The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Sustainability of the CDC Strategic National Stockpile, A Workshop

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INSTITUTE OF MEDICINE The Nation's Medical Countermeasure Stockpile: Opportunities to Improve the Sustainability of the CDC Strategic National Stockpile, A Workshop Final Agenda February 4-5, 2016 Workshop Objectives: Keck Center, Room 100 500 Fifth Street, N.W. Washington, D.C. Provide a broad overview of current efforts underway at CDC, DoD, and the VA to distribute medical countermeasures and other supplies during a disaster or other public health emergency including during times of major infrastructure failure; Review novel practices used by private industry to distribute medical products and supplies on a day to day basis as well as during an emergency; Identify major gaps in currently available distribution methods in the public and private sectors; Identify opportunities for collaboration and coordination between CDC and among relevant federal as well as industry programs to support effective and efficient medical countermeasure distribution; and Examine opportunities to enhance the economic sustainability of the SNS in view of evolving mission expectations and new MCM research and development. DAY 1: FEBRUARY 4, 2016 OPEN SESSION Welcome and Introductory Remarks 8:30 a.m. Tara O Toole, Chair, SNS Standing Committee Greg Burel. Director, Division of the Strategic National Stockpile, OPHPR, CDC SESSION I: THE STRATEGIC NATIONAL STOCKPILE: A NATIONAL ASSET FOR LIFE SAVING MEDICAL COUNTERMEASURES Provide a past and present perspective on the SNS as a national asset. Provide a broad overview of the SNS, its history, policy foundations, operations, relationships with other CDC divisions and programs, and other federal stakeholders. Provide insight on the future direction of the SNS.

8:45 a.m. Panel I Ali Khan, Dean of the College of Public Health, University of Nebraska Medical Center and Former Director, OPHPR, CDC Frank Gottron, Specialist in Science and Technology Policy, Congressional Research Service Sally Phillips, Deputy Assistant Secretary for Policy, ASPR Dan Sosin, Deputy Director and CMO, OPHPR, CDC 9:30 a.m. Panel II Greg Burel, Director, Division of the Strategic National Stockpile, OPHPR, CDC Susan Sherman, Senior Attorney, Office of General Counsel, HHS Christine Kosmos, Director, Division of State and Local Readiness, OPHPR, CDC 11:00 a.m. Break 11:15 a.m. Panel III: The Federal Medical Countermeasures Enterprise Moderator: Tom Inglesby, Director, UPMC Center for Health Security Richard Jaffe, Director, Medical Countermeasures Strategy and Requirements, ASPR Gary Disbrow, Director, CBRN Division, BARDA, ASPR Brad Leissa, Deputy Director, Counter Terrorism and Emergency Coordination Staff, FDA Rocco Casagrande, Managing Director, Gryphon Scientific 12:30 p.m. Lunch

SESSION II: THE SNS SUPPLY CHAIN AND PARTNERSHIPS Provide an overview of the MCM supply chain and stockpile strategies of the Department of Defense and Department of Veterans Affairs, and explore opportunities to leverage lessons learned. Develop an understanding of the commercial supply chain, its interface with the SNS and how the resources of the private sector can be best leveraged. 1:30 p.m. Panel IV, MCM Distribution Lessons from Other Government Partners Moderator: Ellen Carlin, Principal, Carlin Communications Lewis Radonovich, Director, National Center for Occupational Health and Infection Control, Department of Veterans Affairs COL Alex Zotomayor, Director, Medical Supply Chain, Defense Logistics Agency, Department of Defense Michael Loehr, Chief of Emergency Preparedness and Response, Washington State Department of Health 2:45 p.m. Break 3:00 p.m. Panel V, Understanding and Leveraging Practices of the Commercial Supply Chain Moderator: Perry Fri, Exec. VP, Industry Relations, Healthcare Distribution Management Association Margaret Brandeau, Coleman F. Fung Professor of Engineering, Stanford University Jason Frederick, VP of Operations, FedEx Custom Critical Mitch Mattingly, President, Metro Logics Inc. 4:15 p.m. Break Day 1: Wrap Up 4:30 p.m. Review of the Day s Discussions and Looking Ahead Tara O Toole, Chair, SNS Standing Committee 5:00 p.m. Adjourn

INSTITUTE OF MEDICINE Standing Committee for the Centers for Disease Control and Prevention Division of Strategic National Stockpile DAY 2: FEBRUARY 5, 2016 OPEN SESSION 8:30 a.m. Welcome Tara O Toole, Chair, SNS Standing Committee SESSION III: STUDIES AND REPORTS RELATED TO THE SNS Provide an overview of studies and reports conducted in the past several years that have addressed the challenges and opportunities of the Strategic National Stockpile. 8:40 a.m. Panel VI, Reports on SNS Moderator: Eva Lee, Director, Center for Operations Research in Medicine and Healthcare, Georgia Institute of Technology Anticipated Responsibilities of the SNS in the Year 2020: An Examination with Recommendations, A Joint Report of the National Biodefense Science Board and the Office of Public Health Preparedness and Response Board of Scientific Counselors, John Parker, Former Chair, National Biodefense Science Board and Report Co-Chair A National Blueprint for Biodefense: Leadership and Major Reforms Needed to Optimize Efforts, Ellen Carlin, Co-Director, Blue Ribbon Study Panel on Biodefense ASTHO Public Health Emergency Medical Countermeasures Enterprise Review: A Strategic Report, Robert L. Burhans, Senior Executive, Health Emergency Management, Tetra Tech EMCR Greg Burel, Director, Division of the Strategic National Stockpile, OPHPR, CDC 10:25 a.m. BREAK SESSION IV: SNS COLLABORATION WITH STATE AND LOCAL PARTNERS Provide an overview of state and local partnerships with the SNS. Explore best practices and opportunities for SNS collaboration between different levels of government.

10:40 a.m. Panel VII, State and Local Perspectives: Moderator: Paul Petersen, Director, Emergency Preparedness Program, Tennessee Dept. of Health Jennifer Lixey Terrill, Healthcare and Public Health Emergency Management and Policy Specialist, Michigan Department of Health and Human Services Michael Poole, SNS Coordinator, Texas Dept. of State Health Services David Starr, Director, Countermeasures Response, New York City Department of Health and Mental Hygiene Emily Gore, Public Health Manager, Public Health Preparedness Division, Dallas County Health and Human Services 12:25 p.m. Lunch SESSION V: THE ROAD AHEAD Review previous days discussions and explore key themes and ideas relevant to the future success of the SNS. 1:25 p.m. Panel VIII, Implications and Opportunities for the Future Tom Inglesby, Director, UPMC Center for Health Security Eva Lee, Director, Center for Operations Research in Medicine and Healthcare, Georgia Institute of Technology Ellen Carlin, Principal, Carlin Communications Perry Fri, Exec. VP, Industry Relations, Healthcare Distribution Management Association Paul Petersen, Director, Emergency Preparedness Program, Tennessee Dept. of Health 3:00 p.m. Adjourn