Meeting

Workshop Goals:

-Examine existing standards of care protocols and identify priority elements
-Examine existing guidance for triggers
-Discuss the appropriate balance for guidance vs. guidelines, broad vs. granular


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 a.m. Background and Charge to the Committee

Nicole Lurie
Assistant Secretary for Preparedness and Response
Department of Health and Human Services


8:30 a.m. Previous National Accomplishments and Future Needs

Sally Phillips
Director
Public Health Emergency Preparedness
Agency for Healthcare Research and Quality


8:45 a.m. 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, what should not. Discuss benefits of establishing effective national guidance on standards of care.

Jon Krohmer ( invited)
Assistant Secretary (Acting) and Chief Medical Officer
Office of Health Affairs
Department of Homeland Security

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. DOT

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 a.m. Discussion with Committee


10:00 a.m. BREAK


10:15 a.m. 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

Gabor Kelen
Professor and Chair, Emergency Medicine
Director, Johns Hopkins Office of Critical Event
Preparedness and Response
Department of Emergency Medicine
Johns Hopkins University School of Medicine

Paul Patrick
Director
Bureau of EMS and Preparedness
State of Utah Department of Health

Kristin Stevens
Department of Emergency Management
NYU Langone Medical Center

Meredith Li-Vollmer
Risk Communication Specialist
Seattle & King County Department of Public Health

Steve Rottman
Director
Center for Public Health & Disasters
University of California, Los Angeles


11:15 a.m. Discussion with Committee


11:45 a.m. Working Lunch: Continued Discussion with Committee


12:30 p.m. Changing Roles and Responsibilities of Healthcare Workers under
Contingency & Crisis Standards of Cares

Panel Objective: Examine how roles of healthcare workers 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 (Acting)
Hunter-Bellevue School of Nursing

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 p.m. Discussion with Committee


1:45 p.m. 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 emergencies. 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

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 p.m. Discussion with Committee


3:00 p.m. 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 matches the available resources, 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

James Geiling
Associate Professor of Medicine
Dartmouth Medical School

Nancie McAnaugh
Deputy Department Director
Missouri Department of Health and Senior Services

Betsy Weiner
Associate Director
Nursing Emergency Preparedness Education Coalition
Senior Associate Dean, Informatics
Vanderbilt University School of Nursing

Leslee Stein-Spencer (Note: via telecon)
Manager of Quality Improvement, Chicago Fire Department
Program Advisor, National Association of State EMS Officials

Brian Erstad
Professor and Assistant Department Head
Pharmacy Practice & Science
University of Arizona, College of Pharmacy

Christian Sandrock
Assistant Professor of Pulmonary and Critical Care Medicine
UC Davis Health System
Deputy Health Director
Yolo County , CA


4:15 p.m. Discussion with 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 p.m. ADJOURN