Appendix A
Workshop Agendas

FUTURE OF EMERGENCY CARE SERIES

REGIONAL DISSEMINATION WORKSHOP


PRIMARY CHILDREN’S MEDICAL CENTER

MULTIPURPOSE ROOM—3RD FLOOR

SALT LAKE CITY, UTAH


September 7, 2006

Workshop Agenda


OBJECTIVE: TO DISSEMINATE FINDINGS FROM THE THREE INSTITUTE OF MEDICINE (IOM) REPORTS ON THE FUTURE OF EMERGENCY CARE (EMERGENCY MEDICALSERVICESAT THECROSSROADS, HOSPITAL-BASEDEMERGENCYCARE: AT THEBREAKINGPOINT, AND EMERGENCYCAREFORCHILDREN: GROWINGPAINS); ENGAGE STAKEHOLDERS IN A DISCUSSION OF THE ISSUES RAISED IN THE REPORTS; AND CONSIDER IMPLEMENTATION ISSUES AT THE NATIONAL, STATE, AND LOCAL LEVELS.

9:00 AM

WELCOME AND WORKSHOP INTRODUCTION

 

Edward B. Clark, University of Utah Health Sciences Center and Primary Children’s Medical Center

Nels D. Sanddal, Critical Illness and Trauma Foundation

9:20

OVERVIEW OF THE IOM REPORTS ON THE FUTURE OF EMERGENCY CARE

 

A. Brent Eastman, ScrippsHealth

Nels D. Sanddal, Critical Illness and Trauma Foundation

Marianne Gausche-Hill, Harbor-UCLA Medical Center



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Future of Emergency Care: Dissemination Workshop Summaries Appendix A Workshop Agendas FUTURE OF EMERGENCY CARE SERIES REGIONAL DISSEMINATION WORKSHOP PRIMARY CHILDREN’S MEDICAL CENTER MULTIPURPOSE ROOM—3RD FLOOR SALT LAKE CITY, UTAH September 7, 2006 Workshop Agenda OBJECTIVE: TO DISSEMINATE FINDINGS FROM THE THREE INSTITUTE OF MEDICINE (IOM) REPORTS ON THE FUTURE OF EMERGENCY CARE (EMERGENCY MEDICALSERVICESAT THECROSSROADS, HOSPITAL-BASEDEMERGENCYCARE: AT THEBREAKINGPOINT, AND EMERGENCYCAREFORCHILDREN: GROWINGPAINS); ENGAGE STAKEHOLDERS IN A DISCUSSION OF THE ISSUES RAISED IN THE REPORTS; AND CONSIDER IMPLEMENTATION ISSUES AT THE NATIONAL, STATE, AND LOCAL LEVELS. 9:00 AM WELCOME AND WORKSHOP INTRODUCTION   Edward B. Clark, University of Utah Health Sciences Center and Primary Children’s Medical Center Nels D. Sanddal, Critical Illness and Trauma Foundation 9:20 OVERVIEW OF THE IOM REPORTS ON THE FUTURE OF EMERGENCY CARE   A. Brent Eastman, ScrippsHealth Nels D. Sanddal, Critical Illness and Trauma Foundation Marianne Gausche-Hill, Harbor-UCLA Medical Center

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Future of Emergency Care: Dissemination Workshop Summaries 10:00 BREAK 10:15 PREPAREDNESS FOR PUBLIC HEALTH EMERGENCIES   David N. Sundwall, Utah Department of Health Admiral John O. Agwunobi, Assistant Secretary for Health, U.S. Department of Health and Human Services 10:45 STATE AND LOCAL RESPONSE PANEL   MODERATOR: A. Brent Eastman Members of the panel will engage in a conversation, led by the moderator, about the IOM reports based on a series of questions set in advance: What do you think are the key messages of the reports? Are there any important issues that the reports missed? What are the top priority areas for action? What are some of the barriers to implementation?   Jim Antinori, Emergency Physicians’ Integrated Care Joseph Hansen, Critical Illness and Trauma Foundation Janet Griffith Kastl, Washington State Department of Health Office of EMS and Trauma Denise King, Emergency Nurses Association Paul R. Patrick, Utah Emergency Medical Services, Department of Health 11:45 OPEN DISCUSSION   MODERATOR: A. Brent Eastman Attendees are given an opportunity to make a brief comment or ask a question. Members of the IOM committee will respond. 12:30-1:30 PM LUNCHEON PRESENTATION   Brent James, Intermountain Health Care Institute for Health Care Delivery Research Boxed lunches will be provided.

