Hospitals across the United States must take immediate action to save lives and fairly allocate limited resources by implementing crisis standards of care (CSC).

Hospitals are experiencing large surges in COVID-19 patients, and intensive care units are already over capacity in many areas.  In response, hospitals are canceling admissions and procedures, augmenting staffing, transferring patients, even establishing and operating alternate care sites. But these actions may not be enough. There will come a point in the crisis when these adaptations cannot compensate for the overwhelming caseload. At this point, hospitals must shift to crisis standards of care. This means making unprecedented and agonizing decisions under great uncertainty in order to do the most good possible with limited resources. The tools and publications on this page are intended to help health care providers and public officials plan for the implementation of CSC.

Nine National Organizations Call for Action to Implement Crisis Standards of Care During COVID-19 Surge

The National Academy of Medicine and eight other national organizations call for key actions to be taken in order to do the most good possible for the largest number of people with limited resources.  


Rapid Expert Consultation on Crisis Standards of Care During the COVID-19 Pandemic

This document summarizes the broad principles and core elements of CSC planning and implementation relevant for the COVID-19 pandemic.

Rapid Expert Consultation on Staffing Considerations for Crisis Standards of Care for the COVID-19 Pandemic

This document focuses on staffing needs for the care of COVID-19 patients, including the deployment and allocation of expert clinical staff during COVID-19 response. 

Duty to Plan: Health Care, Crisis Standards of Care, and Novel Coronavirus SARS-CoV-2

This discussion paper for health care planners and clinicians focuses on the application of CSC principles to clinical care, including personal protective equipment, critical care, and outpatient and emergency department capacity challenges posed by COVID-19. 

SLIDES: Introduction to CSC

This slide set is part of Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response – Volume 6: Public Engagement. This volume also contains a complete toolkit for leading community conversations about CSC. 

WEBINAR: Crisis Standards of Care During COVID-19

This 90-minute webinar features Rebekah Gee (Former Secretary of Health, Louisiana), Larry Gostin (Georgetown University), John Hick (University of Minnesota & Hennepin Healthcare), & Jeffrey Kahn (Johns Hopkins Berman Institute of Bioethics).

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