COVID-19 Q&A: Crisis Standards of Care

Idaho activated Crisis Standards of Care for the entire state on Thursday, Sept. 16.

What are crisis standards of care?

Crisis standards of care are guidelines that help healthcare providers and healthcare systems decide how to deliver the best care possible under the extraordinary circumstances of a disaster or a public health emergency.

The goal of crisis standards of care is to save as many lives as possible. They guide decisions made by hospitals about how to allocate scarce resources, such as hospital beds, medications, or ventilators.

How would crisis standards of care affect me and my care?

When crisis standards of care are in effect, people who need medical care may experience care that is different from what they expect.

For example, patients admitted to a hospital may find there are no hospital beds or that beds have been set up in other rooms or hallways. In some extreme circumstances, ventilator or intensive care unit beds may need to be used for those who are most likely to survive, while patients who are not likely to survive may not be able to receive one.

The goal in all cases is to provide the best medical care possible with the resources that are available and to save the greatest number of lives.

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From DHW Director Dave Jeppesen: The activation of Crisis Standards of Care is a call-to-action for all Idahoans

Because of a surge in COVID-19 patients who need to be in the hospital in North Idaho, Crisis Standards of Care was activated in Idaho on Sept. 6 after a request from Kootenai Health in Coeur d’Alene. This was a first for Idaho.

The Idaho Department of Health and Welfare (DHW) activated Crisis Standards of Care (CSC) in accordance with IDAPA 16.02.09 – Crisis Standards of Care For Healthcare Entities in the Panhandle Health District and the North Central Health District (Public Health Districts 1 and 2).

No one takes this step lightly. Not Kootenai Health. Not the hospitals and healthcare organizations in northern Idaho. Not the healthcare workers. And not us. However, the goal is to extend care to as many patients as possible and save as many lives as possible. It means that we have a plan for what to do when there is a limited supply of resources available.

This was something I fervently hoped to avoid, and it was a difficult day for me personally when we activated Crisis Standards of Care.

What should you do? How can you help?

First, I would tell you to be careful. Wear your seatbelt. Take your prescribed medications. This is not the time to engage in any high-risk activity that might land you in the hospital … any hospital. Although we are all focused on North Idaho healthcare facilities right now, all hospitals and healthcare facilities in the state are stretched thin. We need to protect the capacity they have for our fellow Idahoans who need immediate care or have COVID-19 that requires hospitalization. 

COVID-19 case counts continue to rise in Idaho, and 91.6 percent of COVID-19 hospitalizations from May 15 – Sept. 4, 2021, were not fully vaccinated. Please choose to get vaccinated, wear a mask in public places, and stay home when you are sick. The best defense we have against COVID-19 is the vaccine, and it is safe and effective. You can read all about COVID-19 vaccine safety and monitoring on the Centers for Disease and Prevention website.

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Child Protection and COVID-19: Pandemic is tough for everyone, but it can be especially hard for children

Q: How has the pandemic affected child welfare in Idaho?

A: The pandemic has affected child welfare in Idaho in all kinds of ways. Parents are stressed, children are stressed, everyone is stressed, and we are all staying home more than ever so we don’t get sick or make others sick. That can mean children and families have less support than ever before. This can be a tough combination for healthy relationships between parents and children.

It’s important to know these strange and unprecedented times are affecting all of us and we can all use a little extra support so situations don’t get out of control. There are resources available to help during these particularly hard times. The COVID Help Now Line offers statewide support to anyone who is feeling distress related to the pandemic. Responders can help talk through supports and coping strategies. It’s anonymous and available 8 a.m. -8 p.m. MT seven days a week by calling 866-947-5186.

It’s also important to remember that child protection is a responsibility for all of us, and if you have concerns about a family situation or a child’s safety, it’s important to reach out and report your concerns by calling the Idaho CareLine at 2-1-1.

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From DHW Director Jeppesen: We remain focused on our mission to serve Idahoans. You can track our progress in our Strategic Plan and Performance Reports.

Although COVID-19 has changed the way we work for the past five months, it hasn’t changed the need to serve Idaho’s most vulnerable residents. We want all Idahoans to be able to live their best lives.

The impact we have on those we serve is often immeasurable. We work with struggling families to make sure they have a safe place to raise their children. We assist people in crisis – whether it is a physical or behavioral health crisis. We also help people who need public assistance, while always keeping the path to self-reliance in our sight.

We are focused on our mission: Dedicated to strengthening the health, safety, and independence of Idahoans, and we keep track of our progress through our Strategic Plan. Our 2021-2025 Strategic Plan outlines our strategies to:

  • Address state and community issues (e.g. affordable, available healthcare)
  • Focus on public health issues and responses (e.g. COVID-19)
  • Protect children, youth, and vulnerable adults (e.g. reunification of families and behavioral health services)
  • Help Idahoans become as healthy and self-sufficient as possible (e.g. reduce Idaho’s suicide rates)
  • Strengthen the public’s trust in confidence in DHW (e.g. prevent accumulation of ineffective, outdated regulations)

We invite you to review our Strategic Plan and Performance Reports. As we continue with our plan, we will be able to show a positive influence on Idaho’s health and human services system.

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Supporting our teachers, staff, and students as schools reopen: A reminder from DHW Director Dave Jeppesen

Back-to-School Framework

On July 9, the state of Idaho released our Back-to-School Framework as schools began to make plans to reopen for the 2020-21 school year. The Framework outlines the expectations, support for local governance and decision-making, as well as guidance and best practices on the key operational components for a safe reopening. As Gov. Brad Little stated, local leadership is paramount.

Additionally, on July 24, Gov. Little announced that the Coronavirus Financial Advisory Committee had approved an additional $40 million to increase testing capacity and improve test turn-around times in Idaho, with $21 million of the testing money specifically for K-12 teachers and staff. An additional $10 million was approved to equip schools with supplies needed to open safely.

Idaho has strategically leveraged federal funds to offset planned reductions. Between direct federal support for schools and the Governor’s actions through the Coronavirus Aid, Relief, and Economic Security (CARES) Act, a total of $122.2 million has been committed to K-12 public education for the upcoming school year.

Ultimately, we want to keep our teachers, staff, and students as safe as possible from the spread of COVID-19. Depending on what is happening locally, each district will make the decision that is best for them. For example, in Ada County, face masks or cloth face coverings will be required at all schools and universities. Central District Health is doing the safe and responsible thing as Ada County has seen significant spread of COVID-19.

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