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Crisis Standards of Care: Summary of a Workshop Series E Biographical Sketches of Workshop Planning Committee Members, Invited Speakers, and Panelists WORKSHOP PLANNING COMMITTEE Sally Phillips, Ph.D., R.N. (Chair), currently serves as the director of the Agency for Healthcare Research and Quality (AHRQ) Public Health Emergency Preparedness Program. Dr. Phillips joined the staff of AHRQ’s Center for Primary Care, Prevention, and Clinical Partnerships in 2001 as a senior nurse scholar. She managed a portfolio that ranged from her primary area of bioterrorism to multidisciplinary education for safety and related healthcare workforce initiatives. Prior to joining AHRQ, Dr. Phillips was a Robert Wood Johnson Health Policy Fellow and health policy analyst for Senator Tom Harkin for 2 years. She brought a wealth of expertise in the areas of multidisciplinary education, patient safety legislative initiatives, and curriculum with health professions education to her role at AHRQ. Dr. Phillips joined the AHRQ staff in 2002 as director of the Bioterrorism Preparedness Research Program, now the Public Health Emergency Preparedness Program. She is an accomplished author, consultant, and speaker on public health and medical preparedness and response research initiatives. Dr. Phillips holds a Ph.D. from Case Western Reserve University. James Blumenstock, M.A., holds the position of chief program officer for public health practice for the Association of State and Territorial Health Officials (ASTHO). His portfolio includes the state public health practice program areas of infectious and emerging diseases, immunization, environmental health, and public health preparedness and security, including pandemic influenza preparedness. Mr. Blumenstock also
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Crisis Standards of Care: Summary of a Workshop Series serves as a member of the ASTHO’s Executive Management Team responsible for enterprise-wide strategic planning, administrative services, member support, and public health advocacy. Prior to his arrival at ASTHO in 2005, Mr. Blumenstock was the deputy commissioner of health for the New Jersey Department of Health and Senior Services, where he retired after nearly 32 years of career public health service. In this capacity, he had executive oversight responsibilities for a department branch of more than 650 staff and an operating budget of approximately $125 million. He oversaw the Division of Public Health and Environmental Laboratories; Division of Epidemiology, Occupational and Environmental Health; Division of Local Health Practice and Regional Systems Development; Division of Health Emergency Preparedness and Response; and the Office of Animal Welfare. During his tenure, Mr. Blumenstock also represented the department on a number of boards, councils, and commissions including the New Jersey Domestic Security Preparedness Task Force. Mr. Blumenstock is the proud recipient of the ASTHO 2004 Noble J. Swearingen Award for excellence in public health administration and the Dennis J. Sullivan Award, the highest honor bestowed by the New Jersey Public Health Association for dedicated and outstanding service and contribution to the cause of public health. He is also a Year 14 Scholar of the Public Health Leadership Institute and held an elected office serving his community for 12 years. He received his B.S. in Environmental Science from Rutgers University in 1973 and his M.A. in Health Sciences Administration from Jersey City State College in 1977. Katie Brewer, M.S.N., R.N., is a senior policy analyst with the American Nurses Association (ANA). Her areas of focus are public health infrastructure, including immunization, disaster preparedness and response, emerging disease, and public health workforce. Prior to joining ANA, Ms. Brewer practiced public health nursing with the Arlington County, VA, health department, serving as the county’s immunization clinical services coordinator and playing key roles in public health communication efforts. She was involved in planning for and participating in public health emergency response exercises, as well as serving in incident command roles in actual emergencies. Ms. Brewer received her B.S.N. from Columbia University and her M.S.N. in Systems Management from the University of Virginia.
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Crisis Standards of Care: Summary of a Workshop Series Kathryn Brinsfield, M.D., M.P.H., FACEP, is the associate chief medical officer for Component Services. She joined the U.S. Department of Homeland Security (DHS) Office of Health Affairs in 2008 to serve as operational and medical support medical director. Dr. Brinsfield left Boston as an associate professor of Boston University’s Schools of Medicine and Public Health, with 13 years of experience as an attending physician at Boston City Hospital/Boston Medical Center. She graduated with honors from Brown University, received her M.D. from Tufts School of Medicine, and her M.P.H. from Boston University. She completed her residency in Emergency Medicine at Cook County Hospital in Chicago, and her emergency medical services (EMS) fellowship at Boston EMS. She has held medical director/associate medical director positions in various organizations, including Boston Emergency Services, Boston Homeland Security, and Boston Public Health Preparedness. She chaired the American College of Emergency Physicians’ (ACEP’s) Disaster Committee; cochaired the Massachusetts State Surge Committee; helped to create the Massachusetts Alternate Standards of Care Committee; and was commander of the Massachusetts-1 Disaster Medical Assistance Team and a supervisory medical officer for the International Medical and Surgical Response Team, which responded to the September 11, 2001, attacks. Stephen Cantrill, M.D., FACEP, is an emergency physician from Denver who recently retired from serving as the associate director of emergency medicine at Denver Health Medical Center for 18 years. He was also director of the Colorado BNICE WMD Training Program at Denver Health for more than 5 years. Dr. Cantrill has lectured nationally and internationally on many topics, including weapons of mass destruction, disasters, and disaster management, and has been involved in disaster management education for more than two decades. He served as the regional medical coordinator for Denver’s participation in Operation TOPOFF 2000. He has also been involved in weapons of mass destruction training for Colorado and has participated in the planning for multiple mass gathering events, including the Denver Papal visit and the Denver Summit of Eight world economic conference. He has testified at U.S. Senate Committee hearings on bioterrorism preparedness. He recently served as the principal investigator on an AHRQ regional surge capacity grant and the AHRQ National Hospital Available Beds for Emergencies and Disasters (HAvBED) project. He also served as principal investigator on the AHRQ disaster alternate care facility task order.
