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Forum on Medical and Public Health Preparedness for Catastrophic Events
Workshop on Dispensing Medical Countermeasures
AGENDA
Day 1
Monday March 3, 2008
The Barbara Jordan Conference Center
Kaiser Family Foundation
1330 G St., NW
Washington, DC, 20005
Workshop Objectives
Building upon the recent progress in countermeasure delivery, the objectives of this workshop are to:
- Identify and discuss the most promising near-term opportunities for improving the efficiency and effectiveness of frameworks designed for medical countermeasure dispensing
- What specific challenges arise in the dispensing of antibiotics?
- Discuss what innovations, tools, technologies, and frameworks are available from sectors outside the traditional public health system.
- What existent resources and infrastructure in medical countermeasure dispensing should be maintained, improved, or serve as a foundation on which to build?
- What existent resources and infrastructure have potential for application or adaptation to a disaster incident? What action steps are required to integrate these strategies into the current public health system?
- What resources and further infrastructure investments will be necessary in the short- and long-term?
- How might innovative antibiotic countermeasure dispensing strategies be leveraged and expanded upon to improve models for antiviral and vaccine dispensing?
- Explore potential partnerships that are needed to support and conduct improvements of dispensing medical countermeasures
- What are the current opportunities and barriers to creating stronger partnerships and how can these issues be addressed?
8:00 a.m. Welcome and Introductions
Lynne Kidder, Workshop Co-Chair
Sr. Vice President, Business Force
Business Executives for National Security
Matthew Minson, Workshop Co-Chair
Senior Medical Advisor
Office of Policy, Strategic Planning, and Communications
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
Opening Remarks: Assistant Secretary for Preparedness and Response [Audio]
8:15 a.m. Medical Countermeasure Dispensing: Goals, Progress, and Challenges
Gerald Parker [Powerpoint]
Principal Deputy Assistant Secretary
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
Session I: Overview and Current Plan for dispensing Medical Countermeasures [Audio]
Session Objective: Provide an overview of the current threats, progress made, and remaining vulnerabilities in the public health system as it pertains to the dispensing of medical countermeasures, in particular antibiotics. Special attention will be made to the identification of associated gaps in dispensing medical countermeasures in the most effective and efficient manner, including the needs of special populations.
8:35 a.m. Session Overview and Objectives
Richard Besser, Session Chair
Director
Coordinating Office for Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
8:40 a.m. Overview of the Current Threat
Prasith (Sid) Baccam [Power Point]
Senior Scientist
Innovative Emergency Management (IEM)
8:55 a.m. Overview of Cities Readiness Initiative: Current Dispensing Framework and Gaps
Gregory Burel [Power Point]
Director
Strategic National Stockpile
Coordinating Office for Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
9:10 a.m. Modeling Integrated Public Health and Health Care Delivery System Response to Anthrax
Nathaniel Hupert [Power Point]
Assistant Professor of Clinical Public Health
Assistant Professor of Clinical Medicine
Weill Medical College of Cornell University
9:25 a.m. Overview of Challenges Experienced by State Officials
David Henry
Policy Analyst
Homeland Security and Technology
NGA Center for Best Practices
National Governors Association
9:40 a.m. Overview of Challenges Experienced by the Local Officials: Special Population Needs
Christopher Hoff [Power Point]
Emergency Response Coordinator
Kane County, IL Health Department
9:55 a.m. Creative Solutions using Existing Tools
Michael Schrage
Fellow, Center for Digital Business/Sloan School
Senior Advisor, Security Studies Program
Massachusetts Institute of Technology
10:15 a.m. Discussion
Richard Besser, Session Chair
Director
Coordinating Office for Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
10:30 a.m. BREAK
Session II: Integrating strategies: Frameworks, Technologies, Tools, and Innovations (see individual panels for audio)
Session Objective: Review the innovations, tools, technologies, and frameworks (e.g., inventorying control and tracking, and registries) that are being used by sectors not traditionally included in the public health system. Discuss what action steps are required to integrate these strategies into the current public health system. Examine potential solutions to address:
- Generate potential strategies to address improvement in current methods of dispensing countermeasures,
- Explore feasibility of “out-sourcing” the dispensing operation to a private sector entity, and
- Identify current business capabilities/solutions to develop novel dispensing methods.
