O’Connor College of Law
Arizona State University
Discussants:
Lee Biddison
Associate Professor of Medicine and Chief Wellness Officer
Johns Hopkins Medicine
Sheri Fink
Author of Five Days at Memorial, The New York Times Correspondent
5:15 p.m. Chair’s Reflections and Preview of Day Two
John Hick
Professor of Emergency Medicine and Medical Director of Emergency Preparedness
Hennepin Healthcare, University of Minnesota
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Suzet McKinney
Executive Director and Chief Executive Officer
Illinois Medical District
5:30 p.m. ADJOURN TO RECEPTION

Networking Reception to Follow

Location: Great Hall

Day Two—November 22, 2019

8:30 a.m. Welcome and Recap of Day One
John Hick
Professor of Emergency Medicine and Medical Director of Emergency Preparedness
Hennepin Healthcare, University of Minnesota
Suzet McKinney
Executive Director and Chief Executive Officer
Illinois Medical District
Transition to Great Hall
8:45 a.m. Work Session II Articulating the Way Forward
Aim:
  • For common strategies and issues, articulate actors, actions, and milestones for the next 18–24 months
    Full audience receives instructions. Small groups gather again and come up with actions, actors, and implementation milestones for the next 18–24 months. The groups can be the same stakeholders as before or we can form groups by strategy area where the individual groups have overlap.
Transition to Auditorium
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
10:45 a.m. Work Session II
Small Group Report Outs
Aim:
  • Work Session II
    Small Group Report Outs

    Each group recaps the actions, actors, and implementation milestones for the next 18–24 months.
Small Group Focus Areas to Include
  • The importance of systems and processes versus trying to plan too many specifics
  • Building from the “bottom up”—functions of “extreme surge” planning can help drive the regulatory and administrative supports
  • Technology’s ability to assist in allocation/triage/information sharing
11:30 a.m. Day Two Wrap-Up
John Hick
Professor of Emergency Medicine and Medical Director of Emergency Preparedness
Hennepin Healthcare, University of Minnesota
Suzet McKinney
Executive Director and Chief Executive Officer
Illinois Medical District
12:00 p.m. ADJOURN WORKSHOP
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 49
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 50
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 51
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 52
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 53
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 54
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 55
Suggested Citation:"Appendix A: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2021. Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25767.
×
Page 56
Next: Appendix B: Speaker Biographies »
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In 2009 the Institute of Medicine (IOM) began to assess the need for better-defined medical and public health crisis standards of care (CSC) for catastrophic disasters and public health emergencies. Over the next 10 years, the IOM defined templates for those stakeholders responsible for integrated CSC planning and implementation; created a tool kit with guidance on indicators and triggers; provided a discussion kit for stakeholders to use with their own communities to establish appropriate indicators and triggers to guide their planning; disseminated the messages and key concepts of CSC; and built on the initial efforts to refine certain elements and address remaining gaps. This current Proceedings of a Workshop captures the discussions from a 2019 workshop reviewing the successes and gaps over the last 10 years of CSC work, in order to inform the next phases of planning and implementation.

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