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Future of Emergency Care: Dissemination Workshop Summaries 1:30 ADVANCING PEDIATRIC EMERGENCY CARE   MODERATOR: Marianne Gausche-Hill 10 Minute Presentations Followed by an Open Discussion Session.   Kathleen Brown, Children’s National Medical Center Karen Frush, Duke University Health System Nathan Kuppermann, University of California, Davis School of Medicine Jeff E. Schunk, University of Utah School of Medicine and Primary Children’s Medical Center 2:45 ADVANCING EMERGENCY CARE IN RURAL AREAS   MODERATOR: Nels D. Sanddal 10 Minute Presentations Followed by an Open Discussion Session.   Frederick C. Blum, American College of Emergency Physicians Richard G. Ellenbogen, University of Washington School of Medicine Dia Gainor, Idaho Emergency Medical Services Bureau Chris Tilden, Kansas Department of Health and Environment 4:00 FINAL SUMMATION   Nels D. Sanddal, Critical Illness and Trauma Foundation SPECIAL OPPORTUNITY: FOLLOWING THE WORKSHOP, PARTICIPANTS WILL BE ABLE TO VISIT PRIMARY CHILDREN’S MEDICAL CENTER’S PEDIATRIC PATIENT SIMULATOR, WHICH IS ADJACENT TO THE AREA WHERE THE WORKSHOP WILL BE HELD. MORE INFORMATION WILL BE MADE AVAILABLE AT THE WORKSHOP.

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Future of Emergency Care: Dissemination Workshop Summaries FUTURE OF EMERGENCY CARE SERIES REGIONAL DISSEMINATION WORKSHOP NORTHWESTERN MEMORIAL HOSPITAL 251 E. HURON THIRD FLOOR; PRITZKER AUDITORIUM CHICAGO, ILLINOIS October 27, 2006 Workshop Agenda OBJECTIVE: TO DISSEMINATE FINDINGS FROM THE THREE INSTITUTE OF MEDICINE (IOM) REPORTS ON THE FUTURE OF EMERGENCY CARE (EMERGENCY MEDICALSERVICESAT THECROSSROADS, HOSPITAL-BASEDEMERGENCYCARE: AT THEBREAKINGPOINT, AND EMERGENCYCAREFORCHILDREN: GROWINGPAINS); ENGAGE STAKEHOLDERS IN A DISCUSSION OF THE ISSUES RAISED IN THE REPORTS; AND CONSIDER IMPLEMENTATION ISSUES AT THE NATIONAL, STATE, AND LOCAL LEVELS. 8:30 AM REGISTRATION 9:00 WELCOME AND WORKSHOP INTRODUCTION   Nels D. Sanddal, Critical Illness and Trauma Foundation Eric E. Whitaker, Illinois Department of Public Health 9:20 OVERVIEW OF THE IOM REPORTS ON THE FUTURE OF EMERGENCY CARE   A. Brent Eastman, Scripps Memorial Hospital Brent Asplin, Regions Hospital Nels D. Sanddal, Critical Illness and Trauma Foundation Joseph Wright, Children’s National Medical Center 10:00 BREAK

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Future of Emergency Care: Dissemination Workshop Summaries 10:15 STATE AND LOCAL RESPONSE PANEL   MODERATOR: A. Brent Eastman Members of the panel will engage in a conversation, led by the moderator, about the IOM reports based on a series of questions set in advance: What do you think are the key messages of the reports? Are there any important issues that the reports missed? What are the top priority areas for action? What are some of the barriers to implementation?   Peter Butler, Rush University Medical Center Thomas Esposito, Loyola University Burn & Shock Trauma Institute Stephen Hargarten, Medical College of Wisconsin Bill Jermyn, Missouri Department of Health and Senior Services Leslee Stein-Spencer, National Association of State EMS Officials 11:15 OPEN DISCUSSION   MODERATOR: A. Brent Eastman Attendees are given an opportunity to make a brief comment or ask a question. Members of the IOM committee will respond. 12:00 PM LUNCHEON PRESENTATION   Cortez Trotter, Chief Emergency Officer, City of Chicago Boxed lunches will be provided in the atrium. 1:00 THE EMERGENCY CARE WORKFORCE   MODERATOR: Nels Sanddal 10 Minute Presentations Followed by an Open Discussion Session.   Bruce Browner, University of Connecticut School of Medicine Steven E. Krug, Children’s Memorial Hospital Patricia Kunz Howard, University of Kentucky Hospital Ronald G. Pirrallo, Medical College of Wisconsin