10:45 a.m. Session Overview and Objectives
Lisa Koonin, Session Chair [Power Point]
Senior Advisor
Influenza Coordination Unit
Centers for Disease Control and Prevention
10:50 a.m. Panel Discussion #1: What current systems and strategies could be adapted to improve the currently planned dispensing methods for countermeasures? [Audio]
Jeffrey Holmes, Panel Leader
Director
Global Public Sector Practice
PRTM
Dan Guinn
Founder
Director of Compliance
Dispensing Solutions Inc.
Kevin Smith
National Disaster Services Specialist
America's Second Harvest
The Nation's Food Bank Network
Karen Drenkard
Chief Nurse Executive
Senior Vice President
Inova Nursing
Inova Health System
Michael Kody
Vice President
Supply Chain Solutions
AmericsourceBergen
11:45 p.m. Working Lunch
- Review opportunity and challenges identified during the morning sessions
- Participate in informal discussions regarding mechanisms to integrate new strategies into current frameworks.
12:30 p.m. Panel Discussion #2: What novel dispensing methods could be developed harnessing current business capabilities? [Audio]
James Shortal, Panel Leader [Power Point]
Former Director
Crisis Management
Home Depot
John Murray
Vice-President
Circulation Marketing
Newspaper Association of America
Christopher Hetherington
Corporate Crisis Management Officer
Office of Business Continuity
Citigroup, Inc.
Noah Glass [Power Point]
Chief Executive Officer
GoMobo, Inc.
Nathaniel Hupert
Assistant Professor of Clinical Public Health
Assistant Professor of Clinical Medicine
Weill Medical College of Cornell University
Bruce Baker
SNS Coordinator
Maryland Department of Health and Mental Hygiene
1:30 p.m. Panel Discussion #3: Explore feasibility of “out-sourcing” the dispensing
operation to a private sector entity. [Audio]
Donna Garren, Panel Leader
Vice President
Health and Safety Regulatory Affairs
National Restaurant Association
Jason Jackson (via telecon)
Director of Emergency Management
Wal-Mart Inc.
Michael Schrage
Fellow, Center for Digital Business/Sloan School
Senior Advisor, Security Studies Program
Massachusetts Institute of Technology
Eva Lee [Power Point]
Associate Professor
H. Milton Stewart School of Industrial and Systems Engineering
Director
Center for Operations Research in Medicine and HealthCare
Georgia Institute of Technology
Mary Steiner
Preparedness and Response Nurse Coordinator
Oklahoma City-County Health Department
2:30 p.m. General Discussion
Lisa Koonin, Session Chair
Senior Advisor
Influenza Coordination Unit
Centers for Disease Control and Prevention
2:45 p.m. BREAK
Session III: Dispensing considerations: push mechanisms, and pull mechanisms [Audio]
Session Objective: Discuss benefits, challenges, and strategies presented by dispensing countermeasures through either push or pull mechanisms.
3:00 p.m. Session Objectives
Stephanie Dulin, Session Chair
Chief of the Program Preparedness Branch
Division of Strategic National Stockpile
Coordinating Office for Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
3:05 p.m. Panel Discussion
Linda Neff
Senior Science Advisor
Division of Strategic National Stockpile
Coordinating Office for Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
Mark Keeler
State Coordinator
Strategic National Stockpile Program
Ohio Department of Health
Robert Holman, III
Senior Planner
Dallas County Health and Human Services
Greg Sciarra
Director
Pharmacy Operations
CVS Pharmacy
Michael Robbins
Pharmacist
Medical Countermeasures
Public Health Preparedness and Response
Chicago Department of Public Health
3:30 p.m. Discussion
Stephanie Dulin, Session Chair
Chief of the Program Preparedness Branch
Division of Strategic National Stockpile
Coordinating Office for Terrorism Preparedness and Emergency Response
Centers for Disease Control and Prevention
Session IV: OPPORTUNITIES AND Barriers to Partnering with the Private Sector [Audio]
Session Objective: Explore potential models to improve partnerships between the private sector and federal, territorial, state, and local jurisdictions. Discuss what are the current opportunities and barriers to facilitating improved partnerships and how may these be overcome.
