Impact of the Global Medical Supply Chain
on SNS Operations and Communications
PROCEEDINGS OF A WORKSHOP
Alison Mack, Rapporteur
Board on Health Sciences Policy
Health and Medicine Division
THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu
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This activity was supported by Contract No. 200-2011-38807 with the Centers for Disease Control and Prevention. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.
International Standard Book Number-13: 978-0-309-47774-1
International Standard Book Number-10: 0-309-47774-3
Digital Object Identifier: https://doi.org/10.17226/25149
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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Impact of the global medical supply chain on SNS operations and communications: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25149.
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PLANNING COMMITTEE ON THE IMPACT OF THE GLOBAL MEDICAL SUPPLY CHAIN ON SNS OPERATIONS AND COMMUNICATIONS1
TARA O’TOOLE (Chair), Executive Vice President, In-Q-Tel
MARY PAT COUIG, Intermittent Program Manager for Special Projects and Public Health Emergency Preparedness, Office of Nursing Services, Department of Veterans Affairs
MICHELE DAVIDSON, Senior Manager, Pharmacy Technical Standards, Development and Policy, Government Relations, Walgreen Company
LARRY GLASSCOCK, Senior Vice President, Global Accounts, MNX Global Logistics
JAMES G. HODGE, JR., Director, Public Health Law and Policy Program and Professor, Public Health Law and Ethics, Sandra Day O’Connor College of Law, Arizona State University
LINDA ROUSE O’NEILL, Vice President of Government Affairs, Health Industry Distributors Association
PAUL PETERSEN, Director, Emergency Preparedness Program, Tennessee Department of Health
IRWIN REDLENER, Director, National Center for Disaster Preparedness and Professor, Health Policy and Management and Pediatrics, Mailman School of Public Health, Columbia University
KAREN REMLEY, Executive Director and Chief Executive Officer, American Academy of Pediatrics
LEWIS RUBINSON, Assistant Chief Medical Officer for Critical Care, University of Maryland Medical Center, and Associate Professor, University of Maryland School of Medicine
Health and Medicine Division Staff
SCOTT H. WOLLEK, Senior Program Officer
BEN KAHN, Research Associate
REBECCA RAY, Senior Program Assistant
ANDREW M. POPE, Director, Board on Health Sciences Policy
Consultant
ALISON MACK, Consulting Writer
___________________
1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.
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Reviewers
This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.
We thank the following individuals for their review of this proceedings:
MARGARET BRANDEAU, Stanford University
JAMES G. HODGE, JR., Arizona State University
NICOLETTE LOUISSAINT, Healthcare Ready
Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by LINDA DEGUTIS, The Henry M. Jackson Foundation for the Advancement of Military Medicine. She was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.
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Contents
1 INTRODUCTION, BACKGROUND, AND CONTEXT
2 GAPS IN THE GLOBAL MEDICAL SUPPLY CHAIN
Weak Links in the Supply Chain
3 DELIVERING THE ASSETS: SUPPLY CHAIN ISSUES BETWEEN THE SNS AND STATE AND LOCAL PUBLIC HEALTH
Perspectives on the Role of the SNS
SNS and the Downstream “System of Systems”
Guidance During Shortages and Emergencies
Gathering and Sharing Information on Shortages
4 STRATEGIC COMMUNICATION AND THE SNS: PERSPECTIVES ON NEEDS AND RESOURCES
Acronyms and Abbreviations
AAP |
American Academy of Pediatrics |
ABC |
AmerisourceBergen Corporation |
ACIP |
Advisory Committee on Immunization Practice |
API |
active pharmaceutical ingredient |
ASPR |
Office of the Assistant Secretary of Preparedness and Response |
BARDA |
Biomedical Advanced Research and Development Authority |
BD |
Becton, Dickinson and Company |
CBRN |
chemical, biological, radiological, and nuclear |
CDC |
Centers for Disease Control and Prevention |
DSNS |
Division of Strategic National Stockpile |
ESF#8 |
Emergency Support Function Eight |
FACA |
Federal Advisory Committee Act |
FDA |
Food and Drug Administration |
FEMA |
Federal Emergency Management Agency |
HELP |
U.S. Senate Committee on Health, Education, Labor, and Pensions |
HHS |
Department of Health and Human Services |
HIDA |
Healthcare Industry Distributors Association |
IQT |
In-Q-Tel |
JIC |
Joint Information Center |
MCM |
medical countermeasure |
MOU |
memorandum of understanding |
NACDS |
National Association of Chain Drug Stores |
NCPDP |
National Council of Prescription Drug Programs |
NETEC |
National Ebola Training and Education Center |
NGO |
nongovernmental organization |
OPHPR |
Office of Public Health Preparedness and Response |
PAHPRA |
Pandemic and All-Hazards Preparedness Reauthorization Act |
PHEMCE |
Public Health Emergency Medical Countermeasures Enterprise |
PPE |
personal protective equipment |
PSCN |
Pandemic Supply Chain Network |
SNS |
Strategic National Stockpile |
UNGM |
United Nations Global Marketplace |
UNICEF |
United Nations Children’s Fund |
WHO |
World Health Organization |
WMD |
weapon of mass destruction |