1. Vaccine Policy Analysis Collaborative – VPACE Presented by, Mary Davis Hamlin The Keystone Center Overview of Wingspread process and VPACE recommendations

2. VPACE Dr. Roger Bernier, CDC Sabbatical – Enhanced Public Participation Research – “Starting point” proposal widely vetted prior to convening Wingspread Group- initial framing of deliberations

3. Enhance Public Participation Educate - Input - Deliberation/Collaboration Ongoing/Multi-Interest Stakeholder Forums NASA ACWA Citizen Advisory Boards Large/Small General Public Deliberative Process Study Circles America Speaks Consortium

4. Initial Framing Focus on Deliberative/Collaborative Explore Both Stakeholder Forums and Deliberative Public Processes Use Ad hoc Multi-interest Stakeholder Forum - Include Key Interests -Collaboratively Problem-solve – jointly develop wisest/most supportable recommendations

5. Wingspread Group The Keystone Center – 1975 - process consultation and facilitation services to support on-going multi- interest stakeholder forums in their efforts to collaboratively problem-solve (dialogue, resolve disputes, negotiate) to address policy issues in the health, environmental and energy arenas Convene Wingspread Group Facilitate Deliberations

6. Wingspread Group Participants – 30 plus Supportive NGO’s, Vaccine Concerned NGO’s, Neutral/General Public NGO’s, Government Agencies, Health Professional Organizations, Industry, Advisory Committees, Academia, Minority Groups, Public Participation Professionals Key Interests, Balance, Diversity

7. Basics of a Collaborative Process Welcome Diversity of Interests Educate and Understand Interests Jointly Work to Address the Range of Interests Joint Fact Finding to Inform Deliberations Build most Supportable, Wisest Agreements Interests – Need, Concerns, Important, Why

8. Wingspread Group – A Collaborative Processes - Voluntary Come to Table Stay at the Table Agree to Outcomes Based on Perception of Does it Meet my Interests – needs, concerns, important

9. Wingspread Group Process Does this process meet my Procedural Interests? - right group? -willingness to sit across table and collaborate with other participants? -logistical? Does this process meet my Substantive Interests? - am I willing to talk about the issues on the table? -does the emerging agreement meet my needs? Two Key Interest Groups withdrew -legitimate -rational -integrity Continue? – Address Interests, Other Representatives, Proceed despite new risks and challenges -legitimate -rational -integrity -credible

10. Need to build collaborative capacity to address: Complex and important issues with long-term consequences and unclear or competing authorities; Issues where resource and technical expertise alone will not solve the problem; Problems that are driven by values and require much consideration of opinion, beliefs, and convictions; Issues with a high level of controversy with active and mobilized groups of competing interests; Situations where parties are not communicating or communicating at a distance or through extreme positions Wise & Implementable Decisions

11. Why – Core Interests Increase our understanding of the full range of the public’s interests, to move away from framing of the issue in terms of extreme interest groups – solve real problems; Provide a forum for constructive collaborative influence instead of using costly adversarial forums; Provide the ability to wrestle with the implications of the limitations of science and questions involving competing values and trade-offs; Create a safe forum for honest communication among diverse interests;

12. Why Build trust and constructive relationships among stakeholders; Support wise decisions that achieve the buy-in from stakeholders; Support early effective input into decisions; Support informed deliberations regarding vaccine safety; Support our commonly held values around health and safety; and Support continuous improvement of the national public health vaccine program.

13. Principles of Good Public Engagement Has the commitment /link re: decision-makers Does not duplicate other efforts, Includes adequate resources to support the participation of public stakeholders, Provides neutral process and technical support, Ensures the representation of all key interests, Provides a safe and independent forum for all stakeholders to participate,

14. Principles Ensures respectful/equal treatment of participants with no undue influence of any one group on the deliberations Creates jointly developed and enforced clear protocols for the group’s operations that support collaborative deliberations and these principles Recognizes legitimacy of numerous types of knowledge: scientific, experiential, local, cultural etc., Allows all information to be subject to respectful questioning about validity, accuracy, authenticity and reliability, Provides transparency of the process, and Provides evaluation during and after the process.

15. Design Recommendations Principles/Interests =Wisest/Supportable TYPE – The Foundation/Core is a on-going Stakeholder Forum which will implement Larger Deliberative Public Processes to inform their deliberations if deemed useful, appropriate and cost effective. Neutrals/Independent Process (convenors/facilitators) and Technical Experts (IOM) Links/Accountability – Concurrent NVAC Working Group, IOM Roundtable, commitment to consider outcomes and brief regarding actions taken Framing of Issue – By Agencies/Advisory Groups – values and trade offs, pending decisions

16. Recommendations Products of Deliberations – Rich analysis, problem-solving to flesh out a deep understanding of range of interests and options Representation - Involves Key Interests – A microcosm including range of public perspectives Type of Deliberations: Interest-based, Collaborative, Dialogue, No voting Jointly Developed Protocols to Support Collaborative Deliberations Evaluation – On-going, with sunset provision

17. Forwarded VPACE Proposal to NVAC for Consideration Pilot – Joint Partnership w/ Wingspread Steering Committee/NVPO/ and NVAC Working Group - Convene and Participate in Stakeholder Forum - Design and Fund an Enhanced Public Deliberations Component Issue -Pandemic Flu