Resource Group Pages:

Group 1:

Model Policies -

Drafts and FInals

Updated 6/26/2020

This section contains:
- policies written before the advent of this current COVID-19 pandemic
- policies in final form, written for this current pandemic
- policies in draft form

Table of Contents for this section:

- California SARS-CoV-2 Pandemic Crisis Care Guidelines: Concept of Operations,
     Health Care Facility Surge Operations and Crisis Care 06/2020 - Final Edition

- International Association of Hospice and Palliative Care for COVID:

     Palliative Care in the COVID-19 Pandemic Briefing Note:

     Bio-Ethical Principals, Practices, and Recommendations

     Relevant to the COVID-19 Pandemic

- California SARS-CoV-2 Crisis Care Guidelines (*Draft Policy* - *Under Review*)

- University of Pittsburgh Model Hospital Resource Policy, 4/15/20

- University of Pittsburgh Model Policy

- Process Map for Univ.-of-Pittsburgh-Type Policies

- Colorado Crisis Standards of Care
- SCBCC WebEx Materials:

          - Guiding Ethical Principals and Surge and Triage Plan for the Allocation of
               Scarce Critical Care Resources in Crisis Circumstances (PPT) - UCLA Draft
               Policy, 3/26/20
          - Allocation of Scarce Critical Care Resources During a Public Health Emergency

                    - (An Adoption of a Model Hospital Policy by Douglas White, by Thomas V.
                         Cunningham 3/21/20)
- Oregon Crisis Care Guidance Critical Care Triage Card, 3/25/20
- NY Ventilator Allocation Guidelines, 11/2015
- Kootenai Health Allocation of Scarce Resources Policy, 1/26/16
- Translation of SIAARTI (Italian Society for Anesthesia Analgesia Resuscitation and
     Intensive Care), Recommendation re COVID-19, Translated by Dr. Joseph Raho, 3/6/20

Group 2:

Resources for Creating Policy

Updated 6/26/2020

This section contains articles, news stories and reference guides on ethical frameworks
     for public health emergencies in general, and the COVID-19 pandemic, in specific.

Table of Contents for this section:

- Ethics Committee Resources:

          - The Hastings Center Ethical Framework on COVID-19

- Process Map for Univ. --Pittsburgh-Type Policies

- HHS Office for Civil Rights in Action, March 28, 2020: Bulletin: Civil Rights, HIPAA, and the Coronavirus Disease 2019 (COVID-19)

- Hastings Center Bioethics Forum Essay: Disabusing the Disability Critique of
     the New York State Task Force Report on Ventilator Allocation

- AARC (American Association for Respiratory Care) Joint Statement and
     Guidance Document on Multiple Patients per Ventilator
- Hastings Center publication
          - Ethical Framework for Health Care Institutions & Guidelines for Institutional
               Ethics Services Responding to the Coronavirus Pandemic: Managing
               Uncertainty, Safeguarding Communities, Guiding Practice, 3/16/20

          - Supplement to Hastings Center Ethical Framework for Health Care Institutions Responding
               to COVID-19: Preliminary Guidelines for Regional Collaboration Involving Hospitals
- Allocation of Scarce Critical Care Resources During a Public Health Emergency

          - (An Adoption of a Model Hospital Policy by Douglas White, by Thomas V.

               Cunningham, 3/21/20)
- SCCM (Society of Critical Care Medicine) and Wolters Kluwer Health, Inc. Outbreak Ethics, 3/25/20:
          - Ethics of Outbreaks Position Statement. Part 1: Therapies, Treatment
               Limitations, and Duty to Treat
          - Ethics of Outbreaks Position Statement. Part 2: Family-Centered Care

- Pandemic Ethics Literature (compiled by T. Cunningham), 3/19/20:
          - Academic Literature
          - Policies and Guidelines - Government
          - Policies and Guidelines - Professional Organizations, etc.
          - Policies and Guidelines - Samples and Models
          - Link to APBD (Association of Bioethics Program Directors) model policies repository (PDF)
          - Link to UCSF (University of California, San Francisco) repository of COVID-19 research (PDF)
- Hastings Center publication
          - Ethical Framework for Health Care Institutions & Guidelines for Institutional
               Ethics Services Responding to the Coronavirus Pandemic: Managing
               Uncertainty, Safeguarding Communities, Guiding Practice, 3/16/20
- Ethics Framework for Emerging Infectious Diseases - Denver Health Medical Center (002), 3/20
- Ethical Issues/Triage During Flu Pandemic by Alex Rajczi
          - A reference table listing articles and narrative news stories, with author, title, and notes

Group 3:

Non-Policy-Related Resources

Updated 6/26/2020

This section contains tools, articles and materials dealing with a number of topics relevant to the non-policy aspects of managing the pandemic. These include, among others, caregiver care, communication materials, palliative care, and moral distress.