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Crisis Standards of Care: Summary of a Workshop Series Dr. Cantrill has more than 90 publications and has been the recipient of multiple teaching and clinical excellence awards. CAPT D. W. Chen, M.D., M.P.H., is the director of Civil–Military Medicine in the Office of the Assistant Secretary of Defense for Health Affairs. Dr. Chen was the director of the Human Health Sciences Division, Office of Public Health and Science, Food Safety and Inspection Service. He previously served as director of the Division of Transplantation for the U.S. Department of Health and Human Services (HHS), which regulates the nation’s organ and tissue transplant system. At HHS, he also worked in medical education and public health workforce development. Dr. Chen is an active duty commissioned officer with the U.S. Public Health Service. He is board certified in Preventive Medicine and a Fellow of the American College of Preventive Medicine. He completed his undergraduate studies at Harvard University, and earned his M.P.H. from the Harvard School of Public Health and his M.D. from Tufts University School of Medicine. Jeffrey Duchin, M.D., is chief of the Communicable Disease Control, Epidemiology & Immunization Section for Public Health, Seattle and King County, WA, and associate professor of medicine, Division of Infectious Diseases at the University of Washington. He holds appointments as adjunct associate professor in the schools of Public Health and Community Medicine and Health Services, and as faculty, Northwest Center for Public Health Practice. He is also the director of emergency response for the Northwest Regional Center of Excellence in Biodefense and Emerging Infectious Disease Research. Dr. Duchin trained in internal medicine at Thomas Jefferson University Hospital followed by a fellowship in general internal medicine and emergency medicine at the Hospital of the University of Pennsylvania. He did his infectious disease subspecialty training at the University of Washington. He is a graduate of the Centers for Disease Control and Prevention’s (CDC’s) Epidemic Intelligence Service, assigned to the National Center for Infectious Diseases, during which time he received the Outstanding Unit Citation for exemplary performance of duty, the Secretary’s Recognition Award for exceptional performance in the investigation of unexplained deaths associated with an outbreak of acute illness of unknown etiology in the Four Corners area of the southwestern United States, and the Achievement Medal, HHS. Dr. Duchin subsequently worked for CDC as a medical epidemiologist in the Divisions of Tuberculosis Elimination and
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Crisis Standards of Care: Summary of a Workshop Series HIV/AIDS Special Studies Branch before assuming his current position. He is a Fellow of the American College of Physicians and of the Infectious Disease Society of America (IDSA), where he chairs the IDSA’s Bioemergencies Task Force and is a member of the Pandemic Influenza Task Force. He acts as liaison between the National Association of City and County Health Officials (NACCHO) and CDC’s Advisory Committee on Immunization Practices. Dr. Duchin was a member of the HHS 2004 Tiger Team consulting with the government of Greece on health preparations for the 2004 Olympics in Athens. Since 1999, when the World Trade Organization Ministerial came to Seattle, he has been working to strengthen the ties among public health, clinicians, and the healthcare delivery system and to improve the response of the healthcare system and clinicians to public health emergencies, including biological terrorism and pandemic influenza. He is active in local, regional, and national preparedness planning activities for communicable disease emergencies, recently including pandemic influenza. Dr. Duchin’s peer review publications and research interests focus on communicable diseases of public health significance, and he has authored text book chapters on the epidemiology of HIV/AIDS, bioterrorism, and outbreak investigations. Edward Gabriel, M.P.A., AEMT-P, is director, Global Crisis Management, for The Walt Disney Company. He is responsible for the development and implementation of global policy, planning, training, and exercises to manage crisis for The Walt Disney Company. He is also responsible for East and West Coast Medical and Emergency Medical Operations and The Walt Disney Studio’s Fire Department. He supports and collaborates with global business units in development and testing of resumption planning, and develops policies and strategies to manage crisis. Mr. Gabriel has been an Emergency Medical Technician (EMT) since 1973 and is a 27-year paramedic veteran of New York City Fire Department’s EMS. He rose through the ranks from emergency medical technician (EMT) to paramedic through lieutenant, and retired at the level of assistant chief/division commander. As deputy commissioner for planning and preparedness at the New York City (NYC) Office of Emergency Management, he served as commissioner for all preparedness and planning-related projects and initiatives. During his role with New York City, he was a member of the Federal Bureau of Investigation/NYC Joint Terrorism Task Force, and still sits on the International Advisory Board of the Journal of Emergency Care, Rescue and Transportation. He has
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Crisis Standards of Care: Summary of a Workshop Series worked with The Joint Commission, sitting on the Emergency Preparedness Roundtable as well as the Community Linkages in Bioterrorism Preparedness Expert Panel. He served as a member of the HHS Federal Contingency Medical Facility Working Group and the AHRQ Expert Panel on Mass Casualty Medical Care. Most recently he has worked with the Expert Panel as principal author of the prehospital chapter of Mass Medical Care with Scarce Resources: Community Planning Guide and with the U.S. Department of Defense, General George C. Marshall School of International Studies Program on Terrorism and Security Studies, located in Garmisch-Partenkirchen, Germany, presenting on methodologies for planning and preparedness for international leaders. He is credentialed through the International Association of Emergency Managers as a Certified Emergency Manager (CEM) and the Disaster Recovery Institute International as a Certified Business Continuity Professional. Mr. Gabriel holds a B.A. from the College of New Rochelle and an M.P.A. from Rutgers University. LTC(P) Wayne Hachey, D.O., M.P.H., is the director of preventive medicine at the Office of the Deputy Assistant Secretary of Defense for