Table ASummary of strategies addressing Key Question 1, by category

Reduce or manage less urgent demand for health care servicesBiological countermeasures (12 studies)
  • POD strategies (e.g., centralized vs. hybrid structure; eliminating conventional steps; using simulation and decision support to optimize staffing)
  • Optimizing strategies for allocating medication from stockpiles (e.g., level of preallocation, level of tailoring to population needs, amount for prophylaxis vs. treatment)
  • Mass vaccination, contact tracing, and school closure
  • Mass distribution of antibiotics using postal carriers
Nonbiological countermeasures (3 studies)
  • Distribution of surgical masks or N95 respirators to the public
  • Restriction of nonurgent demand for hospital care
  • Training for public health officials in their legal authority to implement strategies to limit the spread of pandemics
Optimize use of existing resourcesLoad sharing (2 studies)
  • Central command structure to optimize distribution of patients to hospitals
  • Establishment of site emergency management centers in low vulnerability locations
  • Robust and interoperable emergency communications systems
  • Coordinated regional trauma systems to facilitate the rapid transfer of hospitalized and special needs patients
Augment existing resourcesTemporary facilities (3 studies)
  • Alternate-site surge capacity facilities
  • Mobile field hospitals
  • Activating mobile provider units from other Federal agencies to provide hospital surge capacity
Temporary facilities (3 studies)
  • Mutual aid agreements that allow transshipment of antivirals between counties
Crisis standards of careNone

POD = point of dispensing

From: Executive Summary

Cover of Allocation of Scarce Resources During Mass Casualty Events
Allocation of Scarce Resources During Mass Casualty Events.
Evidence Reports/Technology Assessments, No. 207.
Timbie JW, Ringel JS, Fox DS, et al.

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