TABLE 4Sample Agenda for Interactive Public Engagement Exercise

1. Opening Remarks
  • Welcome participants.
  • Introduce leaders/facilitators.
  • Briefly describe topic.
  • Explain charge of the day.
2. Introductory Exercise
  • Break the ice.
  • Ground rules.
  • Take temperature—why did they attend? What is on their minds?
3. Brief Report-Out
  • Introduce participants to report-out method.
  • Segue into crisis standards of care (CSC).
4. Pre-Survey
  • Quick immersion into CSC: context, scope, and complexity of the issues.
  • Help maintain focus on CSC vs. other preparedness or health care issues.
  • Establish baseline opinions.
5. Expert Presentation
  • Educate participants about CSC: what, when, why, how?
  • Opportunity for brief Q&A.
6. Earthquake Scenario
  • Elicit views on age and likelihood of survival as criteria for resource allocation. Also, withdrawals of treatment and whether all of the region's health care providers should follow the same rules. Other features: sudden onset, geographically contained event.
  • Participants asked to do forced ranking of hypothetical patients and share their perceptions of the associated challenges. Participants asked to share views on what underlying values and goals should drive decisions.
7. Deadly Virus Scenario
  • Elicit views on key worker status as criterion for resource allocation. Also, address the role of government agencies in promoting consistent application of CSC rules within the affected area, and withdrawal of treatment.
  • Participants asked to share views on what underlying values and goals should drive decisions.
8. Report-Out
  • Give table groups the chance to share key thoughts and identify points of difference and intersection within the larger group.
  • Spark larger group discussion and input.
  • Further inform and influence thinking of participants.
9. Post-Survey
  • Identify changes in participant views pre- and post-session.
  • Give participants a chance to consider the range of opinions in the room.
10. Discussion of Survey Results
  • Satisfy participant interest in survey results.
  • Final opportunity to elicit more information on participant views around CSC issues.
11. Final Question
  • Big-picture question to wrap up discussion.
12. Wrap-Up
  • Words from sponsor about local disaster preparedness planning initiatives and resources and the importance of individual and community preparedness.
  • Thank participants.
13. Evaluation
  • How did participants experience the session? Do they feel better informed, that they had a chance to share their views, and that it was a valuable exercise?

SOURCE: Shah presentation (March 14, 2013), adapted from IOM, 2012a.


Cover of Engaging the Public in Critical Disaster Planning and Decision Making
Engaging the Public in Critical Disaster Planning and Decision Making: Workshop Summary.
Forum on Medical and Public Health Preparedness for Catastrophic Events; Board on Health Sciences Policy; Institute of Medicine; Wizemann T, Reeve M, Altevogt B, editors.
Washington (DC): National Academies Press (US); 2013 Feb 12.
Copyright 2013 by the National Academy of Sciences. All rights reserved.

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