Force Health Protection and Readiness, in the Office of the Assistant Secretary of Defense for Health Affairs. His background includes both nursing and medicine. He holds a B.S.N. and an M.S. in Pediatric Nursing. He earned his medical degree at Southeastern College of Osteopathic Medicine and an M.P.H. at the Uniformed Services University for Health Sciences (USUHS). He holds board certification in Pediatrics, Neonatal–Perinatal Medicine, and Preventive Medicine. He is responsible for developing preventive medicine and immunization policy affecting active-duty populations in the Department of Defense (DoD). He also serves as a subject-matter expert on pandemic/avian influenza. In the course of his duties, he has developed many of the DoD’s medical policies and guidance regarding pandemic influenza, including the DoD’s recent policy for prioritizing delivery of medical care during pandemics and other public health emergencies of national significance. He also serves as the DoD representative on a number of national pandemic and seasonal influenza planning committees. He represents the DoD in these subject areas in venues ranging from the White House to remote military clinics. Dan Hanfling, M.D., is special advisor to the Inova Health System in Falls Church, VA, on matters related to emergency preparedness and
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Crisis Standards of Care: Summary of a Workshop Series disaster response. He is a board-certified Emergency Physician practicing at Inova Fairfax Hospital, Northern Virginia’s Level I trauma center. He serves as an operational medical director for PHI Air Medical Group–Virginia, the largest private rotor-wing air medevac service in Virginia. He has responsibilities as a medical team manager for Virginia Task Force One, an international urban search-and-rescue team sanctioned by the Federal Emergency Management Agency (FEMA) and the U.S. Agency for International Development (USAID). He has been involved in the response to international and domestic disaster events, including the response to the Izmit, Turkey, earthquake in 1999, the Pentagon in September 2001, the response to Hurricanes Rita and Katrina in 2005, and Gustav and Ike in 2008. Dr. Hanfling was intricately involved in the management of the response to the anthrax bioterror mailings in fall 2001, when two cases of inhalational anthrax were successfully diagnosed at Inova Fairfax Hospital. Dr. Hanfling received an A.B. in Political Science from Duke University and was awarded his M.D. from Brown University. He completed an internship in Internal Medicine at the Miriam Hospital in Providence, RI, and an Emergency Medicine Residency at George Washington/Georgetown University Hospitals. He is a clinical professor of emergency medicine at George Washington University and an invited member of the George Mason University School of Public Policy Advisory Board. Jack Herrmann, M.S.Ed., N.C.C., L.M.H.C., is the senior advisor for public health preparedness at NACCHO, an association that represents the approximately 3,000 local public health departments across the country. In this role, Mr. Herrmann oversees the organization’s preparedness portfolio, which consists of five federally funded programs aimed at enhancing and strengthening the preparedness and response capacity of local health departments. He establishes the priorities for public health preparedness within the organization and also serves as the organization’s liaison to local, state, and federal partner agencies. Prior to arriving to NACCHO, Mr. Herrmann was assistant professor of psychiatry and director of the Program in Disaster Mental Health at the University of Rochester Medical Center, Department of Psychiatry. Over his 17 years with the university, Mr. Herrmann brought a wealth of experience to the fields of disaster mental health, suicide prevention, and employee assistance program services. As the founder and former director of Strong EAP, Mr. Herrmann specialized in developing critical response teams for local police, fire, and healthcare organizations. He
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Crisis Standards of Care: Summary of a Workshop Series also developed a disaster mental health training curriculum, currently required training for behavioral health and spiritual care response teams throughout New York and Maine. Mr. Herrmann has also been a long-time volunteer with the American Red Cross. Since 1993, he has responded to numerous disasters, including the Northridge, CA, earthquake, the explosion of TWA Flight 800, and many hurricanes and floods. He was assigned as the mental health coordinator for the Family Assistance Center in NYC immediately following the September 11, 2001, attacks and also assisted the NYC Mayor’s Office in coordinating the first and second year anniversaries of that event. In 2005 he was deployed as the client services administrator for the Hurricane Katrina relief operation (Louisiana), coordinating the health, mental health, and client casework services for the first 2 weeks following that storm. A month later he was deployed again to Louisiana in the same position following Hurricane Rita. In 2006, Mr. Herrmann responded to Lexington, KY, as the mental health manager following the crash of Comair Flight 5191. Mr. Herrmann earned a master’s degree in Education from the University of Rochester, is certified by the National Board of Certified Counselors, and is a licensed mental health counselor in the state of New York. John L. Hick, M.D., is a faculty emergency physician at Hennepin County Medical Center (HCMC) and an associate professor of emergency medicine at the University of Minnesota. He serves as the associate medical director for Hennepin County Emergency Medical Services and medical director for emergency preparedness at HCMC. He is also medical advisor to the Minneapolis/St. Paul Metropolitan Medical Response System. He also serves the Minnesota Department of Health as medical director for the Office of Emergency Preparedness and as medical director for Hospital Bioterrorism Preparedness. He is the founder and past chair of the Minneapolis/St. Paul Metropolitan Hospital Compact, a 29-hospital mutual aid and planning group active since 2002. He is involved at many levels of planning for surge capacity and adjusted standards of care and traveled to Greece to assist its healthcare system preparations for the 2004 Summer Olympics as part of a 15-member CDC/HHS team. He is a national speaker on hospital preparedness issues and has published numerous papers dealing with hospital preparedness for contaminated casualties, personal protective equipment, and surge capacity.
