Previous Chapter: Appendix A: Committee and Staff Biographies
Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Appendix B

Committee Meeting Agendas

Meeting #1
April 2–3, 2024
Washington, DC

TUESDAY, APRIL 2, 2024

9:00 AM*

Welcome, Introductions, Purpose of Meeting

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

9:15 AM

Committee on Science, Technology, and Law (CSTL) Handoff of Study to Committee

CSTL Co-chair:

Martha Minow, Harvard University

9:20 AM

Charge to Committee

Speaker:

Josh Jackson, Arnold Ventures

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

9:30 AM

Discussion with Committee

9:40 AM

Session 1: Overview of Forensic Pathology—Challenges and Opportunities (Training, Practice, and Standards)

Speaker:

James R. Gill, Connecticut Office of the Chief Medical Examiner

10:00 AM

Discussion with Committee

10:45 AM

Break

11:00 AM

Session 2: Overview of Deaths in Custody—Introduction to the Data

Speakers:

Alex R. Piquero, University of Miami (virtual)

Terence Keel, University of California, Los Angeles

Andrea Armstrong, Loyola University New Orleans College of Law

Josh Leung-Gagné, Stanford Center on Poverty and Inequality

11:50 AM

Discussion with Committee

12:30 PM

Lunch

1:30 PM

Session 3: U.S. Department of Justice Inspector General Report on Issues Surrounding Inmate Deaths in Federal Bureau of Prisons Institutions

Speaker:

Michael E. Horowitz, U.S. Department of Justice

1:50 PM

Discussion with Committee

2:30 PM

Break

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

2:45 PM

Session 4: Perspectives on Forensic Pathology and Deaths in Custody

Speakers:

Peter Neufeld, Innocence Project

Corene Kendrick, American Civil Liberties Union National Prison Project

Seth W. Stoughton, University of South Carolina

3:30 PM

Discussion with Committee

4:00 PM

Adjourn to Closed Session

Meeting #2
June 17, 2024
Washington, DC

MONDAY, JUNE 17, 2024

9:30 AM

Welcome, Introductions, Purpose of Meeting

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

9:35 AM

Session 1: U.S. Government Accountability Office 2022 Report to Congress—Deaths in Custody: Additional Action Needed to Help Ensure Data Collected by the U.S. Department of Justice (DOJ) Are Utilized

Speaker:

Jeffrey Fiore, Assistant Director, U.S. Government Accountability Office

9:55 AM

Discussion with Committee

10:30 AM

Session 2: The Role of the Bureau of Justice Assistance and the Bureau of Justice Statistics in Deaths in Custody—Data Collection, Analysis, and Monitoring

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Speakers:

Michelle Garcia, Bureau of Justice Assistance, U.S. Department of Justice

Kevin Scott, Bureau of Justice Statistics, U.S. Department of Justice

11:00 AM

Discussion with Committee

11:45 AM

Lunch

1:00 PM

Session 3: Standards, Certification, and Accreditation

Speakers:

Kelly Keyes, International Association of Coroners & Medical Examiners

J. Keith Pinckard, National Association of Medical Examiners

Bethany Smith, American Board of Medicolegal Death Investigators

1:45 PM

Discussion with Committee

2:15 PM

Break

2:30 PM

Session 4: Medicolegal Death Investigation Working Group—A Joint Effort of the National Institute of Justice and the Centers for Disease Control and Prevention

Speakers:

Lucas Zarwell, National Institute of Justice, U.S. Department of Justice

Margaret Warner, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services

3:15 PM

Discussion with Committee

3:45 PM

Session 5: Law Enforcement Perspectives on Death in Custody

Speakers:

Chris Magnus, The Policing Project, New York University School of Law (virtual)

Jennifer Sommers, Police Executive Research Forum

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

4:30 PM

Discussion with Committee

5:00 PM

Adjourn to Closed Session

Meeting #3
September 19, 2024
Washington, DC

THURSDAY, SEPTEMBER 19, 2024

9:00 AM

Welcome and Introductions

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

9:10 AM

Session 1: Improving Medical Determinations of Deaths in Custody through a Paradigm Shift from Individual Accountability to a Safer System

