Forum and Workshop Objectives

Publication Details

The IOM’s Preparedness Forum was established to foster dialogue among a broad range of stakeholders—practitioners, policy makers, community members, academics, and others—and to provide ongoing opportunities to confront issues of mutual interest and concern. The Forum provides a neutral venue for broad-ranging policy discussions that can aid in coordination and cooperation between public and private stakeholders in developing and enhancing the nation’s medical and public health preparedness. Sponsoring members include federal agencies, state and local associations, health professional associations, and private-sector business associations.

The goals of the workshops on Crisis Standards of Care were to learn from the work already being done to develop state, regional, and local crisis standards of care policies and protocols; to identify areas that require further development, research, and consideration; and to facilitate communication and collaboration among neighboring jurisdictions.

Organized by an independent planning committee, the workshops brought together a wide range of key stakeholders, including policy makers from state and local public health departments; local and regional public health leaders; local and state government representatives; healthcare providers, including representatives of relevant medical disciplines, nursing, pediatrics, emergency medical services (EMS), palliative care, mental health, hospice, and home health; and healthcare and hospital administrators. See Appendix C for workshop agendas and Appendix E for biographical sketches of planning committee members, invited speakers, and panelists. This report is a summary of the presentations and discussions that took place during the workshop. Any opinions, conclusions, or recommendations discussed in this workshop summary are solely those of the individual participants at the workshop and are not necessarily adopted, endorsed, or verified by the Forum or the National Academies.

Workshop speakers and attendees discussed the roles and responsibilities of each stakeholder community in establishing state, regional, and local crisis standards of care protocols. In addition, they were asked to discuss what resources, guidance, and expertise had been established regarding crisis standards of care, including the legal and ethical guidance used to frame those discussions in different localities across the country. Finally, meeting participants were asked to help identify and discuss what resources they needed from federal, state, and regional authorities in order to advance and accelerate the establishment of coordinated and consistent crisis standards of care protocols.

This workshop summary aims to highlight the extensive work that has already been done on this topic across the nation and to raise awareness of current barriers and promising directions for future work. In particular, this document will draw attention to existing federal, state, and local policies and protocols for crisis standards of care; discuss current barriers to increased provider and community engagement; relay examples of existing interstate collaborations; and present workshop participants’ ideas, comments, concerns, and potential solutions to some of the most difficult challenges.