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Crisis Standards of Care: Summary of a Workshop Series RADM Ann R. Knebel, R.N., D.N.Sc., FAAN, is a registered nurse with a Doctorate of Nursing Science in Pulmonary Critical Care. For the past 16 years, she has served as an officer in the Public Health Service Commissioned Corps. Currently, she is deputy director for preparedness planning in the HHS Office of the Assistant Secretary for Preparedness and Response (ASPR). In this capacity she is responsible for the development of programs to enhance preparedness integration across the local/state/regional and federal tiers of response. In the 5 years Dr. Knebel has worked for ASPR (formerly the Office of Public Health Emergency Preparedness), she has been instrumental in advancing various preparedness planning and surge capacity initiatives. Currently she is leading a working group in coordination with FEMA to identify resource types for public health and medical teams to support state-to-state mutual aid. She was the HHS lead in assisting the Greek Ministry of Health to prepare for the 2004 Summer Olympics and completed a 9-month detail with the NYC Office of Emergency Management, developing bioterrorism plans. During the response to the 2005 hurricane season, Dr. Knebel worked as a chief planner on the HHS Emergency Management Team, helping to plan the federal public health and medical response and recovery. Prior to joining the ASPR, Dr. Knebel served in both the intramural and extramural programs at the National Institutes of Health (NIH). Activities included supporting clinical trials of the National Heart, Lung, and Blood Institute; conducting a research program on quality of life and symptom management in persons with genetic lung diseases; mentoring staff nurses in supporting biomedical research; and serving as a program director to build a portfolio in end-of-life research for the National Institute of Nursing Research. RADM Knebel responded to the first aid stations at the World Trade Center in response to the September 11, 2001, attacks and to the newly formed HHS Command Center during the anthrax attacks of 2001. She is a Fellow of the American Academy of Nursing. CAPT Deborah Levy, Ph.D., M.P.H., is a Captain with the U.S. Public Health Service and chief of the Healthcare Preparedness Activity in the Division of Healthcare Quality Promotion (DHQP) at the CDC. Captain Levy’s primary focus is all-hazards healthcare preparedness and emergency response (including pandemic influenza, bioterrorism agents, and natural disasters such as hurricanes). She is currently focused on conducting cross-sector workshops on models of delivery of care at the community level, conducting healthcare stakeholder meetings to develop
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Crisis Standards of Care: Summary of a Workshop Series implementation tools, and working with medical societies to develop triage and clinical algorithms to deal with a surge in patients under conditions of scarce resources. She is overseeing cooperative agreements with nine states to determine essential healthcare services during an influenza pandemic. Captain Levy joined the CDC in 1996 as an epidemic intelligence service officer in the Division of Parasitic Diseases, where she focused on waterborne and foodborne diseases as well as water security issues before moving to CDC’s DHQP in 2003. She earned a B.A. in Psychology and an M.P.H. in Epidemiology from the University of California–Los Angeles, and a Ph.D. in Epidemiology from Johns Hopkins University’s Bloomberg School of Hygiene and Public Health. Anthony Macintyre, M.D., is a board-certified Emergency Physician and associate professor with the Department of Emergency Medicine at The George Washington University. His academic career has focused on medical emergency planning and response at various levels. Dr. Macintyre has served as the medical director for Fairfax County, VA’s Urban Search and Rescue team since 1995. His work with the team has involved deployments to the bombing of the Murrah building in Oklahoma City (1995), the bombing of the U.S. Embassy in Nairobi (1998), the Pentagon terrorist attack (2001), and to several international earthquakes. His most recent deployment involved response to the devastating earthquake in Bam, Iran (2004), as part of the USAID team. Dr. Macintyre has assisted the FEMA (now part of the DHS) in the restructuring of the medical components of the Urban Search and Rescue System. Dr. Macintyre’s work has also included assisting other U.S. federal agencies with medical emergency planning and response. He served as a medical advisor and a controller for the bioterrorism component of the federally sponsored exercise, TOPOFF 2000, held in Denver, CO. More recently, he served as an official observer of the Chicago component of TOPOFF 2003. In 2002, Dr. Macintyre served as an assistant investigator in the Sloan Foundation-funded project to develop the Medical and Health Incident Management system. This project provides a comprehensive, functionally based model for the response to and management of complex, large-scale medical emergencies. Dr. Macintyre was also the codeveloper of a mass decontamination capability for the old George Washington University Hospital (key concepts published in JAMA). In his capacity as an emergency physician, he was instrumental in structuring the hospital response to the 2001 anthrax dissemination event. Dr. Macintyre has
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Crisis Standards of Care: Summary of a Workshop Series served for 6 years on the District of Columbia Hospital Association Emergency Preparedness Committee, assisting with the development of a hospital community response for Washington, DC. Margaret (Peggy) M. McMahon, R.N., M.N., CEN, is the editor of Disaster Management & Response, a journal of the Emergency Nurses Association (ENA), and is the emergency clinical nurse specialist at AtlantiCare Regional Medical Center–Mainland Campus in Pomona, NJ. She has more than 40 years of professional nursing experience in clinical, administrative, and educational settings, including active and reserve duty in the U.S. Army Nurse Corps, where she served as a nuclear, biological, and radiological defense officer. Ms. McMahon is a past president of the national ENA, and has lectured and published extensively on disaster and emergency care. Cheryl A. Peterson, M.S.N., R.N., is the director of nursing practice and policy at the American Nurses Association. Prior to that, she was a senior policy Fellow for the ANA, responsible for researching and developing association policy related to preparing for and responding to a disaster, whether man-made or natural. Since 1998, Ms. Peterson has been actively involved in disaster planning at the federal level. In addition, she coordinated the ANA’s response to the tsunami disaster in Asia and to hurricanes during 2005. Ms. Peterson spent 13 years in the Reserve Army Nurse Corps, and in 1990 was deployed during Desert Storm. She also spent 7 years as an active volunteer in the Kensington (MD) Volunteer Fire Department. Ms. Peterson received her B.S.N. from the University of Cincinnati and her M.S.N. from Georgetown University. Tia Powell, M.D., is director of the Montefiore-Einstein Center for Bioethics and a faculty member at Albert Einstein College of Medicine and the Montefiore Medical Center in New York. She served from 2004 to 2008 as executive director of the New York State Task Force on Life and the Law and from 1992 to 1998 as director of clinical ethics at Columbia-Presbyterian Hospital in NYC. She is a graduate of Harvard-Radcliffe College and Yale Medical School. She did her psychiatric internship, residency, and a fellowship in Consultation-Liaison Psychiatry, all at Columbia University, College of Physicians and Surgeons, and the New York State Psychiatric Institute. She is a Fellow of the American Psychiatric Association and of the New York Academy of
