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Need better EU/world collaboration with the US.

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Need better EU/world collaboration with the US.

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Maybe also engage our community engagement teams at our centers/universities to collaborate as well, in terms of best practices.  Esp with regard to misinformation and disinformation.
Maybe we need to include communications/social sciences folks, etc.
Work with a Communications Strategist

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Partner w/School Nurse Associations - school based medical clinics

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Partner w/School Nurse Associations - school based medical clinics

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We often created our own slide decks, talks, etc. to cover the needs, but centralized info/repository would be great.

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Integration of various databases for surveillance. EMS, Poison Center, Hospital...

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Integration of various databases for surveillance. EMS, Poison Center, Hospital...

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Advancements in genetic engineering to exponentially increase the threats from agents

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Advancements in genetic engineering to exponentially increase the threats from agents

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Advocacy group to move research interests of peds and pregnant people forward

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Advocacy group to move research interests of peds and pregnant people forward

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Existing BARDA connection

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Peds and pregnant people are not prioritized in research (e.g., vaccines, therapeutics, clinical trials)

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Peds and pregnant people are not prioritized in research (e.g., vaccines, therapeutics, clinical trials)

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Collaboration btw EM and ID that is tighter in integration

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Collaboration btw EM and ID that is tighter in integration

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Leveraging capacity to move resources in a disaster

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Leveraging capacity to move resources in a disaster

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Example given: dialysis CMO group

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Fidelity of surveillance- can improve for diverse populations

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Fidelity of surveillance- can improve for diverse populations

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can improve for diverse populations

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ID bridges clinical medicine and public health

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ID bridges clinical medicine and public health

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undervalued, underutilized?

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Lack of prehospital integration. EMS may be the first to recognize an exposure/outbreak. 

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Lack of prehospital integration. EMS may be the first to recognize an exposure/outbreak. 

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Data streams to think about peds outbreaks

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Data streams to think about peds outbreaks

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what should we be looking out for? Dashboards and other ways to track/ obtain visibility

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We need integration into overall disaster preparedness

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We need integration into overall disaster preparedness

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utilizing telemedicine to reach rural or underserved areas of the country

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utilizing telemedicine to reach rural or underserved areas of the country

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Integration with existing public health epidemiologic and support structures, including at the state and national level

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Integration with existing public health epidemiologic and support structures, including at the state and national level

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Preparedness activities (planning, training, exercise) tend to focus on adult patient-centric scenarios, unless the scenario is focused on an MCI in a school or other child-focused event. Public health and medical preparedness must be more inclusive of requirements specific to children.

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Preparedness activities (planning, training, exercise) tend to focus on adult patient-centric scenarios, unless the scenario is focused on an MCI in a school or other child-focused event. Public health and medical preparedness must be more inclusive of requirements specific to children.

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We have an opportunity to learn from Health Care Coalitions, health care facilities, and local, state and tribal governments who develop After Action Reports specific to Covid. Gathering as many as we can to compare common threads, lessons learned and best practices will help us identify gaps, overlaps, and replicable ideas for future use.

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We have an opportunity to learn from Health Care Coalitions, health care facilities, and local, state and tribal governments who develop After Action Reports specific to Covid. Gathering as many as we can to compare common threads, lessons learned and best practices will help us identify gaps, overlaps, and replicable ideas for future use.

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Collate forward looking threats and develop group response in a timely manner with the goal of being a reference at national level. Identify key partners (eg: laboratory) to refine response.

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Develop "brand" recognition as subject matter experts for pediatric ID pandemic response

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Opportunity to invest in making sure children's school attendance is not hindered but to make policies that allow for children to remain in school during the next pandemic (influence the development of protocols for exposed, mildly symptomatic, roll out of rapid test that can be done by non-medical personnel at school etc)

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It would be nice to have recognition for this important role in health systems and communities. Often times we were also asked to attend school meetings and answer questions from teachers, school staff and parents.

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Weekly webinars on Sat and Sun during the pandemic to address a wide range of pandemic related topics - including preparedness and various health system responses

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There are some IDSA guidelines specific infection prevention and treatment.  There is a good SHEA guideline on preparedness, and much is ID related but also very general. Also has implementation guidance if I recall correctly.

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Can improve processes and structure, even as content is emerging.

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Dynamic nature of pandemic . Difficult to prepare content when there is uncertainty about the future.

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This network offers an opportunity to highlight the importance of preparedness and prevention. We need to understand the "value" of preparedness and be able to articulate it to others. How to measure the value or worth or being prepared vs. not.

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Funding for preparedness and prevention activities is undervalued. Prior to pandemic we were often justifying the necessity of ID as part of a larger healthcare ecosystem and were perceived as a "cost center" without substantial revenue generation. Many indviduals stepped up during the pandemic, but it took a personal toll on our profession.

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There are national networks that are informal that already exist. During the most uncertain parts of the pandemic, we could reach out to regional or national colleagues by email or by zoom to discuss how we were each handling challenging. issues.

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ID docs tend to be able to cover both individual patients and populations. Because many ID docs have this system level perspective, they are often uniquely suited to respond. Plus many docs have system level roles already (e.g. infection control, antimicrobial stewardship)

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Many part of our health system tended to function independently, ID docs were asked to serve as the link across the continuum of care (ambulatory, procedural, inpatient, etc.) to support the front line teams and to ensure consistency across the organization.  Role was not previously recognized so we just filled the gap without a clear role

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ID docs were asked to not only care for patients, but also support the workforce in the beginning of the pandemic when there was a lot of fear and anxiety. Demand was significant but support was limited.

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Identifying and investing in robust communications systems to disseminate complex scientific material in a manner that is usable and influential and is not done to "catch up" to misinformation but to get ahead of it. Also address diversity and inclusion right from the start.

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Creating ways to improve pipeline for trainees to pursue a career in pediatrics and infectious diseases

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Overall poor compensation and visibility for work done by ID leading to an over worked, under recognized group, with reduced interest for trainees to pursue this field.

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Collective experiential and infectious diseases/epidemiology knowledge from prior pandemics makes for an excellent resource to guide decision making

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Limited timely published evidence for pediatric population making development of policies and recommendations harder

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Mainstream and social media driven misinformation and difficulty keeping pace

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Integration across specialties: ID, EMS, ED, Toxicology,
--adding critical care to this

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Need for collaboration from existing ID entities, both government, public and private

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Need for collaboration from existing ID entities, both government, public and private

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Opportunity to impact policy development related to current pandemic and preparedness for future pandemics

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Opportunity to impact policy development related to current pandemic and preparedness for future pandemics

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Prior siloed systems, especially activites focused on pediatric disaster preparedness. 

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Prior siloed systems, especially activites focused on pediatric disaster preparedness. 

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ID expertise from a multiple pediatric centers across the United States

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ID expertise from a multiple pediatric centers across the United States