Barriers to Integrating Crisis Standards of Care Principles into International Disaster Response Plans: Workshop Summary (2012)
Chapter: Appendix B: Agenda
OVERWHELMED: DEVELOPING CRISIS STANDARDS OF CARE FOR CATASTROPHIC EMERGENCIES
When a nation or region prepares for public health emergencies such as a pandemic influenza, an earthquake, or any disaster scenario in which the health system may be stressed to its limits, it is important to describe how standards of care would change due to shortage of critical resources. “Crisis standards of care” is defined as a substantial change in usual health care operations and the level of care it is possible to deliver, which is made necessary by a pervasive (e.g., pandemic influenza) or catastrophic (e.g., earthquake, hurricane) disaster. To ensure that the utmost care possible is provided to patients in a catastrophic event, nations/regions need a robust system to guide the public, health care professionals and institutions, and governmental entities at all levels. Building off a report of the U.S. Institute of Medicine, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations, this session focus on opportunities and challenges to integrate crisis standards of care principles into international disaster response plans.
Learning Objectives:
- Discuss the challenges of providing fair and equitable care in mass casualty incidents
- Discuss a potential framework for the equitable delivery of care in situations of scarce resources and strategies for operationalizing crisis standards of care in austere environments
- Examine strategies for integrating crisis standards of care principles into disaster response plans
- Highlight the impact of international disaster response on changing the standard of care in the host country
| 1:45 p.m. | Introduction: Session Objectives |
MARK KEIM, Session Chair
Senior Science Advisor
Office of the Director
National Center for Environmental Health
Centers for Disease Control and Prevention (CDC)
| 1:55 | A Model for Equitable Delivery of Care in Situations of Scarce Resources |
DAN HANFLING
Institute of Medicine Committee Vice-Chair
Special Advisor
Emergency Preparedness and Response
Inova Health System
10 min Q&A
| 2:50 | Operationalizing Crisis Standards of Care: The Japanese Experience |
YOSHIKURA HARAGUCHI
Division of Pathophysiology in Disaster (retired)
National Hospital Tokyo Disaster Medical Center
Tachikawa City, Tokyo, Japan
10 min Q&A
| 3:15 | BREAK |
| 4:00 | Providing Austere Care in Mass Casualty Incidents: Experiences from Latin America |
JEAN LUC PONCELET
Area Manager in Emergency Preparedness and
Disaster Relief for Latin America and the Caribbean
Pan American Health Organization/World Health
Organization
10 min Q&A
| 4:25 | International Health Regulations Treaty: The Grand Experiment |
FREDERICK “SKIP” BURKLE
Senior Fellow, Harvard Humanitarian Initiative
Harvard School of Public Health
10 min Q&A
| 4:50 | Panel Discussion: Integrating Crisis Standards of Care Principles into International Disaster Response Plans | |
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MARK KEIM, moderator Senior Science Advisor Office of the Director National Center for Environmental Health Centers for Disease Control and Prevention (CDC) |
DAN HANFLING
Institute of Medicine Committee Vice-Chair
Special Advisor
Emergency Preparedness and Response
Inova Health System, USA
YOSHIKURA HARAGUCHI
Department of Surgery (retired)
National Hospital Organization Disaster
Medical Center, Tokyo, Japan
JEAN LUC PONCELET
Area Manager in Emergency Preparedness and
Disaster Relief for Latin America and the Caribbean
Pan American Health Organization/World Health
Organization
FREDERICK “SKIP” BURKLE
Senior Fellow, Harvard Humanitarian Initiative
Harvard School of Public Health
| 5:30 | ADJOURN |