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Crisis Standards of Care: Summary of a Workshop Series adjacent states and the District of Columbia, including the National Capital Region. Before joining VDH, Dr. Kaplowitz was a faculty member in the Department of Medicine at Virginia Commonwealth University (VCU) for 20 years and director of the VCU HIV/AIDS Center. In that role, she developed HIV clinical and training programs and was involved extensively in HIV legislative and policy issues at the state and federal levels. She also was medical director of telemedicine and ambulatory Care for the VCU Health System. She earned her M.D. from the University of Chicago Pritzker School of Medicine, and completed her residency in Internal Medicine and Fellowship in Infectious Diseases at the University of North Carolina–Chapel Hill. She was a Health Policy Fellow with the Institute of Medicine in 1996–97. During her Fellowship, she worked in Senator Jay Rockefeller’s office on a number of issues, including Medicare, the State Children’s Health Insurance Program, other health financing topics, and end-of-life care. She completed a Master’s of Science in Health Administration (M.S.H.A.) at VCU in 2002. In addition to public health and emergency preparedness, she has a strong interest in health policy, healthcare financing, and improving access to health care. Kerry Kernen, B.S.N., R.N., is the emergency preparedness administrator for Summit County Health District in Ohio. She has practiced as an R.N. for 26 years and has worked in the public health sector for the past 10 years. Within public health she was in the nursing division for 7 years. For the past 3 years, she has focused on emergency preparedness planning, with a major focus on pandemic influenza planning for the past 2½ years. She is currently working on M.S.N.-M.P.A. degrees at Kent State University. RADM Ann R. Knebel, R.N., D.N.Sc., FAAN, see Workshop Planning Committee biosketch. Kristi L. Koenig, M.D., FACEP, is an internationally recognized expert in the fields of homeland security, disaster and emergency medicine, emergency management, and emergency medical services. A systems thinker, with a strong academic and health policy background, she is widely published and sought internationally for lectures and presentations. She has been an invited consultant to The Joint Commission, FEMA, the state of California, and the government of Taiwan, among others. A board-certified Emergency Physician, she has been director of
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Crisis Standards of Care: Summary of a Workshop Series public health preparedness for the University of California–Irvine since 2004. In 1999, the Secretary of the VA appointed Dr. Koenig for a 5-year term as national director of the Emergency Management Strategic Healthcare Group and principal advisor on Emergency Management and Disaster Medicine to the Under Secretary for Health where she led emergency management for the nation’s largest integrated healthcare system. She concurrently held a position as clinical professor of emergency medicine at The George Washington University School of Medicine and Health Sciences. Prior to joining the VA, Dr. Koenig was director of prehospital and disaster medicine at Highland Hospital in Oakland, CA, and associate professor of emergency medicine at the University of California–San Francisco. In 1996, Dr. Koenig was invited to be codirector of the Accident and Emergency Department at St. George’s Hospital National Health Service Trust in London, where she was concurrently director of undergraduate medical student education and Honorary Senior Lecturer at the University of London. An honors graduate in Applied Mathematics from the University of California–San Diego, Dr. Koenig received her M.D. degree from Mount Sinai School of Medicine in New York and completed an Emergency Medicine Residency at Highland Hospital in Oakland, CA, serving as chief resident in her final year. A Fellow of the ACEP, Dr. Koenig is currently professor of emergency medicine and codirector of the EMS and Disaster Medical Sciences Fellowship at the University of California–Irvine School of Medicine. Donna Levin, J.D., is the general counsel for the Massachusetts Department of Public Health. Prior to her 1988 appointment, Ms. Levin served as a deputy general counsel and concentrated in several different areas of health law, including determination of need, long-term care and hospital regulation, and environmental health. In her current role, she manages the Office of General Counsel and advises the commissioner of public health and senior staff on all legal aspects concerning the implementation of Department responsibilities pursuant to statutory and regulatory authority; major policy initiatives of the Department; and legislation affecting the Department’s interests. Most recently, Ms. Levin has focused on the expansion of newborn screening services in the Commonwealth; the review and analysis of the Massachusetts Law on Genetics and Privacy; implementation of the Health Insurance Consumer Protections Law; issues of public health authority and emergency response; and legal oversight of eight professional health boards. Ms. Levin is a member of the Health Law Section Steering Committee of the
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Crisis Standards of Care: Summary of a Workshop Series Boston Bar Association. She holds a B.A. from the State University of New York at Stony Brook and a J.D. from Northeastern University School of Law. CAPT Deborah Levy, Ph.D., M.P.H., see Workshop Planning Committee biosketch. Marianne Lorini, M.B.A., has served as the president and CEO of the Akron Regional Hospital Association (ARHA) for the past 11 years. ARHA is an organization focused on facilitating and coordinating services to assist its membership of 19 hospitals in meeting and improving the healthcare needs of the communities in which they serve. ARHA is also responsible for coordinating emergency preparedness activities for 29 acute care hospitals in a 13-county region. Ms. Lorini has over 35 years of hospital experience, including more than 20 years at the Cleveland Clinic Foundation and other hospitals in northeast Ohio. She has also improved hospital operations through her consulting work in Texas, California, and Oregon. Ms. Lorini has a B.S. in Health Services Administration and an M.B.A. from Case Western Reserve University. Kevin McCulley currently serves as the emergency preparedness coordinator and senior data analyst for the Association for Utah Community Health, Utah’s association of Community Health Centers (CHCs). He has been involved with the CHC system since 2002, and his work has included disaster preparedness and response, health policy analysis, strategic planning, and community development. In addition, Mr. McCulley serves as a Steering Committee member for the Utah Multicultural Health Network, a lead member of the Utah Health Care Safety Net Summit group, a founder of the Taylorsville Emergency Volunteer Coordinating Committee, a lead member of the Utah Vulnerable Populations Workgroup, and a member and trainer for the South Salt Lake City Community Emergency Response Team. Mr. McCulley has maintained involvement with the Utah Red Cross through the years, from teaching CPR classes to training staff and managing emergency response tents during the 2002 Olympics. Margaret (Peggy) M. McMahon, R.N., M.N., CEN, see Workshop Planning Committee biosketch.
