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Reusable Health Care Textiles for Use in Personal Protective Equipment: Proceedings of a Workshop (2024)

Chapter: Appendix C: Workshop Agenda

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Previous Chapter: Appendix B: Key Terminology and Definitions Shared with Workshop Participants

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Suggested Citation: "Appendix C: Workshop Agenda." National Academies of Sciences, Engineering, and Medicine. 2024. Reusable Health Care Textiles for Use in Personal Protective Equipment: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/27762.

Appendix C

Workshop Agenda

Health and Medicine Division
Board on Health Sciences Policy

Reusable Health Care Textiles for Personal Protective Equipment

Virtual Workshop

WORKSHOP AGENDA

March 4–5, 2024

Workshop Objectives: Workshop discussants and participants will have the opportunity to examine opportunities to increase the use of reusable health care textiles (HCTs) for personal protective equipment (PPE) used in health care settings. This workshop will provide the opportunity to exchange knowledge and ideas among key value holders—including technical experts, policy makers, manufacturers, and PPE users in health care—and to explore the potential benefits and feasibility of integrating more reusable HCTs into health care operations.

The public workshop will feature invited presentations and discussions to:

Examine existing recommendations, approaches, and guidelines relating to reusable HCTs to ensure optimal protection of patients and health care workers;

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Discuss issues related to contamination of textiles and fabrics in health care facilities;
Explore issues associated with current product and technology standards for reusable HCTs, considering input on standards needs from a past National Institute for Occupational Safety and Health (NIOSH) Personal Protective Technologies (PPT) Centers of Excellence Federal Register Notice;
Examine the comparative performance, comfort, environmental impact, and use issues for disposable and reusable HCTs;
Highlight similarities and differences between U.S. and European systems for reusable HCT use/maintenance/disposal systems, sustainability, and standards/regulations;
Explore potential benefits, including potential cost savings, and feasibility issues related to increasing the use of reusable HCTs in crisis and everyday situations and in different health care settings;
Discuss opportunities and approaches to integrate more reusable HCTs into health care operations where appropriate.

To watch the livestream, please visit the workshop’s event page at https://www.nationalacademies.org/event/41729_03-2024_reusablehealth-care-textiles-for-personal-protective-equipment-a-workshop.

DAY 1 – MONDAY, MARCH 4, 2024

Welcome and Overview of the Workshop

10:00 am	Chair Welcome and Opening Remarks Sundaresan Jayaraman, Workshop Chair
10:15 am	National Personal Protective Technology Laboratory (NPPTL) Opening Remarks Adam Smith, Senior Scientist, NPPTL
Session 1	Level Setting: The U.S. Ecosystem
10:30 am	Introduction Elizabeth Easter, Professor, University of Kentucky
10:30 am	This panel will lay the foundation of the workshop by defining key terms and concepts. It will describe the current U.S. ecosystems for disposable and reusable health care textiles (HCTs) for personal protective equipment (PPE).

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10:40 am	Panel Presentations Elizabeth Easter, Panel Moderator
	Overview of Disposable PPE Life Cycle Charlie Merrow, CEO, Merrow Manufacturing
	Overview of Reusable PPE Life Cycle John Wintz, Group Vice President, Standard Textiles
	Sustainability in PPE Manufacturers and Suppliers Dan Glucksman, Senior Director for Policy, International Safety Equipment Association (ISEA)
	Health Care Worker Perspective on PPE Selection Pamela Falk, Epidemiologist, Association for Professionals in Infection Control and Epidemiology (APIC)
	Audience Q&A (time permitting)
11:30 am	BREAK
Session 2	Level Setting: Policies and Standards
11:45 am	Introduction Elizabeth Beam, Associate Professor, University of Nebraska Medical Center College of Nursing
11:45 am	This panel will lay the foundation of the workshop by defining key terms and concepts. It will describe the current policy and standards that influence the ecosystems for disposable and reusable PPE.
11:50 am	Panel Presentations Elizabeth Beam, Panel Moderator
11:50 am	Policies and Standards for Manufacturers *PPE Manufacturers:* Jeff Stull, President, International Personal Protection; Member, ASTM Committee on Standards for Medical Face Masks and Protective Clothing

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	*Textile Manufacturers:* Erika Simmons, Technical Director, American Association of Textile Chemists and Colorists (AATCC)
	Policies and Guidance for Use *Federal Perspective:* Lynne Sehulster, CDC Division of Healthcare Quality Promotion (ret.)
	*Health Care Perspective:* Tiffany Wiksten, Associate Director, Standards Interpretation Group, The Joint Commission
	*Laundry and Reuse Perspective:* Liz Remillong, Division Vice President, Crothall Healthcare
	Comparison of U.S. and International Policies and Standards Henk Vanhoutte, Secretary General, European Safety Federation
	Audience Q&A(time permitting)
1:00 pm	BREAK
Session 3	Environmental Impact
2:00 pm	Introduction Kelly Wright, Director of Minimally Invasive Gynecological Surgery and Associate Professor of Obstetrics and Gynecology, Cedars-Sinai Medical Center
2:00 pm	This session is the first of a series aimed at characterizing the impact associated with the increased adoption of reusable versus disposable HCTs within health care settings. Specifically, this session will examine the environmental impact, both risks and benefits, using a life-cycle analysis (LCA).
2:05 pm	Presentation Environmental Impacts at Each Life Cycle Stage Michael Overcash, CEO, Environmental Genome Initiative

