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Commonly Asked Questions & Answers​

What is the systems framework for catastrophic response?    (Top)

A systems framework for catastrophic disaster response

A systems approach to allocating resources and delivering care during a crisis would integrate all of the response capabilities necessary to achieve the best outcomes for the community as a whole. It ensures all stakeholders follow consistent protocols that take into account legal and ethical considerations when CSC takes effect.

What are the hallmarks of catastrophic disaster response?    (Top)

  • Increasing demand of patient care
  • Increasing resource utilization and supply consumption
  • Increasing demands placed on available health and medical staff
  • Demand requirements that will likely occur in the context of critical infrastructure disruption or destruction

What does a "duty to plan" mean?   (Top)

Note that in an important ethical sense, entering a crisis standard of care mode is not optional - it is a forced choice, based on the emerging situation. Under such circumstances, failing to make substantive adjustments to care operations - i.e., not to adopt crisis standards of care - is very likely to result in greater death, injury or illness." (IOM, 2009)

What is the continuum of care?   (Top)

  Effect on
Standard of Care
Resource Constrained Practicing
Outside Experience
Focus of Care
Conventinal None No No Patient
Contingency Slightly Slightly No Patient
Crisis Yes Yes Yes Population



What are adaptive measures for stewardship of scare resources?  (Top)

  • Prepare
  • Conserve
  • Substitute
  • Adapt
  • Re-use
  • Re-allocate

What are the milestones for CSC planning and imprementation?   (Top)

1. Establish a State Disaster Medical Advisory Committee (SDMAC).   9. Support surge capacity and capability planning for health care facilities and the health care and public health systems.
2. Ensure the development of a legal framework for CSC implementation.   10. Plan for and alternate care system capability.
3. Pormote understanding of the disaster response framework among elected officials and senior (cabinet-level) state and local government leadership.   11. Support scarce resource planning by the RDMAC (if developed) for health care facilities and the health care system.
4. Develop a state health and medical approach to CSC planning that can be adopted at the regional/local level by existing health care coalitions, emergency response systems (including the Regional Disaster Medical Advisory Committee [RDMAC]), and health care providers.   12. Incorporate crisis/emergency risk communication strategies into CSC plans.
5. Engage health care providers and professional associations by increasing their awareness and understanding of the importance and development of a CSC framework.   13. Exercise CSC plans at the local/regional and interstate levels.
6. Encourage participation of the outpatient medical community in planning.   14. Support scarce resource planning by the RDMAC (if developed) for health care facilities and the health care system.
7. Ensure that local and state CSC plans include clear provisions that permit adaptation of EMS systems under disaster response conditions.   15. Develop a process for continuous assessment of disaster response capabilities.
8. Develop and conduct public community engagement sessions on the issue of CSC.    

Do you have schematic for visualizing CSC implementation?   (Top)

Schematic for visualizing CSC implementation
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