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Patient Care Strategies for Scarce Resource Situations
From the Document: "How to use this card set: 1. Recognize or anticipate resource shortfall. 2. Implement appropriate incident management system and plans; assign subject matter experts (technical specialists) to problem. 3. Determine degree of shortfall, expected demand, and duration; assess ability to obtain needed resources via local, regional, or national vendors or partners. 4. Find category of resource on index. 5. Refer to specific recommendations on card. 6. Decide which strategies to implement and/or develop additional strategies appropriate for the facility and situation. 7. Assure consistent regional approach by informing public health authorities and other facilities if contingency or crisis strategies will continue beyond 24h [24 hours] and no regional options exist for re-supply or patient transfer; activate regional scarce resource coordination plans as appropriate. 8. Review strategies every operational period or as availability (supply/demand) changes."
Minnesota. Department of Health
2019-04
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Minnesota Crisis Standards of Care Framework: Health Care Facility Surge Operations and Crisis Care
From the Introduction: "This document--Health Care Facility Surge Operations and Crisis Care--is a framework designed to help health care facilities plan for shortfalls in the health care system during a pervasive or catastrophic public health event, which may cause overwhelming medical surge. This guidance assumes incident management and incident command practices are implemented and key personnel are familiar with the Minnesota Crisis Standards of Care Ethical Framework and processes that underlie scarce resource decision-making. [...] This document provides an overview of surge capacity and crisis care operational considerations for health care facilities with an emphasis on hospitals for the state of Minnesota. In addition to this framework, hospitals and health care systems are encouraged to review both the Minnesota Ethical and Minnesota Legal Frameworks."
Minnesota. Department of Health
2020-03-01
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Implementing Ethical Frameworks for Rationing Scarce Health Resources in Minnesota During Severe Influenza Pandemic
A companion report to 'For the Good of Us All: Ethically Rationing Health Resources in Minnesota in a Severe Influenza Pandemic': "In 2007, the Minnesota Department of Health (MDH) contracted with ethicists from the University of Minnesota's Center for Bioethics and the Minnesota Center for Health Care Ethics to develop and lead the Minnesota Pandemic Ethics Project. This project's primary goal is to develop guidance regarding how scarce health resources should be rationed in Minnesota during severe influenza pandemic. A presentation of the project's recommendations for ethical frameworks for rationing can be found in the report entitled 'For the Good of Us All: Ethically Rationing Health Resources in Minnesota in a Severe Influenza Pandemic'. The project committed not only to the development of ethical frameworks for rationing, but also to the identification and analysis of issues relating to the implementation of those ethical frameworks. This report, 'Implementing Ethical Frameworks for Rationing Scarce Health Resources in Minnesota During Severe Influenza Pandemic', presents analysis of those implementation issues."
Minnesota. Department of Health
Vawter, Dorothy E.; Garrett, J. Eline; DeBruin, Debra A. . . .
2010
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High Consequence Infectious Disease (HCID) Toolbox for Frontline Health Care Facilities [website]
This toolbox "[1] Provides ready-to-use tools for frontline facilities to prepare and respond to patients who may have a high consequence infectious disease (HCID). [2] Helps facilities meet CMS [Centers for Medicare and Medicaid Services] emergency preparedness regulatory requirements for training and testing programs. [3] Helps facilities develop a multi-year plan for HCID education and exercises. [4] Incorporates standard infection prevention concepts into training and exercises."
Minnesota. Department of Health
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Airborne Infectious Disease Management: Methods for Temporary Negative Pressure Isolation
From the Introduction: "Hospital preparedness for bioterrorism and other public health emergencies such as emerging airborne infectious diseases requires strategic planning to ensure that all components of respiratory protection programs, including environmental controls, are in place for airborne infection isolation rooms (AIIRs). Hospitals have insufficient facilities to provide airborne infection isolation for large numbers of patients with airborne infectious diseases presenting in a short time period. However, AIIRs have been increased recently, due to requirements of National Bioterrorism Hospital Preparedness Program. [...] This guide will assist health care facility plant maintenance and engineering staff, in coordination with infection control professionals, to prepare for a natural or terroristic event, involving an infectious agent transmitted by airborne droplet nuclei. Examples of such agents include measles, varicella, and tuberculosis."
