DEA and HHS Extend COVID-19 Telemedicine Flexibilities for Controlled Medications Prescriptions Again
Posted on October 12, 2023 in Health Law News
Published by: Hall Render
Updated April 29, 2020
Resources for Allocation of Scarce Medical Resources and Triage during the COVID-19 Pandemic
This page contains resources that may be helpful to your organization and it will be updated regularly. If you have any questions about COVID-19, please call 317-429-3900.
Hall Render has compiled the resources from federal agencies, states, professional organizations and societies, hospitals and others to aid hospitals and health care providers as they navigate how to address triage processes if there is a shortage of critical supplies or capacity in their facilities. We believe this is the most current guidance available but federal, state and other resources may evolve and new recommendations and evidence-based care guidelines may emerge. We will continue to update the resources as they become available.
If you have questions, please contact one of the following or your regular Hall Render attorney:
Federal Resources
- ASPR TRACIE: COVID-19 Critical Care Surge Resources
- CDC: Clinical Guidance for State and Local Readiness for Public Health Threats
- U.S. Public Health Service Commissioned Corps: Optimizing Ventilator Use during the COVID-19 Pandemic (March 31, 2020)
- U.S. Department of Health and Human Services: Additional Statements on Optimizing the Use of Ventilators during the COVID-19 Pandemic (March 31, 2020)
- U.S. Department of Health and Human Services, Office of Civil Rights: BULLETIN: Civil Rights, HIPAA, and the Coronavirus Disease 2019 (COVID-19) (March 28, 2020)
- CDC: Ethical Considerations for Decision Making Regarding Allocation of Mechanical Ventilators during a Severe Influenza Pandemic or Other Public Health Emergency (July 1, 2011)
- Veterans Health Administration’s National Center for Ethics in Health Care: Meeting the Challenge of Pandemic Influenza: Ethical Guidance for Leaders and Health Care Professionals in the Veterans Health Administration (July 2010)
State Resources
Colorado
- Colorado Crisis Standards of Care (April 5, 2020)
- State officials update crisis standards of care in response to COVID-19 (April 5, 2020)
Kansas
- Toolkit for COVID-19 (February 28, 2020)
Mississippi
- Mississippi Pandemic Influenza Incident Annex (June 14, 2019)
Missouri
- Pandemic Influenza Response Plan (March 2020)
New York
- Ventilator Allocation Guidelines (November 2015)
Utah
- Utah Crisis Standards of Care Guidelines (June 2018)
Washington
- Scarce Resource Management & Crisis Standards of Care (Last updated March 29, 2020)
Professional Society/Organization Resources
- Annals of Internal Medicine: Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors (April 24, 2020)
- Issues in Science and Technology: Who Should Get the Last Ventilator? (April 3, 2020)
- Medical Society of the State of New York: Guidelines on Ventilator Allocation (April 2, 2020)|
- Journal of the American Medical Association: Potential Legal Liability for Withdrawing or Withholding Ventilators During COVID-19: Assessing the Risks and Identifying Needed Reforms (April 1, 2020)
- Society of Critical Care Medicine: Consensus Statement on Multiple Patients Per Ventilator (March 26, 2020)
- National Academies of Sciences, Engineering, and Medicine: Rapid Expert Consultation on Crisis Standards of Care for the COVID-19 Pandemic (March 28, 2020)
- Journal of the American Medical Association: A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic (March 27, 2020)
- The Hastings Center: Ethical Framework for Health Care Institutions & Guidelines for Institutional Ethics Services Responding to the Coronavirus Pandemic: Managing Uncertainty, Safeguarding Communities, Guiding Practice (March 16, 2020)
- Society of Critical Care Medicine: United States Resource Availability for COVID-19 (March 19, 2020)
- National Academy of Medicine: Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2 (March 5, 2020).
- Institute of Medicine: Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response (2012)
- Institute of Medicine: Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report (2009)
- American Medical Association: Allocating Limited Health Care Resources, Code of Medical Ethics Opinion 11.1.3
- American Medical Association: AMA Code of Medical Ethics: Guidance in a Pandemic
- American Medical Association: Physicians’ Responsibilities in Disaster Response & Preparedness
Institutional And Hospital Resources
- Emory Ethics Guidance in Critical Care of Patients during the COVID-19 Public Health Emergency – Section 1 – Ethical Framework: Emory Healthcare DRAFT Ethics Guidance in Critical Care During the COVID-19 Public Health Emergency (April 3, 2020)
- Johns Hopkins University & Medicine: Coronavirus Resource Center
- University of Washington Medicine: COVID-19 Resource Site
- Greater New York Hospital Association: Working Protocol for Supporting Two Patients with a Single Ventilator (March 26, 2020)
- University of Virginia Health System Ethics Committee: Ethical Framework and Recommendations for COVID-19 Resources Allocation When Scarcity is Anticipated (March 26, 2020)
- University of Pittsburgh, School of Medicine, Department of Critical Care Medicine: Allocation of Scarce Critical Care Resources During a Public Health Emergency (March 26, 2020)
- Columbia University College of Physicians & Surgeons New York-Presbyterian Hospital: Ventilator Sharing Protocol: Dual-Patient Ventilation with a Single Mechanical Ventilator for Use during Critical Ventilator Shortages, Version 3 (March 24, 2020)
- Cunningham, Thomas V., Bioethics Director, Kaiser Permanente, West Los Angeles. Pandemic Triage Committee Template (March 18, 2020)
Additional Resources
- COVID-19: Prepare for Care-Rationing – Know Your Hospital Policies Neurology Today (April 8, 2020)
- “As Coronavirus Cases Grow, Hospitals Adopt A System to Rank Patients for Treatment” CNN (April 3, 2020)
- “Disabusing the Disability Critique of the New York State Task Force Report on Ventilator Allocation” The Hastings Center (April 1, 2020)
- “Patient Has Virus and Serious Cancer. Should Doctors Withhold Ventilator?” New York Times (April 1, 2020)
- “At the Top of the Covid-19 Curve, How Do Hospitals Decide Who Gets Treatment?” New York Times (March 31, 2020)
- “Who Should Be Saved First? Experts Offer Ethical Guidance” The New York Times (updated March 29, 2020)
- “Trump Administration Medical Panel Devises Ventilator-Sharing Protocol” Wall Street Journal (March 27, 2020)
- “One ventilator, two patients: New York hospitals shift to crisis mode” Reuters (March 26, 2020)
- “The Toughest Triage — Allocating Ventilators in a Pandemic” New England Journal of Medicine (Mar. 23, 2020)
- “Fair Allocation of Scarce Medical Resources in the Time of Covid-19” New England Journal of Medicine (Mar. 23, 2020)
- “Facing Covid-19 in Italy — Ethics, Logistics, and Therapeutics on the Epidemic’s Front Line” New England Journal of Medicine (March 18, 2020)
International Resources
- The Australian and New Zealand Intensive Care Society: COVID-19 Guidelines, Version 1 (March 16, 2020)
- Italian College of Anesthesia, Analgesia, Resuscitation, and Intensive Care: Clinical Ethics Recommendations For The Allocation Of Intensive Care Treatments, In Exceptional, Resource-Limited Circumstances, Version 1 (March, 16, 2020)
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