Moderator:

Marc F. Stern,** University of Washington

Speakers:

Simon Cole, University of California, Irvine

Mark L. Graber,** Society to Improve Diagnosis in Medicine

Kedar Mate, Institute for Healthcare Improvement (virtual)

Itiel E. Dror, University College London

10:30 AM

Discussion with Committee

11:00 AM

Break

11:15 AM

Session 2: Evaluating the Scientific Foundation of Medicolegal Death

Investigation—Identifying Strengths and Limitations

Moderator:

Peter Stout,** Houston Forensic Science Center

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Speakers:

Keith A. Findley, University of Wisconsin–Madison School of Law

Adele Quigley-McBride, Simon Fraser University/National Institute of Standards and Technology (NIST) Organization of Scientific Area Committees for Forensic Science (OSAC) Human Factors Task Group Co-Vice Chair

Maria Cuellar, University of Pennsylvania

Katherine H. Judson, Center for Integrity in Forensic Sciences

Commentator:

Michael Rosenblum,** Johns Hopkins University

12:30 PM

Discussion with Committee

1:00 PM

Lunch

1:45 PM

Session 3: Strengthening Death Investigations/Determinations—Best Practices for Coroners

Moderator:

Roger Mitchell Jr.,** Howard University Hospital

Speakers:

Hayley L. Thompson, D-ABMDI, Skagit County Coroner, Mount Vernon, Washington (virtual)

Cilina Evans, Coroner, Shelby County, Alabama

David Kintz Jr., Coroner, Park County, Colorado

2:30 PM

Discussion with Committee

3:15 PM

Adjourn to Closed Session

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Meeting #4
December 3–4, 2024
(Virtual)

TUESDAY, DECEMBER 3, 2024

1:00 PM

Welcome and Introductions

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

1:05 PM

Session 1: Lessons Learned from Shaken Baby Syndrome/Abusive Head Trauma Determinations

Speaker:

Evan Matshes, NAAG Forensic PC

1:25 PM

Discussion with Committee

1:40 PM

Session 2: Lessons Learned from Excited Delirium Determinations

Speaker:

Altaf Saadi, Massachusetts General Hospital (MGH) Asylum Clinic and Harvard Medical School

2:00 PM

Discussion with Committee

2:20 PM

Session 3: Lessons Learned from Prone Restraint Cardiac Arrest in In-Custody/Arrest-Related Deaths

Speaker:

Victor Weedn, George Washington University

2:40 PM

Discussion with Committee

3:00 PM

Adjourn to Closed Session

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Meeting #5
January 9–10, 2025
(Virtual)

THURSDAY, JANUARY 9, 2025

11:00 AM

Welcome and Introductions

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

11:05 AM

Coronial System in England and Wales/Deaths in Custody/Cause and Manner of Death

Speaker:

Lucy Easthope, University of Bath

11:30 AM

Discussion with Committee

12:00 PM

Adjourn to Closed Session

FRIDAY, JANUARY 10, 2025

1:00 PM

Welcome and Introductions

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

1:05 PM

A Discussion with the U.S. Department of Justice

Speaker:

David J. Gorman, U.S. Attorney’s Office, District of Columbia

1:25 PM

Discussion with Committee

2:00 PM

Adjourn to Closed Session

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Meeting #6
February 4–5, 2025
Washington, DC

TUESDAY, FEBRUARY 4, 2025

8:30 AM

Welcome and Introductions

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

8:35 AM

Session 1: Perspectives on Cause and Manner of Death and Investigative Independence

Speakers:

J. Keith Pinckard, Travis County, Texas

Reade A. Quinton, Mayo Clinic and National Association of Medical Examiners

8:55 AM

Discussion with Committee

9:30 AM

Session 2: Medical Examiner Perspectives on Infrastructure and Resource Needs

Moderator:

