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U.S. Department of Health and Human Services

Performance Measure 11


Percent of recipients with a complete, jurisdiction-wide CONOPs that delineates: a) the roles and responsibilities of state agencies during a crisis care situation, b) potential indicators and triggers for state actions, c) actions the state will take to support prolonged crisis care conditions that cannot be rapidly addressed through standard mutual aid or other mechanisms, d) operational framework for state-level information management and policy development, and e) legal and regulatory state actions that may be taken


Goal or Target

One hundred percent of recipients should have a complete Crisis Standards of Care (CSC) concept of operations (CONOPs) by the end of FY2020. By the end of FY2020, recipients must submit a new or updated CSC CONOPs. By the end of FY2021, the recipient’s CSC CONOPs must be incorporated and validated in an HCC-level exercise.


Operational Intent

This PM assesses how many recipients have a complete (either new or updated) CONOPs.


Data Reporting

During the specified time period for end-of-year reporting, recipients should enter this information into the end-of-year performance measure module in PERFORMS. Each recipient must also upload a copy of the new or updated CSC CONOPs by June 30, 2021. SPPR will calculate percentages.


Data Point Data Entity Data Source Response

PM11.1 The recipient has a complete, jurisdiction-wide CONOPs that delineates:

  1. the roles and responsibilities of state agencies during a crisis care situation,
  2. potential indicators and triggers for state actions,
  3. actions the state will take to support prolonged crisis care conditions that cannot be rapidly addressed through standard mutual aid or other mechanisms,
  4.  operational framework for state-level information management and policy development, and
  5. legal and regulatory state actions that may be taken
Recipient CSC CONOPs

Complete    ___

In Progress   ___

No Progress  ___

 


Definitions and Interpretation

  • Complete, jurisdiction-wide CSC CONOPs: By the end of FY2020, recipients must submit a new or updated CSC CONOPs. CONOPs should integrate the following elements, as applicable:

    • Roles and responsibilities of state agencies during a crisis care situation

    • Potential indicators and triggers for state actions

    • Actions the state will take to support prolonged crisis care conditions that cannot be rapidly addressed through standard mutual aid or other mechanisms

    • Operational framework for state-level information management and policy development, including real-time engagement of subject matter experts for technical support, as well as coordination and decision processes for the allocation of scarce resources (e.g., pharmaceuticals or personal protective equipment [PPE]) to the health and medical sector that are subject to state influence or control

    • Legal and regulatory state actions that may be taken to support health care strategies during crisis care conditions, including, as applicable:

      • State declarations and their powers
      • Credentialing and licensure support for intrastate and interstate assistance
      • Provider protection from liability during disasters
      • Support for alternate systems of care in both in health care facilities and alternate environments (such as alternate care sites)
      • Relief from specific regulations that may impede appropriate billing and collection for services rendered under crisis conditions
      • State agency support for crisis care (e.g., EMS regulatory agency relief, hospital licensure requirements, state fire marshal)

    • The recipient should also provide an update on other CSC activities in the jurisdictions that are not required above but that are critical to the success of an overarching CSC planning effort, such as exercises, community engagement activities, description of the ethical basis for CSC, clinical decision tools, provider education on CSC concepts, or hospital and EMS system guidance for CSC application.


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  • This page last reviewed: November 05, 2020