Vaccine Policy Analysis Collaborative VPACE Presented by, Mary Davis Hamlin The Keystone Center

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Vaccine Policy Analysis Collaborative
VPACEPresented by, Mary Davis HamlinThe
Keystone Center

• Overview of Wingspread process and VPACE
  recommendations

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VPACE

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

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Enhance Public Participation

• Educate - Input - Deliberation/Collaborati
  on
• Ongoing/Multi-Interest
• Stakeholder Forums
• NASA
• ACWA
• Citizen Advisory Boards
• Large/Small General Public
  Deliberative Process
• Study Circles
• America Speaks
• Consortium

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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

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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

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Wingspread Group

• Participants 30 plus
• Supportive NGOs, Vaccine Concerned NGOs,
  Neutral/General Public NGOs, Government
  Agencies, Health Professional Organizations,
  Industry, Advisory Committees, Academia, Minority
  Groups, Public Participation Professionals
• Key Interests, Balance, Diversity

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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

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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

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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

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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

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Why Core Interests

• Increase our understanding of the full range of
  the publics 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

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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.

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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,

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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 groups 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.

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Design RecommendationsPrinciples/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/facilitato
  rs) 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

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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

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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