Hospitals throughout the Commonwealth have been providing acute medical care throughout the COVID-19 pandemic. Since May, hospitals and other healthcare facilities now provide the full spectrum of healthcare services, including preventive care, and are required to adhere to the policies put in place under the Commonwealths’ Reopening Guidance.
The state is actively monitoring multiple public health and healthcare indicators, including testing capacity, COVID test positivity rate, new COVID cases and hospitalizations, COVID mortality, and the number of hospitals using surge capacity. As flu season continues, the state is also closely monitoring flu indicators and prepared to address both COVID-19 and flu illness as necessary.
Crisis Standards of Care Planning Guidance for the COVID-19 Pandemic
On October 20, 2020, DPH issued revised Crisis Standards of Care Planning Guidance for the COVID-19 Pandemic. (Accessible version)
This Guidance provides direction for the triage of critically ill patients in the event that the public health emergency caused by the COVID-19 pandemic creates a demand for in-patient critical care resources that outstrips supply. It seeks to ensure that every patient has equitable access to care from which they might benefit, and that tragically difficult decisions about the allocation of scarce in-patient care resources must be grounded only on evidence-based criteria that are clear, transparent, and objective; biological factors related only to the likelihood and magnitude of benefit from the medical resources; and should at all times minimize inequitable outcomes. Hopefully, these guidelines will never need to be activated.