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Crisis Standards of Care: Summary of a Workshop Series Paula Nickelson is the special needs population liaison at the Center for Emergency Response and Terrorism in the Missouri Department of Health and Senior Services. In this role, she coordinates emergency planning for special needs populations from a state perspective. Ms. Nickelson’s career includes both private and public healthcare management, as well as public health management, with particular emphasis on systems planning and policy development. Her career has afforded multiple opportunities to provide direct services, as well as policy and planning responsibilities for a variety of populations with special needs. Ms. Nickelson serves on Missouri’s task force to develop draft altered standards of care. J. Patrick O’Neal, M.D., is the director of preparedness in the Georgia Division of Public Health. He completed an undergraduate degree in premedicine at Davidson College in North Carolina. Dr. O’Neal received his medical education at the Tulane University School of Medicine. Following medical school, he completed a rotating internship at Providence Hospital, Portland, OR, prior to entering the Air Force for training in flight medicine. Dr. O’Neal served as a flight surgeon in Vietnam in 1970–1971. Upon his return to civilian life, Dr. O’Neal served in Macon, GA, as the director of the Outpatient Clinic at the Medical Center of Central Georgia for 2 years before practicing emergency medicine at Dekalb Medical Center in Decatur, GA. Dr. O’Neal practiced emergency medicine at that facility for 29 years. During his time at Dekalb Medical Center he served as medical director for Dekalb EMS. For his final 7 years at Dekalb Medical Center, he served as the regional medical director for EMS throughout the Greater Atlanta area. Throughout his career in emergency medicine, Dr. O’Neal has been an advocate for trauma system development in Georgia. When he retired as the medical director of the Emergency Department at Dekalb Medical Center in 2002, he became the medical director for the Office of EMS/Trauma in the Georgia Division of Public Health. Currently serving as the preparedness director in the Georgia Division of Public Health, he has oversight responsibility for EMS, trauma, injury prevention, and emergency preparedness. Paul R. Patrick is the director of the Bureau of EMS and Preparedness for the Utah Department of Health. He completed his Design Engineering degree in 1976 from Brigham Young University. Following graduation he worked in the construction industry for 14 years as a supervisor, foreman, and general building contractor. In 1978, he was certified as an
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Crisis Standards of Care: Summary of a Workshop Series EMT and worked for 25 years as a volunteer with the Springville Ambulance Service. From 1983 to 1986, he served as an affiliate faculty member for the Utah Chapter of the American Heart Association, which he chaired for 2 years. In 1987, he served 2 years on the national faculty for the American Heart Association and currently is a member of the Western Regional Stroke Task Force. In 1988, Mr. Patrick began working for the State of Utah Bureau of Emergency Medical Services as a regional consultant. He received additional training at the state and national levels. In 2000 he became a program manager for the Bureau, supervising the Technical Assistance and Quality Assurance program; in 2005 he also took on the role as acting director for the Bureau. In February 2006, Mr. Patrick was selected as the emergency medical services director and public health and hospital preparedness director for the state of Utah. In April 2006, along with his other duties, he was selected as the deputy director for the Division of Health Systems Improvement for the Utah Department of Health. Mr. Patrick has received many quality awards from the Department of Health. He was involved extensively during the 2002 Salt Lake Winter Olympics, preparations for the 2004 Athens Summer Olympics, and with the many agencies in the state on EMS issues. Raymond P. Pepe, J.D., is a Pennsylvania delegate to the Uniform Law Commission and a partner in the Harrisburg Office of K&L Gates, an international law firm consisting of more than 1,900 attorneys operating at 32 locations in the United States, Europe, and Asia. His legal practice focuses on matters of administrative law affecting state and local governments, with a strong focus on healthcare issues. In his capacity as a member of the Uniform Law Commission, he served as the chair of the Drafting Committee for the Uniform Emergency Volunteer Health Practitioner Act and currently serves as the Commission’s Enactment Coordinator for nationwide efforts to promote the adoption of the Uniform Act. Before starting private practice of law, he served as legislative counsel to the Pennsylvania Governor Dick Thornburgh; as chair of the Governor’s Task Force for Regulatory Relief; and as counsel to the Pennsylvania House of Representatives. He is a graduate of Georgetown University and Georgetown Law School. Cheryl A. Peterson, M.S.N., R.N., see Workshop Planning Committee biosketch.
