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OCR for page 133
Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
D
Workshop Agenda
Guidance for Establishing Standards of Care for Use in Disaster Situations
Board on Health Sciences Policy
Public Workshop
September 2, 2009
Lecture Room
The National Academy of Sciences Building
2100 C Street, NW
Washington, DC
Workshop Goals
Examine existing standards of care protocols and identify priority elements
Examine existing guidance for triggers
Discuss the appropriate balance for guidance versus guidelines. Broad versus granular.
OCR for page 134
Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
8:00 a.m.
Welcome and Introductions
LAWRENCE GOSTIN, Committee Chair
Associate Dean
Research and Academic Programs
Director, O'Neill Institute on National and Global Health Law
Georgetown University Law Center
DAN HANFLING, Committee Vice-Chair
Special Advisor
Emergency Preparedness and Response
Inova Health System
8:15
Background and Charge to the Committee
RADM ANN KNEBEL
Deputy Director for Preparedness and Planning
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
8:30
Previous National Accomplishments and Future Needs
SALLY PHILLIPS
Director
Public Health Emergency Preparedness
Agency for Healthcare Research and Quality
8:45
Federal Stakeholder Perspectives
Panel Objective: Describe relevant federal efforts associated with establishing standards of care. Discuss what national guidance should look like. Discuss what should be included and what should not. Discuss benefits of establishing effective national guidance on standards of care.
JON KROHMER
Principal Deputy Assistant Secretary and Deputy Chief Medical Officer
Office of Health Affairs
Department of Homeland Security
OCR for page 135
Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
CAPT DEBORAH LEVY
Chief, Healthcare Preparedness Activity
Division of Healthcare Quality Promotion
Centers for Disease Control and Prevention
ROGER BERNIER
Associate Director for Science
National Immunization Program
Centers for Disease Control and Prevention
GAMUNU WIJETUNGE
NHTSA/Office of Emergency Medical Services
U.S. Department of Transportation
LTC(P) WAYNE HACHEY
Director Preventive Medicine
Office of the Assistant Secretary of Defense (Health Affairs)
Force Health Protection and Readiness
VIRGINIA ASHBY SHARPE
Medical Ethicist
National Center for Ethics in Health Care
Veterans Health Administration
9:30
Discussion with Public Attendees and Committee
10:00
BREAK
10:15
Guidance on Standards of Care in Medical Triage Events
Panel Objective: Discuss the level of guidance necessary during medical triage events. Identify remaining gaps limiting the potential effectiveness of existing protocols.
DAMON ARNOLD, Panel Chair
Director
Illinois Department of Public Health
PAUL PATRICK
Director
Bureau of EMS and Preparedness
State of Utah Department of Health
OCR for page 136
Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
KRISTIN STEVENS
Department of Emergency Management
New York University Langone Medical Center
MEREDITH LI-VOLLMER
Risk Communication Specialist
Seattle and King County Department of Public Health
STEVE ROTTMAN
Director
Center for Public Health and Disasters
University of California, Los Angeles
11:15
Discussion with Public Attendees and Committee
11:45
Working Lunch: Continued Discussion with Public Attendees and Committee
12:30
Changing Roles and Responsibilities of Healthcare Workers under Contingency and Crisis Standards of Cares
Panel Objective: Examine how healthcare worker responsibilities change along the standard of care continuum. Explore the necessary guidance desired by healthcare workers.
CHERYL PETERSON, Panel Chair
Senior Policy Fellow
Department of Nursing Practice & Policy
American Nurses Association
KRISTINE GEBBIE (note: Via telecon)
Joan Hansen Grabe Dean
Hunter-Bellevue School of Nursing
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Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
STEVEN LAWRENCE
Associate Director, Emergency Response Planning
Midwest Regional Center of Excellence for Biodefense and Emerging Infectious Diseases Research
Assistant Professor of Medicine
Division of Infectious Diseases
Washington University School of Medicine
ROY ALSON
Medical Director, Forsyth County EMS
Medical Director, Disaster Services
North Carolina Office of EMS
MARK GOLDSTEIN
Emergency Services Operations Manager
Emergency Department Memorial Health System, CO
1:15
Discussion with Public Attendees and Committee
1:45
Guidance on Legal, Ethical, and Practical Issues in Setting Standards of Care in Declared Emergencies
Panel Discussion: Discuss legal, ethical and practical issues associated with setting standards of care during disaster situations. Examine legal distinctions between standards of care and scope of practice.
JAMES HODGE, Panel Chair
Lincoln Professor of Health Law and Ethics
Sandra Day O’Connor College of Law at Arizona State University
STEPHEN TERET
Professor
Associate Dean; Director
Center for Law and the Public's Health
Johns Hopkins Bloomberg School of Public Health
OCR for page 138
Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
CLIFFORD REES
Research Assistant Professor
Department of Emergency Medicine, Center for Disaster Medicine
University of New Mexico School of Medicine
MATTHEW WYNIA
Director of the Institute for Ethics
American Medical Association
MARY ANN BUCKLEY
Senior Attorney
New York State Department of Public Health
2:30
Discussion with Public Attendees and Committee
3:00
Identifying Triggers: Identifying the shift from “conventional” to “contingency” and then “crisis” surge capacity situations
Panel Objectives: Discuss the appropriate level of guidance and parameters required in the framework for guidance from a clinical perspective. Examine how to develop guidance so that it matches the available resources and evidence-based clinical outcomes, while ensuring the greatest number of people saved.
JOHN HICK, Panel Chair
Associate Medical Director for EMS and Medical Director of Emergency Preparedness
Hennepin County Medical Center, MN
ANTHONY MACINTYRE
Associate Professor
Department of Emergency Medicine
The George Washington University
BETSY WEINER (Note: via telecon)
Associate Director
Nursing Emergency Preparedness Education Coalition
Senior Associate Dean, Informatics
Vanderbilt University School of Nursing
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Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
JAMES GEILING
Associate Professor of Medicine
Dartmouth Medical School
LESLEE STEIN-SPENCER (Note: via telecon)
Manager of Quality Improvement, Chicago Fire Department
Program Advisor, National Association of State EMS Officials
GEORGE TURABELIDZE
Deputy State Epidemiologist
Missouri Department of Health and Senior Services
BRIAN ERSTAD
Professor and Assistant Department Head
Pharmacy Practice and Science
University of Arizona, College of Pharmacy
4:15
Discussion with Public Attendees and Committee
4:45
Revisiting Overarching Themes: Discussion with Public Attendees and Committee
LAWRENCE GOSTIN, Committee Chair
Associate Dean
Research and Academic Programs
Director, O'Neill Institute on National and Global Health Law
Georgetown University Law Center
DAN HANFLING, Committee Vice-Chair
Special Advisor
Emergency Preparedness and Response
Inova Health System
5:30
ADJOURN
OCR for page 140
Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report
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