Pandemic: OHA publishes standards for hospital care in the event of a crisis | News

The Oregon Health Authority (OHA) has provided state hospitals with an interim crisis care tool to help them prioritize treatment if they reach a point where intensive care beds, specialized equipment, such as ventilators, and other resources are becoming scarce due to the outbreak of COVID- 19 entries.

Hospitals in Oregon may activate crisis care standards if their critical care resources are severely limited, the number of patients presenting for intensive care exceeds capacity, and there is no option to transfer patients to other intensive care facilities, according to an OHA statement.

Hospitals can implement the OHA Interim Crisis Care Tool – or one of their own that complies with the Oregon Principles for Promoting Health Equity in Resource Events. limited – if they have taken specific steps to expand their capacity to provide care. These steps include storing supplies, postponing elective care, and reallocating existing beds and staff that are not typically used to provide intensive care.

As part of the intermediate triage tool, all patients likely to benefit from treatment will be offered care, if health care resources are sufficient. If hospital staff, beds and treatments are insufficient, all patients will be assessed individually based on the best objective medical evidence available. Depending on the tool:

  • No one will be denied care on the basis of stereotypes, assumptions about an individual’s quality of life, or judgment of an individual’s “worth” based on the presence or absence of disabilities.
  • Care decisions should be based on the likelihood of survival until discharge from hospital.

Under Oregon’s Interim Crisis Care Standards, state health officials expect providers to treat all patients with respect, care, and compassion. Hospital clinicians may not base their care decisions on an individual’s use of past or future medical or social resources. They should apply reasonable changes to all triage scoring criteria when examining people with underlying disabilities or certain underlying health conditions, the release said.

Triage decisions will be made regardless of morally or scientifically irrelevant considerations such as income, race, ethnicity, gender identity, sexual orientation, immigration status, coverage of health insurance or other factors.

The OHA said it developed the interim tool based on several existing triage tools, such as those released by Arizona, Massachusetts, and Washington State. State health officials made adjustments in accordance with Oregon’s health equity principles of non-discrimination, patient-led decision-making, and transparent communications.

State health officials said they consulted with a limited group of clinicians, medical ethicists, disability advocates and others before releasing the interim triage tool.

Oregon remains committed to developing a permanent tool based on broader community input, according to OHA Chief Medical Officer Dana Hargunani.

“For now, we want to put a triage tool in the hands of clinicians who will likely be faced with some very difficult decisions in the coming weeks as the Omicron variant takes its toll and puts more patients in the hospital,” Hargunani said. “This interim tool is not perfect, but it does ensure that clinicians can be sure they are using criteria that are firmly anchored in Oregon’s values ​​of non-discrimination and health equity. as they face these heartbreaking decisions.

At the same time, the OHA is also calling today for candidates to serve on Oregon’s new Resource Allocation Advisory Committee.

The role of the Oregon Resource Allocation Advisory Committee will be to:

  • Review and inform updates to the OHA Principles for Promoting Health Equity at Resource-Limited Events, which ensure health equity in decision-making in times of resource shortages .
  • Review and notify any future amendments or changes to the Interim Crisis Care Tool.
  • Guide the development of any additional resources needed – including triage tools, tips, best practices – to ensure these principles can be easily applied in Oregon at a resource-limited event.
  • Inform standards and expectations for patient communication and transparency when healthcare system allocation decisions are needed due to resource constraints.

The OHA seeks candidates representing: the state health care delivery system, including hospitals, health care providers, and local public health agencies; and organizations and community members who can speak out about community needs, especially communities of color, tribal communities, and people with disabilities, including people with intellectual and developmental disabilities.

The committee will meet virtually once or twice a month for nine to twelve months and will be supported by a project team and a contract facilitator. Precautions will be taken to support a trauma-informed, collaborative and inclusive process that recognizes the diversity of professional and lived experiences among committee members.

For people with disabilities or people with limited English, the OHA will provide free assistance during advisory committee meetings, for example with sign language and spoken language interpreters, real-time captioning, braille , large print, audio and written material in other languages.

Those interested in applying to serve on the committee should contact the OHA to obtain an application form. The deadline to submit the form is January 28, 2022.

If you have any questions about the committee or need help completing the application, contact OHA at [email protected] The OHA will select members and contact all applicants in February. Members will be selected to ensure diverse community representation, health care delivery expertise, geographic diversity and lived experience.

About Antoine L. Cassell

Check Also

Caroline Flack’s mother Christine says TV presenters need ‘better duty of care’

Caroline Flack’s mother said TV presenters needed improvements in ‘duty of care’ because of the …

Leave a Reply

Your email address will not be published.