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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Engaging the Private-Sector Health
Care System in Building Capacity to
Respond to Threats to the Public’s
Health and National Security

PROCEEDINGS OF A WORKSHOP

Joe Alper, Rapporteur

Forum on Medical and Public Health Preparedness
for Disasters and Emergencies

Board on Health Sciences Policy

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
www.nap.edu

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by a contract between the National Academy of Sciences and the Department of Health and Human Services (HHSO100201750005A). 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: 978-0-309-48212-7
International Standard Book Number-10: 0-309-48212-7
Digital Object Identifier: https://doi.org/10.17226/25203

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Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the private-sector health care system in building capacity to respond to threats to the public’s health and national security: Proceedings of a workshop. Washington, DC: The National Academies Press. doi: https://doi.org/10.17226/25203.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

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The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

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Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×

Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×

PLANNING COMMITTEE ON ENGAGING THE PRIVATE-SECTOR HEALTH CARE SYSTEM IN BUILDING CAPACITY TO RESPOND TO THREATS TO THE PUBLIC’S HEALTH AND NATIONAL SECURITY1

HELEN BURSTIN (Co-Chair), Executive Vice President and Chief Executive Officer, Council of Medical Specialty Societies

ARTHUR L. KELLERMANN (Co-Chair), Professor and Dean, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences

MICHAEL ANDERSON, President, UCSF Benioff Children’s Hospital and Senior Vice President, Children’s Services, UCSF Health, University of California, San Francisco

ANGELA BRICE-SMITH, Deputy Consortium Administrator for Quality Improvement and Survey & Certification Operations, Centers for Medicare & Medicaid Services

ERIC EPLEY, Executive Director, Southwest Texas Regional Advisory Council

PAUL HINCHEY, Assistant Medical Director, Wake County EMS

THOMAS KIRSCH, Director, National Center for Disaster Medicine and Public Health and Professor of Military and Emergency Medicine, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences

JON KROHMER, Director, Office of Emergency Medical Services, National Highway Traffic Safety Administration, Department of Transportation

NICOLETTE LOUISSAINT, Executive Director, Healthcare Ready

RICARDO MARTINEZ, Chief Medical Officer, Adeptus Health

CARTER MECHER, Senior Medical Advisor, Office of Public Health, Department of Veterans Affairs

JOHN OSBORN, Operations Manager and Assistant Professor, Health Care Systems Engineering, Department of Surgery, Mayo Clinic College of Medicine

TODD RASMUSSEN, Associate Dean for Research and Harris B. Schumaker, Jr. Professor of Surgery, F. Edward Hebert School of Medicine, Uniformed Services University of the Health Sciences

ROSLYNE SCHULMAN, Director for Policy Development, American Hospital Association

___________________

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.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×

SKIP SKIVINGTON, Vice President of Healthcare Continuity Management and Support Services, Kaiser Permanente

JEFFREY UPPERMAN, Director, Trauma Program and Director, Pediatric Disaster Resource and Training Center, Children’s Hospital of Los Angeles

MICHAEL WARGO, Assistant Vice President, Enterprise Preparedness & Emergency Operations, Hospital Corporation of America

Health and Medicine Division Staff

SCOTT WOLLEK, Senior Program Officer

CLAIRE GIAMMARIA, Associate Program Officer

BEN KAHN, Research Associate

MARIA BABIRYE, Senior Program Assistant (until August 2018)

ANDREW M. POPE, Director, Board on Health Sciences Policy

Consultants

JOE ALPER, Writer, LSN Consulting

LAURA RUNNELS, LAR Consulting

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×

FORUM ON MEDICAL AND PUBLIC HEALTH PREPAREDNESS FOR DISASTERS AND EMERGENCIES1

DAN HANFLING (Co-Chair), Johns Hopkins Center for Health Security

SUZET MCKINNEY (Co-Chair), Illinois Medical District

STACEY ARNESEN, National Library of Medicine, National Institutes of Health

ERIC BLANK, Association of Public Health Laboratories

MARY CASEY-LOCKYER, American Red Cross

BROOKE COURTNEY, Office of Counterterrorism and Emerging Threats, Food and Drug Administration

