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Crisis Standards of Care: A Toolkit for Indicators and Triggers (2013)

Chapter: Appendix B: Open Session Agenda

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Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
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B: Open Session Agenda

January 15, 2013

The National Academies
Keck Center, Room 110
500 Fifth Street, NW, Washington, DC 20001

OPEN SESSION 1: SPONSOR BRIEFING—BACKGROUND AND OVERVIEW

Session Objective: To obtain a better understanding of the background to the study and the charge to the committee.

11:00 a.m. Welcome and Introductions

DAN HANFLING, Committee Co-Chair

Special Advisor, Emergency Preparedness and Response

Inova Health System


JOHN HICK, Committee Co-Chair

Associate Medical Director for Emergency Medical Services and Medical Director of Emergency Preparedness

Hennepin County Medical Center


11:05 a.m. Background and Charge to the Committee

NICOLE LURIE

Assistant Secretary for Preparedness and Response

U.S. Department of Health and Human Services


Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×
11:30 a.m. Working Lunch and Panel Discussion with Sponsors

GAMUNU WIJETUNGE

Office of Emergency Medical Services

National Highway Traffic Safety Administration

U.S. Department of Transportation


SHAYNE BRANNMAN

Senior Management Analyst

Office of the Assistant Secretary for Preparedness and Response

U.S. Department of Health and Human Services


12:30 p.m. BREAK

OPEN SESSION 2: INDICATORS AND TRIGGERS ALONG THE CONVENTIONAL, CONTINGENCY, CRISIS CONTINUUM OF SURGE RESPONSE AND STANDARDS OF CARE

Session Objectives: To explore indicators and triggers for transitions along the continuum of care, from conventional to contingency to crisis surge capacity and standards of care, and back to conventional standards of care. Specifically,

  • Identify potential indicators and triggers for different components of the emergency response system.
  • Identify existing metrics for these indicators and triggers.
  • Examine challenges that stakeholders would face in using these indicators and triggers to determine whether the health system should implement actions to avoid contingency or crisis surge capacity and standards of care plans and, later on, to determine when the health system should move back to conventional standards of care.
  • Discuss the process through which stakeholders could work together to determine indicators and triggers for a specific jurisdiction. Identify successful multistakeholder processes that could serve as models for developing templates for multistakeholder discussions about indicators and triggers.

1:00 p.m. Welcome and Introductions

DAN HANFLING, Committee Co-Chair

Special Advisor, Emergency Preparedness and Response

Inova Health System


Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×

JOHN HICK, Committee Co-Chair

Associate Medical Director for Emergency Medical Services and Medical Director of Emergency Preparedness

Hennepin County Medical Center


1:15 p.m. Indicators and Triggers for Components of the Emergency Response System, Panel #1 (Agencies and Coalitions)

DAN HANFLING, Committee Co-Chair and Panel Moderator

SUZET MCKINNEY

Deputy Commissioner

Bureau of Public Health Preparedness and Emergency Response

Chicago Department of Public Health

CYNTHIA DOLD

Healthcare Coalition Program Manager

Northwest Healthcare Response Network

JACK BROWN

Director

Arlington County Office of Emergency Management, Virginia

EDWARD TANZMAN

Codirector, Center for Integrated Emergency Preparedness

Decision and Information Sciences Division

Argonne National Laboratory


2:15 p.m. Discussion with Committee Members, Speakers, and Attendees

3:00 p.m. BREAK

3:15 p.m. Indicators and Triggers for Components of the Emergency Response System, Panel #2 (Health Care Entities and Specific Disciplines)

JOHN HICK, Committee Co-Chair and Panel Moderator

PEGGY CONNORTON

Director, Quality and LTC Trend Tracker

American Health Care Association

Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×

BARBARA CITARELLA

President and CEO

RBC Limited Healthcare and Management Consultants

GERARD JACOBS

Professor of Psychology

Director, Disaster Mental Health Institute

University of South Dakota

RANDY KEARNS

State Burn Disaster Program Coordinator/Program Director/Researcher

North Carolina Jaycee Burn Center

University of North Carolina School of Medicine


4:15 p.m. Discussion with Committee Members, Speakers, and Attendees

5:30 p.m. ADJOURN
Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×
Page 191
Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×
Page 192
Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×
Page 193
Suggested Citation:"Appendix B: Open Session Agenda." Institute of Medicine. 2013. Crisis Standards of Care: A Toolkit for Indicators and Triggers. Washington, DC: The National Academies Press. doi: 10.17226/18338.
×
Page 194
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Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources.

Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake.

Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

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