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Future of Emergency Care: Dissemination Workshop Summaries 2:15 HOSPITAL EFFICIENCY (INFORMATION TECHNOLOGY AND PATIENT FLOW)   MODERATOR: Brent Asplin 10 Minute Presentations Followed by an Open Discussion Session.   Peter Angood, Joint Commission on Accreditation of Healthcare Organizations John T. Finnell, Indiana University School of Medicine Linda Kosnik, Overlook Hospital Susan Nedza, Centers for Medicare and Medicaid Services 3:30 LESSONS LEARNED FROM TRAUMA SYSTEM DEVELOPMENT   J. Wayne Meredith, Wake Forest University School of Medicine 4:00 CLOSING   Nels D. Sanddal, Critical Illness and Trauma Foundation

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Future of Emergency Care: Dissemination Workshop Summaries FUTURE OF EMERGENCY CARE SERIES REGIONAL DISSEMINATION WORKSHOP TULANE UNIVERSITY SCHOOL OF PUBLIC HEALTH AND TROPICAL MEDICINE 1440 CANAL STREET, TIDEWATER BUILDING COLLINS C.DIBOLL AUDITORIUM, FIRST FLOOR NEW ORLEANS, LOUISIANA November 2, 2006 Revised Workshop Agenda OBJECTIVE: TO DISSEMINATE FINDINGS FROM THE THREE INSTITUTE OF MEDICINE (IOM) REPORTS ON THE FUTURE OF EMERGENCY CARE (EMERGENCY MEDICALSERVICESAT THECROSSROADS, HOSPITAL-BASEDEMERGENCYCARE: AT THEBREAKINGPOINT, AND EMERGENCYCAREFORCHILDREN: GROWINGPAINS); ENGAGE STAKEHOLDERS IN A DISCUSSION OF THE ISSUES RAISED IN THE REPORTS; AND CONSIDER IMPLEMENTATION ISSUES AT THE NATIONAL, STATE, AND LOCAL LEVELS. 8:30 AM REGISTRATION 9:00 WELCOME AND WORKSHOP INTRODUCTION   Nels D. Sanddal, Critical Illness and Trauma Foundation Alan M. Miller, Tulane University Health Sciences Center 9:10 OVERVIEW OF THE IOM REPORTS ON THE FUTURE OF EMERGENCY CARE   A. Brent Eastman, ScrippsHealth Nels D. Sanddal, Critical Illness and Trauma Foundation Tommy Loyacono, East Baton Rouge Parish Department of EMS

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Future of Emergency Care: Dissemination Workshop Summaries 9:40 CONGRESSIONAL RESPONSE   U.S. Senator David Vitter 10 Minutes of Remarks Followed by Q & A. 10:00 REGIONAL RESPONSE PANEL   MODERATOR: A. Brent Eastman Members of the panel will engage in a conversation, led by the moderator, about the IOM reports based on a series of questions set in advance: What do you think are the key messages of the reports? Are there any important issues that the reports missed? What are the top priority areas for action? What are some of the barriers to implementation?   Bill Brown, National Registry of EMTs James Moises, Tulane University Health Sciences Center Sandra Robinson, New Orleans Health Department Suzanne Stone-Griffith, HCA 11:00 OPEN DISCUSSION   MODERATOR: A. Brent Eastman Attendees are given an opportunity to make a brief comment or ask a question. Members of the IOM committee will respond. 12:00 PM KEYNOTE ADDRESS   Jeffrey W. Runge, Chief Medical Officer, U.S. Department of Homeland Security 12:30-1:15 LUNCH   Boxed lunches will be provided in the atrium. 1:15 STATE LEVEL PERSPECTIVE   Jimmy Guidry, State Health Officer and Medical Director, Louisiana Department of Health and Hospitals

