4318.0 Crisis Standards of Care

Tuesday, October 30, 2012: 2:30 PM - 4:00 PM
At the request of the Office of the Assistant Secretary for Preparedness and Response in the Department of Health and Human Services, the Institute of Medicine convened a committee to develop guidance for crisis standards of care that should apply in disaster situations—both naturally occurring and manmade—under scarce resource conditions. The committee’s two reports articulate current concepts and guidance that can assist state and local public health officials, healthcare facilities, and professionals in the development of systematic and comprehensive policies and protocols for crisis standards of care in disasters where resources are scarce. In February 2012 the Office of the Assistant Secretary for Preparedness and Response, HHS issued The Healthcare Preparedness Capabilities: National Guidance for Healthcare System Preparedness, which was written to assist state and local planners identify gaps in preparedness, determine specific priorities, and develop plans for building and sustaining healthcare specific capabilities. Included in these capabilities, under the surge capacity capability, is the requirement to develop crisis standards of care guidance for healthcare organizations to assist with treatment decisions for a surge of casualties during periods of minimal or scarce resources. Likewise CDC’s 2011 Public Health Preparedness Capabilities: National Standards for State and Local Planning identifies the development of crisis standards of care plans as a priority. Each capability references the work of the Institute of Medicine’s Committee on the Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations.
Session Objectives: • Identify the key elements of CSC and the associated ethical and legal issues, • Describe the basic tenets of developing a multi-tiered systems-based framework for catastrophic response, which is integrated into existing emergency response plans and programs. • Discuss how to enhance tier coordination and consistency with all components (partners) of the emergency response system. • Discuss how States and local entities can better participate, collaborate, and support CSC planning efforts. • Discuss how CSC is an integral part of a greater medical surge planning and how it can be exercised and tested. • Discuss how State and local governments should engage the public about CSC.

Conceptualizing a Framework for Crisis Standards of Care
Dan Hanfling, MD, Tia Powell, MD, Umair A. Shah, MD, MPH and Donna Levin, BA, JD
Crisis Standards of Care: Ethical Issues
Tia Powell, MD, Umair A. Shah, MD, MPH, Bruce Altevogt, PhD and Dan Hanfling, MD
State and Local Government: Planning for and Implementing Crisis Standards of Care
Umair A. Shah, MD, MPH, Tia Powell, MD, Bruce Altevogt, PhD and Dan Hanfling, MD
Public Engagement on Crisis Standards of Care
Umair A. Shah, MD, MPH, Tia Powell, MD, Bruce Altevogt, PhD and Dan Hanfling, MD

See individual abstracts for presenting author's disclosure statement and author's information.

Organized by: Injury Control and Emergency Health Services
Endorsed by: Health Administration

CE Credits: Medical (CME), Health Education (CHES), Nursing (CNE), Public Health (CPH) , Masters Certified Health Education Specialist (MCHES)