TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Megan Snair A2 - Aurelia Attal-Juncqua A2 - Scott Wollek TI - Evolving Crisis Standards of Care and Ongoing Lessons from COVID-19: Proceedings of a Workshop Series SN - DO - 10.17226/26573 PY - 2022 UR - https://nap.nationalacademies.org/catalog/26573/evolving-crisis-standards-of-care-and-ongoing-lessons-from-covid-19 PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Crisis Standards of Care (CSC) inform decisions on medical care during a large-scale crisis such as a pandemic or natural disaster, eliminating the need to make these decisions at the bedside without protections or guidance. Numerous points throughout the COVID-19 pandemic have demonstrated the necessity of this type of crisis planning. The National Academies of Sciences, Engineering, and Medicine Forum on Medical and Public Health Preparedness for Disasters and Emergencies convened a series of public workshops to examine the experiences of healthcare providers during the COVID-19 pandemic and identify lessons that can inform current and future CSC planning and implementation. The workshops examined staffing and workforce needs, planning and implementation of CSC plans, and legal, ethical, and equity considerations of CSC planning. Topics of discussion included improving coordination between the bedside and boardroom, increasing buy-in from elected officials, expanding provider engagement, and addressing health equity issues. This publication summarizes the presentation and discussion of the workshops. ER - TY - BOOK AU - Institute of Medicine A2 - Bruce M. Altevogt A2 - Clare Stroud A2 - Sarah L. Hanson A2 - Dan Hanfling A2 - Lawrence O. Gostin TI - Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report SN - DO - 10.17226/12749 PY - 2009 UR - https://nap.nationalacademies.org/catalog/12749/guidance-for-establishing-crisis-standards-of-care-for-use-in-disaster-situations PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - The influenza pandemic caused by the 2009 H1N1 virus underscores the immediate and critical need to prepare for a public health emergency in which thousands, tens of thousands, or even hundreds of thousands of people suddenly seek and require medical care in communities across the United States. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations draws from a broad spectrum of expertise—including state and local public health, emergency medicine and response, primary care, nursing, palliative care, ethics, the law, behavioral health, and risk communication—to offer guidance toward establishing standards of care that should apply to disaster situations, both naturally occurring and man-made, under conditions in which resources are scarce. This book explores two case studies that illustrate the application of the guidance and principles laid out in the report. One scenario focuses on a gradual-onset pandemic flu. The other scenario focuses on an earthquake and the particular issues that would arise during a no-notice event. Outlining current concepts and offering guidance, this book will prove an asset to state and local public health officials, health care facilities, and professionals in the development of systematic and comprehensive policies and protocols for standards of care in disasters when resources are scarce. In addition, the extensive operations section of the book provides guidance to clinicians, health care institutions, and state and local public health officials for how crisis standards of care should be implemented in a disaster situation. ER - TY - BOOK AU - Institute of Medicine A2 - Megan Reeve A2 - Bruce Altevogt A2 - Miriam Davis TI - Regional Disaster Response Coordination to Support Health Outcomes: Summary of a Workshop Series SN - DO - 10.17226/21713 PY - 2015 UR - https://nap.nationalacademies.org/catalog/21713/regional-disaster-response-coordination-to-support-health-outcomes-summary-of PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Conflict and Security Issues AB - When disaster strikes, it rarely impacts just one jurisdiction. Many catastrophic disaster plans include support from neighboring jurisdictions that likely will not be available in a regional disaster. Bringing multiple stakeholders together from sectors that do not routinely work with each other can augment a response to a disaster, but can also be extremely difficult because of the multi-disciplinary communication and coordination needed to ensure effective medical and public health response. As many communities within a region will have similar vulnerabilities, a logical step in planning is to establish responsibilities and capacities, and be able to work toward common goals to address all-hazards when the entire region is affected. To explore these considerations, the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events organized a series of three regional workshops in 2014 to explore opportunities to strengthen the regional coordination required in response to a large scale multijurisdictional disaster. The purpose of each regional workshop was to discuss ways to strengthen coordination among multiple jurisdictions in various regions to ensure fair and equitable treatment of communities from all impacted areas. Regional Disaster Response Coordination to Support Health Outcomes summarizes the presentation and discussion of these workshops. ER - TY - BOOK AU - Institute of Medicine A2 - Kristin Viswanathan A2 - Theresa Wizemann A2 - Bruce M. Altevogt TI - Preparedness and Response to a Rural Mass Casualty Incident: Workshop Summary SN - DO - 10.17226/13070 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13070/preparedness-and-response-to-a-rural-mass-casualty-incident-workshop PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Problems contacting emergency services and delayed assistance are not unusual when incidents occur in rural areas, and the consequences can be devastating, particularly with mass casualty incidents. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop to examine the current capabilities of emergency response systems and the future opportunities to improve mass casualty response in rural communities. ER - TY - BOOK AU - Institute of Medicine A2 - Theresa Wizemann A2 - Megan Reeve A2 - Bruce M. Altevogt TI - Preparedness, Response, and Recovery Considerations for Children and Families: Workshop Summary SN - DO - 10.17226/18550 PY - 2014 UR - https://nap.nationalacademies.org/catalog/18550/preparedness-response-and-recovery-considerations-for-children-and-families-workshop PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Preparedness, Response and Recovery Considerations for Children and Families is the summary of a workshop convened in June, 2013 by the Institute of Medicine Forum on Medical and Public Health Preparedness for Catastrophic Events to discuss disaster preparedness, response, and resilience relative to the needs of children and families, including children with special health care needs. Traditional and non-traditional medical and public health stakeholders from across federal, state, and local government health care coalitions, community organizations, school districts, child care providers, hospitals, private health care providers, insurers, academia, and other partners in municipal planning met to review existing tools and frameworks that can be modified to include children's needs; identify child-serving partners and organizations that can be leveraged in planning to improve outcomes for children; highlight best practices in resilience and recovery strategies for children; and raise awareness of the need to integrate children's considerations throughout local and state emergency plans. Communities across the United States face the threat of emergencies and disasters almost every day, natural and man-made, urban and rural, large and small. Although children represent nearly 25 percent of the U.S. population, current state and local disaster preparedness plans often do not include specific considerations for children and families. The preparedness and resilience of communities related to children will require a systems framework for disaster preparedness across traditional and non-traditional medical and public health stakeholders, including community organizations, schools, and other partners in municipal planning. This report examines resilience strategies that lead to successful recovery in children after a disaster and discusses current approaches and interventions to improve recovery in children. ER - TY - BOOK AU - Institute of Medicine A2 - Dan Hanfling A2 - Bruce M. Altevogt A2 - Kristin Viswanathan A2 - Lawrence O. Gostin TI - Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response: Volume 1: Introduction and CSC Framework SN - DO - 10.17226/13351 PY - 2012 UR - https://nap.nationalacademies.org/catalog/13351/crisis-standards-of-care-a-systems-framework-for-catastrophic-disaster PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Conflict and Security Issues AB - Catastrophic disasters occurring in 2011 in the United States and worldwide—from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand—have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources. ER - TY - BOOK AU - Institute of Medicine A2 - Theresa Wizemann A2 - Megan Reeve A2 - Bruce Altevogt TI - Engaging the Public in Critical Disaster Planning and Decision Making: Workshop Summary SN - DO - 10.17226/18396 PY - 2013 UR - https://nap.nationalacademies.org/catalog/18396/engaging-the-public-in-critical-disaster-planning-and-decision-making PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Engaging the Public in Critical Disaster Planning and Decision Making is the summary of a workshop held in March 2013 to discuss the key principles of public engagement during the development of disaster plans, the response phase, and during the dissemination phase when interested community partners and the general public are informed of the policies that have been adopted. Presenters provided specific examples of resources to assist jurisdictions in planning public engagement activities as well as challenges experienced and potential solutions. This report introduces key principles of public engagement, provides practical guidance on how to plan and implement a public engagement activity, and presents tools to facilitate planning. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Megan Snair A2 - Aurelia Attal-Juncqua A2 - Scott Wollek TI - Crisis Standards of Care: Ten Years of Successes and Challenges: Proceedings of a Workshop SN - DO - 10.17226/25767 PY - 2021 UR - https://nap.nationalacademies.org/catalog/25767/crisis-standards-of-care-ten-years-of-successes-and-challenges PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - In 2009 the Institute of Medicine (IOM) began to assess the need for better-defined medical and public health crisis standards of care (CSC) for catastrophic disasters and public health emergencies. Over the next 10 years, the IOM defined templates for those stakeholders responsible for integrated CSC planning and implementation; created a tool kit with guidance on indicators and triggers; provided a discussion kit for stakeholders to use with their own communities to establish appropriate indicators and triggers to guide their planning; disseminated the messages and key concepts of CSC; and built on the initial efforts to refine certain elements and address remaining gaps. This current Proceedings of a Workshop captures the discussions from a 2019 workshop reviewing the successes and gaps over the last 10 years of CSC work, in order to inform the next phases of planning and implementation. ER -