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Crisis Standards of Care: Summary of a Workshop Series Sally Phillips, Ph.D., R.N., (Workshop Chair) see Workshop Planning Committee biosketch. Tia Powell, M.D., see Workshop Planning Committee biosketch. Michael J. Robbins, Pharm.D., is the Strategic National Stockpile (SNS) director for the Chicago Department of Public Health. Dr. Robbins is responsible for city planning as it relates to preevent and incident receipt, storage, and distribution of medical materiel in response to public health disasters. Dr. Robbins served as the initial planning pharmacist for the CDC SNS Program. His work included formulary development, response deployments (including 911 and anthrax letters), and initial concept and design of the SNS Chempack Program. John T. Robinson, Major USA Ret., currently serves as director for safety–security management and emergency preparedness at Baptist Memorial Hospital–North Mississippi (BMH-NM); commander of the North Mississippi State Medical Assistance Team (SMAT); and deputy director of emergency management, Oxford, MS. Mr. Robinson joined the staff of BMH-NM in 1993 as director for safety and security management. He has attended numerous courses on emergency management and has participated in several actual emergency events that occurred in the hospital’s service area. The SMAT mentioned above is a 50-bed mobile hospital that can be deployed locally, within the state, or regionally. Mr. Robinson’s expertise is in working with local and state government and volunteer organizations to plan for and respond to emergency events. Shawn Rogers, EMT-P, is director of the Emergency Medical Services Division of the Oklahoma State Department of Health. Mr. Rogers completed the EMT basic course at South Oklahoma City Junior College in 1981, and finished the paramedic program the following year. He worked as an EMT intermediate and paramedic at AmCare in Oklahoma City until 1985, when he moved to Yukon EMS. He became the director there in 1986, and started teaching basic and paramedic courses at Moore-Norman Vo-Tech the same year. He was one of the first Prehospital Trauma Life Support (PHTLS) instructors in Oklahoma. Mr. Rogers directed Yukon EMS through its transition into Mercy EMS, and operated that agency from 1987 to 1996. He then joined the Oklahoma State Health Department EMS division, where he served as an EMS adminis-
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Crisis Standards of Care: Summary of a Workshop Series trator and trauma systems coordinator before becoming EMS director in 2001. Mr. Rogers is an executive board member of Advocates for EMS, a national advocacy group, and president-elect of the National Association of State EMS Officials. Jeffrey L. Rubin has been involved in healthcare administration and planning for more than 30 years in both the private and public sectors. His experience includes EMS system development, disaster medical services planning and operations, public health program administration, and primary care clinic management. He currently serves as the chief of the Disaster Medical Services Division of the California Emergency Medical Services Authority. In this capacity he is responsible for the state’s policies and plans for the medical response to major disasters and terrorist attacks, and the provision of technical assistance to local governments to enhance their ability to meet the medical needs of victims. Catherine Ruhl, C.N.M., M.S., is associate director for women’s health programs at the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) in Washington, DC. She has been a certified nurse midwife for 21 years and currently practices at Providence Hospital in Washington, DC. She obtained her bachelor’s degree in Nursing from the University of Kansas and her master’s degree in Nursing from the University of Illinois–Chicago. At AWHONN she manages continuing nursing education programs; reviews and contributes content to AWHONN’s professional journals; and represents AWHONN to a variety of national organizations, including The Partnership to End Cervical Cancer and the CDC’s Select Panel on Preconception Care. She cochaired AWHONN’s Emergency Preparedness advisory panel in 2009. Floyd K. (Rusty) Russell, Ed.D., is a research program coordinator and homeland security liaison in the Office of the Vice President for Research and Economic Development at West Virginia University, reporting to the vice president. He works primarily in the development of homeland security programs, with a focus on interdisciplinary initiatives. He advises the vice president on research and development activities in homeland security, acts as homeland security liaison with external government and industry partners, and develops multidisciplinary projects and funding scenarios with internal and external partners. Current focus areas include community resiliency, energy systems resiliency, public health preparedness and response, and mass population displacement due
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Crisis Standards of Care: Summary of a Workshop Series to high-consequence events. He works with the Resilient Communities Initiative to develop resiliency in rural areas and small cities for catastrophic event mitigation, preparedness, response, and recovery. In previous appointments, he has been a faculty member in the Department of Community Medicine and director of the Virtual Medical Campus. His previous work has focused on understanding the communication and coordination needs of state and local responders to mass disaster events and developing training and knowledge sources for planning and preparedness. He has developed collaborative projects in terrorism and disaster planning and preparedness with funding from DHS and the HHS Health Resources and Services Administration FY03/04 Bioterrorism Curriculum Development and Training Program. Content areas have included hospital emergency management for weapons of mass destruction events, campus security, forensic epidemiology, inclusion of health care in emergency response coordination, and preparedness planning for higher education campus executives. Terry L. Schenk is a consultant for the Florida Department of Health, a certified emergency manager, a former fire chief, and a charter member of the Florida Governor’s Domestic Security Oversight Council. He is also a professor of emergency management at St. Petersburg College and wrote Florida’s Alternate Care Site Plan. He currently serves as the program manager for prehospital triage, alternative medical treatment sites, and altered care standard planning projects for the Florida Department of Health. Valerie Sellers, M.H.A., has been with the New Jersey Hospital Association (NJHA) since 1992 and serves as senior vice president of health planning and research. Ms. Sellers oversees activities related to certificate of need, managed care, Health Insurance Portability and Accountability Act, community benefit, innovation, emergency preparedness, and other policy and regulatory issues impacting hospitals. She has been responsible for the start-up of three major divisions within NJHA, including Continuing Care, Emergency Preparedness, and NJHA’s Institute for Quality and Patient Safety. She is also responsible for research activities related to NJHA’s Health Research and Educational Trust. Prior to joining NJHA, Ms. Sellers was the director of administration for 1 of 13 colleges at Cornell University. She graduated from Cornell with an undergraduate degree in Industrial and Labor Relations and a master’s degree in Health Administration.