Minnesota. Department of Health
Anderson, Jeanne; Geeslin, Andrew; Streifel, Andrew
2007-02
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Management of High Consequence Infectious Disease (HCID) Toolbox for Frontline Health Care Facilities [presentation]
From the Executive Summary: "We live in a world where people travel the globe and pathogens evolve. These forces make health care facilities throughout the state vulnerable to risks posed by High Consequence Infectious Diseases (HCID) infections, such as Ebola Virus Disease (EVD), Middle East Respiratory Syndrome, and others that are easily transmissible, highly fatal, and not preventable through routine vaccines. Delayed detection and isolation of HCIDs may result in spread to others in health care facilities and the community. The Minnesota Department of Health (MDH), the Minnesota Chapter of the Association for Infection Control and Epidemiology (APIC MN), and the Health Care Coalitions of Minnesota worked collaboratively to develop this toolbox to help frontline facilities prepare for presentation of a person with a High Consequence Infectious Disease (HCID)."
Minnesota. Department of Health
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Self-Care and Applying Psychological First Aid for COVID-19 Responders [video]
From the video description: "This video provides the healthcare responder with just-in-time training on responder stress during COVID-19, and provides stress management strategies that should be implemented now to protect the our healthcare workforce." This video has a duration of 13 minutes and 56 seconds.
Minnesota. Department of Health
2020-03-19
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Minnesota Pandemic Influenza Control and Prevention Guidelines (Draft)
"Influenza viruses are unique in their ability to cause sudden infection in all age groups on a global scale. The importance of influenza viruses as biological threats is due to a number of factors, including the high degree of transmissibility, the presence of a vast reservoir of novel variants (primarily aquatic birds), and the unusual properties of the viral genome. The infamous 'Spanish flu' of 1918-19 was responsible for more than 20 million deaths worldwide, primarily among young adults. Mortality rates associated with the more recent pandemics of 1957 (A/Asia [H2N2]) and 1968 (A/Hong Kong [H3N2]) were reduced, in part, by antibiotic therapy for secondary bacterial infections and more aggressive supportive care. However, both of these later pandemics were associated with high rates of morbidity and social disruption. To prepare for the next pandemic, an event considered by many experts to be inevitable, the Minnesota Department of Health (MDH) in cooperation with various state and local organizations has developed the Minnesota Pandemic Influenza Control and Prevention Guidelines to outline strategies by which pandemic influenza-related morbidity, mortality, and social disruption may be reduced."
Minnesota. Department of Health
2005
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Interim Guidance for Facilities Providing Non-Emergency Transportation Services During COVID-19
From the Document: "The Minnesota Department of Health (MDH) and Department of Human Services (DHS) are jointly providing guidance to Home and Community-Based Service (HCBS) providers, including day services and residential providers, that offer transportation services to high-risk participants. Our shared goal is protecting drivers and occupants and slowing the spread of COVID-19 [coronavirus disease 2019] in the community. These health and safety considerations may be applied to a wide variety of transportation services although they may not suit every unique situation. As communities offer services amidst the risk of widespread COVID-19 transmission, it is important to consider how participants will safely get to and from facilities and other settings. Enhanced precautions should be instituted for individuals who are at high risk for developing serious disease or complications associated with COVID-19, or those who have higher potential to spread disease to other household members who may be at higher risk. For instance, individuals who live in congregate settings, are older adults, or those who would be unable to maintain social distancing and other safety measures may utilize various forms of transportation for non-emergency services and could especially benefit from additional safety precautions. This guidance is intended to advise providers on best practices and does not mandate specific actions."