Table of Contents for this section:

- Communication Materials

          - Equality Labs COVID-19 Guides, multiple language editions: “Explaining pandemic triage: When a picture is worth 3000 words”
          - COVID-19 Ethics FAQ (PPT): Denise M. Dudzinski, PhD MTS, UW Medicine, Seattle, Department of Bioethics & Humanities
          - COVID Communication Skills: A Playbook of VitalTalk Tips, VITALtalk, 2020
          - COVID-19 Resources by Respecting Choices, Person-Centered Care
          - COVID-19 Comics by Alice Jaggers 4/3/20
          - Oregon Crisis Care Guidance Critical Care Triage Card, 3/25/20
- Palliative Care
          - CAPC (Committee to Advance Palliative Care) COVID-19 Response Resources
- Care for Caregivers
          - Headington Institute COVID-19 Resources

- Management of Infants Born to Mothers with COVID-19 - Date of Document: April 2, 2020

- New England Journal of Medicine Coronavirus Resources

- CAPC (Center to Advance Palliative Care) COVID-19 Response Resources

- AHA (American Heart Association Interim Guidance for Basic and Advanced Life Support

     in Adults, Children, and Neonates with Suspected or Confirmed COVID-19

- American Journal of Bioethics Toolkit Resources for COVID-19

- UAB (University of Alabama, Birmingham) Medicine COVID-19 Provider Resources

- Federal Register of the U.S.: Guidance Documents Related to Coronavirus Disease 2019 (COVID-19); Availability

- Clinical Trials for Remdesivir: Journal of Medical Ethics article: “When Clinical Trials Compete:

     Prioritizing Study Recruitment”, Gelinas, Luke; Lynch, Holly F.;Bierer, Barbara E.;Cohen, I.G. (Dec., 2017).

- ADI (Area Deprivation Index): Neighborhood Atlas website, including ADI (Area Deprivation Index),

     Department of Medicine, University of Wisconsin, School of Medicine and Public Health

- A Study: “Area Deprivation and Widening Inequalities in US Mortality, 1969-1998",

     by Gopal K. Singh, PhD, MS, MSc

- Henry Ford Health System: Tier 1: COVID-19 Disposable Personal Protective Equipment (PPE) Extended Use and Reuse Guidelines

- Advance Care Planning Tools from Your Caring House

- Hastings Center Bioethics Forum Essay: Disabusing the Disability Critique of
     the New York State Task Force Report on Ventilator Allocation

- NAD (National Association of the Deaf): COVID-19: Deaf and Hard-of-Hearing
     Communication Access Recommendations for the Hospital

- DREDF (Disability Rights Education and Defense Fund) Policy Statement on COVID-19 and Medical Rationing

- Rosalind Rhodes, Ph.D. - On the Verge of Making Triage Decisions: Understanding Justice in Medicine

- Hastings Center - COVID-19: Supporting Ethical Care and Responding to Moral
     Distress in a Public Health Emergency: tools, resources and guidance for COVID-19

- Moral Injury Distress (PPT)
- CSTS (Center for the Study of Traumatic Stress): Sustaining the Well-Being of
     Healthcare Personnel During Coronavirus and Other Infectious Disease Outbreaks

Group 4:

SCBCC WebEx Materials

Updated 4/13/2020

This section provides a copy of the materials used in the SCBCC WebEx meetings.

Table of Contents for this section:

- Materials from 3/27/20 WebEx meeting:
          - Guiding Ethical Principals and Surge and Triage Plan for the Allocation of
               Scarce Critical Care Resources in Crisis Circumstances (PPT) - UCLA Draft
               Policy, 3/26/20
          - Allocation of Scarce Critical Care Resources During a Public Health Emergency
               - (An Adoption of a Model Hospital Policy by Douglas White, by Thomas V.
                    Cunningham, 3/21/20)
- Materials from 3/18/20 WebEx meeting:
          - May Calmer Heads Prevail: Supporting an Ethical Response in a Crisis (PPT)