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Crisis Standards of Care: Summary of a Workshop Series Cheryl Starling, R.N., M.S., see Workshop Planning Committee biosketch. Leslee Stein-Spencer, R.N., M.S., has more than 20 years of experience in planning, organizing, implementing, and managing EMS in a variety of settings. She is a Registered Nurse and currently works for the Chicago Fire Department as manager of quality assurance. She also serves as program advisor to the National Association of State EMS Officials. Ms. Stein-Spencer has represented EMS directors on numerous federal initiatives, including the Interim National Preparedness Goal document, Target Capabilities List, Universal Task List, Interim National Infrastructure Protection Plan, National Incident Management System, and National Response Plan. She also serves as the Principal Investigator in the development of the Model State Emergency Medical Services System document for the nation and Model EMS Legislation. Ms. Stein-Spencer previously worked as a consultant and provided subject-matter expertise on hospital, public health, and emergency medical services system preparedness activities. She has participated in numerous national and international bioterrorism-related discussion panels, and led the development and oversight of bioterrorism initiatives. Ms. Stein-Spencer also served as a team member for the Nationwide Plan Review team for the DHS as well as lead for Public Health and Medical (ESF 8) for the team. Prior to consulting, Ms. Stein-Spencer was chief of the Division of Emergency Medical Services and Highway Safety at the Illinois Department of Public Health for 18 years. During that time, Ms. Stein-Spencer rewrote the EMS Act and rules and regulations; developed and implemented a statewide trauma and facility recognition plan for the pediatrics system; developed and implemented an emergency operation center for the state health department using the principles of Incident Command System (ICS); developed a State Medical Emergency Disaster Plan; and developed and implemented a hospital preparedness assessment tool in which all 187 hospitals responded. Ms. Stein-Spencer also developed and implemented an EMS preparedness assessment tool for EMS providers and EMTs to assess their domestic preparedness and training needs. She coordinated a state medical response to mass casualty incidents and was one of the lead coordinators for TOPOFF 2. Ms. Stein-Spencer was responsible for developing and implementing the Illinois Medical Emergency Response Team and the Illinois Nurse Volunteer Emergency Needs team, which serve as models for the nation. Ms. Stein-Spencer has received numerous awards and recognitions by state and federal agencies.
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Crisis Standards of Care: Summary of a Workshop Series Lori A. Upton, R.N., B.S.N., M.S., CEM, is the assistant director of emergency management for Texas Children’s Hospital. Ms. Upton has an extensive background in clinical operations and leadership of EDs and trauma centers and has been involved in emergency management since 1997. Ms. Upton serves on many emergency preparedness planning groups and committees at the local, state, and national levels. She has published several papers on medical responses to disasters and speaks nationally and internationally on this subject. In addition to her role at Texas Children’s Hospital, she is also the executive director of the Regional Hospital Preparedness Council. In that capacity she coordinates and prioritizes planning objectives to meet federal preparedness grant requirements and acts as the medical operations chief in the Catastrophic Medical Operations Center for an 18-county region. This coordinated effort was put into action during the response of the Texas Gulf Coast to Hurricanes Katrina, Rita, Gustav, and Ike. She is a certified emergency manager, and holds a bachelor’s degree in Nursing from the University of Texas and a master’s degree in Emergency Management from Touro University. Darlene Weisman, M.S., is the regional emergency manager, Region V, for the VHA. She began her career at the VA Medical Center North Chicago as an industrial hygienist, and then served as chief of safety at VA Hines Hospital. Ms. Weisman accepted a position with the VHA’s Emergency Management Strategic Healthcare Group as Area Emergency Manager for VISN 12 in 2002. She provided emergency management guidance and oversight to the Veterans Integrated Services Network (VISN) Office and seven VA Hospitals/Medical Centers in three states. She was the Milwaukee Federal Coordinating Center coordinator and designated VA regional liaison for FEMA Region V. She has actively participated in national projects, including the VHA Capabilities Assessment Steering Committee and Presidential Decision Directive 62 Training for NDMS Hospitals Project Advisory Group. She has provided presentations on NDMS definitive care topics at the FEMA Region V Regional Interagency Steering Committee and Milwaukee County Region 7 Board of Directors’ meetings. Ms. Weisman had primary responsibility for the development of the Operations Plan for the 2003 Chicago VA Senior Management Conference and was the designated VA representative for TOPOFF 2 in the Chicago area. For these events, she developed written plans that included VISN 12’s commitments and involvement, and participated in the exercise and critiques. In 2004, Ms.
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Crisis Standards of Care: Summary of a Workshop Series Weisman was deployed to VA Miami to assist with recovery efforts from Hurricane Jeanne. She was deployed twice to VAMC Martinsburg to assist with staffing the Emergency Management Strategic Healthcare Group Emergency Operations Center for Hurricanes Katrina and Rita in 2005. While in Martinsburg, she coordinated with the VISN Support Services Center to develop and implement a VHA electronic bed reporting system. Ms. Weisman received the following awards and recognition: TOPOFF 2; 2003 Chicago VA Senior Management Conference; 2005 NDMS Planning Committee, PDD 62; 2004 and 2005 hurricane relief efforts; and the Incident Response Communication Team support for the 2008 Republican National Convention. She received a B.S. and M.S. from Michigan State University. Tim Wiedrich, M.B.A., is the emergency preparedness and response section chief at the North Dakota Department of Health, and he also directs the department’s Division of Education Technology. Mr. Wiedrich joined the Department of Health in 1984 as a program representative for the Division of Emergency Medical Services and was appointed director in 1988. He received bachelor’s and master’s degrees in Business Administration and Management from the University of Mary, as well as a public health certificate in preparedness, response, and recovery from the University of Minnesota. Before joining the state health department, Mr. Wiedrich served as chief investigator for the North Dakota Attorney General’s Consumer Fraud and Antitrust Division. He was also a volunteer for the Beulah, ND, ambulance service for 10 years. Deb Wynkoop, M.P.A., is currently the director of health policy at the Utah Hospitals and Health Systems Association, where she is responsible for the operation and support of the Association’s health policy initiatives, including overview of all Utah Department of Health, Commerce, and Human Service programs and regulatory matters as they relate to the hospital community. Ms. Wynkoop has a B.S. in Recreational Therapy and an M.P.A. Previously she worked for the state of Utah for 27 years. Her last appointment was as director of the Bureau of Licensing, Utah Department of Health, where she was responsible for licensing and regulating healthcare facilities statewide. She has extensive experience in public health, administrative rule processes, and the legislative process. Ms. Wynkoop is a Fellow in the American Association for Intellectual and Developmental Disabilities.