Minnesota. Department of Health
2020-07-31
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Pandemic Influenza Planning in Minnesota: Presentation by the Minnesota Commissioner of Health
This presentation was given during the Minnesota Pandemic Response and Emergency Planning Summit. It discusses the State's influenza planning efforts and identifies the State's public awareness efforts and overall response capabilties improvements to date.
Minnesota. Department of Health
2005-12-14?
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Minnesota Department of Public Health Pandemic Influenza Plan: All-Hazards Response and Recovery Supplement
"An influenza pandemic will place extraordinary and sustained demands on the public health and medical care systems as well as providers of essential services across the country, globe, and state of Minnesota. To prepare for the next pandemic, an event considered by many experts to be inevitable, the Minnesota Department of Health (MDH) in cooperation with various state and local organizations has developed the MDH Pandemic Influenza Plan. This plan was first developed in 1999 and over the course of the last six years the MDH has been working with local public health (LPH), hospitals, clinics, emergency medical services (EMS), emergency management (EM), and other community agencies/partners to enhance the plan as well as develop robust and comprehensive plans for other kinds of emergencies that may impact the state of Minnesota. Emergency preparation is a continuum and planning efforts will always be evolving. As new information arises and lessons are learned the MDH Pandemic Influenza Plan will be updated as necessary."
Minnesota. Department of Health
2006-04
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Minnesota Department of Health Pandemic Influenza Plan: All-Hazards Response and Recovery Supplement
"The purpose of the Minnesota Department of Health (MDH) Pandemic Influenza Plan is to provide a coordinated and comprehensive statewide response to an influenza pandemic in order to reduce morbidity, mortality, and social disruption and to help ensure a continuation of essential governmental functions."
Minnesota. Department of Health
2006-04
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Pandemic Influenza: 2007 Annual Progress Update: Minnesota Department of Health Activities
This report outlines significant progress made by the, Minnesota Department of Health in 2007 in preparing for pandemic influenza. The agency plays a key role in a, wide variety of areas--everything from laboratory analysis to stockpiling antiviral medication, from helping the, healthcare community plan for a surge of patients to coordinating care of the deceased.
Minnesota. Department of Health
2008-05-01?
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Ethical Framework for Transitions Between Conventional, Contingency, and Crisis Conditions in Pervasive or Catastrophic Public Health Events with Medical Surge Implications
From the Introduction: "This framework addresses ethical guidance for managing challenges associated with strains on health care systems as the need for care increases during pervasive or catastrophic public health events with medical surge implications and shortages of resources -- including supplies, staff, and spaces for providing care -- affect health care operations. This framework was drafted in light of experiences during the COVID-19 [coronavirus disease 2019] pandemic, but it provides guidance for managing resource shortages across diverse types of events. 'This document provides an ethical framework for the operational transitions between conventional, contingency, and crisis conditions within the context of a pervasive or catastrophic public health event, with associated changes in standards of care when transitioning into or out of crisis conditions. This document is intended to guide care delivery and organizational response during pervasive or catastrophic public health events with medical surge implications (including potential future surges of the COVID-19 pandemic), and thus addresses both bedside ethics and organizational ethics issues. It also aims to promote consistency among institutions and systems across the state of Minnesota.'"
Minnesota. Department of Health
2021-05-18
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Great Lakes Border Health Initiative: Infectious Disease Emergency Communications Guideline
"This document has been prepared as a component of the Great Lakes Border Health Initiative, a cooperative endeavor between the Ontario Ministry of Health and Long‐Term Care and bordering U.S. state health departments, to enhance early warning infectious disease surveillance at our international borders.
The purpose of this document is to create a tool to categorize emergency vs. non‐emergency public health events and to pre‐determine preferred routes of communications for such events involving the public health partners listed above."
New York (State). Department of Health; Minnesota. Department of Health; Michigan. Department of Community Health . . .
2009-02
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