Crisis Standards of Care Lessons from Communities Building Their Plans: Workshop in Brief (2014) / Chapter Skim
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Crisis Standards of Care: Lessons from Communities Building Their Plans - Workshop in Brief
Crisis Standards of Care: Lessons from Communities Building Their Plans - Workshop in Brief
Pages 1-8
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The purpose of this learning session was to share lessons and examples from communities who have been working on developing their plans and to provide a venue allowing participants to discuss challenges they experienced or are anticipating as they begin this type of planning in their own communities. After hearing lessons from various perspectives including state health, local health, health care coalitions, and emergency medical services (EMS)
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Hanfling noted the report also contains a discussion toolkit to help professionals begin conversations with stakeholders in their own communities, as well as specific toolkits tailored to: Behavioral Health, Emergency Management, Emergency Medical Services, Hospital and Acute Care, Out-of-Hospital and Alternative Care, and Public Health. The toolkits contain key concepts, guidance, and practical resources to help actors across the emergency response system develop plans for CSC and response to a catastrophic disaster.
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To help with the project kickoff, Clements described a panel advisory group of subject matter experts, made up of both Texas State Health staff and non-staff members. This panel is charged with developing a medical ethics framework document for Texas that will serve as a compass to guide informed decision-making and the distribution of scarce medical resources during an emergency response, he explained.
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Local Health Suzet McKinney, Deputy Commissioner at the Chicago Department of Health, gave an explanation of why a local health department would begin difficult CSC planning efforts in Chicago and Illinois. CSC planning is now a part of both Public Health Emergency Preparedness (PHEP)
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Health Care Coalitions Linda Scott also emphasized the importance and relevance of the HPP agreement and meeting the Medical Surge Capability 10 from Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness, released by ASPR in 2012.2 She described how Michigan has developed a framework for incorporating collaborative CSC guidance into their work plan, particularly to satisfy Function 4 in the agreement. An important milestone was reached with the state's development of its Guidelines for Ethical Allocation of Scarce Medical Resources and Services during Public Health Emergencies in Michigan, released to health care coalitions in July 2013.
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She described the primary interfaces for EMS, including EMS medical directors, emergency medical dispatchers, health care system agencies, public safety agencies, and the local community. Dispatchers serve as the primary gateway between the public and the dispatch of resources, explained Cunningham, and it is their responsibility to ensure that scarce resources are appropriately delegated during an emergency response, so they should absolutely be included in this important planning process.
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These strategies included engaging key leaders and stakeholders in developing medical surge plans and identifying independent, objective facilitators that could propel the CSC planning process forward, mentioned earlier by McKinney and Clements. McKinney referenced resources participants could use for more information in their planning process, which include sample plans and documents from jurisdictions that have begun this type of work (see Box 2)
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W Chen Security's Federal Emergency Management Agency; Department Office of the Assistant Secretary Matthew Minson of Homeland Security, Office of Health Affairs; Department of of Defense for Health Affairs, Texas A&M University, College Station Department of Defense, Transportation's National Highway Traffic Safety Administration; Washington, DC Erin Mullen Department of Veterans Affairs; Emergency Nurses Association; Pharmaceutical Research and Susan Cooper Manufacturers of America, Food and Drug Administration; Infectious Diseases Society of Regional Medical Center, Memphis, TN Washington, DC America; Martin, Blanck & Associates; Mayo Clinic; Merck Research Laboratories; National Association of Chain Drug Stores; National Brooke Courtney John Osborn Office of Counterterrorism and Mayo Clinic, Rochester, MN Association of County and City Health Officials; National Association Emerging Threats, U.S.
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