Board on Health Sciences Policy Board on the Health of Select Populations COMMITTEE ON MILITARY TRAUMA CARE S LEARNING HEALTH SYSTEM AND ITS TRANSLATION TO THE CIVILIAN SECTOR FINAL AGENDA Institute of Medicine NAS Building, Room 120 2101 Constitution Avenue, NW Washington, DC 20418 July 23, 2015 CLOSED SESSION: Committee Only 8:00 a.m. 10:00 a.m. OPEN SESSION 10:00 a.m. 10:10 a.m. Welcome and Meeting Objectives DON BERWICK, Committee Chair President Emeritus and Senior Fellow Institute for Healthcare Improvement WORKSHOP SESSION I: LEADERSHIP AND ACCOUNTABILITY Session Facilitator: David Marcozzi Session Objectives: To explore military and civilian sector leadership perspectives on a vision for optimal delivery of trauma care and trauma system development the process of priority setting to achieve optimal trauma care delivery, from point of injury to stabilization the challenges to attaining optimal trauma care delivery the role of leadership in supporting a learning system for trauma care delivery
10:10 a.m. 10:30 a.m. Military Sector Panel RADM (RET) DAVID SMITH Deputy Assistant Secretary of Defense for Health Readiness Policy and Oversight LT GEN DOUG ROBB Director, Defense Health Agency 10:30 a.m. 11:15 a.m. Discussion with the committee 11:15 a.m. 12:00 p.m. Civilian Sector Panel DAVID HOYT Executive Director, American College of Surgeons PAUL PATRICK President, National Association of State EMS Officials Deputy Division Director, Utah Department of Health Division of Family Health and Preparedness LENWORTH JACOBS Director of Trauma and Emergency Medicine, Vice President of Academic Affairs and Chief Academic Officer Hartford Hospital BRENDAN CARR Director, Emergency Care Coordination Center U.S. Department of Health and Human Services 12:00 p.m. 12:45 p.m. Discussion with the committee 12:45 p.m. 1:30 p.m. Lunch WORKSHOP SESSION II: TRAUMA DATA AND INFORMATION SYSTEMS Session Facilitator: Adil Haider Session Objectives: To assess for both the military and civilian sectors the current methods to collect, gather, process, manage, store and analyze clinical trauma data at the individual patient and hospital levels the challenges to collection and transformation of this data into actionable information for clinical decision support and policy change what further data is needed to ensure reliable, evidence-based care but is not currently collected
1:30 p.m. 1:45 p.m. Military Sector Panel 1:45 p.m. 2:00 p.m. Civilian Sector Panel MARY ANN SPOTT Deputy Director, Joint Trauma System COL (RET) BRIAN EASTRIDGE Professor of Surgery, Jocelyn and Joe Straus Endowed Chair in Trauma Research University of Texas Health Science Center AVERY NATHENS Director, Trauma Quality Improvement Program American College of Surgeons Chief of Surgery, Sunnybrook Health Sciences Centre MARK BARNES Partner, Ropes and Gray, LLP 2:00 p.m. 2:45 p.m. Discussion with the committee WORKSHOP SESSION III: CLINICAL GUIDELINE DEVELOPMENT Session Facilitator: Doug Kupas Session Objectives: To provide the committee with information on how guidelines are created and maintained, including the process for collecting and reviewing evidence, identifying potential conflicts of interest in authors, best practices in guideline formation, considerations for successful guideline development groups, and principles of guideline writing for end-user usage how guidelines are implemented, including methods of disseminating new guidelines, methods of communicating information about new guidelines, education for end-users, and financial considerations related to implementation or reimbursement related to recommendations in guidelines how guidelines are continuously improved, including methods for feedback from endusers, consideration of evolving evidence, and method for regular review and updating of guidelines 2:45 p.m. 3:00 p.m. Military Sector Panel CAPT ZSOLT STOCKINGER Director of Performance Improvement Joint Trauma System
3:00 p.m. 3:30 p.m. Civilian Sector Panel CAPT (RET) FRANK BUTLER Chair, Committee on Tactical Combat Casualty Care Director of Pre-Hospital Trauma Care Joint Trauma System CAROLYN CLANCY Chief Medical Officer, U.S. Department of Veterans Affairs 3:30 p.m. 4:15 p.m. Discussion with the committee 4:15 p.m. 4:30 p.m. Break SUSAN KIRSH National Director, Clinic Practice Management for Clinical Operations and Access U.S. Department of Veterans Affairs PETER TAILLAC Clinical Professor, Division of Emergency Medicine, University of Utah School of Medicine Medical Director, Bureau of EMS and Preparedness Utah Department of Health Colonel, Medical Corps State Surgeon, Utah Army National Guard DAVID CALLAWAY Co-Director, Committee on Tactical Emergency Casualty Care Associate Professor of Emergency Medicine Carolinas Medical Center WORKSHOP SESSION IV: EDUCATION AND TRAINING FOR READINESS Session Facilitator: Bill Schwab Session Objectives: To provide the committee with information on the military s plan to preserve and enhance trauma expertise across all levels during the interwar period current thought in the military on the training and education of the next generation of combat casualty care personnel
the role of nonconventional training mechanisms (i.e., simulation, live tissue, perfused cadaver) in maintaining skills, particularly during an interwar period how collaborations with the civilian sector can enable the military to rapidly ramp up a trauma care capability at the time of next conflict how improvements in military trauma care can be translated and integrated into civilian emergency care and trauma education and training systems 4:30 p.m. 5:15 p.m. Military Sector Panel CHARLES RICE President, Uniformed Services University of the Health Sciences BRIG GEN ROBERT MILLER Director, Defense Health Agency Education and Training Directorate Commandant, Medical Education and Training Campus COL RAYMOND FANG Director, U.S. Air Force Center for Sustainment of Trauma and Readiness Skills (C-STARS)-Baltimore LTC JASON SEERY Director, U.S. Army Trauma Training Center 5:15 p.m. 6:00 p.m. Discussion with the committee 6:00 p.m. 6:15 p.m. Public Comment Period 6:15 p.m. Adjourn Open Session CAPT (RET) PETER RHEE Professor of Surgery and Chief, Division of Trauma, Critical Care, Burn and Emergency Surgery University of Arizona ALEC BEEKLEY Associate Professor, Thomas Jefferson University Hospitals
July 24, 2015 OPEN SESSION 8:00 a.m. 10:00 a.m. Discussion of Draft Case Studies with Committee 10:00 a.m. 10:45 a.m. Closing Keynote Address 10:45 a.m. Adjourn Open Session LTC ANDREW CAP Chief, Blood Research U.S. Army Institute of Surgical Research KATHRYN BRINSFIELD Assistant Secretary for Health Affairs and Chief Medical Officer U.S. Department of Homeland Security DREW DAWSON Director of the Office of Emergency Medical Services National Highway Traffic Safety Administration U.S. Department of Transportation DAVID HOYT (BY TELECONFERENCE) Executive Director, American College of Surgeons ALLEN YEE National Association of EMS Physicians STEVEN MERCER (BY TELECONFERENCE) National Association of EMTs JOHN OSBORN Trauma Center Association of America GEN (RET) PETER CHIARELLI Chief Executive Officer, One Mind CLOSED SESSION: Committee Only 11:00 a.m. 5:00 p.m. Committee Deliberations