Jonathan Lucas,** San Diego County Department of the Medical Examiner

Speakers:

Theodore “Ted” Brown, Arkansas State Crime Laboratory

Erin Linde, Forensic Pathologist, Omaha, Nebraska

Deland Weyrauch, Montana Medical Examiner’s Office

10:00 AM

Discussion with Committee

10:45 AM

Break

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

11:00 AM

Session 3: Medical Examiner Perspectives on Deaths in Custody

Moderator:

Roger Mitchell Jr.,** Howard University Hospital

Speakers:

Jan Gorniak, World Peace Forensic Consulting, LLC

Michelle Jorden, Santa Clara County, California and National Association of Medical Examiners (virtual)

11:30 AM

Discussion with Committee

12:00 PM

Lunch

1:00 PM

Session 4: Perspectives on the Affected Community

Moderator:

John A. Rich,** RUSH University Medical Center

Speakers:

Linda Franks, Fair Fight Initiative

Cheryl Pilate, Partner, Morgan Pilate, LLC (virtual)

1:30 PM

Discussion with Committee

2:00 PM

Session 5: Perspectives from the Correctional and Correctional Health Community

Moderator:

Marc F. Stern,** University of Washington

Speakers:

John Wetzel, Keystone Restituere Justice Center

Johnny Wu, Centurion Health

2:30 PM

Discussion with Committee

3:00 PM

Break

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

3:15 PM

Session 6: Peer Review in Forensic Pathology

Moderator:

Paul S. Appelbaum,** Columbia University

Speakers:

Nicole Martin, Know Your Rights Camp Autopsy Initiative

Alfredo E. Walker, Eastern Ontario Regional Forensic Pathology Unit and University of Ottawa

3:45 PM

Discussion with Committee

4:15 PM

Session 7: Sickle Cell Trait and Cause of Death

Moderator:

Josiah “Jody” Rich,** Brown University

Speaker:

Lachelle D. Weeks, Harvard Medical School (virtual)

4:25 PM

Discussion with Committee

4:55 PM

Adjourn to Closed Session

WEDNESDAY, FEBRUARY 5, 2025

9:00 AM

Welcome and Introductions

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

9:05 AM

Session 8: Restraint of Agitated Individuals

Speaker:

James J. Gerace, Colonie Police Department

9:20 AM

Discussion with Committee

10:00 AM

Adjourn to Closed Session

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Meeting #7 April 17, 2025 (Virtual)

THURSDAY, APRIL 17, 2025

4:00 PM

Welcome and Introduction

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

4:05 PM

Overview of the National Center’s Child Death Review

Speaker:

Abby Collier, National Center for Fatality Review and Prevention

4:25 PM

Discussion with Committee

4:45 PM

Adjourn to Closed Session

Meeting #8
May 16, 2025
(Virtual)

FRIDAY, MAY 16, 2025

11:00 AM

Welcome and Introduction

Committee Co-chairs:

Raymond J. Lohier Jr., United States Court of Appeals for the Second Circuit

John A. Rich, RUSH University Medical Center

11:05 AM

Session 1: Overview of the State of Maryland’s Office of Chief Medical Examiner (OCME) Audit Report

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

Speaker:

Jeff Kukucka, Case Manager

11:50 AM

Discussion with Committee

12:15 PM

Session 2:

Comments from Maryland Office of the Attorney General

Speaker:

Zenita Wickham Hurley, Deputy Attorney General, Maryland Office of the Attorney General

12:30 PM

Discussion with Committee

12:45 PM

Adjourn to Closed Session

* All Times U.S. Eastern

** Member of Study Committee

Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.

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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Suggested Citation: "Appendix B: Committee Meeting Agendas." National Academies of Sciences, Engineering, and Medicine. 2025. Strengthening the U.S. Medicolegal Death Investigation System: Lessons from Deaths in Custody. Washington, DC: The National Academies Press. doi: 10.17226/29232.
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Next Chapter: Appendix C: The Death in Custody Reporting Act of 2013 (DCRA 2013; P.L. 113-242)
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