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Future of Emergency Care: Dissemination Workshop Summaries 1:30 Advancing EMS   MODERATOR: Ray Bias, Acadian Ambulance Service 10 Minute Presentations Followed by an Open Discussion Session.   Tom Judge, LifeFlight of Maine Kurt Krumperman, Rural/Metro Drexdal Pratt, North Carolina Office of Emergency Medical Services Arthur H. Yancey II, Fulton County Department of Health & Wellness 2:45 DISASTER PREPAREDNESS   MODERATOR: Ricardo Martinez, The Schumacher Group 10 Minute Presentations Followed by an Open Discussion Session.   Albert W. Morris, Jr., National Medical Association Randy Pilgrim, The Schumacher Group Paul Sirbaugh, Texas Children’s Hospital 4:00 CLOSING   Nels D. Sanddal, Critical Illness and Trauma Foundation

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Future of Emergency Care: Dissemination Workshop Summaries FUTURE OF EMERGENCY CARE SERIES CAPSTONE DISSEMINATION WORKSHOP THE NATIONAL ACADEMIES 2100 C STREET, NW WASHINGTON, D.C. AUDITORIUM December 11, 2006 Agenda 8:30 AM REGISTRATION 9:00 OPENING AND WELCOME   Susanne Stoiber, IOM Executive Director Nels Sanddal, Critical Illness and Trauma Foundation 9:10 SUMMARY OF DISCUSSIONS AT REGIONAL WORKSHOPS   A. Brent Eastman, ScrippsHealth 9:30 RESPONSE TO IOM REPORTS—FEDERAL AGENCIES   MODERATOR: Nels Sanddal, Critical Illness and Trauma Foundation 15-Minute presentations followed by open discussion. Speakers were asked to discuss how their agency/office can assist in promoting the development of a coordinated, regionalized, and accountable emergency care system.   Marilena Amoni, Associate Administrator, National Highway Traffic Safety Administration Glenn Cannon, Director, Response Division, Federal Emergency Management Agency Thomas Gustafson, Deputy Director, Centers for Medicare and Medicaid Services

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Future of Emergency Care: Dissemination Workshop Summaries   Jeffrey W. Runge, Chief Medical Officer, Department of Homeland Security W. Craig Vanderwagen, Assistant Secretary, Office of Public Health Emergency Preparedness 11:00 RESPONSE TO IOM REPORTS—CONGRESSIONAL STAFF   MODERATOR: Robert Bass, Maryland Institute for EMS Systems Brief remarks from panelists followed by open discussion.   Jennifer Bryning, Senate Health, Education, Labor & Pensions (HELP) Committee Lisa Raimondo, Office of Senator Inouye (D-HI) Debbie Curtis, Office of Congressman Stark (D-CA) Billy Wynne, Senate Finance Committee 12:00 PM LUNCH   Boxed lunches will be provided in the Great Hall. 12:45 KEYNOTE ADDRESS   Pete Stark (D-CA), U.S. House of Representatives 1:15 RESPONSE TO IOM REPORTS—CONSUMER AND PURCHASER GROUPS   MODERATOR: Jane Knapp, Children’s Mercy Hospital 10-Minute presentations followed by open discussion. Speakers were asked to discuss their reaction to the reports, describe the public/constituents’ awareness of problems in the emergency care system, and suggest ways to stimulate public support to address deficiencies in the emergency care system.   Helen Darling, National Business Group on Health Bruce Lesley, First Focus Brian Lindberg, Consumer Coalition for Quality Health Care Joyce Dubow, AARP Bill Vaughan, Consumers Union

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Future of Emergency Care: Dissemination Workshop Summaries 2:30 CHALLENGES AND OPPORTUNITIES IN EMERGENCY CARE RESEARCH   MODERATOR: Arthur Kellermann, Emory University School of Medicine 10-Minute presentations on challenges and opportunities in emergency care research.   William Barsan, University of Michigan Medical School Nathan Kuppermann, University of California, Davis School of Medicine Daniel Patterson, University of North Carolina, Chapel Hill 3:00 RESPONSE FROM FEDERAL AGENCIES INVOLVED IN EMERGENCY CARE RESEARCH   MODERATOR: Arthur Kellermann, Emory University School of Medicine 10-Minute presentations followed by open discussion. Speakers were asked to discuss strategies for overcoming barriers and challenges to emergency care research identified in the IOM reports.   Chris DeGraw, Health Resource and Services Administration Irene Fraser, Agency for Healthcare Research and Quality Richard Hunt, Centers for Disease Control and Prevention Chetan Kharod, Uniformed Services University of the Health Sciences John Marler, National Institutes of Health 4:30 CLOSING   Nels Sanddal, Critical Illness and Trauma Foundation 4:30-5:30 RECEPTION IN THE GREAT HALL