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Medical Surge Capacity: Workshop Summary (2010)

Chapter:Front Matter

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
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Medical Surge Capacity

Workshop Summary

Bruce M. Altevogt, Clare Stroud, Lori Nadig, Matthew Hougan, Rapporteurs

Forum on Medical and Public Health Preparedness for Catastrophic Events

Board on Health Sciences Policy

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C.
www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
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THE NATIONAL ACADEMIES PRESS

500 Fifth Street, N.W. Washington, DC 20001

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.

This project was supported by contracts between the National Academy of Sciences and the American College of Emergency Physicians, the American Hospital Association, the American Medical Association, the American Nurses Association, the Association of State and Territorial Health Officials, the Centers for Disease Control and Prevention (Contract No. 200-2005-13434 TO #6), the Department of the Army (Contract No. W81XWH-08-P-0934), the Department of Health and Human Services’ Agency for Healthcare Research and Quality (Contract No. HHSP233200800498P), the Department of Health and Human Services’ National Institutes of Health (Contract No. N01-OD-4-2139 TO #198), the Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response (Contract No. HHSP233200900680P), the Department of Homeland Security’s Office of Health Affairs (Contract No. HSHQDC-07-C-00097), the Department of Homeland Security, Federal Emergency Management Agency (Contract No. HSFEHQ-08-P-1800), the Department of Veteran Affairs (Contract No. V101(93)P-2136 TO #10), the Emergency Nurses Association, the National Association of Chain Drug Stores, the National Association of County and City Health Officials, the National Association of Emergency Medical Technicians, the Pharmaceutical Research and Manufacturers of America, The Robert Wood Johnson Foundation, and the United Health Foundation. The views presented in this publication are those of the editors and attributing authors and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

International Standard Book Number-13: 978-0-309-14674-6

International Standard Book Number-10: 0-309-14674-7

Additional copies of this report are available from

The National Academies Press,

500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2010 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: IOM (Institute of Medicine). 2010. Medical surge capacity: Workshop summary. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

“Knowing is not enough; we must apply.

Willing is not enough; we must do.”

—Goethe

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES


Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine


The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.


The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.


The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.


The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.


www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

Workshop Planning Committee*

LEWIS R. GOLDFRANK (Chair),

New York University Medical Center, New York, NY

KATIE BREWER,

American Nurses Association, Silver Spring, MD

KATHRYN BRINSFIELD,

Department of Homeland Security, Washington, DC

ARTHUR COOPER,

Harlem Hospital Center, New York, NY

JOHN H. FITCH,

National Funeral Directors Association

MICHAEL HANDRIGAN,

Department of Health and Human Services, Washington, DC

DAN HANFLING,

Inova Health System, Falls Church, VA

JACK HERRMANN,

National Association of County and City Health Officials, Washington, DC

PAUL E. JARRIS,

Association of State and Territorial Health Officials, Washington, DC

JERRY JOHNSTON,

National Association of Emergency Medical Technicians, Clinton, MO

DEBORAH LEVY,

Centers for Disease Control and Prevention, Atlanta, GA

DAVID E. MARCOZZI,

White House Homeland Security Council, Washington, DC

MARGARET M. MCMAHON,

Emergency Nurses Association

MATTHEW MINSON,

Department of Health and Human Services, Washington, DC

GREGG PANE,

Department of Health and Human Services, Washington, DC

ROSLYNE SCHULMAN,

American Hospital Association, Washington, DC

ERIC TONER,

University of Pittsburgh, Pittsburgh, PA

MARGARET VANAMRINGE,

The Joint Commission, Washington, DC

GAMUNU WIJETUNGE,

National Highway Traffic Safety Administration, Washington, DC

*

IOM planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

IOM Staff

BRUCE ALTEVOGT, Forum Director

CLARE STROUD, Program Officer

ANDREW POPE, Director,

Board on Health Sciences Policy

MARNINA KAMMERSELL, Research Associate (until June 2009)