4:00 p.m. Session Objectives
Scott Mugno, Session Chair
Managing Director
Corporate Safety Health and Fire Protection
FedEx
4:05 p.m. Panel Discussion
Anthony Begando
Chief Executive Officer
Tenon Consulting, Inc.
Mike Simko
Corporate Manager
Pharmacy Health Information Technology
Walgreens Co.
Robert Mauskapf [Power Point]
Director
Emergency Operations, Planning and Logistics
Virginia Department of Health
Teresa Bates
SNS Coordinator
Department of Public Health
Tarrant County, TX
Paul Freibert
Public Health Planner
Office of Emergency & Public Health Preparedness
Louisville Metro Health Department
4:25 p.m. Discussion
Scott Mugno, Session Chair
Managing Director
Corporate Safety Health and Fire Protection
FedEx
Session V: General Discussion with workshop Participants and attendees
Session Objective: Discuss what opportunities and constraints exist to implementing the frameworks and models discussed during day 1 of the workshop. What resources are required to implement the changes necessary to ensure that the most efficient and effective frameworks are in place for medical countermeasure dispensing? What new ideas have surfaced in this meeting today that should be explored further?
5:00 p.m. General Discussion with Workshop Participants and Guests
Lynne Kidder, Workshop Co-Chair
Sr. Vice President, Business Force
Business Executives for National Security
Matthew Minson, Workshop Co-Chair
Senior Medical Advisor
Office of Policy, Strategic Planning, and Communications
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
5:30 p.m. Adjourn to Reception
Day 2
Tuesday March 4, 2008
The Barbara Jordan Conference Center
Kaiser Family Foundation
1330 G St., NW
Washington, DC, 20005
8:30 a.m. Day 1 Review and Day 2 Objectives [Audio]
Lynne Kidder, Workshop Co-Chair
Sr. Vice President, Business Force
Business Executives for National Security
Matthew Minson, Workshop Co-Chair
Senior Medical Advisor
Office of Policy, Strategic Planning, and Communications
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
Session VI: Workforce requirements [Audio]
Session Objective: Discuss the current workforce constraints on the existing public health system, how human resources from other sectors can be leveraged to ensure adequate capacity to dispense medical countermeasure in response to a catastrophic health event, and what measures, including personal protective equipment, are required to ensure the health safety of the workforce. Identify and discuss technologies or system designs that may be used to minimize workforce requirements, while ensure workforce safety.
8:40 a.m. Session Objectives
Jayne Lux, Session Chair
Director
Global Health Benefits Institute
National Business Group on Health
8:45 a.m. Panel Discussion
Jonathan Means
Senior Vice President
General Manager
Central Operations and Businesses
Kelly Services, Inc.
Wesley McDermott
Public Health Emergency Preparedness Coordinator
Fairfax, VA Department of Health
David Brown
Director
Global Employee Relations Strategy
The Coca-Cola Company
Pamela Blackwell
Director
Center for Emergency Preparedness and Response
Cobb & Douglas Public Health
9:05 a.m. Discussion
Jayne Lux, Session Chair
Director
Global Health Benefits Institute
National Business Group on Health
Session VII: Liability constraints, concerns, and unknowns [Audio]
Session Objective: Explore how liability constraints, concerns, and unknowns may limit the partnerships with the private sector in the dispensing of medical countermeasures. What liability and anti-trust protections do existing state and federal laws already provide, and what changes may be necessary?
