Improving Systems of Follow-Up Care for Traumatic Brain Injury: Proceedings of a Workshop (2023)
Chapter: Appendix B: Workshop Statement of Task and Agenda
B
Workshop Statement of Task and Agenda
WORKSHOP STATEMENT OF TASK
A planning committee of the National Academies of Sciences, Engineering, and Medicine will organize and conduct a 1- to 1.5-day public workshop that brings together experts and key stakeholders to explore needs, practices, and models for postacute follow-up care and symptom management in civilian adults discharged from emergency departments after a traumatic brain injury (TBI). The public workshop will feature invited presentations and discussions, which may be designed to:
- Center and integrate patient and community perspectives and priorities on postacute TBI care following emergency department discharge;
- Highlight opportunities for improved TBI outpatient symptom monitoring, management, and recovery;
- Consider potential lessons to be learned from models and practices of at-home management for other medical conditions; and
- Explore the feasibility and health economics associated with implementing improvements to TBI postacute follow-up care after emergency department discharge.
With the assistance of staff, the planning committee will develop the agenda for the workshop, select and invite speakers and discussants, and moderate the discussions. A proceedings of the presentations and discussions at the workshop will be prepared by a designated rapporteur in accordance with institutional guidelines.
WORKSHOP AGENDA
Tuesday, May 9, 2023
| 9:00 | Session 1: Introduction to Why TBI Follow-Up Care Is a Significant Gap |
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Welcome: DONALD BERWICK, Institute for Healthcare Improvement and Chair, Forum on Traumatic Brain Injury |
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Workshop Overview: MICHAEL MCCREA, Medical College of Wisconsin and Chair, Workshop Planning Committee |
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| 9:20 | Session 2: Introduction to the Forum’s Action Collaborative on TBI Care Introduction to the focus and goals of the newly formed Action Collaborative and its workstreams, followed by discussion. |
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Introduction: GEOFFREY MANLEY, University of California, San Francisco |
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Reflections from Action Collaborative Working Groups
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| Moderated Discussion | |
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AMY MARKOWITZ, University of California, San Francisco, Moderator |
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GEOFFREY MANLEY, University of California, San Francisco |
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KATHY LEE, Department of Defense, and NOAH SILVERBURG, University of British Columbia (virtual) |
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MATTHEW BREIDING, Centers for Disease Control and Prevention, and ODETTE HARRIS, Stanford University School of Medicine |
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FLORA HAMMOND, Indiana University School of Medicine, and MICHAEL MCCREA, Medical College of Wisconsin |
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ADAM BARDE and GLEN JACQUES, Slalom Consulting |
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SCOTT HAMILTON, TBI survivor and patient advocate |
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| 10:40 | Break |
| 11:00 | Session 3: Necessary and Vital Components for Achieving a System of Follow-Up Care for Mild TBI Identification of essential elements for TBI follow-up and transitional care, drawing on selected models being developed and implemented in different settings. |
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Session Overview: JAVIER CÁRDENAS, Rockefeller Neuroscience Institute at West Virginia University, Moderator |
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Big Picture: Key Components of Care Transitions: KAREN HIRSCHMAN, University of Pennsylvania School of Nursing |
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Essential Elements for Discharge Planning and Transitional Care: TOLU OYESANYA, Duke University School of Nursing |
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Examples of Follow-Up Care Models after Mild TBI:
TEENA SHETTY, Hospital for Special Surgery, New York SURENDRA BARSHIKAR, University of Texas Southwest Medical Center MICHAEL MCCREA, Medical College of Wisconsin |
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| 12:00 | Lunch |
| 12:50 | Necessary and Vital Components for Achieving a System of Follow-Up Care in Mild TBI, Continued |
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Moderated Discussion
JAVIER CÁRDENAS, Rockefeller Neuroscience Institute at West Virginia University, Moderator KAREN HIRSCHMAN, University of Pennsylvania School of Nursing TOLU OYESANYA, Duke University School of Nursing TEENA SHETTY, Hospital for Special Surgery, New York SURENDRA BARSHIKAR, University of Texas Southwest Medical Center MICHAEL MCCREA, Medical College of Wisconsin |
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| 1:30 | Session 4: Key Considerations for Achieving Effective Follow-Up Care Systems During the Initial Year Postinjury Factors outside the clinic itself that need to be addressed when designing and implementing systems of follow-up care for TBI at the milder end of the severity spectrum. Panelists will discuss such issues as reimbursement, social determinants of health, and access to care and community services. |
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Session Overview: JOHN CORRIGAN, The Ohio State University, Moderator |
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Addressing Social Determinants of Health Affecting TBI Recovery: MONIQUE PAPPADIS, University of Texas Medical Branch |
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Fundamentals of Trauma-Informed Care for Vulnerable Populations: JULIANNA NEMETH, The Ohio State University |
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Designing and Accessing Appropriate Community Services: REBECCAH WOLFKIEL, National Association of State Head Injury Administrators, and APRIL TURNER, Alabama Department of Rehabilitative Services |
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| Moderated Discussion | |
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JOHN CORRIGAN, The Ohio State University, Moderator |
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REBECCAH WOLFKIEL, National Association of State Head Injury Administrators |
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APRIL TURNER, Alabama Department of Rehabilitative Services JULIANNA NEMETH, The Ohio State University MONIQUE PAPPADIS, University of Texas Medical Branch |
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| 2:45 | Break |
| 3:10 | Session 5: Enabling Improvements to Systems of Follow-Up Care—Perspectives on the Roles of Certification, Incentives, and Information Management Systems Strategies to support the ability of follow-up care systems to adjust in size or scope, to be applied in additional settings, and to be sustainable over time. |
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Session Overview: TOLU OYESANYA, Duke University School of Nursing, Moderator |
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Establishing Standards of Care: Lessons from the Stroke Center Program: DAVID BAKER, The Joint Commission (virtual) |
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The Roles of Financial Incentives: SETH SEABURY, University of Southern California |
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Digital Business and Technology to Advance Health Systems: DAVID WRIGHT, Disruptive Innovations |
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Moderated Discussion
TOLU OYESANYA, Duke University School of Nursing, Moderator DAVID BAKER, The Joint Commission (virtual) SETH SEABURY, University of Southern California DAVID WRIGHT, Disruptive Innovations |
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| 4:20 |
Session 6: Integrating Insights to Catalyze Change Discussion among workshop participants drawing out key messages and lessons from the workshop. MICHAEL MCCREA, Medical College of Wisconsin, Workshop Chair |
| 4:50 |
Concluding Remarks
MICHAEL MCCREA, Medical College of Wisconsin, Workshop Chair |
| 5:00 | Adjourn Workshop |