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2:15 pm	Case Study Environmental Sustainability in Clinical Care James Marvel, Clinical Assistant Professor, Stanford University School of Medicine
2:25 pm	Panel Discussion Kelly Wright, Panel Moderator
	Production and Use *Biodegradable, Disposable PPE:* Gajanan Bhat, Professor, University of Georgia
	*Reusable PPE:* Shelley Petrovskis, Director of Marketing & Regulatory Affairs, Lac-Mac Limited
	Transportation of Disposable and Reusable PPE Shawn Gibbs, Dean, Texas A&M School of Public Health
	End-of Life: Disposal and Recycling Melissa Dawson, Associate Professor, Rochester Institute of Technology
3:10 pm	Audience Q&A
Session 4	Economic Impact
3:15 pm	Introduction Barbara Strain, Principal, Barbara Strain Consulting, LLC
3:15 pm	In this next session of the series, the panel will examine the economic impact of the increasing use of reusable versus disposable HCTs. It will focus on both the short- and long-term infrastructure investments for health care facilities and value holders.
3:20 pm	Presentation Value Analysis 101 Barbara Strain, Principal, Barbara Strain Consulting LLC
3:30 pm	Case Study Costs Associated with Stockpiling of Reusable Respiratory Protective Devices Gio Baracco, Professor, University of Miami

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3:40 pm	Panel Discussion Barbara Strain, Panel Moderator
	Production, Use, End of Life: Disposable and Reusable PPE Charlie Merrow, CEO, Merrow Manufacturing
	U.S. Trade Policy Laurie-Ann Agama, Acting Assistant Trade Representative for Textiles, U.S. Trade Representative
	Health Care System Perspective Laura Thurston, Director Laundry Services, Intermountain Health
4:15 pm	Audience Q&A

Day 1 Wrap-Up

4:20 pm	Chair’s Reflection and Preview of Day 2 Sundaresan Jayaraman, Workshop Chair
4:30 pm	ADJOURN DAY 1

DAY 2 – TUESDAY, MARCH 5, 2024

Welcome and Recap of Day 1

10:30 am	Chair Welcome and Opening Remarks Sundaresan Jayaraman, Workshop Chair
Session 5	Safety & Quality Considerations
10:45 am	Introduction Nicole (Nikki) McCullough, Vice President of Application Engineering and Regulatory, Personal Safety Division, 3M Company
10:45 am	In the last session in the series aimed at characterizing the impact associated with increasing the adoption of reusable versus disposable HCTs within health care settings, the panel will explore the impact of reusable HCT use on patient and health care worker safety using a risk-based assessment framework.

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10:50 am	Case Study Ensuring That Reusable Respiratory Protective Devices Were Properly Cleaned/Disinfected During the COVID Pandemic Hope Waltenbaugh, Vice President of Perioperative Services & Sara Angelilli, Director, Education & Professional Practice, Allegheny Health Network
11:00 am	Panel Discussion Nicole (Nikki) McCullough, Panel Moderator
	Functional Clothing and Textiles *Wearability and Garment-Based Wearable Technology:* Lucy Dunne, Professor, University of Minnesota
	*Performance Comparison and Physiological Stress:* Meredith McQuerry, Associate Professor, Florida State University
	Health Care System Level Mark Shirley, Director, Integrated Resiliency Management, Sutter Health
	Health Care Worker Level Jill Morgan, Critical Care Nurse, Emory University Hospital
	Regulatory Perspective Louise King, Assistant Professor, Harvard Medical School
11:45 am	Audience Q&A
Session 6	Decision-Making Support
11:55 am	Introduction Jacqueline Daley, Senior Director, Infection Prevention, Providence St. Joseph Health
11:55 am	In this session, the panel will consider the elements of a decision-support framework that a health care organization might consider when exploring the incorporation of more reusable HCTs into its operations.

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12:00 pm	Case Study Decision Process to Incorporate More Reusable Isolation Gowns in Health Care Operations Beth Schenk, Executive Director Environmental Stewardship & Jack Holmberg, Senior Infection Preventionist, Providence Health
12:10 pm	Panel Discussion Jacqueline Daley, Panel Moderator
	Health Care Systems’ & Organizations’ Perspectives *Large-Scale:* Skip Skivington, Vice President of Health Care Continuity and Support Services, Kaiser Permanente
	*Small-Scale:* Barbara DeBaun, Improvement Advisor, Cynosure Health
	User Perspective Katherine Townsend, Professor, Nottingham Trent University
12:55 pm	Audience Q&A
1:05 pm	BREAK
Session 7	Implementation
1:40 pm	Introduction Sundaresan Jayaraman, Workshop Chair
1:40 pm	This final panel will close the workshop by discussing what it would take for a health care organization to implement use of more reusable HCTs. In addition to highlighting the implementation strategies and systems and behavior change models that each panelist relied on to promote the increased use of reusable HCTs in their health care setting, the panel will also address barriers to adoption that were encountered.

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1:45 pm	Panel Discussion Sundaresan Jayaraman, Panel Moderator
	Health Care System with Both On- and Off-Site Laundry Services Laura Thurston, Director, Laundry Services, Intermountain Health
	Sustainability in Clinical Care Cassandra L. Thiel, Assistant Professor, NYU Grossman School of Medicine Edward McCauley, President & CEO, United Hospital Services
	Health Care Worker Level Jill Morgan, Critical Care Nurse, Emory University Hospital
	Intersection of Regulations and Health Care Worker Safety Louise King, Assistant Professor, Harvard Medical School
2:30pm	Audience Q&A

Day 2 Wrap-Up

2:40 pm	Sponsor’s Reflections Maryann D’Alessandro, Director, NPPTL
2:50 pm	Closing Remarks Sundaresan Jayaraman, Workshop Chair
3:00 pm	ADJOURN