ALEX REPACE, Senior Program Assistant

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

Forum on Medical and Public Health Preparedness for Catastrophic Events*

LEWIS GOLDFRANK (Chair),

New York University Medical Center, New York

DAMON ARNOLD,

Association of State and Territorial Health Officials, Arlington, VA

GEORGES BENJAMIN,

American Public Health Association, Washington, DC

ROBERT DARLING,

Uniformed Services University, Bethesda, MD

VICTORIA DAVEY,

Department of Veterans Affairs, Washington, DC

JEFFREY DUCHIN,

Seattle & King County and University of Washington, Seattle

ELLEN EMBREY,

Office of Assistant Secretary of Defense for Health Affairs, Department of Defense, Washington, DC

LYNN GOLDMAN,

Johns Hopkins Bloomberg School of Public Health, Baltimore, MD

DAVID HENRY,

National Governors Association, Washington, DC

JACK HERRMANN,

National Association of County and City Health Officials, Washington, DC

KEITH HOLTERMANN,

Federal Emergency Management Agency, Washington, DC

JAMES JAMES,

American Medical Association, Chicago, IL

JERRY JOHNSTON,

National Association of Emergency Medical Technicians, Mt. Pleasant, IA

ROBERT KADLEC,

PRTM Management Consultants, Washington, DC

BRIAN KAMOIE,

The White House, Washington, DC

LYNNE KIDDER,

Business Executives for National Security, Washington, DC

JON KROHMER,

Department of Homeland Security, Washington, DC

MICHAEL KURILLA,

National Institute of Allergy and Infectious Diseases, Bethesda, MD

*

IOM forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

JAYNE LUX,

National Business Group on Health, Washington, DC

ANTHONY MACINTYRE,

American College of Emergency Physicians, Washington, DC

ANGELA MCGOWAN,

Robert Wood Johnson Foundation, Princeton, NJ

MARGARET MCMAHON,

Emergency Nurses Association, Williamstown, NJ

ERIN MULLEN,

Pharmaceutical Research and Manufacturers of America, Washington, DC

GERALD PARKER,

Office of the Assistant Secretary for Preparedness and Response, Department of Health and Human Services, Washington, DC

CHERYL PETERSON,

American Nurses Association, Silver Spring, MD

SALLY PHILLIPS,

Agency for Healthcare Research and Quality, Rockville, MD

STEVEN PHILLIPS,

National Library of Medicine, Bethesda, MD

EDITH ROSATO,

National Association of Chain Drug Stores Foundation, Alexandria, VA (since July 2009)

PHILLIP SCHNEIDER,

National Association of Chain Drug Stores Foundation, Alexandria, VA (until July 2009)

ROSLYNE SCHULMAN,

American Hospital Association, Washington, DC

DANIEL SOSIN,

Centers for Disease Control and Prevention, Atlanta, GA

SHARON STANLEY,

American Red Cross, Washington, DC

ERIC TONER,

University of Pittsburgh Medical Center, Pittsburgh, PA

REED TUCKSON,

UnitedHealth Group, Minneapolis, MN

MARGARET VANAMRINGE,

The Joint Commission, Washington, DC

IOM Staff

BRUCE ALTEVOGT, Project Director

CLARE STROUD, Program Officer

ANDREW POPE, Director,

Board on Health Sciences Policy

MARNINA KAMMERSELL, Research Associate (until June 2009)

ALEX REPACE, Senior Program Assistant

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
×

Reviewers

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this report:

Knox Andress, Louisiana Poison Center

David Gruber, New Jersey Department of Health and Senior Services

Arthur L. Kellermann, Emory University

Lori Upton, Texas Children’s Hospital

Although the reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the report before its release. The review of this report was overseen by Frederick M. Burkle, Jr., University of Hawaii. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2010. Medical Surge Capacity: Workshop Summary. Washington, DC: The National Academies Press. doi: 10.17226/12798.
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During natural disasters, disease pandemics, terrorist attacks, and other public health emergencies, the health system must be prepared to accommodate a surge in the number of individuals seeking medical help. For the health community, a primary concern is how to provide care to individuals during such high demand, when the health system's resources are exhausted and there are more patients than the system can accommodate.

The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop June 10-11, 2009, to assess the capability of and tools available to federal, state, and local governments to respond to a medical surge. In addition, participants discussed strategies for the public and private sectors to improve preparedness for such a surge. The workshop brought together leaders in the medical and public health preparedness fields, including policy makers from federal agencies and state and local public health departments; providers from the health care community; and health care and hospital administrators. This document summarizes the workshop.

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