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* EC: Emergency Management: Getting started with the crisis standards of care, part 1 (PDF/QV) [REF: JCSC, LDR, PI] EC News, November 2015, Vol 18, #11, Pg 5 JCe1511_B5 The Institute of Medicine (IOM) convened a committee to develop guidance for Crisis Standards of Care (CSC). In the resulting report, CSC are defined “as a state of being that indicates a substantial change in health care operations and the level of care that can be delivered in a public health emergency, justified by specific circumstances.” This article translates the foregoing as a broader, overwhelming state of emergency or mass casualty event (MCE) that is beyond the disaster contingencies currently addressed by TJC standards. It also tells us that the IOM report established a CSC framework consisting of eight key areas ranging from Ethical Considerations/Legal Authority issues to Community/Provider Engagement to Indicators/Triggers for activating CSC. It is reported that the US Department of Health and Human Services (HHS) is now requiring every state to adopt the CSC framework. |
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Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations – Letter ReportReleased: September 24, 2009
• “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 report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations, is focused on articulating 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 addition, the committee provides guidance to clinicians, health care institutions, and state and local public health officials for how those crisis standards of care should be implemented in a disaster situation.”
Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response Released: March 21, 2012
• Report Brief (PDF, HTML)
Crisis Standards of Care: A Toolkit for Indicators and Triggers Released: July 31, 2013
• Toolkit Components: Behavioral Health (PDF)