Medical Risk Management for Meeting Professionals A Panel Discussion By: Risk Management Executives & Thought Leaders August 10, 2008

Session Description A senior panel of risk management thought leaders will share firsthand experiences and recommendations designed for anyone who faces the responsibility of coping with medical liability issues at meetings & events. Skills of a Strategic Meeting Planner from the 2007 Strategic Meetings Management Handbook: o Health and Safety Factors o Risk Management o Security and Emergency Response Planning o Corporate Social Responsibility

Session Objectives Learn the basics of planning for and handling a medical emergency Learn how to properly evaluate a meeting site and your audience for medical preparedness Acquire the necessary tools to ensure a safe and risk- averse international program

Expert Panelists PanelistTitle / Company Evelyn LaxgangPresident, Laxgang Consulting, Inc. Jonathan T. Howe, Esq.Founding Partner/President, Howe & Hutton, LTD Chief Legal Counsel, MPI Dr. Jogesh HarjaiRegional Medical Director, InHouse Physicians Chris AddertonPresident & CEO, CardioReady Certification Corporation David L. MairActing Director, MEDEX Emergency Response Center ModeratorTitle / Company Lori TankingChief Marketing Officer, InHouse Physicians

Health & Safety Attentiveness to factors that impact safety, communication regarding ways to improve safety, and compliance with relevant rules and regulations. Source: 2007 Strategic Meetings Management Handbook

Health & Safety LARGE PROGRAMS There is a direct correlation between the size of the group and the probability of a medical emergency occurring. EXECUTIVE/TEAM PROGRAMS When a group of executives or senior managers are scheduled to attend, proactive planning for emergencies is crucial. Team-building or outdoor activities also introduce risk. REMOTE LOCATIONS Remote destinations represent heightened risk, and can be complicated by lengthy 911 response times and/or limited local medical capabilities and inconsistent care. INTERNATIONAL DESTINATION Medical care overseas is often substandard as compared to the United States, with factors that could contribute to delayed or inadequate care.

International Travel Risks Medical Risks: o Destination-specific diseases o Injury o Inadequate medical care o Inconsistent emergency services o Counterfeit medications, unsafe blood supply o Language barriers Natural Events Political & Civil Turmoil o Myth of “safe” locations

Risk Management Analysis, identification, planning and control of those procedures and practices that can adversely impact the business. Outputs include prevention, contingency planning and preparation of alternatives. Source: 2007 Strategic Meetings Management Handbook

Common Medical Issues Most common emergencies include: Sudden Cardiac Arrest, food allergies, asthma attacks and trauma Non-emergency situations can also intrude upon your meeting / event: sprained ankle, flu, stomach ache, toothache, sore throat, cough, back pain, migraine

Security & Emergency Response Planning Planning for and response to security problems and emergency situations. Knowledge of the procedures and methods used to ensure the safety & security of staff and attendees at meetings and events. Source: 2007 Strategic Meetings Management Handbook

“The magnitude of a tragedy may be measured by the degree to which it could have been prevented.”

“Chain of Survival” 1.Early recognition and call for EMS 2.Initiation of basic life support: CPR 3.Defibrillation 4.Advanced Cardiac Life Support (ACLS) with drug intervention

Venue Challenges Availability of AED equipment Maintenance and testing Training of on-site personnel Communication / coordination with local EMS for transport and definitive treatment

Contingency Planning Focus on principles of the event, not the details Know that communication failures will occur Empower people with both responsibility & authority Benefits of an effective plan: o Coordination in a time of uncertainty o Minimize liability o Speed return to business

Corporate Social Responsibility A concept whereby organizations consider the interests of society by taking responsibility for the impact of their activities on customers, suppliers, employees, shareholders, communities and other stakeholders, as well as the environment. This obligation is seen to extend beyond the statutory obligation to comply with legislation and sees organizations voluntarily taking further steps to improve the quality of life for employees and their families as well as for the local community and society at large.

Question & Answer Session

Thank You for Your Attendance and Involvement in Today’s Panel !