Crisis Standards of Care
Crisis standards of care (CSC) is when health care systems are so overwhelmed by a pervasive or catastrophic public health event it is impossible for them to provide the normal, or standard, level of care to patients. In situations like this, a formal declaration by state government would occur to recognize health care systems are in crisis operations that may last for some time. MDH supports CSC planning as it is impossible to predict the timing and severity of a future outbreak and waiting for the disaster to strike would be too late.
Minnesota COVID Ethics Collaborative (MCEC)
The Minnesota Department of Health is actively participating in the Minnesota COVID Ethics Collaborative. This multidisciplinary group is focusing on the complex ethical decisions that may arise during this time.
- Ethical Framework to Allocate Remdesivir in the COVID-19 Pandemic (PDF)
Past guidance, key ethical values, and the process for allocation of remdesivir among Minnesota health care facilities and patients.
- Allocation of Ventilators & Related Scarce Critical Care Resources During the COVID-19 Pandemic (PDF)
Statewide ethical guidance for the allocation of ventilators during COVID-19.
- Hospital Guidance: Making Cardiopulmonary Resuscitation Decisions in the Context of the COVID-19 Pandemic (PDF)
Statewide ethical guidance for acute care hospitals and performing CPR during COVID-19.
Personal Protective Equipment
- CDC Strategies for Optimizing the Supply of PPE
The CDC has release conventional, contingency and crisis strategies specific to eye protection, isolation gowns, facemasks, and N95 respirators.
- MDH Contingency Standards of Care for COVID-19: Personal Protective Equipment for Congregate Care Settings
MDH has created a PPE Grid to help facilities conserve PPE in line with MDH and CDC guidance. Facilities must continue to implement contingency and crisis conservation strategies to receive state and federal assets
- Patient Care Strategies for Scarce Resource Situations (PDF)
A standardized tool to assist Minnesota hospitals, clinics or primary care settings in determining the best use of specialized equipment and supplies during a pervasive or catastrophic public health event.
- Pharmaceutical Shortages for Minnesota Hospitals (PDF)
Frequently Asked Questions.
These resources are developed and maintained by the MDH Science Advisory Team (SAT). The SAT is devised of subject matter experts from different backgrounds including—critical care physicians, primary care, psychiatrists, pharmacists, ethicists, hospital administration, legal and other disciplines—to develop guidance for hospitals, health systems, and health care coalitions. The SAT advises the MDH Commissioner on strategies for optimal allocation of scarce resources during crisis standards of care situations including ethical and policy considerations.
The goal of the Minnesota CSC Framework is twofold:
- To outline the Minnesota Department of Health response during a Crisis Standards of Care situation and
- To provide planning guidance to health care and public health organizations to successfully manage the transition from conventional to contingency to crisis care and a shift in care from individual patients to the good of the community.
It is broken down into six categories:
- MDH Crisis Standards of Care CONOPS (PDF)
This document describes the roles and responsibilities of MDH during a crisis standards of care response.
- Minnesota CSC Ethical Considerations
- Minnesota CSC Legal Considerations
- Minnesota CSC EMS Considerations
- Minnesota CSC Health Care Facility Considerations
- Minnesota CSC Community Engagement Considerations
- An Overview of Catastrophic Planning in Minnesota (PDF)
This report provides a historical overview of catastrophic planning in Minnesota. It reviews how the Science Advisory Team has played an integral role in material development for Minnesota, the Minnesota Pandemics Project, the development of the Minnesota Framework, and the future of this project.