alternate standards of care in mass casualty events n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Alternate Standards of Care in Mass Casualty Events PowerPoint Presentation
Download Presentation
Alternate Standards of Care in Mass Casualty Events

Loading in 2 Seconds...

play fullscreen
1 / 19

Alternate Standards of Care in Mass Casualty Events - PowerPoint PPT Presentation


  • 253 Views
  • Uploaded on

Alternate Standards of Care in Mass Casualty Events. Patrick O’Carroll, MD, MPH Regional Health Administrator Public Health Service Region X. The bad news. Not a lot of “there” there. --Gertude Stein. The good news. 20,000 ft. 5,000 ft. ~Sea level. Good work is under way.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Alternate Standards of Care in Mass Casualty Events' - Anita


Download Now An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
alternate standards of care in mass casualty events

Alternate Standards of Care in Mass Casualty Events

Patrick O’Carroll, MD, MPH

Regional Health AdministratorPublic Health Service Region X

good work is under way

20,000 ft

5,000 ft

~Sea level

Good work is under way
  • AHRQ document, Altered Standards of Care in Mass Casualty Events
  • Soon to be released: Providing Mass Medical Care with Scarce Resources: A Community Planning Guide
  • Under way: Various working groups developing guidance for specific issues
altered standards of care in mass casualty events
Altered Standards of Care in Mass Casualty Events
  • August 2004: AHRQ/OASPHEP meeting
    • Bioethics, emergency medicine, emergency management, health administration, health law and policy, public health
  • Purpose:
    • Examine how current standards of care might need to be altered in response to a mass casualty event
    • Identify needs for planning, guidance, and tools; and issues to be addressed
    • Recommend actions to address needs of Federal, State, regional, community, and health systems planners
altered standards of care in mass casualty events key findings
Altered Standards of Care in Mass Casualty Events: Key Findings
  • Goal of response to a mass casualty event: maximize the number of lives saved.
  • Changes in the usual standards of health and medical care will be required
  • Many health system preparedness efforts do not provide sufficient planning and guidance concerning the altered standards of care
  • Protocols for triage need to be flexible enough to change as the size of a mass casualty event grows
altered standards of care in mass casualty events key findings cont d
Altered Standards of Care in Mass Casualty Events: Key Findings(cont’d)
  • The basis for allocating medical resources in a mass casualty event must be fair and clinically sound; process for making these decisions should be transparent and judged by the public to be fair
  • Plan should take into account factors common to all hazards as well as hazard-specific factors
  • Plans should ensure an adequate supply of qualified providers who are trained specifically for a mass casualty event
altered standards of care in mass casualty events key findings cont d1
Altered Standards of Care in Mass Casualty Events: Key Findings(cont’d)
  • Nonmedical issues that affect the delivery of care need to be addressed including:
    • The authority to activate or sanction the use of altered standards of care under certain conditions.
    • Legal issues related to liability, licensing, and intergovernmental or regional mutual aid agreements.
    • Financial issues related to reimbursement and other ways of covering medical care costs.
    • Issues related to effective communication with the public.
    • Issues related to populations with special needs.
    • Issues related to transportation of patients.
altered standards of care in mass casualty events key findings cont d2
Altered Standards of Care in Mass Casualty Events: Key Findings(cont’d)
  • Guidelines and companion tools are needed by preparedness planners at every level

This finding  Recommended action:

  • Develop a Community-Based Planning Guide for Mass Casualty Care to assist preparedness planners in their efforts.
altered standards of care in mass casualty events1
Altered Standards of Care in Mass Casualty Events

http://www.ahrq.gov/research/altstand/

providing mass medical care with scarce resources a community planning guide
Providing Mass Medical Care with Scarce Resources: A Community Planning Guide

Purpose: to provide community planners with information and insights that will help them in their efforts to plan for and respond to a mass casualty event (MCE).

providing mass medical care with scarce resources a community planning guide1
Providing Mass Medical Care with Scarce Resources: A Community Planning Guide

Process: again a collaboration of OASPHEP and AHRQ, co-editors of the Guide

  • Leading experts identified
  • Series of papers commissioned to address six critical fields related to mass casualty care
  • Discussed by a broader group of experts at a meeting held in Washington, DC, June 2006
providing mass medical care with scarce resources a community planning guide2
Providing Mass Medical Care with Scarce Resources: A Community Planning Guide

Will provide info on:

  • The circumstances that communities likely would face as a result of a MCE
  • Key constructs, principles, and structures to be incorporated in the planning for a MCE
  • Approaches and strategies to provide the most appropriate standards of care possible under the circumstances
  • Examples of tools and resources that are available to help in planning process
  • Examples of how certain health systems, communities, or States have approached certain issues as part of their MCE-related planning efforts.
six critical fields related to mass casualty care
Six Critical Fields Related To Mass Casualty Care
  • Ethical Considerations in Community Disaster Planning
  • Assessing the Legal Environment Concerning MCE Planning and Response
  • Prehospital Care
  • Hospital/Acute Care
  • Alternative Care Sites
  • Palliative Care
providing mass medical care with scarce resources a community planning guide3
Providing Mass Medical Care with Scarce Resources: A Community Planning Guide
  • The Guide is to be released in a matter of weeks/months (wending its way through “clearance”)
  • In the meantime:

Sally Phillips, R.N., Ph.D.

Director, Bioterrorism Preparedness Research Program

Center for Primary Care, Prevention, and Clinical

Partnerships

Agency for Healthcare Research and Quality

U.S. Department of Health and Human Services

under way various working groups developing guidance for specific issues
Under way: Various working groups developing guidance for specific issues

Meeting now to develop guidance at the level of procedures, protocols, algorithms, etc.:

  • Prehospital Care
  • Hospital/Acute Care
  • Alternative Care Sites
  • Palliative Care

Due date for guidance delivery:

?

additional contacts
Additional Contacts

Dennis Zaenger, MPH (lead on the Guide project)

Project Manager, AHRQ Knowledge Transfer Project

Health Systems Research, Inc.

1200 - 18th Street, NW - Suite 700

Washington, DC 20036

Main: 202-828-5100

dzaenger@hsrnet.com?

Deborah A. Levy, CDC/NCID/DHQP

Mailstop A07

Atlanta GA 30329-4018

404.639.4086

deborah.levy@cdc.hhs.gov

alternate standards of care in mass casualty events1

Alternate Standards of Care in Mass Casualty Events

Patrick O’Carroll, MD, MPH

Regional Health AdministratorPublic Health Service Region X