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1 Introduction and Overview
Pages 1-8

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From page 1...
... BACKGROUND On June 11 and 12, 2013, the Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events convened a workshop in Washington, DC, to discuss disaster preparedness, response, and resilience relative to the needs of children and families, including children with special health care needs. Participants included traditional and nontraditional medical and public health stakeholders from across federal, state, and local government, 1 This report has been prepared by the workshop rapporteurs as a factual summary of what occurred at the workshop.
From page 2...
... o Discuss importance of health care financing education among stakeholders. o Consider strategies to reduce the financial burden on public health and health care facilities.
From page 3...
... report, and progress thus far in integrating the needs of children into preparedness planning. Chapter 3 discusses leveraging health care coalitions to meet the needs of children in disasters, while Chapter 4 focuses on tools and studies done to augment state and local planning for children.
From page 4...
... Similarly, there is no central coordination of the various recovery assets available to individuals from federal, state, and local agencies, nonprofit organizations, and others. Since the workshop, the Administration for Children and Families has created a webpage of early childhood disaster resources organized for providers, children and families, and policy makers.4  Building and sustaining health care coalitions: Successful coalition building involves sharing information, working together to set and achieve goals, and developing formal relationships of commitment.
From page 5...
... Many speakers and participants stressed the need to build partnerships across sectors (e.g., behavioral health, public health, medical services, human services, educational systems, emergency management systems, community organizations) with a constant focus on children as they are, and in the environments where they live.
From page 6...
... Speakers and participants called for national-level pediatric exercises and suggested that pediatric preparedness exercises should perhaps be a regulatory requirement for hospitals.  Workarounds versus safety and quality: It was discussed that in the absence of feasible solutions to complex preparedness and response problems, workarounds are often developed.
From page 7...
...  Disaster education: While emergency preparedness is built on the strength of everyday health systems, professionals and the public should be better informed about their expected roles in a disaster, especially related to children. To be effective, pediatric training for providers must be built on comprehensive education and training in disaster management and emergency preparedness for all our nation's public health and health care providers, adult as well as pediatric.


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