JOHN DREYZEHNER, Association of State and Territorial Health Officials

DAVID EISENMAN, University of California, Los Angeles

BRUCE EVANS, National Association of Emergency Medical Technicians

LARRY FLUTY, Office of Health Affairs, Department of Homeland Security

JOHN HICK, Hennepin County Medical Center

ROBERT KADLEC, Assistant Secretary for Preparedness and Response, Department of Health and Human Services

CLAUDIA KELLY, Seqirus

THOMAS KIRSCH, Uniformed Services University of the Health Sciences, Department of Defense

DREW LEWIS, Meridian Medical Technologies

NICOLETTE A. LOUISSAINT, Healthcare Ready

FREDA LYON, Emergency Nurses Association

CAROLYN MEIER, Administration for Children and Families, Department of Health and Human Services

AUBREY MILLER, National Institute of Environmental Health Sciences, National Institutes of Health

JOHN OSBORN, Mayo Clinic College of Medicine

TARA O’TOOLE, In-Q-Tel

ANDREW PAVIA, Infectious Diseases Society of America

ALONZO PLOUGH, Robert Wood Johnson Foundation

TERRY RAUCH, Defense Health Agency, Department of Defense

STEPHEN REDD, Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention

SARA ROSZAK, National Association of Chain Drug Stores

ROSLYNE SCHULMAN, American Hospital Association

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s forums and roundtables do not issue, review, or approve individual documents. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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RICHARD SERINO, Harvard University School of Public Health

ALAN SINISCALCHI, Council of State and Territorial Epidemiologists

CRAIG VANDERWAGEN, East West Protection, LLC

JENNIFER WARD, Trauma Center Association of America

GAMUNU WIJETUNGE, National Highway Traffic Safety Administration, Department of Transportation

MATTHEW WYNIA, University of Colorado Denver

Health and Medicine Division Staff

SCOTT WOLLEK, Senior Program Officer

LISA BROWN, Senior Program Officer

CLAIRE GIAMMARIA, Associate Program Officer

BEN KAHN, Research Associate

MARIA BABIRYE, Senior Program Assistant (until August 2018)

ANDREW M. POPE, Director, Board on Health Sciences Policy

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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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:

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 SARA ROSENBAUM, George Washington University. 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.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×
Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
×

Acronyms and Abbreviations

AMR

American Medical Response

ASPR

Office of the Assistant Secretary for Preparedness and Response

BARDA

Biomedical Advanced Research and Development Authority

CBRN

chemical, biological, radiological, and nuclear

CDC

Centers for Disease Control and Prevention

CMOC

Catastrophic Medical Operations Center

CMS

Centers for Medicare & Medicaid Services

DHS

Department of Homeland Security

DMAT

disaster medical assistance team

DoD

Department of Defense

EMS

emergency medical services

FAA

Federal Aviation Administration

FEMA

Federal Emergency Management Agency

GIS

geographical information system

HCA

Hospital Corporation of America

HHS

Department of Health and Human Services

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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HIPAA

Health Insurance Portability and Accountability Act

HPP

Hospital Preparedness Program

NDMS

National Disaster Medical System

NERC

North American Electric Reliability Corporation

NGO

nongovernmental organization

NORAD

North American Aerospace Defense Command

NTSB

National Transportation Safety Board

PAHO

Pan American Health Organization

REPLICA

Recognition of EMS Personnel Licensure Interstate CompAct

SETRAC

SouthEast Texas Regional Advisory Council

SNS

Strategic National Stockpile

STRAC

Southwest Texas Regional Advisory Council

USNORTHCOM

U.S. Northern Command

USUHS

Uniformed Services University of the Health Sciences

VA

Department of Veterans Affairs

WebEOC

Web Emergency Operations Center

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Page xiii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2018. Engaging the Private-Sector Health Care System in Building Capacity to Respond to Threats to the Public's Health and National Security: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25203.
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Disasters tend to cross political, jurisdictional, functional, and geographic boundaries. As a result, disasters often require responses from multiple levels of government and multiple organizations in the public and private sectors. This means that public and private organizations that normally operate independently must work together to mount an effective disaster response. To identify and understand approaches to aligning health care system incentives with the American public’s need for a health care system that is prepared to manage acutely ill and injured patients during a disaster, public health emergency, or other mass casualty event, the National Academies of Sciences, Engineering, and Medicine hosted a 2-day public workshop on March 20 and 21, 2018. This publication summarizes the presentations and discussions from the workshop.

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