9:40 a.m. Session Objectives
Erin Mullen, Session Chair
Assistant Vice President
Rx Response
Pharmaceutical Researchers and Manufacturers of America (PhRMA)
9:45 a.m. Review of the Public Readiness and Emergency Preparedness Act (PREP Act)
Margaret Binzer [Power Point]
Partner
Government Affairs
McKenna Long & Aldridge LLP
10:00 a.m. Panel Discussion
Scott Mugno
Managing Director
Corporate Safety Health and Fire Protection
FedEx
Guy Farmer
Partner
Labor and Employment Group
Holland and Knight LLP
Brian Kamoie
Acting Office Director
Office of Policy and Strategic Planning
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
Sharona Hoffman [Power Point]
Professor of Law and Bioethics
Co-Director
Law-Medicine Center
Senior Associate Dean for Academic Affairs
Case Western Reserve University, School of Law
10:20 a.m. Discussion
Erin Mullen, Session Chair
Assistant Vice President
Rx Response
Pharmaceutical Researchers and Manufacturers of America (PhRMA)
Session VIII: SECURITY challenges and opportunities [Audio]
Session Objective: Review current security plans and examine the resources available, as well as those that are needed, to ensure appropriate safety and security of assets and individuals during the dispensing of medical countermeasures.
10:50 a.m. Session Objectives
Kenneth Kunchick, Session Chair [Power Point]
Senior Inspector
United States Marshals Service
10:55 a.m. Panel Discussion
Harvey Rubin
Director, Institute for Strategic Threat Analysis and Response
Professor of Medicine, Microbiology, and Computer Science
University of Pennsylvania
Boyd Stephenson
Manager
Security and Cross Border Operations
American Trucking Association
Jerry Ellsworth
Public Health Security Coordinator
Michigan Office of Public Health Preparedness
Larry Sabbath
Executive Director
National Armored Car Association
11:20 a.m. Discussion
Kenneth Kunchick, Session Chair
Senior Inspector
United States Marshals Service
Session IX: Future Directions and resource constraints — Discussion with workshop Participants and Attendees [Audio]
Session Objective: Discuss what opportunities and constraints exist to implementing the frameworks and models discussed throughout the workshop. What resources are required to implement the changes necessary to ensure that the most efficient and effective frameworks are in place for medical countermeasure dispensing? What new ideas have surfaced in this meeting that should be explored further? Who is not at the table now and needs to be included in further discussions? How can we capture the innovation and ideas discussed during the meeting to rapidly proceed with developing next steps?
11:50 a.m. Overview of Opportunities, Priorities, and Resource Requirements Identified
During the Workshop: Panel Discussion
James Blumenstock
Chief Program Officer
Public Health Practice
Association of State and Territorial Health Officials
Lynn Goldman [Power Point]
Chair, Interdepartmental Program in Applied Public Health
Johns Hopkins Bloomberg School of Public Health
Jack Herrmann
Senior Advisor
Public Health Preparedness
National Association of County and City Health Officials (NACCHO)
Lynne Kidder, Workshop Co-Chair
Sr. Vice President, Business Force
Business Executives for National Security
Carter Mecher
Director
Medical Preparedness Policy
White House Homeland Security Council
Matthew Minson, Workshop Co-Chair
Senior Medical Advisor
Office of Policy, Strategic Planning, and Communications
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
12:15 p.m. Discussion with attendees
Lynne Kidder, Workshop Co-Chair
Sr. Vice President, Business Force
Business Executives for National Security
Matthew Minson, Workshop Co-Chair
Senior Medical Advisor
Office of Policy, Strategic Planning, and Communications
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
12:45 p.m. Closing Remarks
Gerald Parker
Principal Deputy Assistant Secretary
Office of the Assistant Secretary for Preparedness and Response
Department of Health and Human Services
1:00 p.m. ADJOURN
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